Episcopal Church Home Of Minnesota

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.

67.1% 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 283 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 63.6% 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 154 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 0.44 therapist hours per resident per day in 2026Q1 — more than 75% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 12% 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 131 beds and averages 108.5 residents a day — about 83% occupied, or roughly 22 beds typically open. It usually has some room. 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 5.43 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.08 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.51 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 4.89 hrs/resident/day on weekends vs 5.64 on weekdays — 13% thinner on weekends. RN hours go from 1.23 to 0.72 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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.

35 citations, most serious first. The 13 most serious are shown; the remaining 22 are one tap away and print in full.

• Immediate jeopardy · J2025-12-18 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  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 immediately respond, investigate timely, and implement resident protections for 2 of 4 residents (R1, R2) following an allegation of verbal, mental and physical abuse of R1 and an allegation of mental abuse and neglect of care of R2, that were both reported to the facility.The immediate jeopardy began on 10/6/25 at 10:30 a.m. when R1's family member (FM)-A reported to social worker (SW)-A an allegation of staff to resident mental and physical abuse. Additionally, on 11/3/25, R2's FM-B reported an allegation of staff to resident mental abuse and neglect of care. The facility failed to report timely the incidents to the State Agency (SA), conduct a thorough investigation, and to implement resident protections to ensure other vulnerable residents at risk of abuse were safe during the investigation.The administrator and assistant director of nursing (ADON) were notified of the immediate jeopardy at 5:07 p.m. on 12/17/25. The immediate jeopardy was removed…

  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
• Actual harm · Gcited before2024-05-29 · 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 record review the facility failed to ensure treatment, monitoring, and care in accordance with professional standards of practice were provided for 1 of 3 residents (R1) reviewed when skin ulcerations developed. R1's primary physician was not immediately notified when the first wound was discovered or when the wound had a significant change. R1 was admitted to the hospital with wounds on both legs requiring surgical interventions. The facility was only aware of the wound on R1's right leg. Findings include: R1's care plan dated 10/28/23 - 5/28/24 did not indicate any focus, goals or interventions for potential skin integrity concerns or actual focus, goals, or interventions when a wound was discovered on 5/1/24. R1's nursing assistant skin monitoring documentation dated 4/29/24-5/28/24 indicated on 4/30/24, 5/1/24, 5/2/24, 5/5/24, 5/8/24, and 5/10/24 R1 had a skin tear. The audit did not provide any other information regarding a skin tear documented. In addition, the form indicated on…

  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
• Actual harm · G2024-05-29 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide 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 interview and record review the facility failed to prevent three pressure ulcers for 1 of 3 residents (R1) reviewed for skin integrity. R1 was harmed when he developed three pressure ulcers that went without treatment, staff were aware but did not implement a treatment plan. The hospital identified the pressure ulcers when R1 was admitted for wound care and subsequent surgical debridement. Findings include: R1's care plan dated 10/28/23 - 5/28/24 did not indicate any focus, goals, or interventions for potential or actual skin integrity concerns when three pressure ulcers were discovered on 5/16/24 during a hospital admission. R1's quarterly Minimum Data Set (MDS) dated [DATE] indicated R1 had a Brief Inventory of Mental Status (BIMS) score of 10 indicating R1 was cognitively impaired. R1 required moderate assistance with toileting and transfer activities. He required maximum assistance with dressing and grooming. R1 was ambulatory with the use of a walker. R1's diagnoses were chronic atrial fibrillation…

  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 · E2026-05-07 · tag F0761 — failed to label and store drugs safely — pattern
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and document review, the facility failed to ensure medications were stored appropriately, securely, and not expired for 3 of 5 medication carts reviewed for medication storage. This had the potential to affect all the residents who received medications from those carts or resided in or visited the area of the facility in which those medication carts were located. In addition, the facility failed to ensure a medication for one resident (R8) was not left at the bedside of a different resident (R87), contributing to inappropriate medication storage practices for the facility.Findings include:Unsecured medications R4's provider order dated 4/2/26, indicated, Insulin Aspart Subcutaneous Solution Pen-injector 100 unit/ml [Insulin Aspart] (short acting insulin used to treat diabetes). R4's order dated 4/28/26, indicated, Insulin Glargine Subcutaneous Solution Pen-injector 100 unit/ml [Insulin Glargine] (long-acting insulin used to treat diabetes). R122's provider order dated 4/13/26,…

  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 · Ecited before2026-05-07 · tag F0880 — failed to prevent and control infections — pattern
  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 appropriate hand hygiene for 1 of 1 resident (R21) during incontinence cares and for 1of 1 resident (R29) during meal service which had the potential to affect all 14 residents in that household. The facility further failed to ensure appropriate personal protective equipment (PPE) was being worn for 1 of 2 residents (R115) on enhanced barrier precautions (EBP). Findings include: Incontinence Care R21's admission Minimum Data Set (MDS) dated [DATE], identified severely impaired cognition, was always incontinent of bowel and bladder, and dependent on staff for toileting and lower body dressing. R21 had diagnoses of non-Alzheimer's dementia and acute cystitis with hematuria (bladder inflammation with blood in the urine). R21 was taking an antibiotic with an indication identified. R21's Urinary Incontinence Care Area Assessment (CAA) dated 3/10/26, identified an admission following hospitalization due to having a UTI (bladder…

  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 · Dcited before2026-05-07 · 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 medication was administered safely for 2 of 2 (R68, R117) who had been assessed as unable to safely self-administer medications.Findings include: R117 R117's care plan dated 4/27/26, indicated R117 had an ADL self-care deficit related to a functional ability decline due to right scapula and rib nonunion (unhealed fracture). The care plan further indicated R117 had altered respiratory status and difficulty breathing related to COPD (chronic obstructive pulmonary disease) and OSA (obstructive sleep apnea). R117's provider orders dated 4/26/26, indicated Calcium Carbonate Antacid Oral Tablet Chewable 1000 MG.Give 1 tablet by mouth one time a day for Supplement. R117's provider orders lacked evidence of Symbicort (budesonide/formoterol) inhaler. R117's electronic medical record (EMR) lacked evidence of orders allowing SAM and medications to be left at bedside. R117's SAM assessment dated [DATE], indicated R177 did not desire 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-05-07 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately 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 observation, interview and document review, the facility failed to ensure the primary care provider (PCP) was notified of a change in condition for 1 of 2 residents (R21) reviewed for a change of condition. Findings include: R21's admission Minimum Data Set (MDS) dated [DATE], identified she had severely impaired cognition, no behaviors or rejection of care and was dependent on staff for toileting, bed mobility, transfers and lower body dressing. Diagnoses included diabetes mellitus and non-Alzheimer's dementia. R21 was admitted with an unstageable pressure ulcer/injury, was at risk for developing pressure ulcers/injuries and did not have foot problems. Skin interventions included pressure reducing devices for bed and pressure ulcer/injury care.R21's pressure ulcer Care Area Assessment (CAA) dated 3/10/26, identified she was admitted with left heel unstageable PI (pressure injury), dressing applied, to be seen by the wound nurse.R21's care plan dated 3/31/26, identified she had a pressure ulcer related…

  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 before2026-05-07 · 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 observation, interview and document review, the facility failed to ensure a new skin alteration was comprehensively assessed and monitored consistently in accordance with nursing standards of practice, and that orders for monitoring and referral were entered into the electronic medical record (EMR) for 1 of 2 residents (R21) reviewed for new skin alterations. Findings include: R21's admission Minimum Data Set (MDS) dated [DATE], identified she had severely impaired cognition, no behaviors or rejection of care and was dependent on staff for toileting, bed mobility, transfers and lower body dressing. Diagnoses included diabetes mellitus and non-Alzheimer's dementia. R21 was admitted with an unstageable pressure ulcer/injury, was at risk for developing pressure ulcers/injuries and did not have foot problems. Skin interventions included pressure reducing devices for bed and pressure ulcer/injury care.R21's pressure ulcer Care Area Assessment (CAA) dated 3/10/26, identified she was admitted with left heel…

  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 · Dcited before2026-05-07 · 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 a resident was safe to have a lift reclining chair for 1 of 1 resident (R92) reviewed for falls. Findings include:R92's admission Minimum Data Set (MDS) dated [DATE], identified R92 had severe cognitive impairment, had lower extremity impairment on one side of the body, had a history of falls, was dependent on staff for transfers, and received antipsychotic, antianxiety, antidepressant, and opioid medications. R92's diagnoses included dementia, disorientation, anxiety, muscle weakness, and right pubis fracture. R92's care plan printed 5/7/26, indicated R92 was HIGH risk for falls r/t [related to] impaired mobility, confusion, dementia and instructed staff to ensure call light was in reach and encourage R92 to use it. The care plan identified R92 had an ADL (activities of daily living) self-care deficit and required two staff to assist with transfers using a [NAME] steady (standing lift) as needed. The care plan did not identify…

  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 · E2025-12-18 · tag F0730 — pattern
  Observe each nurse aide's job performance and give regular training.
  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 annual performance reviews were completed for 4 of 5 nursing assistants (NA-A, NA-B, NA-C, and NA-D) whose personnel files were reviewed. This deficient practice had potential to affect all residents who currently resided in the nursing home and who could receive care from this staff. Findings include:The following nursing assistant (NA)'s personnel records were reviewed for annual performance reviews and identified the following:NA-A was hired on 7/12/13. NA-A's last performance review was dated 10/4/22.NA-B was hired on 2/5/21. NA-B's last performance review was dated 2/5/23.NA-C was hired on 5/24/22. NA-C's last performance review was dated 7/18/23.NA-D was hired on 8/20/21. The facility was unable to provide documentation NA-D had received a performance review.During an interview on 12/18/25 at 5:31p.m., the administrator stated performance reviews should be completed by nurse managers on an annual basis. The director of nursing (DON) oversaw the completion of the performance reviews. Administrator confirmed…

  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
• Potential for harm · Dcited before2025-12-18 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor 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 interview and document review, the facility failed to promote dignity while providing care for 3 of 4 residents (R1, R2, R3) reviewed who required assistance with activities of daily living. Findings include: R1R1's admission Minimum Data Set (MDS) dated [DATE], indicated R1 was cognitively intact, and required supervision or partial assistance to move from a seated to lying position. R1's Record of Customer and Family Concern form dated 10/6/25, completed by social worker (SW)-A indicated family member (FM)-A reported a conversation she overhead between R1 and nursing assistant (NA)-B, in which NA-B stated to R1, What in the hell are you doing? You can't be sitting like that. To FM-A, it sounded like NA-B was repositioning R1 in bed and FM-A overheard R1 say to NA-B, Get your hands off of me, and it sounded like R1 was being man-handled by NA-B. The form further indicated R1 was interviewed by SW-A, and stated he got into a yelling match with NA-B, and NA-B threw R1's legs against the wall. R1…

  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 before2025-12-18 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  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 report allegations of physical and verbal abuse immediately (within two hours) to the State Agency (SA) for 3 of 4 residents (R1, R2, R3) after family members and/or residents reported the alleged abuse. Findings include:R1R1's admission Minimum Data Set (MDS) dated [DATE], indicated intact cognition. R1's care plan dated 8/23/25, indicated a self-care deficit related to dementia and impaired mobility in which R1 required staff assistance to turn and reposition in bed.R1's Grievance Log entry dated 10/6/25, indicated a staff concern related to communication by the nursing assistant (NA) reported by both the R1 and family member (FM)-A. R1's Record of Customer and Family Concern form dated 10/6/25, completed by social worker (SW)-A indicated FM-A reported a conversation she overhead between R1 and NA-B, in which NA-B stated to R1, What in the hell are you doing? You can't be sitting like that. To the FM-A, it sounded like NA-B was repositioning R1 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-18 · tag F0947 — failed to train nurse aides adequately — isolated
  Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
  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 completion of 12 hours of annual in-service training for 3 of 5 nursing assistants (NA-A, NA-C, NA-D) reviewed for annual training.Findings include:The following nursing assistants (NA)'s personnel files were reviewed for annual training and identified the following:NA-B's Relias education (facility's computer-based education system) indicated on 12/18/25, NA-B had 8.6 hours of the required 12 hours of training in the last 12 months.NA-C's Relias education indicated on 12/18/25, NA-C had four hours of the required 12 hours of training in the last 12 months.NA-D's Relias education indicated on 12/18/25, NA-D had zero hours of the required 12 hours of training in the last 12 months.During an interview on 12/18/25 at 4:00 p.m., staff development (SD) stated annual education should be completed in person during a staff's anniversary month. If a staff person does not attend in person, they would be assigned online training. At the end of the year calendar year, SD reviewed all staff education for completion 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.

  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

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 46 rows in the source record cover these 25 parties — each is shown once here with every role it holds. Nothing is omitted.

3 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 $1.3M 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