Lifeceare Roseau Manor

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.04 therapist hours per resident per day in 2026Q1 — more than 2% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 0% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 40 beds and averages 38.0 residents a day — about 95% occupied, or roughly 2 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 5.71 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.14 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.64 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 4.95 hrs/resident/day on weekends vs 6.02 on weekdays — 18% thinner on weekends. RN hours go from 1.27 to 0.81 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 28% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

• Immediate jeopardy · Jcited before2025-03-21 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and document review the facility failed to adequately supervise and respond to an alarm sounding exit door for 1 of 3 residents (R1) reviewed for elopement risks. R1 exited the facility without staff knowledge and was found by a visitor on the ground with WC next to them outside the facility door. R1 had abrasions and bent glasses. The immediate jeopardy began on 3/13/25, at approximately 12:45 p.m., when R1 was found outside the facility on the ground next to his wheelchair. The IJ was identified on 3/21/25, and the administrator was notified of the IJ on 3/21/25, at 12:50 p.m. The immediate jeopardy was removed on 3/17/25, and the deficient practice was corrected prior to the start of the survey and was therefore issued at past noncompliance. Findings include: On 3/21/25 at 8:53 a.m. video footage of the R1's elopement on 3/13/25 was reviewed. The video showed R1 at a set of closed double doors approximately six feet from the nurses' station and dining room entrance at 12:34 p.m. At 12:35…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Potential for harm · Dcited before2026-03-25 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and document review the facility failed to ensure utilization of appropriate sling sizes assessed for use with mechanical lift/stand devices for 3 of 4 residents (R1, R3, R4) reviewed for safe transfers with mechanical lift/stand devices.Findings Include:R1R1's Transfer/Discharge Report indicated she admitted to the facility 6/30/21. R1's diagnoses included Multiple Sclerosis, dementia, weakness and dysphagia.R1's quarterly Minimum data set (MDS) dated [DATE], Identified moderate cognitive impairment and indicated she was dependent on staff for transfers.R1's Balance and Transfer assessment dated [DATE], indicated all transfers were completed with a total body lift and two staff. R1 was unable to safely or consistently bear weight. R1 weighed 152.2 pounds (lbs.) and directed the use of a yellow (medium) bordered slingR1's care plan dated 2/5/26, identified a self care deficit related to disease process and directed staff to perform transfers with a full body lift and two…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-19 · tag F0585 — failed to handle grievances — isolated
  Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and document review, the facility failed to follow through on a grievance regarding medication found in recliner for 1 of 1 resident (R2) reviewed for grievances.Findings include: R2's quarterly Minimum Data Set (MDS) dated [DATE], identified R2 had severe cognitive impairment and diagnoses included dementia, anxiety, and depression. R2's care plan revised 2/10/26, identified R2 preferred medications crushed in vanilla pudding.An e-mail dated 2/12/26 at 5:31 p.m., identified family member (FM)-B reported to registered nurse (RN)-B that FM-B reported to the charge nurse two whole pills were found on R2's chair (one with an imprint C) and R2's Wanderguard (device to monitor exiting) was found on R2's bed footboard. FM-B identified R2's medications were crushed, and the family was unsure if the pills found were missing doses or dropped pills. The e-mail included three photos. The first photo was a broken pill with an imprinted c and light orange in color. The second photo was a pill broken in…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-19 · tag F0744 — failed to care for residents with dementia — isolated
  Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and document review, the facility failed to complete a comprehensive assessment following resident to resident incidents to maintain safety of the residents for 1 of 5 residents (R2) reviewed for dementia care.Findings include:R2's quarterly Minimum Data Set (MDS) dated [DATE], identified R2 had severe cognitive impairment and diagnoses included dementia, anxiety, and depression. R2 exhibited physical behaviors directed towards others (for example: hitting, kicking, pushing, grabbing) 4-6 days, verbal behavioral symptoms directed towards others 4-6 days, other behavioral symptoms not directed towards others such as hitting/scratching self 1-3 days, rejection of care 4-6 days, and wandering 4-6 days. R2 required setting up or clean up assistance with eating, substantial/maximal assistance for toileting and was dependent on staff for all other care areas. R2 used antipsychotic, antianxiety, antidepressant, diuretic, and medications.R2's Delirium Care Area Assessment (CAA) dated 11/18/25,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-19 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and document review, the facility failed to ensure a schedule 2 narcotic (a medication with a high potential for abuse) was stored in a manner to prevent diversion for 1 of 3 units (Maple Unit); and failed to monitor temperature on a medication refrigerator temperatures of 1 of 2 medication fridges (Maple Unit) reviewed for medication storage. Findings include:During observation on 2/19/26 at 8:25 a.m., the director of nursing (DON) did a tour of the medication room on the Maple unit (memory care unit). Upon entering the locked medication room on the unit, it was observed there were keys in a lock on one of the cupboards. The DON reached up and pulled the cupboard door open as it was not locked. In the cupboard there was a 30-milliliter (ml) unopened bottle of liquid morphine (a scheduled 2 narcotic). The medication refrigerator did not have a thermometer inside of it nor was there evidence the temperatures were monitored. The refrigerator contained two vials of injectable lorazepam 2 milligrams (mg)/ml. for R22. The refrigerator had cool air coming…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-09 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and document review, the facility failed to ensure urinary catheter care was provided in a manner to prevent contamination and potential urinary tract infection (UTI) for 1 of 1 residents (R30) reviewed for catheter cares. Findings include: R30's quarterly Minimum Data Set (MDS) dated [DATE], identified R30 had severe cognitive impairment and required an indwelling urinary catheter. Diagnoses included an enlarged prostate and obstructive uropathy (a condition where a blockage hinders the flow of urine). R30's care plan dated 3/28/24, identified R30 had indwelling urinary catheter related to obstructive uropathy and an enlarged prostate. The following interventions were implemented: - Position catheter bag and tubing below the level of the bladder and away from entrance room door. - Monitor and document intake and output as per facility policy. - Monitor/document for pain/discomfort due to catheter. CNA - Monitor/record/report to MD for signs and symptoms of UTI: pain, burning,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-09 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and document review, the facility failed to ensure enhanced barrier precautions (EBP) were consistently implemented in accordance with Centers for Disease Control (CDC) recommendations to reduce the risk of infection for 1 of 4 residents (R31); and failed to ensure appropriate hand hygiene was completed during provision of personal care for 1 of 4 residents (R8) whose cares were observed. Findings include: R31's quarterly Minimum Data Set (MDS) dated [DATE], identified R31 was cognitively intact and required assistance with activities of daily living. R31's care plan, printed 4/9/25, identified all R31's actual or potential problems along with interventions to help R31 meet established goals of care. The care plan outlined R31 was on enhanced barrier precautions (EBP) due to positive for vancomycin-resistant enterococci (VRE) infection in urine. Staff were directed to wear PPE of gloves, gown and face protection if performing activity with a high risk of splash and during high…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-02-14 · tag F0883 — failed to offer flu and pneumonia vaccines — isolated
  Develop and implement policies and procedures for flu and pneumonia vaccinations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and document review, the facility failed to offer pneumococcal vaccine booster as directed by the Centers for Disease Control (CDC) for 3 of 5 residents (R13, R14, R24) reviewed for immunizations. Findings include: R13's quarterly Minimum Data Set (MDS) dated [DATE], identified diagnoses including diabetes mellitus and heart disease. R13's undated Minnesota Immunization Information Connection (MIIC) report identified R13 had received the pneumococcal polysaccharide vaccine (PPSV23) on 3/10/09, and the pneumococcal conjugate vaccine 13 variant (PCV13) on 10/31/17. R13's medical record lacked evidence the pneumococcal conjugate vaccine 20 (PCV20) booster was offered and/or education was provided in conjunction with the provider to R13/R13's representative. R14's admission MDS dated [DATE], identified diagnoses including diabetes mellitus, heart disease and kidney disease. R14's MIIC report identified R14 had received the PPSV23 on 9/14/99 and 11/3/16, and the PCV13 on 11/3/16. R14's medical…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$17,610 in federal fines across 1 penalty.

• $17,610 — penalty dated 2025-03-21

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

CMS files one row per role, so the 21 rows in the source record cover these 16 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

What families pay in MN