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Langton Shores

1900 West County Road D, Roseville, MN 55112 · Ramsey County · (651) 631-6200

50 certified beds, about 45 residents a day · Non profit - Corporation · Medicare and Medicaid since 1986

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 245389 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 15, 2026, inspectors cited 0 health deficiencies (the Minnesota average is 7.1, the national average 9.2).

None of its 2 health citations since January 2024 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 4.87 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 1.42 of those hours.

33.3% 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.

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 2 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
2D
0E
0F
Potential for minimal harm
0A
0B
0C
January 15, 2026Standard inspection · 0 citations
November 21, 2024Standard inspection · 1 citation
  1. 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) December 19, 2024
    Inspectors wroteBased on interview and document review the facility failed to ensure 1 of 5 residents (R1) was offered, educated and/or provided the pneumococcal vaccination series as recommended by the Centers for Disease Control (CDC), who were reviewed for immunizations.
May 23, 2024Complaint inspection · 1 citation
  1. 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 14, 2024
    Inspectors wroteBased on observation, interview, and document review the facility failed to ensure enhanced barrier precautions (EBP)-(an infection control intervention designed to reduce transmission of multidrug-resistant organisms that employs targeted gown and glove use during high contact resident care activities.) were implemented for management of a surgical wound to reduce the risk of infection to others for 1 of 1 resident (R2) reviewed for transfers.
January 31, 2024Standard inspection · 0 citations

Fire safety inspections

3 fire safety citations on file: 1 on January 15, 2026, 1 on November 21, 2024, 1 on January 31, 2024.

Every fire safety citation3 citations
  1. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · January 15, 2026 · Corrected (the home has a date of correction)
  2. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · November 21, 2024 · Corrected (the home has a date of correction)
  3. F
    Establish staff and initial training requirements.
    E 37 · January 31, 2024 · 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)4.874.193.86
Registered nurses1.421.060.69
All nursing staff on weekends4.463.713.42
Nurse aides3.11
Licensed practical nurses0.35
Nursing staff turnover (share who left in a year)33.3%42.2%45.8%
Registered nurse turnover52.0%38.6%42.9%
Administrators who left0

CMS expects 3.50 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 5.03 on weekdays and 4.46 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.95 in April to June 2025 to 4.87 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.871.425.034.46 0.3%0 of 9045
Oct to Dec 20254.771.424.924.38 0.9%0 of 9245
Jul to Sep 20254.921.745.184.22 1.8%0 of 9245
Apr to Jun 20254.951.615.184.35 8.2%0 of 9144
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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Minnesota

JobMedianMiddle halfEmployed
Minnesota, all employers
CNAs (nursing assistants)$22.44$19.39 to $23.7229,120
LPNs and LVNs$30.65$28.83 to $34.2612,840
Registered nurses$48.80$42.76 to $55.1770,110
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

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
25.018.213.9
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
1.32.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.64.03.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.91.91.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
26.020.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
9.35.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
4.117.115.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
24.723.523.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
16.914.812.0

Owners and operators

Legal business name: PRESBYTERIAN HOME CARE CENTERS INC. CMS links this home to Presbyterian Homes & Services, a group of 21 nursing homes averaging 4.3 stars overall.

NameRoleTypeShareSince
Presbyterian Homes and Services5% or greater direct ownership interestOrganization100%01/01/2020
Associated Bank, National Association5% or greater mortgage interestOrganization12/06/2018
Associated Bank, National Association5% or greater security interestOrganization12/06/2018
Fletcher, JonathanCorporate directorIndividual02/01/2025
Pederson, MarkCorporate directorIndividual01/01/2023
Peterson, HeidiCorporate directorIndividual02/01/2025
Fletcher, JonathanCorporate officerIndividual02/01/2025
Meyer, MarkCorporate officerIndividual03/11/2011
Phs Management, LLCOperational/managerial controlOrganization03/11/2011
Fletcher, JonathanOperational/managerial controlIndividual02/01/2025
Gagnon, AllisonOperational/managerial controlIndividual06/18/2024
Meyer, MarkOperational/managerial controlIndividual03/11/2011
Mielke, JohnOperational/managerial controlIndividual08/29/2019
Pederson, MarkOperational/managerial controlIndividual01/01/2023
Peterson, HeidiOperational/managerial controlIndividual01/01/2023
Fletcher, JonathanIndividual is an owner, partner or trustee of any ADP of the SNFIndividual03/14/2026
Phs Management, LLCAdp of the SNFOrganization11/20/2025
Fletcher, JonathanAdp of the SNFIndividual02/01/2025
Gagnon, AllisonAdp of the SNFIndividual06/18/2024
Meyer, MarkAdp of the SNFIndividual03/11/2011
Mielke, JohnAdp of the SNFIndividual08/28/2023
Peterson, HeidiAdp of the SNFIndividual01/01/2023

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.

  1. 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 November 21, 2024: "Develop and implement policies and procedures for flu and pneumonia vaccinations."

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 Langton Shores's Medicare star rating?
CMS rates Langton Shores 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Langton Shores get at its last inspection?
0 health deficiencies at the standard inspection on January 15, 2026. The Minnesota average is 7.1.
Has Langton Shores been fined?
CMS lists no fines in the last three years.
Does Langton Shores 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 Langton Shores?
CMS lists 22 owners and managers, and links the home to Presbyterian Homes & Services. Legal business name: PRESBYTERIAN HOME CARE CENTERS INC.

Sources

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