Find a nursing home

Home / Minnesota / Minneapolis

Grand Avenue Rest Home

3956 Grand Avenue S0uth, Minneapolis, MN 55409 · Hennepin County · (612) 824-1434

20 certified beds, about 19 residents a day · For profit - Corporation · Medicaid since 1974

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 24E150 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on September 11, 2025, inspectors cited 8 health deficiencies (the Minnesota average is 7.1, the national average 9.2).

None of its 48 health citations since September 2023 was rated as actual harm or immediate jeopardy.

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

Nurses and nurse aides worked 2.44 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 0.82 of those hours.

36.4% of nursing staff left within the year CMS measured (Minnesota average 42.2%).

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 48 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
25D
4E
13F
Potential for minimal harm
0A
3B
3C
July 9, 2026Complaint inspection · 1 citation
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 7, 2026
    Inspectors wroteBased on interview and document review, the facility failed to ensure timely physician notification of resident leave of absence from the facility and notification of multiple missed scheduled insulin doses that may have required additional evaluation and treatment 1 of 3 residents (R1) reviewed for elopement.
November 26, 2025Complaint inspection · 1 citation
  1. D
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    F557 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 5, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure resident's right to be treated with respect and dignity for 1 of 3 residents (R1) when the facility conducted searches of R1's personal belongings/room without R1's or her representative 's consent.
September 11, 2025Standard inspection, Complaint inspection · 8 citations
  1. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 31, 2025
    Inspectors wroteBased on observation and interview, the facility failed to ensure soiled linen was covered when transporting it through facility. This had the potential to impact all 19 residents of the facility.
  2. F
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) October 31, 2025
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure facility was kept sanitary and maintained in good repair which had the potential to affect all 19 residents, staff, and visitors of the facility.
  3. D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 31, 2025
    Inspectors wroteBased on interview and document review, the facility failed provide and document appropriate nonpharmacological interventions prior to administering as needed (PRN) psychotropic medication consumption for 3 of 5 residents (R16, R17, R1) reviewed for unnecessary medication use.
  4. 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 · Corrected (the home has a date of correction) October 31, 2025
    Inspectors wroteBased on interview and document review, the facility failed to ensure a comprehensive care plan was maintained to ensure appropriate care was provided for 1 of 2 residents (R1) reviewed for discharge planning.
  5. D
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    F740 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 31, 2025
    Inspectors wroteBased on interview and document review, the facility failed to collaborate with a resident's external mental health provider to ensure adequate behavioral services were provided if needed for 1 of 2 residents (R4) reviewed for behavioral Health Services.
  6. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 31, 2025
    Inspectors wroteBased on observation, interview and document review, the facility failed to ensure pharmacist recommendations were acted upon timely for 2 of 5 residents (R3, R1) reviewed for unnecessary medication use.
  7. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 31, 2025
    Inspectors wroteBased on interview and document review, the facility failed to ensure recommended influenza, pneumococcal, and Covid-19 vaccinations, as outlined by the Centers for Disease Control (CDC), were offered and/or provided in a timely manner to reduce the risk of severe disease for 1 of 5 residents (R3) reviewed for immunizations.
  8. B
    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
    F912 · Environmental · No actual harm, potential for minimal harm, pattern · Not yet corrected
    Inspectors wroteBased on observation and interview, the facility failed to provide at least 80 square feet per resident in three resident bedrooms (room numbers 101,102,103) affecting 9 of 19 residents (R15, R8, R13, R4, R9, R17, R2, R3, R7) whose bedrooms had less than the required square footage.
January 21, 2025Complaint inspection · 2 citations
  1. F
    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, widespread · found on a complaint visit · Corrected (the home has a date of correction) February 21, 2025
    Inspectors wroteBased on interview and record review, the facility failed to prepare resident care plans with an interdisciplinary team (IDT) to include a nursing aide (NA), the attending physician, or a resident/resident representative. This deficiency had the ability to affect all 19 residents.
  2. F
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) February 21, 2025
    Inspectors wroteBased on interview and record review the facility failed to ensure their director of nursing (DON) was a registered nurse (RN) when the facility had a licensed practical nurse (LPN) in the DON role since 7/30/24. This deficiency had the ability the affect all 19 residents.
August 28, 2024Standard inspection · 13 citations
  1. F
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 11, 2024
    Inspectors wroteBased on interview and document review, the facility failed to ensure a registered nurse (RN) was scheduled for a minimum of eight consecutive hours a day. This had the potential to affect all 18 residents at the facility.
  2. F
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    F867 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 11, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to identify quality deficiencies and to develop and implement appropriate actions to correct these deficiencies. Furthermore, the facility failed to have evidence of a Performance Improvement Project (PIP) which focused on high risk or problem-prone areas identified thorough and appropriate data collection and analysis and evaluation of the identified concern(s) during Quality Assurance and Performance Improvement (QAPI). This had the potential to affect all 18 residents.
  3. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 11, 2024
    Inspectors wroteBased off interview, observation, and document review the facility failed to utilize proper handling of linen to prevent contamination, failed to have a functioning infection surveillance program, and failed to have a functioning water management program. This had the potential to affect all residents who resided in the facility. Linen During an observation on 8/26/24 at 2:53 p.m., nursing assistance (NA)-A walked through the kitchen carrying a mesh-designed hamper and within it, dirty resident clothing. During an interview on 8/26/24 at 2:55 p.m., cook aide (CA)-B stated other staff will walk through the kitchen with laundry or go out and around the back. During an observation and interview on 8/27/24 at 2:04 p.m., NA-A carried an uncovered basket of clean linen through the kitchen. NA-[NAME] stated this was their process to bring clothing through the kitchen, clean and dirty. [...]
  4. F
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 11, 2024
    Inspectors wroteBased on interview and document review, the facility failed to have a functioning antibiotic stewardship program. This had the potential to affect any resident who had infections requiring antibiotic use.
  5. E
    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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 11, 2024
    Inspectors wroteBased on interview and document review, the facility failed to ensure orthostatic blood pressure monitoring was in place for 4 of 5 residents (R1, R8, R5, R13) reviewed for psychotropic medications.
  6. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 11, 2024
    Inspectors wroteBased on observation, interview and document review, the facility failed to notify and consult with the resident's physician after a resident (R1) was tested for Coronavirus disease 2019 (COVID-19).
  7. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 11, 2024
    Inspectors wroteBased on observation, interview and document review, the facility failed to ensure personal privacy could be maintained in resident room for 1 of 3 residents (R8) reviewed for privacy.
  8. 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 · Corrected (the home has a date of correction) October 11, 2024
    Inspectors wroteBased on record review and interview the facility failed to ensure a potential incident of neglect was recognized and reported to the State Agency (SA) after the administration had knowledge of the incident. This deficient practice had the potential to affect all residents residing in the facility.
  9. 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 · Corrected (the home has a date of correction) October 11, 2024
    Inspectors wroteBased on observation, interview, and document review, the facility failed to have a process in place to ensure resident medications were re-ordered in a timely manner for 1 of 1 residents (R1).
  10. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 11, 2024
    Inspectors wroteBased on observation, interview and document review, the facility failed to recognize a change in respiratory status for 1 of 1 residents (R1) reviewed for change of condition.
  11. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 11, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure smoking interventions were implemented to reduce the risk for avoidable injuries for 1 of 1 (R7) reviewed for smoking.
  12. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 11, 2024
    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 8% with 2 errors out of 25 opportunities for errors involving 1 of 5 residents (R1) who were observed during the medication pass.
  13. B
    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
    F912 · Environmental · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) October 11, 2024
    Inspectors wroteBased on observation and interview, the facility failed to provide at least 80 square feet per resident in three resident bedrooms (room numbers 101,102,103) affecting 9 of 17 residents (R1, R12, R5, R9, R170, R3, R4) whose bedrooms had less than the required square footage. The facility's request for a continuing waiver of the following health deficiency has been forwarded to the CMS Region V Office. Approval of the waiver request has been recommended.
July 19, 2024Complaint inspection · 1 citation
  1. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 31, 2024
    Inspectors wroteBased on interview and document review, the facility failed to ensure a once monthly injection was administered per physician orders, resulting in the monthly injection being administered twice over two days for 1 of 4 residents (R1) reviewed for medication errors.
April 15, 2024Complaint inspection · 2 citations
  1. E
    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
    F568 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 4, 2024
    Inspectors wroteBased on observation, interview, and document review the facility failed to maintain a system that assured full and complete accounting of resident personal funds entrusted to the facility which had the potential to affect 14 of 14 residents who had trust fund accounts. In addition, the facility failed to provide quarterly statements for individual resident trust fund accounts for 5 of 14 residents (R6, R9, R1, R10, R14) reviewed who had resident trust accounts accounts.
  2. E
    Assure the security of all personal funds of residents deposited with the facility.
    F570 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 17, 2024
    Inspectors wroteBased on interview and document review, the facility failed to ensure the surety bond contained sufficient funds to insure and protect the total balance of the resident trust fund, which had the potential to affect 14 of 14 residents (R1 to R14) who had a personal trust account managed by the facility.
April 1, 2024Complaint inspection · 1 citation
  1. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · 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) April 27, 2024
    Inspectors wroteBased on interview and document review, the facility failed to update a care plan to include a resident history of leaving the facility against the leave of absence policy for 1 of 3 patients reviewed when R1, who was her own person, left the facility overnight and did not inform staff when she would return. R1 admitted to the facility on [DATE] at 10:10 a.m. from an outside facility. R1's diagnoses included paranoid schizophrenia, post-traumatic stress disorder, schizoaffective disorder, delusional disorders, and major depressive disorder. On 3/27/24, a progress note indicated R1 left the facility at approximately 10:30 a.m. On 3/28/24 at 8:52 a.m., a progress note indicated R1 had returned at an undetermined point and planned to leave the facility again on 3/28/24. On 3/29/24 at 6:26 a.m., a progress note indicated R1 did not return to the facility during the overnight shift. [...]
February 20, 2024Complaint inspection · 2 citations
  1. D
    Honor the resident's right to manage his or her financial affairs.
    F567 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 18, 2024
    Inspectors wroteBased on interview and record review the facility failed to grant a resident request to access their personal funds within three business days for one of one resident (R1) reviewed for personal funds when the facility was notified on 1/8/24 the resident would like to access her money and the facility denied her access.
  2. D
    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
    F568 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 18, 2024
    Inspectors wroteBased on interview and record review the facility failed to provide a resident with quarterly statements and upon request for two of two residents (R1, R2) reviewed for personal funds when R1 and R2 stated they have not received quarterly statements from the facility.
October 26, 2023Complaint inspection · 3 citations
  1. 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) December 8, 2023
    Inspectors wroteBased on interview and document review, the facility failed to report staff to resident abuse timely for 1 of 1 resident (R1) who alleged verbal abuse by staff.
  2. D
    Respond appropriately to all alleged violations.
    F610 · 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 8, 2023
    Inspectors wroteBased on interview and document review, the facility failed to prevent potential further abuse during an investigation and ensure allegations of potential abuse were thoroughly investigated for 1 of 1 resident (R1) who reported allegations of staff to resident abuse.
  3. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 8, 2023
    Inspectors wroteBased on interview, observation and document review, the facility failed to ensure medications were administered as prescribed by the physician for 1 of 3 residents (R1) who reported symptoms of constipation.
September 1, 2023Standard inspection, Complaint inspection · 14 citations
  1. F
    Assure the security of all personal funds of residents deposited with the facility.
    F570 · Resident Rights · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 31, 2023
    Inspectors wroteBased on interview and document review, the facility failed to ensure the purchased surety bond (a contract or promise by a surety or guarantor to pay if a second party fails to meet the obligation) had sufficient coverage to protect the total account balance of the resident trust fund. This had the potential to affect 15 of 15 residents who had a trust account while residing at the facility.
  2. F
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Waiver
    Inspectors wroteBased on interview and document review, the facility failed to ensure a registered nurse (RN) was scheduled for a minimum of eight consecutive hours a day. This had the potential to affect all 17 residents at the facility.
  3. 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 · Corrected (the home has a date of correction) October 31, 2023
    Inspectors wroteBased on observation, interview, and document review the facility failed to ensure cooking utensils were properly sanitized (i.e., high temperature) in 1 of 1 commercial dishwashers observed in the main production kitchen. This had potential to affect all 17 residents, visitors, and staff who consumed food from the kitchen.
  4. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) October 31, 2023
    Inspectors wroteBased on observation, interview, and document review, the facility failed to transport and store linens to prevent contamination, remove and replace soiled furniture to prevent the spread of bacteria, and failed to implement a surveillance plan, for identifying, tracking, monitoring and/or reporting of infections, communicable diseases and outbreaks among residents and staff. This had the potential to affect all residents, visitors, and staff in the facility.
  5. F
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 31, 2023
    Inspectors wroteBased on interview and document review, the facility failed to implement a process for antibiotic review to determine appropriate indications, dosage, duration, and trends of antibiotic use and resistance. This had the potential to affect any residents who had infections requiring antibiotic use.
  6. E
    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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 31, 2023
  7. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 31, 2023
    Inspectors wroteBased on interview, and record review, the facility failed to ensure written notice was sent to the resident and/or the resident's representatives after emergent transfer from the facility to the hospital for two residents (R5, R8) who were reviewed for hospitalization. Further, the facility failed to send a copy to a representative of the Office of the State Long-Term Care Ombudsman. The failure to provide the required written notices containing all required information places the residents at risk of involuntary transfer and/or not being informed of their rights, including how to appeal their transfer.
  8. D
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 31, 2023
    Inspectors wroteBased on record review, interview, and facility policy review, the facility failed to ensure each resident and/or responsible party was provided a written bed hold policy/notice at the time of each discharge for 2 of 2 resident (R5, R8) reviewed for hospitalization.
  9. D
    Assist a resident in gaining access to vision and hearing services.
    F685 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 31, 2023
    Inspectors wroteBased on interview and document review, the facility failed to make a followup appointment for 1of 1 resident (R7) reviewed for vision received services to obtain assistive devices needed to maintain vision abilities.
  10. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 31, 2023
    Inspectors wroteBased on interview and document review, the facility failed to ensure 2 of 5 residents (R6, R15) were offered or received the pneumococcal vaccine (PCV20) in accordance with the Centers for Disease Control (CDC) recommendations.
  11. C
    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
    F577 · Resident Rights · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) October 31, 2023
    Inspectors wroteBased on observation, interview and document review, the facility failed to ensure three years of survey results/complaints were readily accessible. This had the potential to affect all 17 residents, their families and any visitors who may have wished to review the information.
  12. C
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) October 31, 2023
    Inspectors wroteBased on interview and document review, the facility failed to ensure prompt (within 24 hours of postal delivery) delivery of mail to residents who received mail at the facility. This had the potential to affect all 17 residents (including R4, R5, R16, and an anonymous resident who stated mail was not delivered on Saturdays) residing at the facility who receive or have the potential to receive, personal mail.
  13. C
    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 minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) October 31, 2023
    Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure the hallways, stairs, and main Livingroom carpet, the upstairs bathroom tiled floors, the dining room vinyl floors, the main bathroom, and furniture were kept in a clean and sanitary manner. Additionally, the facility failed to provide maintenance services to bathroom piping and kitchen windows that had peeling paint, dining room vinyl floors that were peeling up from the floor, and plastic baseboard siding in the bathroom peeling from the wall. This had the potential to affect all 17 residents within the facility reviewed for safe, clean, comfortable, and homelike environment.
  14. B
    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
    F912 · Environmental · No actual harm, potential for minimal harm, pattern · Waiver
    Inspectors wroteBased on observation and interview, the facility failed to provide at least 80 square feet per resident in three resident bedrooms (room numbers 101,102,103) affecting 9 of 20 residents (R1, R3, R4, R5, R8, R10, R12, R15, R17) whose bedrooms had less than the required square footage. The facility's request for a continuing waiver of the following health deficiency has been forwarded to the CMS Region V Office. Approval of the waiver request has been recommended.

Fire safety inspections

9 fire safety citations on file: 3 on August 28, 2024, 6 on September 1, 2023.

Every fire safety citation9 citations
  1. F
    Include a process for Emergency Preparedness collaboration.
    E 9 · August 28, 2024 · Corrected (the home has a date of correction)
  2. F
    Develop a communication plan.
    E 29 · August 28, 2024 · Corrected (the home has a date of correction)
  3. F
    Conduct testing and exercise requirements.
    E 39 · August 28, 2024 · Corrected (the home has a date of correction)
  4. F
    Include a process for Emergency Preparedness collaboration.
    E 9 · September 1, 2023 · Corrected (the home has a date of correction)
  5. F
    Establish policies and procedures for medical documentation.
    E 23 · September 1, 2023 · Corrected (the home has a date of correction)
  6. F
    Establish roles under a Waiver declared by secretary.
    E 26 · September 1, 2023 · Corrected (the home has a date of correction)
  7. F
    Develop a communication plan.
    E 29 · September 1, 2023 · Corrected (the home has a date of correction)
  8. F
    Establish emergency prep training and testing.
    E 36 · September 1, 2023 · Corrected (the home has a date of correction)
  9. F
    Implement emergency and standby power systems.
    E 41 · September 1, 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)2.444.193.86
Registered nurses0.821.060.69
All nursing staff on weekends2.203.713.42
Nurse aides0.80
Licensed practical nurses0.82
Nursing staff turnover (share who left in a year)36.4%42.2%45.8%
Registered nurse turnovernot reported38.6%42.9%
Administrators who leftnot reported

CMS expects 2.28 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 2.54 on weekdays and 2.20 on weekends, 13% 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 2.32 in April to June 2025 to 2.44 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20262.440.822.542.20 0.0%0 of 9019
Oct to Dec 20252.290.972.441.92 0.0%0 of 9220
Jul to Sep 20252.350.652.462.06 0.0%0 of 9219
Apr to Jun 20252.320.882.422.06 0.0%0 of 9119
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
10.818.213.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.01.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.02.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.04.03.2
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
6.220.514.1
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
81.017.115.4

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 do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 14 problems in this area, most recently on July 9, 2026: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
  2. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 7 problems in this area, most recently on September 11, 2025: "Provide and implement an infection prevention and control program."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on September 11, 2025: "Ensure each resident must receive and the facility must provide necessary behavioral health care and services."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on September 11, 2025: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.20 hours per resident per day, below the Minnesota average of 3.71.

Other nursing homes nearby

Minnesota contacts for a concern about a nursing home

These are the official offices in Minnesota. NursingHomeClear cannot take or act on complaints.

Common questions

What is Grand Avenue Rest Home's Medicare star rating?
CMS rates Grand Avenue Rest Home 3 out of 5 stars overall, with 2 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Grand Avenue Rest Home get at its last inspection?
8 health deficiencies at the standard inspection on September 11, 2025. The Minnesota average is 7.1.
Has Grand Avenue Rest Home been fined?
CMS lists no fines in the last three years.
Does Grand Avenue Rest Home 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 Grand Avenue Rest Home?
CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.

Sources

Find a nursing home Read an inspection