Sholom Home West
3620 Phillips Parkway South, Saint Louis Park, MN 55426 · Non profit - Corporation · 139 certified beds · (952) 935-6311 Medicare & Medicaid certified
On the public record, this home looks stronger than most — but visit before you decide.
- a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- no federal fines or payment denials on record
- a high payroll-based staffing rating (5/5)
- lower-than-typical staff turnover (19% vs 45% nationally) — better care continuity
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- a high number of inspection citations overall (17) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 4 of 5 |
| StaffingFrom payroll records (PBJ) | 5 of 5 |
| Quality measuresSelf-reported by the facility | 3 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
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
| Overall quality measures | 3 of 5 |
| Long-stay residentspeople who live here | 4 of 5 |
| Short-stay residentsrehab / post-hospital | 3 of 5 |
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.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 5 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 14.9% | 18.2% | 15.4% | typical |
| Long-stay residents who lose too much weight | 4.5% | 4.1% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.0% | 1.9% | 0.9% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 1.5% | 2.6% | 2.0% | better |
| Long-stay residents with depressive symptoms | 8.2% | 4.1% | 6.5% | worse |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 3.0% | 4.0% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 16.9% | 20.5% | 16.1% | typical |
| Long-stay residents on antianxiety or hypnotic medication | 13.0% | 12.5% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 98.1% | 96.1% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 4.4% | 5.2% | 4.7% | typical |
| Long-stay residents with worsening bladder/bowel control | 10.3% | 24.5% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 23.3% | 17.1% | 17.1% | worse |
| Short-stay residents who newly got an antipsychotic medication | 1.8% | 1.9% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 91.8% | 82.7% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 31.6% | 23.5% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 13.8% | 14.8% | 12.0% | worse |
| Long-stay hospitalizations per 1,000 resident days | 1.56 | 1.61 | 1.67 | typical |
| Long-stay outpatient ER visits per 1,000 resident days | 1.12 | 1.90 | 1.80 | better |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
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.
64.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 241 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 62.4% 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 157 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 0.47 therapist hours per resident per day in 2026Q1 — more than 78% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 31% 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.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 64.5%CMS range 57.4–70.6 | 51.5% | Oct 2022–Sep 2024 | better than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 11.7%CMS range 8.8–15.6 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 62.4% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 56.0% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 40.8% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 98.4% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 81.5% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 93.8% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 2.6% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 6.7%CMS range 4.1–10.7 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.66 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 139 beds and averages 130.1 residents a day — about 94% occupied, or roughly 9 beds typically open. It runs fairly full. 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 5.39 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.34 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.90 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 5.08 hrs/resident/day on weekends vs 5.51 on weekdays — 8% thinner on weekends. RN hours go from 1.46 to 1.04 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 19% 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 fewer than at the previous inspection — improving. 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.
17 citations, most serious first. The 10 most serious are shown; the remaining 7 are one tap away and print in full.
- Potential for harm · E2026-03-19 · tag F0628 — patternProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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 Ombudsman for Long Term Care (OMB - LTC) was notified of resident transfers or discharges for 3 of 5 residents (R73, R139, R141) reviewed for transfers or discharges from the facility. Findings include: R73's comprehensive Minimum Data Set (MDS), dated [DATE], indicated R73 was cognitively intact, and diagnoses included chronic kidney disease, and neuralgia and neuritis (general nerve pain or inflammation). R73's progress note, dated 2/16/26 at 5:43 p.m., indicated R73 was sent to the hospital for blood emesis and loss of consciousness. A subsequent progress note, dated 2/25/26 at 4:05 p.m., indicated R73 was readmitted to the facility on [DATE] at 2:00 p.m. The facility's Monthly Notice to OMB-LTC of Emergency Acute Care Transfers and Discharges, dated February 2026, lacked notice of R73's hospital transfer on 2/16/26. R139's comprehensive MDS, dated [DATE], indicated R139 had moderate cognitive impairment and diagnoses included…
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.
- Potential for harm · D2026-03-19 · tag F0627 — isolatedEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and document review, the facility failed to ensure resident records upon discharge were complete and accurate for 1 of 1 resident (R141) reviewed for discharge.Findings Include - R141's Face Sheet (undated) documented the diagnoses of sepsis due to methicillin susceptible staphylococcus aureus ( a germ found on people's skin ), pneumonia, acute and subacute infective endocarditis (inflammation of the heart's inner lining).R141's Minimum Data Set (MDS), with a registered nurse signing date of 2/07/26, documented R141 was moderately cognitively impaired and require set up to moderate assistance with all activities of daily living.R141's nurse progress notes on 2/08/26, indicated R141 had eloped from the facility and was later found wondering at Target. Family arrived and returned R141 to the facility (this was later investigated by the Minnesota Department of Health - Rapid Response Team). Upon returning to the facility, R141's daughter insisted on taking resident home. R141's provider was contacted, and discharge orders were received.R141's electronic 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.
- Potential for harm · Dcited before2026-03-19 · tag F0880 — failed to prevent and control infections — isolatedProvide 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 complete proper disinfection of a blood glucose monitor for 1 of 1 resident (R10) reviewed for glucose monitoring.Findings include: R10's comprehensive Minimum Data Set (MDS), dated [DATE], indicated R10 was cognitively intact, and diagnoses included Parkinson's disease, chronic kidney disease and diabetes. R10's Physician Order Report, dated 2/18/26 - 3/18/26, indicated an order for blood glucose monitoring twice a day for diabetes. During observation and interview on 3/18/26 at 8:26 a.m., registered nurse (RN)-C was observed using an Assure Platinum blood glucose monitor (BGM) to check R10's blood glucose level. After RN-C completed the task and returned to the medication cart with the BGM, RN-C donned gloves, pulled a wipe from a blue-topped canister of PDI Sani-Hands Instant Hand Sanitizing Wipes, wiped the entire BGM with the wipe, and stated she would leave it out to dry. During interview on 3/18/26 at 8:55 a.m., RN-C stated the…
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.
- Potential for harm · D2026-03-19 · tag F0921 — failed to keep a safe, functional, sanitary building — isolatedMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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 maintain resident equipment cleanliness of intravenous (IV) poles for 1 of 1 resident (R86) reviewed for tube feeding.R86's quarterly Minimum Data Set (MDS) dated [DATE], indicated R86 had severe cognitive impairment and was dependent on assistance from staff for activities of daily living (ADLs). R86 diagnoses included dysphagia (difficulty swallowing food or liquids) following stroke, hypertension, gastrostomy tube (tube into stomach for feeding), hemiplegia (paralysis on one side) and hemiparesis (muscle weakness) following stroke, and encephalopathy (group of conditions that cause brain dysfunction). On 3/17/26 at 8:40 a.m., observed IV pole in R86's room with tube feeding pump attached. The pole, pole legs, and floor below were observed to have tan colored, dried substance that dripped down the pole, covered all five legs with several dried spots on the floor. Follow up observations on 3/18/26 at 10:08 a.m.; 3/18/26 at 1:55 p.m.;…
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.
- Potential for harm · D2025-03-12 · tag F0919 — failed to provide a working call system — isolatedMake sure that a working call system is available in each resident's bathroom and bathing area.
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 provide a call light to one of three residents (R2) reviewed for access to call lights when R2 did not have a functioning call light for an unknown number of weeks. Findings Include: R2's Minimum Data Set (MDS) admission assessment dated [DATE], indicated R2 was admitted to the facility on [DATE]. The MDS indicated R2 was continent of bowel and bladder, and independent with toileting. R2's brief interview for mental status (BIMS) was 15 indicating intact cognition. The census report, undated, indicated R2 moved to room [ROOM NUMBER] on 3/7/24. R2's Quarterly Review MDS dated [DATE], indicated R2 was frequently incontinent of bowel and bladder. R2's Significant Change in Status MDS dated [DATE], indicated R2 required moderate assistance with toileting. R2's care plan indicated the call light was to be accessible and within reach whenever the resident was in his room. The facility was unable to provide call light log for R2's room for the…
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.
- Potential for harm · E2025-01-08 · tag F0585 — failed to handle grievances — patternHonor 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
Based on observation, interview and document review, the facility failed to ensure grievance forms and procedures were posted in prominent locations throughout the facility for residents and resident representatives to file grievances, and anonymously if desired for 4 of 4 residents (R26, R35, R102 and R104) reviewed for grievances. Findings include: On 1/7/25 at 1:37 p.m., a resident council meeting was held with four residents which included R26 R26, R35, R102 and R104. During the resident council meeting, all four residents indicated they were not aware how to file a grievance form. R35 stated she thought there was a form at the front door that could be filled out and turned into a nurse. R35 further stated she did not think the form could be filled out without the help of a nurse. During an observation on 1/7/25 at 4:36 p.m., the 340 wing had a slot for grievance forms but no forms were present. During an observation/Interview on 1/7/25 at 4:43 p.m., registered nurse (RN)-F stated grievance forms are not kept on the 340 wing. RN-F further stated the forms were down stairs and…
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.
- Potential for harm · E2025-01-08 · tag F0657 — failed to keep the care plan current — patternDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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 hold care conference meetings with the resident and/or their representative to allow the resident and/or representative the opportunity to review and participate in the revision of the care plan for 5 of 5 residents (R14, R105, R6, R74,R97) reviewed for care planning. Findings include: R14's facesheet printed on 1/8/25, included diagnoses of Alzheimer's disease, dementia, depression, chronic kidney disease, diabetes, and congestive heart failure (heart doesn't pump as it should). R14's annual Minimum Data Set (MDS) assessment dated [DATE], indicated R14 was cognitively intact, had clear speech, could understand and be understood. R14 was independent with activities of daily living (ADL) and with ambulation. R14's care plan dated 4/14/23, indicated R14's wishes would be respected, and her wishes would be reviewed at quarterly care conferences. Care plan dated 8/2/24, indicated R14's code status would be reviewed with each care conference. During an…
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.
- Potential for harm · E2025-01-08 · tag F0803 — failed to meet residents' dietary needs — patternEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the 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 interview, observation and document review, the facility failed to provide a process by which residents could make their own food selections for meals for 6 of 6 residents (R241, R73, R6, R23, R104, R35) reviewed for food. Findings include: R241's facesheet printed on 1/8/25, included diagnoses of chronic kidney disease and congestive heart failure (heart doesn't pump as it should). R241's admission Minimum Data Set (MDS) assessment dated [DATE], indicated R241 was cognitively intact, had clear speech, could understand and be understood. R241 required supervision for most activities of daily living (ADL) and could eat independently after set-up help. R241's orders dated 12/17/24, indicated a heart healthy diet. R241's care plan dated 12/20/24, indicated R241's preferences would be honored during her stay. Staff responsible for this included nursing and nutritional services. During an interview on 1/6/25 at 3:49 p.m., R241 stated she had been at the facility since 12/17/24, and had not been given 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.
- Potential for harm · D2025-01-08 · tag F0644 — isolatedCoordinate assessments with the pre-admission screening and resident review program; and referring for services as 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 interview and document review the facility failed to complete a level II preadmission screening and resident review (PASARR) for 1 of 2 residents (R95) reviewed with a new mental illness diagnosis. Findings include: R95's facesheet printed on 1/8/25, indicated R95's original admission date was 12/16/22, and diagnoses at the time of admission included malnutrition, failure to thrive, anxiety, and repeated falls. Further review of the diagnosis listed on face sheet, indicated R95 was diagnosed with delusional disorders, major depressive disorder, and borderline personality disorder on 7/16/24. R95's significant change Minimum Data Set (MDS) assessment dated [DATE], indicated R95 had moderately impaired cognition, felt depressed half or more of the days and felt bad about himself nearly every day. R95's current physician orders printed 1/8/25, included risperidone 0.5mg tablet at bedtime for delusional disorders and citalopram 20mg tablet daily for psychosis. Record review of R95's PASARR screen completed…
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.
- Potential for harm · D2025-01-08 · tag F0679 — failed to provide activities — isolatedProvide activities to meet all resident's needs.
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 resident's preferred activities for individual entertainment were offered for 1 of 1 resident (R97) reviewed for activities. Findings include: R97's quarterly Minimum Data Set (MDS) assessment dated [DATE], indicated R74 was admitted on [DATE], preferred language was Spanish and needed/wanted an interpreter to communicate with a doctor or health care staff, moderate cognitive impairment, required partial/moderate assistance with toileting hygiene, upper body dressing, personal hygiene, and utilized a wheelchair, diagnoses included dementia, anxiety, and depression and no rejection of care. R97's annual MDS assessment dated [DATE], indicated it was somewhat important to participate in favorite activities, listen to music, and to go outside and get fresh air when the weather is good. R97's progress note dated 9/16/23 at 1:05 p.m., therapeutic recreation (TR)-A indicated R97 often fatigued/sleeping, pleasant and sometimes…
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.
Show the remaining 7 citations
- Potential for harm · D2025-01-08 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
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 provide timely repositioning for 1 of 1 resident (R58) who was dependent upon staff for repositioning and high risk for pressure ulcers. Findings include: R58's facesheet received 1/8/25, included diagnoses of dementia, aphasia (the ability to use or comprehend language is lost or impaired), diabetes mellitus, history of falling and chronic kidney disease. R58's significant change Minimum Data Set (MDS) assessment dated [DATE], indicated R58 had severely impaired cognition, and no behaviors. Activities of daily living (ADL's) included R58 uses a wheelchair and is dependent on staff for transfers, bed mobility and locomotion. R58 is able to feed self after setup. R58 has a an unhealed pressure injury that is unstageable with slough and or eschar (dead tissue that impedes healing of wounds) present. R58's Care Area Assessment indicated R58 has an unstageable pressure ulcer on right heel which is covered by slough. R58 has been identified as…
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.
- Potential for harm · Dcited before2025-01-08 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
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 follow Centers for Disease Control (CDC) guidelines by appropriately implementing measures to prevent the spread of infection when the facility failed to ensure personal protective equipment (PPE) was discarded prior to leaving resident rooms (R19 and R1), and failed to follow enhanced barrier precautions (EBP) for 1 of 1 resident (R58) who had an indwelling device present. Findings include: R41's facesheet received 1/7/25, included diagnoses including chronic kidney disease, diabetes mellitus, and dementia. A Event Report for R41 for infection control included a start date of 1/3/25 at 9:09 a.m., indicating on 1/2/25 at 10:09 p.m., R41 had 3 loose stools, poor appetite and was placed on isolation with testing completed for RSV (respiratory syncytial virus) and influenza. R41 was negative for Covid-19. A note dated 1/4/25 at 10:36 p.m., indicated R41 remained in isolation and R41 tested positive for Influenza type A. R1's Resident Face sheet received 1/7/25, included diagnoses of dementia, type 2 diabetes…
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.
- Potential for harm · D2025-01-08 · tag F0883 — failed to offer flu and pneumonia vaccines — isolatedDevelop 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 ensure 3 of 5 residents (R24, R25, and R124) received pneumococcal vaccinations based on shared clinical decision-making in accordance with the Center for Disease Control (CDC) recommendations reviewed for immunizations. Findings include: Review of the current CDC recommendations 4/2024, revealed The CDC identified Adults [AGE] years of age or older received the (PPSV23) or (PCV13) at any age and who have not received the Pneumo 20-valent conjugate Vaccine (PCV20) should receive a dose of the PCV20 at least one year after the most recent PPSV23 or PCV13 vaccine. In addition, the CDC identified adults 65 and older who had previously received both PCV13 and PPSV23 at age [AGE] and older, based on shared clinical decision-making with the patient and the provider one dose of PCV20 at least five years after the last pneumococcal vaccine dose. Review of R24's facesheet identified R24, age [AGE] was admitted to the facility on [DATE]. Review of R24's…
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.
- Potential for harm · D2024-12-05 · tag F0580 — failed to tell family and doctor about changes — isolatedImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the 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 interview and document review, the facility failed to provide timely notification for change in condition to the physician for 1 of 3 residents (R1) reviewed for change in condition. Findings include: R1's annual Minimum Data Set (MDS) dated [DATE] indicated R1 had intact cognition, and a diagnosis of congestive heart failure (CHF, when the heart is unable to pump enough blood to provide the body with the blood and oxygen it needs). R1's Physician Orders dated 11/22/24 included: Daily weights with special instructions: Call for weight gain three pounds or greater in 24 hours or five pounds in one week. Furosemide (diuretic) tablet 40 milligrams (mg) once a day. R1's care plan dated 11/27/24, indicated R1 had atherosclerotic heart disease with staff interventions to assess and monitor R1's weight, and to notify the provider immediately if R1 had weight increase of 3 pounds (Ibs) per day or five pounds per week. On 11/22/24 at p.m., R1's electronic medical record (EMR) indicated R1's weight was 249 Ibs at…
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.
- Potential for harm · D2024-03-04 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide 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 record review, the facility failed to comprehensively assess and monitor edema for 2 of 2 (R1, R3) residents reviewed with lower extremity edema. Findings include: R1's admission Minimum Data Set (MDS) assessment dated [DATE], indicated R1 was admitted on [DATE] and had diagnoses including traumatic ischemia of muscle (inadequate blood supply to muscles), benign neoplasm of meninges (brain tumor), multiple sclerosis, history of COVID-19, and muscle weakness. R1 required supervisory assistance with transfers, moderate assistance with mobility in bed and standing up, and maximal assistance with lower body dressing and putting on or taking off footwear. R1's Admission/readmission Full Body Observation skin assessment dated [DATE], noted a dry scab on R1's left outer ankle and did not note any other skin conditions on R1's legs. A progress note dated 1/24/24, indicated R1 had bilateral (both) lower extremity (BLE) edema (swelling caused by fluid in the body's tissues). The progress note did…
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.
- Potential for harm · D2023-09-21 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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 provide a dignified dining experience for 1 of 1 resident (R28) observed for dignity. Findings include: R28's quarterly Minimum Data Set (MDS) dated [DATE], indicated R28 had severe cognitive impairment and received assistance with all activities of daily living (ADL's). R28 is independent with eating after meal is set-up. During continuous observation on 9/19/2023, at 5:14 p.m. R28 was sitting on four-wheeled walker at a table in the middle of the dining room with three other residents. At 5:21 p.m. staff attempted to redirect R28 to her assigned table, R28 pushed staff away. At 5:22 p.m. another staff attempted to redirect R28, R28 shook her head, made a scowled face and pushed staff away. At 5:24 p.m. staff approached R28 with a sanitizing hand wipe, R28. At 5:31 p.m. another staff approached R28 to attempt to redirect R28 to assigned seat, R28 pushed staff away again. At 5:36 p.m. program manager (PM) approached R28 to attempt to…
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.
- Potential for harm · D2023-09-21 · tag F0688 — failed to keep residents mobile / prevent decline — isolatedProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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 provide restorative walking program as ordered for 1 of 1 residents (R42) reviewed for range of motion (ROM). Findings include: R42's admission Minimum Data Set (MDS) dated [DATE], indicated R42 was cognitively intact. R42 was totally dependent with transfers and had not walked during assessment period. R42's face sheet created 9/21/23 indicated diagnosis of left side weakness following cerebral infarction, also known as a stroke. Physical therapy Discharge summary dated [DATE], indicated R42 was to transfer with EZ stand lift, which was a mechanical lift to assist the resident to go from sitting to standing, and was started on a restorative ambulation program. Staff had been trained. R42 was to walk twice a day for 10 feet along hallway rail with assistance and wheelchair following. R42's medication administration record dated August 2023 and September 2023 indicated walking task was not completed due to condition, not able to walk and…
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.
“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.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| FURMAN, LISA | Individual | CORPORATE DIRECTOR | since 10/01/2023 |
| JACOBS, DAVID | Individual | CORPORATE DIRECTOR | since 10/01/2024 |
| LAMPERT, RENEE | Individual | CORPORATE DIRECTOR | since 10/01/2023 |
| MEICHES, ROBERT | Individual | CORPORATE DIRECTOR | since 07/01/2017 |
| MOSOW, DANIEL | Individual | CORPORATE DIRECTOR | since 10/01/2024 |
| NIRENSTEIN, DAVID | Individual | CORPORATE DIRECTOR | since 07/01/2016 |
| PACKER, FLORENCE | Individual | CORPORATE DIRECTOR | since 10/01/2024 |
| PIEROTTI, JEREMY | Individual | CORPORATE DIRECTOR | since 10/01/2023 |
| RESIG, MICHAEL | Individual | CORPORATE DIRECTOR | since 10/01/2023 |
| ROSEN, LAYNE | Individual | CORPORATE DIRECTOR | since 07/01/2018 |
| RUTZICK, SHERYL | Individual | CORPORATE DIRECTOR | since 07/01/2016 |
| SALITA, MARC | Individual | CORPORATE DIRECTOR | since 10/01/2023 |
| SCHANFIELD, PAUL | Individual | CORPORATE DIRECTOR | since 07/01/2018 |
| SEGAL, JUDITH | Individual | CORPORATE DIRECTOR | since 10/01/2024 |
| SEILER, SCOTT | Individual | CORPORATE DIRECTOR | since 07/01/2014 |
| STONE, JONATHAN | Individual | CORPORATE DIRECTOR | since 10/01/2021 |
| UNGERMAN, SONIA | Individual | CORPORATE DIRECTOR | since 10/01/2023 |
| WEISSMAN, DOUGLAS | Individual | CORPORATE DIRECTOR | since 10/01/2023 |
| WOLSON, KIMBERLY | Individual | CORPORATE DIRECTOR | since 10/01/2023 |
| BERRYMAN, DAVID | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL | since 03/07/2016 |
| NEWBROUGH, JAMES | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL | since 05/20/2024 |
| SHOLOM COMMUNITY ALLIANCE | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 04/03/2026 |
| HORVATH, ANDREA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/01/2024 |
| PEDERSON, JANE | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/01/2024 |
| SCHMELING, CORY | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 08/16/2019 |
| WYCKOFF, DOUGLAS | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 12/20/2016 |
CMS files one row per role, so the 31 rows in the source record cover these 26 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.
1 organizational owner 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 $1.5M paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.
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
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Minnesota Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 245574. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-03-19, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.