Cerenity Care Center White Bear Lake

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

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.

60.3% 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 264 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 42.6% 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 148 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 0.56 therapist hours per resident per day in 2026Q1 — more than 86% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 33% 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 132 beds and averages 125.9 residents a day — about 95% occupied, or roughly 6 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.09 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.10 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.17 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.75 hrs/resident/day on weekends vs 4.22 on weekdays — 11% thinner on weekends. RN hours go from 1.20 to 0.86 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 32% is below the national median of 45%.

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

Inspection trend

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

Inspection deficiencies

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

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

27 citations, most serious first. The 12 most serious are shown; the remaining 15 are one tap away and print in full.

• Immediate jeopardy · J2026-02-02 · tag F0678 — failed to provide CPR when needed — isolated
  Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
  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 immediately initiate cardiopulmonary resuscitation (CPR) and activate the emergency response system (EMS) when 1 of 1 residents, with a full code status (when a resident's heart stops being (SP) the medical team uses all available lifesaving measures) was found unresponsive. This resulted in an Immediate Jeopardy (IJ) citation when licensed practical nurse, (LPN)-A, was notified by nursing assistant (NA)-A that R1 was unresponsive. LPN-A immediately checked on R1 finding R1 cool to the touch, without pulse and was not breathing. LPN-A failed to assess R1 for irreversible signs of death to determine and if necessary, perform CPR.The immediate jeopardy began on [DATE] when LPN-A failed to assess R1 for irreversible signs of death and did not initiate CPR immediately. The director of nursing (DON) and the Administrator were notified of the immediate jeopardy at 4:35 p.m. on [DATE]. The immediate jeopardy was removed and the deficient practice corrected 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 · Past Non-Compliance
• Actual harm · Gcited before2024-02-16 · 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 observation, interview, and document review, the facility failed to perform comprehensive skin assessments and implement interventions to promote healing and reduce the risk for further pressure ulcer development for 1 of 1 resident (R100) reviewed for pressure ulcers. This resulted in harm for R100. Findings include: A stage one pressure injury is intact skin with a localized area of redness that is non-blanchable (does not turn white when pressed). A stage two pressure ulcer is partial thickness loss of the skin with exposed dermis, presenting as a shallow open ulcer. A stage three pressure ulcer is full thickness loss of the skin in which subcutaneous fat may be visible. Additionally, slough (non-viable yellow, tan, gray, green or brown tissue; usually moist, can be soft, stringy and mucinous in texture) or eschar (dead or devitalized tissue that is hard or soft in texture; usually black, brown, or tan in color, and may appear scab-like) may be visible but does not obscure the depth of the tissue…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-11 · 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 observation, interview, and document review, the facility failed to ensure a resident's dignity was maintained by not providing a catheter bag cover for 1 of 1 resident (R146) reviewed for catheters. Findings include:R146's admission Minimum Data Set (MDS) dated [DATE], indicated intact cognition, required partial/moderate assistance with mobility and toileting, and had an indwelling catheter. R146's diagnoses included acute kidney failure, unspecified open wound to right hip and abdominal wall, cellulitis. R146's Urinary Incontinence and Indwelling Catheter Care Area Assessment (CAA) dated 12/2/25, indicated R146 required foley catheter care and was at risk for complications and urinary tract infection (UTI). R146's care plan dated 12/10/25, indicated R146 had an activities of daily living (ADL) self-care deficit and required assistance with ambulation, transferring, mobility, and toileting. R146's provider order dated 12/1/25, indicated, Ensure catheter cover or pant leg is in place to cover urine…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-11 · tag F0553 — failed to let residents help plan their care — isolated
  Allow resident to participate in the development and implementation of his or her person-centered plan of care.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and document review, the facility failed to ensure a care conference was provided for 1 of 1 resident (R130) reviewed for care conferences.Findings include:R130's quarterly Minimum Data Set (MDS) dated [DATE], indicated R130 admitted into the facility on 7/30/25, and did not hallucinate or have delusions.R130's social service progress note dated 8/1/25 at 1:32 p.m., indicated R130 was cognitively intact. R130's social service progress note dated 8/6/25 at 2:23 p.m., indicated R130 would like assisted living placement but was still MA pending. A care conference was scheduled for August 8th, to discuss discharge planning and recommendations. R130's social service progress note dated 8/8/25 at 3:30 p.m. and recorded as a late entry on 8/11/25 at 9:42 a.m., indicated R130 had a care conference 8/8/25. R130's nursing progress note dated 8/18/25 at 11:02 a.m., indicated R130 was alert and oriented and had new orders to discharge to long-term care. R130's social service progress note dated 8/18/25 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-11 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY REVIEWED LNBased on interview and document review the facility failed to ensure an as needed (PRN) antipsychotic medication (medications to treat psychosis related conditions) was prescribed for only 14 days and failed to ensure staff documented use of nonpharmacological interventions used prior to administration of PRN antipsychotic medication 1 of 2 residents (R117) who received PRN antipsychotic medications. Findings include:R117's admission Minimum Data Set (MDS) dated [DATE], indicated R117 had severe cognitive impairment and diagnoses of dementia with severe anxiety. R117 received antipsychotic medications. R117's nursing and provider orders showed the following:-an order dated 11/24/25, indicated R117 required quetiapine (antipsychotic medication) 50 milligrams(mg) every 6 hours as needed for psychosis, dementia with anxiety. This order lacked an end date. -an order dated 10/23/25, indicated R117 required monitoring for target behaviors related to antipsychotic use that included change in sleep pattern,…

  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 · Dcited before2025-12-11 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY R677Based on observation, interview, and document review, the facility failed to ensure routine personal hygiene for nail care was provided for 1 of 1 resident (R6) reviewed for activities of daily living (ADLs) and were dependent on staff for their care. Findings include:R6's quarterly Minimum Data Set (MDS), dated [DATE], identified R6 had diagnosis for Hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side. R6 had moderate cognitive impairment, additionally R6 required partial/moderate assistance with personal hygiene cares.R6's care plan revised dated 10/22/25, identified R6 had and ADL self-care deficit with grooming, required assistance of one by staff.R6's weekly skin checks documentation on 12/8/25 at 2:32 p.m., identified R6 had a shower and nail care was not necessary.During observation and interview on 12/8/25 at 5:42 p.m., R6 stated he asked staff multiple times to cut nails, the staff replied that a nurse or doctor had to cut them. Nails were long and sharp family…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-11 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and document review, the facility failed to ensure a resident attended a scheduled urology appointment for 1 of 1 residents (R146) reviewed for appointments.Findings include:R146's admission Minimum Data Set (MDS) dated [DATE], indicated intact cognition, required partial/moderate assistance with mobility and toileting, and had an indwelling catheter. R146's diagnoses included acute kidney failure, unspecified open wound to right hip and abdominal wall, cellulitis. R146's Urinary Incontinence and Indwelling Catheter Care Area Assessment (CAA) dated 12/2/25, indicated R146 required foley catheter care and was at risk for complications and urinary tract infection (UTI). R146's care plan dated 12/10/25, indicated R146 had an activities of daily living (ADL) self-care deficit and required assistance with ambulation, transferring, mobility, and toileting. R146's hospital discharge orders dated 11/26/25, indicated, You have an appointment at MN Urology for your follow up on December 2nd at 10:40…

  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 before2025-12-11 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and document review the facility failed to ensure a mechanical lift was sanitized between use and furthermore, the facility failed to ensure personal protective equipment (PPE) was donned prior to a transfer for 1 of 1 resident (R5) reviewed for enhanced barrier precautions (EBP).Findings include:R41:R41's admission Minimum Data Set (MDS) dated [DATE], indicated moderate cognitive impairment, had a wheelchair, and was dependent on staff for transferring from R41's chair to the bed and the bed to the chair.R41's care plan dated 11/24/25, indicated R41 had a self-care deficit due to progressive weakness and declining condition and required two staff assistance with a Hoyer lift (a full body mechanical lift) for transfers. R5:R5's quarterly MDS dated [DATE], indicated R5 refused a chair to bed and bed to chair transfer, required substantial assistance with rolling in bed, was at risk of developing pressure ulcers and had two unstageable pressure injuries.R5's Active Orders form…

  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 before2024-11-21 · 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 proper self-administration of insulin for 1 or 1 resident (R87) reviewed for self-administration of medications (SAM). Findings include: R87's quarterly minimum data set (MDS) dated [DATE], indicated R87 was cognitively intact, rejection of care behavior not exhibited, required staff supervision, and set up for bathing and eating, and was independent with all other activities of daily living (ADLs) and mobility. The MDS indicated R87 had impaired vision, and received insulin and opioids. R87's diagnoses included type 2 diabetes, age-related cataract, need for assistance with personal care, depression and anxiety. R87's care plan last revised 11/20/24, indicated R87 was non-compliant with medications, treatments, lab work and typically rejected care on a daily basis. The care plan further indicated, Resident has been assessed by interdisciplinary care plan team to be capable of self-administration. The care plan indicated R87…

  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 before2024-11-21 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure proper nail care for 1 of 1 resident (R95) reviewed for activities of daily living. Findings include: R95's quarterly Minimum Data Set (MDS) dated [DATE], indicated moderately impaired cognition, diagnoses of dementia, need for assistance with personal care, and there were no rejection of care behaviors noted. It further indicated R95 required assistance with personal hygiene. R95's care plan dated 1/25/2024, indicated R95 needed assistance with dressing, personal hygiene, and bathing due to lumbar stenosis. It further indicated an intervention to assist in handing him a soapy wash cloth and cue to wash face, hands, arms, and torso as able during weekly bath. Staff should also wash resident's hair, back, peri area, and legs during weekly bath and trim his nails as needed. R95's progress notes (11/1/24-11/19/24), lacked documentation R95's fingernails had been cut or that he had refused to have them cut. During observation 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
• Potential for harm · D2024-11-21 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
  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 a gradual dose reduction (GDR) was attempted for 1 of 1 resident (R52) reviewed for the use of psychotropic medications. Findings include: R52 ' s Minimum Data Set (MDS) dated [DATE], indicated they had no cognitive impairment and did not reject cares. R52 reported no signs or symptoms of feeling down, depressed, or hopeless. R52 scored a zero on scale for depression or anxiety. R52 stated did not hallucinate or had delusions. R52 ' s physician orders included the following medications for anxiety: -starting on 7/21/23, Bupropion HCL 100 milligrams (mg) tablet daily by mouth -starting on 7/21/23 Duloxetine Hydrochloride 30 mg coated pellets capsules daily by mouth R52 ' s medical record lacked indication R52 had a GDR attempted for bupropion or Duloxetine since R52 ' s admission to the facility in July 2023. During an interview on 11/21/24 at 12:42 p.m., the consultant pharmacist (CP) stated due to an informational technology (IT) glitch, 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-11-21 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  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 insulin was administered in accordance with professional standards of practice for 2 of 3 residents (R100, R51) observed for medication administration. This constituted three (3) errors out of 33 opportunities for a medication error rate of 9.09 % (percent). Findings include: R100's quarterly Minimum Data Set (MDS) dated [DATE], identified she could usually understand others and could be understood. Required partial/moderate assistance with hygiene and diagnoses included diabetes mellitus. R100 received insulin injections seven out of seven days in the lookback period. R100's care plan dated 9/6/24, identified an alteration in nutrition due to type two diabetes mellitus and elevated glucose levels. Interventions included to monitor blood glucose. R100's physician orders included: - 9/19/24, check blood glucose four times a day. - 10/2/24, Lantus (long acting) insulin 24 units subcutaneous (SQ) every morning, hold if blood glucose…

  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

“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

$36,990 in federal fines across 2 penalties.

• $17,345 — penalty dated 2026-02-02
• $19,645 — penalty dated 2024-02-16

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

Who owns this facility

2 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 $1.6M paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. 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, FY2024). 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