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Andrew Residence

1215 South 9th Street, Minneapolis, MN 55404 · Hennepin County · (612) 333-0111

212 certified beds, about 208 residents a day · For profit - Individual · Medicaid since 1974

Certified for Medicaid
Overall
2 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 24E116 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on August 26, 2026, inspectors cited 1 health deficiency (the Minnesota average is 7.1, the national average 9.2).

Of 14 health citations since August 2024, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 1.95 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 0.66 of those hours.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 14 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
0E
2F
Potential for minimal harm
0A
0B
0C
August 26, 2026Standard inspection · 1 citation
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Not yet corrected
    Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure the proper use of beard restraints during food preparation and meal service. This had the potential to affect all 191 residents who received food from the kitchen.
July 30, 2026Complaint inspection · 1 citation
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Not yet corrected · disputed by the home (informal dispute resolution)
    Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure hazards were removed for R1 per their care plan and failed to provide R2 with the necessary supervision to prevent elopement after being care planned to require supervision in the community. These failures resulted in Immediate Jeopardy (IJ) for two of two residents when R1 attempted suicide after identified care plan interventions were not thoroughly implemented and when R2 left the facility multiple times without staff knowledge with an increase in suicidal ideation and in dangerously high temperatures. The Immediate Jeopardy (IJ) began on 7/16/26 when it was identified the facility failed to thoroughly implement R1's safety plan of a personal belonging search after recent history of suicidal ideations and attempts to overdose on medication. [...]
November 25, 2025Complaint inspection · 3 citations
  1. J
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 12, 2026
    Inspectors wroteBased on interview, observation, and record review the facility failed to immediately respond, investigate timely, and implement resident protections for 4 of 4 residents (R1, R2, R3, R4) after an allegation of sexual abuse of R1 by R2 was reported, which resulted in subsequent sexual abuse for R3 and R4. The immediate jeopardy began on 11/7/25 at 1:30 p.m., when R1's family member (FM)-A reported unwanted sexual touching, by R2 to R1 while the residents were in R1's room, to the Social Worker (SW)-A and the facility failed to timely report the incident to the State Agency, begin an investigation, and place resident protections to ensure other vulnerable residents at risk of sexual abuse were safe. The director of clinical services (DCS)-A and director of nursing (DON) were notified of the immediate jeopardy at 5:02 p.m. on 11/20/25. [...]
  2. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 23, 2025
    Inspectors wroteBased on interview, observation, and document review the facility failed to ensure 4 of 4 residents (R1, R2, R3, R4) reviewed for abuse were free of sexual abuse when R1, R3 and R4 were subjected to unwanted sexual touch by R2.
  3. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 12, 2026
    Inspectors wroteBased on interview and document review, the facility failed to report an allegation of alleged sexual abuse immediately (within two hours) to the State Agency (SA) for 3 of 4 residents (R1, R2) when R2 was alleged to make unwanted sexual advances towards R1 and R4.
September 11, 2025Standard inspection · 4 citations
  1. F
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 15, 2025
    Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure its system for medication reconciliation was adequate to ensure timely identification of loss or diversion of non-narcotic, controlled medications for 8 of 8 medication carts.
  2. D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 15, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure equipment was in proper working order for 1 of 2 washing machines on the 5th floor. Furthermore, the facility failed to provide a sanitary environment in laundry room.
  3. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 15, 2025
    Inspectors wroteBased on interview and record review the facility failed to ensure accurate Minimum Data Set assessments (MDS) were completed for 2 of 3 residents (R2, R7) reviewed for accuracy of assessments.
  4. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 15, 2025
    Inspectors wroteBased on observation, interview, and document review the facility failed to identify baseline SpO2 (blood oxygen levels), and parameters for use based on resident specific risk factors for 1 of 1 resident (R176) reviewed for O2 therapy.
May 7, 2025Complaint inspection · 3 citations
  1. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 6, 2025
    Inspectors wroteBased on observation, interview, and document review, the facility failed to revise the care plan to include a smoking-related safety intervention for 1 of 3 residents (R1) reviewed for safety.
  2. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 6, 2025
    Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure professional standards of practice for documentation were followed during transcription and administration of a standing order medication for 2 of 2 residents reviewed (R1, R2) with wounds requiring antibiotic ointment.
  3. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 6, 2025
    Inspectors wroteBased on observation, interview, and document review, the facility failed to use appropriate personal protective equipment during high-contact cares for 1 of 1 resident (R1) reviewed with enhanced barrier precautions implemented.
August 1, 2024Standard inspection · 2 citations
  1. D
    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
    F909 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 15, 2024
    Inspectors wroteBased on observation, interview, and document review, the facility failed to conduct regular inspections of hospital bed frames, mattresses and bed rails as part of a preventative maintenance program for 1 of 1 resident (R49) reviewed who had a broken bed rail affixed to the frame. Findings Include: R49's quarterly Minimum Data Set (MDS) dated [DATE], identified R49 had severe cognitive impairment and was independent with all activities of daily living. R49's diagnoses sheet printed 8/1/24 listed the pertinent diagnoses of undifferentiated schizophrenia (experiences psychotic symptoms) and lymphedema (swelling caused by buildup of lymph fluid). R49's care plan dated 6/14/23, indicated R49 was at risk for falls with an intervention of utilizing a hospital bed (electric adjustable bed) with transfer assist bars for sleeping. [...]
  2. D
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 15, 2024
    Inspectors wroteBased on observation, interview, and document review the facility failed to ensure resident call light was within reach from the bathroom floor in a multi -resident bathroom for 3 of 3 residents (R135, R193, R39,) reviewed for call light accessibility.

Fire safety inspections

20 fire safety citations on file: 4 on September 11, 2025, 12 on August 1, 2024, 4 on August 3, 2023.

Every fire safety citation20 citations
  1. F
    Follow proper procedures when the fire alarm was out of service for more than 4 hours.
    K 346 · September 11, 2025 · Corrected (the home has a date of correction)
  2. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · September 11, 2025 · Corrected (the home has a date of correction)
  3. F
    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
    K 354 · September 11, 2025 · Corrected (the home has a date of correction)
  4. E
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · September 11, 2025 · Corrected (the home has a date of correction)
  5. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 1, 2024 · Corrected (the home has a date of correction)
  6. F
    Have simulated fire drills held at unexpected times.
    K 712 · August 1, 2024 · Corrected (the home has a date of correction)
  7. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · August 1, 2024 · Corrected (the home has a date of correction)
  8. E
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · August 1, 2024 · Corrected (the home has a date of correction)
  9. E
    Install corridor and hallway doors that block smoke.
    K 363 · August 1, 2024 · Corrected (the home has a date of correction)
  10. E
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · August 1, 2024 · Corrected (the home has a date of correction)
  11. E
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · August 1, 2024 · Corrected (the home has a date of correction)
  12. E
    Ensure proper usage of power strips and extension cords.
    K 920 · August 1, 2024 · Corrected (the home has a date of correction)
  13. D
    Have stairways and smokeproof enclosures used as exits that meet safety requirements.
    K 225 · August 1, 2024 · Corrected (the home has a date of correction)
  14. D
    Have properly located and lighted "Exit" signs.
    K 293 · August 1, 2024 · Corrected (the home has a date of correction)
  15. D
    Provide properly protected cooking facilities.
    K 324 · August 1, 2024 · Corrected (the home has a date of correction)
  16. D
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · August 1, 2024 · Corrected (the home has a date of correction)
  17. F
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · August 3, 2023 · Corrected (the home has a date of correction)
  18. F
    Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
    K 901 · August 3, 2023 · Corrected (the home has a date of correction)
  19. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · August 3, 2023 · Corrected (the home has a date of correction)
  20. D
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · August 3, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeMinnesotaUnited States
All nursing staff (RN, LPN and aides)1.954.193.86
Registered nurses0.661.060.69
All nursing staff on weekends1.513.713.42
Nurse aides1.21
Licensed practical nurses0.08
Nursing staff turnover (share who left in a year)not reported42.2%45.8%
Registered nurse turnovernot reported38.6%42.9%
Administrators who left2

CMS expects 2.50 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 2.13 on weekdays and 1.51 on weekends, 29% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 0.83 in April to June 2025 to 1.95 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20261.950.662.131.51 0.0%0 of 90208
Oct to Dec 20251.990.662.161.57 0.0%0 of 92205
Jul to Sep 20252.010.672.191.55 0.0%0 of 92204
Apr to Jun 20250.830.300.900.67 0.0%51 of 91205
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Minnesota, Jan to Mar 20264.191.054.383.735.2%0.8% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeMinnesotaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
0.618.213.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.61.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.32.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.44.03.2
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
0.220.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
0.05.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
64.517.115.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.01.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.51.91.8

Owners and operators

Legal business name: Legal Business Name Not Available.

NameRoleTypeShareSince
Ownership data not available

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on November 25, 2025: "Respond appropriately to all alleged violations."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on September 11, 2025: "Ensure each resident receives an accurate assessment."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on July 30, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  4. Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 2 problems in this area, most recently on August 1, 2024: "Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 1.51 hours per resident per day, below the Minnesota average of 3.71.
  6. How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

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Common questions

What is Andrew Residence's Medicare star rating?
CMS rates Andrew Residence 2 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Andrew Residence get at its last inspection?
1 health deficiency at the standard inspection on August 26, 2026. The Minnesota average is 7.1.
Has Andrew Residence been fined?
CMS lists no fines in the last three years.
Does Andrew Residence accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Andrew Residence?
CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.

Sources

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