The Estates At Roseville LLC

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.

41.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 128 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 50.7% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 73 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.28 therapist hours per resident per day in 2026Q1 — more than 43% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 11% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. 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 140 beds and averages 134.2 residents a day — about 96% occupied, or roughly 6 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 3.57 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.53 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.34 is below 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 3.42 hrs/resident/day on weekends vs 3.63 on weekdays — 6% thinner on weekends. RN hours go from 0.57 to 0.43 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 36% is below the national median of 45%. 1 administrator has left in the past year.

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.

28 citations, most serious first. The 11 most serious are shown; the remaining 17 are one tap away and print in full.

• Immediate jeopardy · J2026-06-10 · 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 provide adequate supervision to prevent elopement for 1 of 1 residents (R1) who was identified as an elopement risk and had exit-seeking behavior. This resulted in Immediate Jeopardy (IJ) for R1 when he left the facility and independently wheeled his wheelchair approximately 0.6 miles from the facility before being found, which placed R1 at likelihood for serious harm or death.The IJ began on 6/1/26 when R1 exited the building without staff awareness through the secured unit doors and then through an unknown door to the outside of the building. After a Good Samaritan contacted the facility related to their observation of a potential facility resident, R1was found on a residential street near a highway/collector road (a road that has more traffic than a residential street because the road is used to travel through parts of the city and neighborhoods). The administrator, director of nursing, regional nurse consultant, and regional social services…

  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 · D2025-11-20 · tag F0554 — isolated
  Allow residents to self-administer drugs if determined clinically appropriate.
  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 a self-administration of medications assessment was completed, and orders obtained, for all medications kept at bedside for 1 of 1 resident (R3) observed with medications at their bedside.Findings include:R3's quarterly Minimum Data Set, dated [DATE], indicated intact cognition with a diagnosis of stroke.R3's electronic medical record lacked a self-administration form. R3's care plan dated 6/1/25, lacked indication of self-administration of medications.R3's current provider order list on 9/26/25, lacked orders for muscle rub with lidocaine and artificial tears.On 9/25/2025 at 11:38 a.m., an opened bottle of Aspercreme with lidocaine (a pain relieving cream) and an opened bottle of artificial tears eye drops were observed on R3's bedside table. R3 was interviewed and stated he applied the Aspercreme to his arm when it was sore. He administered the eye drops when his eyes were scratchy. R3 stated staff did not administer the cream…

  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 · Dcited before2025-11-20 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  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 monitor a skin concern and notify the provider for 1 of 3 residents (R2) reviewed for wound care.Findings include:R2's 5-day minimum data set (MDS) dated [DATE] indicated severely impaired cognition. Diagnoses included metabolic encephalopathy and peripheral vascular disease. R2 was at risk to develop pressure injuries.R2's admission form dated 9/5/25 and signed by licensed practical nurse (LPN)-A indicated coccyx foam dressing, small 2x2 area of redness.R2's Braden scale for predicting pressure sore risk form dated 9/6/25, indicated high risk for developing a pressure sore.R2's care plan dated 9/6/25, indicated alteration in skin integrity related to wounds to bilateral lower extremities (both legs) with intervention to document on skin condition and keep providers informed of changes.R2's skin evaluation and skin risk factors form dated 9/7/25, indicated coccyx wound 1 centimeter (cm), pink. Foam dressing on coccyx. R2's nursing note dated 9/9/25,…

  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 · F2025-05-21 · tag F0801 — widespread
  Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
  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 employ either a full-time registered dietician (RD) or a qualified culinary director (CD) to carry out the functions of the food and nutrition services. This had the potential to affect all 135 residents. Findings include: The dietician's license indicated the license was valid and expired 11/30/25. An email was sent to the administrator on 5/21/25 at 8:48 a.m., requesting timecards from September to current for the Dietician's time at the Estates at Roseville. The dietician's timecards were provided on 5/21/25 at 9:27 a.m., from September 2024, to May 2025, however, the timecards did not break down to identify what location the dietician was at per day and week, additionally, the time card showed the dietician had already clocked out at 4:00 p.m. on 5/21/25. An email from the administrator on 5/21/25 at 10:36 a.m., indicated the dietician was full time and further, she's housed out of Roseville and for Monarch 30 hours a week is full time status…

  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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-05-21 · tag F0700 — pattern
  Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
  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 record review the facility failed to attempt alternative devices before the installation of bed rails on resident's beds, identify medical needs to be met with bed rail use, and assess potential entrapment zones for 4 of 4 residents (R76, R23, R103, and R35) reviewed for bed rails. Findings include: R76 R76's quarterly Minimum Data Set (MDS) dated [DATE], identified moderately impaired cognition, no functional impairment to upper and lower body, partial/moderate assistance required to roll left and right, substantial/maximal assistance for sit to lying, lying to sitting on edge of bed, sit to stand and chair/bed to chair transfer. Diagnoses included stroke and depression. R76's care plan dated 1/31/25, identified an alteration in mobility related to weakness with interventions for PT (physical therapy) per MD (medical doctor) order, one staff assist for ambulation, assist with movement in/out of bed, one staff assist for transfers. Prior to 5/20/25, the care plan lacked…

  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 · E2025-05-21 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  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 food items were labeled and dated, milk was discarded past the best by date, cups were not stored in food bins, dented cans did not remain on the shelf, and failed to ensure kitchen floors and equipment were clean. Findings include: An email from the administrator dated 5/20/25 at 3:16 p.m., indicated floors have been cleaned weekly, sweeping and mopping after the truck delivers so last done was on Tuesday the week prior. Further, the facility developed a formal log on 5/20/25, to show the documentation going forward. The administrator stated the brown circle in dry storage under the rack had been there for two years and they mopped it, deck scrubbed it and will have the floor tech tackle it. During the initial tour of the kitchen on 5/18/25, from 11:39 a.m., to 11:55 a.m., with the assistant culinary director (ACD), observed the following: Freezers: • A bag of fish with no label or date, ACD stated there should be a label and a…

  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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-21 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
  Reasonably accommodate the needs and preferences of each resident.
  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 call lights were within reach for 2 of 2 residents (R42, R440 ) reviewed for call lights. Findings include: R42's quarterly Minimum Data Set (MDS) dated [DATE], indicated R42 had severe cognitive impairment and diagnoses of dementia and anxiety. Furthermore, R42 required extensive assist with transfers. R42's care plan revised 3/27/25, indicated R42 had an alteration in mobility related to dementia and anxiety. The care plan directed staff to provide extensive assist of 1 for toileting and transfers and to keep call light within reach at all times. An observation on 5/18/25 at 2:05 p.m., R42 was lying in bed resting. R42's call light was lying on the floor on the left side of their bed. The call light was pushed up against the wall and was tangled in a second soft touch call light. An observation on 5/19 at 1:47 p.m., R42 was lying in awake. R42's call light was on the floor on the left side of the bed. The call light was still…

  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 · D2025-05-21 · tag F0604 — failed to not use physical restraints improperly — isolated
  Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
  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 record review, the facility failed to ensure freedom of movement was not restricted for 2 of 2 residents (R122, R335) who were observed during activities. Findings include: R122's admission Minimum Data Set (MDS) dated [DATE], indicated R122 had severe cognitive impairment a diagnosis of dementia. R122 required supervision assistance with verbal cues or touching/steadying when going from sitting to standing. R122's electronic medical record lacked indication an assessment was done to determine if R122 could independently unlock their wheelchair breaks. R122's orders lacked indication R122 had orders for locked brakes when in the wheelchair. R122's social service progress note dated 5/9/25 at 8:52 a.m., R133 had been attempting to self-transfer and attempting to climb up and over the wheelchair while sitting at the table. R122's nursing progress note dated 5/13/25 at 1:43 p.m., R133 continued to self-transfer in the supervised area and had been non-directable. R122's nursing…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-21 · 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 interview and document review the facility failed to provide monthly catheter changes for 1 of 1 resident (R46) reviewed for catheters. Findings include: R46's annual Minimum Data Set (MDS) dated [DATE], indicated moderately impaired cognition, diagnoses of multiple sclerosis (MS), neuromuscular dysfunction of the bladder, calculus of the kidney, and no rejection of care behaviors. It further indicated R46 was dependent on staff for toileting hygiene and had a suprapubic catheter. R46's care plan dated 4/4/25, indicated an alteration in elimination related to: neuromuscular dysfunction of the bladder and had a suprapubic (s/p) catheter. It further indicated the following interventions: -assist of 1-2 with toileting every 2 hours and as needed (PRN). -provide assistance with peri-cares (morning) AM, hour of sleep (HS), and PRN. -encourage adequate fluid intake -encourage good pericare -monitor skin integrity -keep call light within reach -monitor for signs and symptoms (S/S) of a urinary tract infection…

  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 · D2025-05-21 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  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 provider orders to wean supplemental oxygen were followed for 1 of 1 residents (R34) reviewed for oxygen use. Findings include: R34's annual Minimum Data Set (MDS) dated [DATE], indicated R34 had severe cognitive impairment and diagnoses of chronic respiratory failure and dementia. Furthermore, R34 had no trouble breathing or shortness of breath and no oxygen use. R34's Discharge summary dated [DATE], indicated R34 had been hospitalized for sepsis, pneumonia and urinary tract infection. The summary indicated R34 had acute hypoxic respiratory insufficiency (low blood oxygen saturations) from the pneumonia and instructed to be weaned off supplemental oxygen as able. This summary included an order for oxygen continuous per nasal cannula and to wean as able to keep oxygen saturation greater or equal to 90%. R34's provider order dated 4/24/25, indicated R34 required continuous oxygen and directed staff to wean as able to maintain oxygen…

  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 · D2025-05-21 · tag F0710 — isolated
  Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
  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 ensure the provider maintained coordination of care with an outside provider in order to ensure an appropriate diagnoses and end date for an antibiotic, for 1 of 1 resident (R46) reviewed for prophylactic antibiotics. Findings include: R46's annual Minimum Data Set (MDS) dated [DATE], indicated moderately impaired cognition, diagnoses of multiple sclerosis (MS), neuromuscular dysfunction of the bladder, calculus of the kidney and had no rejection of care behaviors. It further indicated R46 was dependent on staff for toileting hygiene, had a catheter, was always incontinent of bowel, and received an antibiotic on a routine basis. R46's urology after visit summary dated 3/15/25, indicated: start taking Ciprofloxacin 500 milligram (mg) tablet. Take 1 tablet (500 mg) by mouth two times daily before meals for nephrolithiasis (kidney stone). R46's monthly signed physician orders dated 3/15/25, indicated Ciprofloxacin HCl oral tablet. Give 500 mg by mouth…

  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.

  Nursing and Physician Services 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

$27,378 in federal fines across 1 penalty.

• $27,378 — penalty dated 2026-06-10

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.

Part of a chain

This home belongs to MONARCH HEALTHCARE MANAGEMENT — 45 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 13 rows in the source record cover these 9 parties — each is shown once here with every role it holds. Nothing is omitted.

4 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $2.3M paid to related parties — landlords or management companies under common ownership — equal to about 14% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in MN