Home / Minnesota / Oak Park Heights
Gables of Boutwells Landing
13575 58th Street North, Oak Park Heights, MN 55082 · Washington County · (651) 430-7200
108 certified beds, about 101 residents a day · Non profit - Corporation · Medicare and Medicaid since 2009
Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 245615 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 10, 2026, inspectors cited 6 health deficiencies (the Minnesota average is 7.1, the national average 9.2).
Of 11 health citations since May 2024, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.65 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 1.46 of those hours.
31.0% of nursing staff left within the year CMS measured (Minnesota average 42.2%).
CMS links it to Presbyterian Homes & Services, an affiliated group of 21 nursing homes.
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.
105/24
307/24
104/25
606/26
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 11 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
9D
0E
1F
Potential for minimal harm
0A
0B
0C
June 10, 2026Standard inspection · 6 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure milk was not in use past the use by date, refrigerated items were labeled and dated, and maintain cleanliness of ceiling vent, refrigerator, and freezers in the main kitchen. Furthermore, the facility failed to ensure beard nets were used in food preparation and service areas. This had the potential to affect all residents who received food from the facility kitchen.
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observation, interview, document review, the facility failed to assess a resident's ability to self-administer medications for 1 of 1 resident (R126) reviewed for self-administration of medications.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, interview and document review, the facility failed to ensure call lights were within reach for residents who were dependent on staff assistance for 3 of 4 residents (R106, R24, and R9) reviewed for call light accessibility.
- D Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide setup meal assistance for 1 of 2 residents (R28) reviewed for activities of daily living (ADLs).
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and document review the facility failed to ensure 2 of 2 residents (R7, R9) with perimeter mattresses were assessed for safety.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure proper infection control practices involving hand hygiene and glove use during incontinent care for 1 of 1 resident (R8) observed during cares.
April 2, 2025Standard inspection · 1 citation
- D Provide 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.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure range of motion (ROM) was provided for 1 of 2 resident (R19) reviewed for mobility.
July 10, 2024Standard inspection · 3 citations
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure the provider documented a clear clinical rationale for actions taken or not taken; including risks and benefits to justify the continued use of medications identified to put the resident at risk for falls and adverse effects for 1 of 1 resident (R83) reviewed for requests for clinical rationale.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure they were free of a medication error rate of five percent or greater. The facility had a medication error rate of 7.41% with 2 errors out of 27 opportunities for errors involving 2 of 7 residents (R25 and R34) who were observed during the medication pass. Findings Include: R25 R25's quarterly minimum data set (MDS) dated [DATE], identified R25 was cognitively intact and required staff assistance with most activities of daily living. The MDS indicated R25 had diabetes mellitus (DM) and received insulin daily in the 7-day lookback period. R25's care plan revised 5/14/24, identified a risk for alteration in blood glucose levels related to the diagnosis of diabetes and tasked staff with providing medications per orders. [...]
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure proper infection control practices were followed when staff failed to utilize enhanced barrier precautions (EBP) and proper hand hygiene for 1 of 1 resident (R20) observed during wound care.
May 30, 2024Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview and document review, the facility failed to implement assessed and directed fall prevention techniques for 2 of 3 residents (R1,R2) reviewed for falls. This resulted in actual harm for R1 who had an assisted fall to the floor when staff were not utilizing a gait belt during a transfer as assessed and R1 sustained a right ankle fracture.
Fire safety inspections
9 fire safety citations on file: 4 on June 10, 2026, 1 on April 2, 2025, 4 on July 10, 2024.
Every fire safety citation9 citations
- F Install corridor and hallway doors that block smoke.
- D Have an enclosure around a vertical opening shaft.
- D Ensure proper usage of power strips and extension cords.
- D Have proper medical gas storage and administration areas.
- F Install an approved automatic sprinkler system.
- F Provide properly protected cooking facilities.
- F Install an approved automatic sprinkler system.
- F Inspect, test, and maintain automatic sprinkler systems.
- C Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| May 30, 2024 | Payment Denial | 12 days from June 27, 2024 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Minnesota | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.65 | 4.19 | 3.86 |
| Registered nurses | 1.46 | 1.06 | 0.69 |
| All nursing staff on weekends | 4.41 | 3.71 | 3.42 |
| Nurse aides | 2.99 | ||
| Licensed practical nurses | 0.21 | ||
| Nursing staff turnover (share who left in a year) | 31.0% | 42.2% | 45.8% |
| Registered nurse turnover | 22.2% | 38.6% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.28 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 4.75 on weekdays and 4.41 on weekends, 7% 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 4.55 in April to June 2025 to 4.65 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.65 | 1.46 | 4.75 | 4.41 | 0.0% | 0 of 90 | 101 |
| Oct to Dec 2025 | 4.65 | 1.50 | 4.75 | 4.39 | 0.0% | 0 of 92 | 100 |
| Jul to Sep 2025 | 4.62 | 1.60 | 4.76 | 4.27 | 0.0% | 0 of 92 | 94 |
| Apr to Jun 2025 | 4.55 | 1.60 | 4.69 | 4.18 | 0.0% | 0 of 91 | 90 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Minnesota, Jan to Mar 2026 | 4.19 | 1.05 | 4.38 | 3.73 | 5.2% | 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.
| Measure | This home | Minnesota | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 17.6 | 18.2 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.2 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.3 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.9 | 4.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.6 | 1.9 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 20.6 | 20.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.2 | 5.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 35.7 | 17.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 20.9 | 23.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.2 | 14.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.5 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.9 | 1.8 |
Owners and operators
Legal business name: VSSA CARE CENTER LLC. CMS links this home to Presbyterian Homes & Services, a group of 21 nursing homes averaging 4.3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Valley Senior Services Alliance | 5% or greater direct ownership interest | Organization | 100% | 12/05/2005 |
| Computershare Corporate Trust Company, Na | 5% or greater mortgage interest | Organization | 07/01/2024 | |
| Computershare Corporate Trust Company, Na | 5% or greater security interest | Organization | 07/01/2024 | |
| Fletcher, Jonathan | Corporate director | Individual | 02/01/2025 | |
| Pederson, Mark | Corporate director | Individual | 01/01/2023 | |
| Peterson, Heidi | Corporate director | Individual | 01/01/2023 | |
| Fletcher, Jonathan | Corporate officer | Individual | 02/01/2025 | |
| Meyer, Mark | Corporate officer | Individual | 12/05/2015 | |
| Phs Management, LLC | Operational/managerial control | Organization | 03/11/2011 | |
| Fletcher, Jonathan | Operational/managerial control | Individual | 02/01/2025 | |
| Meyer, Mark | Operational/managerial control | Individual | 03/11/2011 | |
| Middleton, Gavin | Operational/managerial control | Individual | 04/01/2019 | |
| Pederson, Jane | Operational/managerial control | Individual | 04/01/2021 | |
| Peterson, Heidi | Operational/managerial control | Individual | 01/01/2023 | |
| Phs Management, LLC | Adp of the SNF | Organization | 11/24/2025 | |
| Fletcher, Jonathan | Adp of the SNF | Individual | 02/01/2025 | |
| Meyer, Mark | Adp of the SNF | Individual | 03/11/2011 | |
| Middleton, Gavin | Adp of the SNF | Individual | 04/01/2019 | |
| Pederson, Jane | Adp of the SNF | Individual | 04/01/2021 | |
| Peterson, Heidi | Adp of the SNF | Individual | 01/01/2023 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on June 10, 2026: "Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on June 10, 2026: "Allow residents to self-administer drugs if determined clinically appropriate."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on June 10, 2026: "Provide and implement an infection prevention and control program."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on July 10, 2024: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
Other nursing homes nearby
- The Estates at Greeley LLC Stillwater, 1.6 mi · 4 of 5 stars · 22 citations
- The Estates at Linden LLC Stillwater, 2.2 mi · 5 of 5 stars · 12 citations
- Good Samaritan Society - Stillwater Stillwater, 2.4 mi · 3 of 5 stars · 30 citations
- Christian Community Home Hudson, 6 mi · 5 of 5 stars · 12 citations
- Maplewood Rehabilitation Center Maplewood, 9.4 mi · 1 of 5 stars · 43 citations
- Cerenity Care Center White Bear Lake White Bear Lake, 10 mi · 4 of 5 stars · 23 citations
- Harmony Gardens Maplewood, 10.2 mi · 4 of 5 stars · 23 citations
- Woodbury Health Care Center Woodbury, 10.8 mi · 1 of 5 stars · 46 citations
Minnesota contacts for a concern about a nursing home
These are the official offices in Minnesota. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Minnesota Department of Health, Health Regulation Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
- State inspection reports: MDH Nursing and Boarding Care Home Survey and Complaint Inspection Findings, where Minnesota publishes its own records on licensed homes.
Common questions
- What is Gables of Boutwells Landing's Medicare star rating?
- CMS rates Gables of Boutwells Landing 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Gables of Boutwells Landing get at its last inspection?
- 6 health deficiencies at the standard inspection on June 10, 2026. The Minnesota average is 7.1.
- Has Gables of Boutwells Landing been fined?
- CMS lists no fines in the last three years.
- Does Gables of Boutwells Landing accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Gables of Boutwells Landing?
- CMS lists 20 owners and managers, and links the home to Presbyterian Homes & Services. Legal business name: VSSA CARE CENTER LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.