5430 Boone Avenue North, New Hope, MN 55428 · Hennepin County · (763) 592-2600
320 certified beds, about 231 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1972
CMS Care Compare ratings, data as of September 1, 2026 · CCN 245183 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on June 25, 2026, inspectors cited 23 health deficiencies (the Minnesota average is 7.1, the national average 9.2).
Of 83 health citations since September 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $25,480 in the last three years; the largest was $25,480, and the latest is dated March 7, 2025.
Nurses and nurse aides worked 4.23 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 1.39 of those hours.
27.5% of nursing staff left within the year CMS measured (Minnesota average 42.2%).
CMS links it to Mission Health Communities, an affiliated group of 29 nursing homes.
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.
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 83 health citations on file.
Inspectors wroteBased on observation, interview and document review, the facility failed to provide a dignified dining experience for 7 of 7 residents (R28, R124, R128, R197, R233, R244, R257) when meals were served on hard plastic trays in the dining room. Further, the facility failed to ensure resident's right to privacy and dignity for 1 of 1 residents (R2) when staff failed to knock and wait for permission before entering the resident's room.
Inspectors wroteBased on interview and document review, the facility failed to provide written information on the duration of the bed-hold and reserve bed payment at the time of transfer for 4 of 4 residents (R21, R147, R203, R260) reviewed for hospitalizations.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure controlled substance reconciliation was completed in accordance with established policies and procedures to reduce the risk of diversion and/or theft on 2 of 8 medication carts reviewed. This had the potential to affect 8 residents identified to have controlled substances in the reviewed carts.
Inspectors wroteBased on observation, and interview, the facility failed to ensure food was served in a timely manner to preserve desired temperatures of food for 5 of 5 residents (R3, R28, R156, R197, R294) reviewed who expressed concerns for food temperatures and palatability.
Inspectors wroteBased on interview and document review, the facility failed to obtain consent for use of psychotropic medications for 1 of 5 residents (R9) reviewed for unnecessary medicationsFindings include: R9's admission Minimum Data Set (MDS), dated [DATE], indicated R9 had severe cognitive impairment, required assistance with activities of daily living (ADLs), and diagnoses included edema, dementia, hypertension, insomnia and encephalopathy (broad term for any disease, damage, or malfunction that affects the brain). R9's Order Summary Report, printed 6/25/26, indicated R9 had an order dated 4/13/26 for trazodone 25 milligrams (mg) by mouth at bedtime for insomnia. However, review of R9's medical record lacked evidence consent for trazadone was obtained prior to use. [...]
Inspectors wroteBased on observation, interview, and document review, the facility failed to assess resident for safety and the ability to self-administer medications for 1 of 1 resident (R21) reviewed for self-administration of medications (SAM).
Inspectors wroteBased on observation, interview, and document review, the facility failed to accommodate resident needs by ensuring a call light was accessible for 2 of 2 residents (R221, R283) reviewed for call lights.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure ongoing assessment and evaluation of physical restraints were completed to determine continued need, risks, benefits, and least restrictive interventions for a wheelchair lap tray and set belt for 1 of 1 resident (R147) reviewed for physical restraints.
Inspectors wroteBased on interview and document review, the facility failed to ensure psychotropic medications were used in accordance with professional standards by failing to ensure PRN (as needed) psychotropic medication orders were limited to 14 days or contained documented clinical rationale and/or practitioner evaluation to support continued use beyond 14 days. The facility also failed to ensure monitoring was implemented to identify potential adverse effects related to antipsychotic medication use, including orthostatic blood pressure monitoring, for 1 of 5 resident (R152) reviewed for unnecessary medications.
Inspectors wroteBased on interview and document review, the facility failed to ensure the Minimum Data Set (MDS) was accurately coded, with the potential for inaccurate federal reimbursement and resident care planning for 3 of 3 residents (R12, R15, R123) reviewed for MDS accuracy.
Inspectors wroteBased on observation, interview and document review, the facility failed to ensure routine personal hygiene and grooming (i.e., shaving) was provided to 1 of 1 residents (R12) reviewed for Activities of Daily Living (ADLs) who were dependent on staff for their care.
Inspectors wroteBased on observation, interview and document review, the facility failed to ensure fall interventions were implemented to prevent further falls and potential injury for 1 of 3 residents (R6) reviewed for falls. Additionally, the facility failed to comprehensively assess to prevent potential injury for 1 of 1 residents (R44) reviewed for smoking.
Inspectors wroteBased on observation, interview and document review, the facility failed to ensure appropriate provider orders were obtained to maintain an indwelling urinary catheter for 1 of 1 residents (R246) reviewed for catheter care.
Inspectors wroteBased on interview and document review, the facility failed to ensure timely and effective interventions were implemented for significant, unplanned weight loss and failed to ensure consistency between physician orders and care plan directives related to weight monitoring for 1 of 1 residents (R256) reviewed for weight loss.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure respiratory care and services were provided according to professional standards of practice and physician orders when the facility failed to ensure tracheostomy orders, included the specific type and size of tracheostomy tube, for 2 of 2 residents (R147 and R152) reviewed for tracheostomy care. In addition, the facility failed to obtain physician orders for oxygen therapy, including prescribed flow rate and administration parameters, for 1 of 3 residents (R152) reviewed for oxygen therapy, and the facility failed to ensure oxygen was administered according to physician orders for 1 of 3 residents (R14) reviewed for oxygen therapy.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure non-pharmacological pain interventions were offered, implemented, and documented when administering as-needed pain medication for 1 of 1 resident (R142) reviewed for pain management.
Inspectors wroteBased on observation, interview and document review, the facility failed to ensure licensed nursing staff demonstrated competency by administering the incorrect dose of a controlled medication and inaccurately documenting controlled substance administration for 1 of 3 residents (R142) reviewed for medication administration.
Inspectors wroteBased on interview and document review, the facility failed to ensure recommendations from the consulting pharmacist were acted upon timely to reduce the risk of adverse effects for 1 of 5 residents (R9) reviewed for unnecessary medication use.
Inspectors wroteBased on interview and document review, the facility failed to ensure adequate monitoring was completed for 1 of 5 residents (R255) reviewed for unnecessary medications.
Inspectors wroteBased on observation, interview, and document review, the facility failed to coordinate blood draws as ordered by the provider for 1 of 2 residents (R25) reviewed for dialysis.
Inspectors wroteBased on observation, interview and document review, the facility failed to ensure oral health needs were met for 1 of 1 residents (R2) reviewed for denture fit and function resulting in the resident not consistently receiving or using dentures despite documented issues with improper fit and the resident's expressed desire to use them. Additionally, the facility failed to ensure routine dental service recommendations were followed to promote oral hygiene and reduce the risk of complications for 1 of 1 residents (R21) reviewed for dental services.
Inspectors wroteBased on observation, interview, and document review, the facility failed to implement infection prevention and control practices by ensuring staff performed hand hygiene and changed gloves between contaminated and clean resident care tasks during incontinent care for 1 of 1 residents (R142) reviewed for incontinence care.
Inspectors wroteBased on observation, interview and document review, the facility failed to ensure the staff posting was updated each shift as required, resulting in outdated staffing information being consistently posted over multiple days. This had the ability to affect all 241 residents residing in the care facility.
Inspectors wroteBased on observation, interview, and document review the facility failed to use the correct brand sling for Hoyer (full-body mechanical lift) in accordance with manufacturer's instructions for (R1) who had a fall from a lift and failed to ensure comprehensive assessments for Hoyer sling sizes completed according to manufactures recommendations and failed to ensure the sling size was represented on the care plan for 2 of 2 residents (R1, R2) who required Hoyer lifts for transfers. In addition, the facility failed to ensure comprehensive harness assessments were completed to ensure safe transfers for 3 of 3 residents (R3, R4, R5) who required the sit-to-stand mechanical lift for transfers.
Inspectors wroteBased on interviews and document review the facility failed to comprehensively develop and implement care plan interventions for 1 of 3 residents (R2) when R2 required in-center hemodialysis (also known as dialysis) (going to a dialysis center for therapy that filters your blood outside your body using a machine and a manufactured filter) three days a week.
Inspectors wroteBased on interview and document review, the facility failed to ensure assessment of the resident's condition and monitoring for complications before and after dialysis, failed to ensure staff was knowledgeable about providing care, and failed to ensure the medical record reflected accurate care and monitoring of the dialysis access site for 1 of 1 resident (R2) reviewed for dialysis.
Inspectors wroteBased on interview and record review, the facility failed to ensure residents were free of significant medication errors for one of one resident (R2) when R2 had an order for Oxycodone 10 milligrams (mg) with instructions to separate the doses by a minimum of four hours and to separate doses from Suboxone by a minimum of two hours. The facility failed to follow these instructions 12 times between 10/10/25 and 10/27/25. The facility also failed to ensure medications were given within one hour before the scheduled administration time to one hour after the scheduled administration time. Between 10/1/25 and 10/31/25, the facility failed to ensure medications were given within one hour of the scheduled administration time to one hour after the scheduled administration time 360 times. These deficiencies had the potential to impact all resident's in the facility. [...]
Inspectors wroteBased on interview and record review, the facility failed to accurately document turning and repositioning for one of one resident (R2) reviewed when R2's care plan stated she would be turned and repositioned every two hours and the staff stated they do not document when a resident is turned and reposition nor could recall turning and repositioning R2. R2's admission record dated 12/3/25 indicated R2 was admitted to the facility on [DATE] with a primary diagnosis of acute and subacute infective endocarditis. R2's additional diagnoses included pneumonitis due to inhalation of food and vomit, displaced bicondylar fracture of left tibia, chronic obstructive pulmonary disease, dysphagia, other lack of coordination, difficulty walking, cognitive communication deficit, peripheral vascular disease, and personal history of other venous thrombosis and embolism. [...]
Inspectors wroteBased on interview and document review, the facility failed to promote dignity for 2 of 3 residents (R3, R6) who required assistance with toileting and staff did not respond timely to requests for assistance with toileting and toileting hygiene, which resulted in incontinence or not getting changed timely.
Inspectors wroteBased on interview and record review, the facility failed to implement resident-directed care and treatment consistent with provider orders and professional standards for 1 of 3 residents (R2) reviewed for supplemental oxygen use.
Inspectors wroteBased on observation, interview and document review, the facility failed to provide respiratory care consistent with professional standards and the comprehensive person-centered care plan for 1 of 3 (R3) residents reviewed for supplemental oxygen use.
Inspectors wroteBased on interview and document review, the facility failed to ensure a resident's advance directives were accurately and consistently documented in the resident's paper chart, electronic medical record (EMR) banner, Provider Order for Life-Sustaining Treatment (POLST), and physician orders to ensure the resident's wishes would be followed in the event of a respiratory or cardiac arrest. This resulted in immediate jeopardy for 1 of 49 residents (R43) whose code status was not accurately documented and was reviewed for advanced directives. In addition the facility failed to ensure the power of attorney (POA) was identified and would be contacted for care decisions for 1 or 49 residents (R223) who was reviewed for resident rights regarding decisions about care. [...]
Inspectors wroteBased on observation and interview, the facility failed to ensure a complete wireless call system in which staff were provided with functioning devices alerting them to call light activation in their possession. This had the potential to affect all 250 residents at the facility.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure the emergency kits were tracked to prevent potential theft and diversion of medications. This had the potential to affect all residents residing on the nursing unit.
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 22.58 % with 7 errors out of 31 opportunities for error involving 4 of 9 residents (R309, R193, R183, R38) who were observed during the medication passes.
Inspectors wroteBased on observation, interview and document review the facility failed to ensure insulin pens were dated when opened and dated with an expiration date for 13 residents (R4, R92, R166, R105, R114, R202, R85, R101, R196, R189, R206, R720, R462) and outdated medications were removed and disposed of properly in 8 of 10 medication carts. In addition, the facility failed to ensure supplies were not outdated, discharged resident medications were properly disposed of for (R721, R722), and medication temperatures were within safe temperature ranges for 8 residents (R2, R29, R71, R30, R91, R92, R109, R149), in 4 of 5 medication rooms. This deficient practice had the potential to affect residents receiving medications from these medication carts and medication rooms.
Inspectors wroteBased on observation, interview and document review, the facility failed to ensure enhanced barrier precautions (EBP) and/or standard precautions were followed to reduce the risk of infection to others for 2 of 3 residents (R611, R612) reviewed for EBP during tracheal care. In addition, the facility failed to ensure infection control practices were followed regarding tracheal suctioning for 1 of 3 (R612) reviewed for tracheal care. The facility also failed to ensure proper hand sanitization occured during cares for 1 of 3 residents (R97) standard precautions. Also, the facility failed to follow clean procedures when administering tube feedings for 1 of 2 residents (R90) reviewerd for tube feedings. [...]
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure a call light that accommodated the resident's needs or an acceptable alternative, was provided or implemented to promote safety and allow for means of notification for 1 of 1 residents (R190) reviewed for the accommodation of needs.
Inspectors wroteBased on interview and record review the facility failed to ensure family requested pretreatment of nausea occured prior to meals for 1 of 1 residents (R97) reviewed for self-determination.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure ongoing monitoring and assessments of the resident ' s condition during restraint use were completed to decrease the likelihood of adverse outcomes of restraint use (skin breakdown, injury from attempts to free self, decline in physical functioning, etc.) and failed to complete a comprehensive assessment and/or re-assessment to determine if the least restrictive device (restraint mitt) was used or determine if the restraint was effective when 1 of 2 residents (R190) reviewed for restraint use, was found to be able to self-decannulate his tracheostomy tube while the restraint was in place.
Inspectors wroteBased on observation, interview and document review the facility failed to initiate and complete a Significate Change in Status Assessment (SCSA) for 1 of 1 resident (R42) after a physical and cognitive decline following a stroke.
Inspectors wroteBased on inteview, obsersavation and document review, the facility failed to ensure a comprehensive care plan was developed and maintained to ensure appropriate care was provided for 1 of 1 resident (R86) reviewed for care needs (i.e. interventions and identfication of pressure ulcer/laundry/preference of care giver/communication ability/ambulation ability). R86's quarterly Minimum Data Set (MDS) assessment, dated 2/15/25, indicated R86 had severely impaired cognition with no hallucinations or delusions present, no behaviors and no rejection of care. R86 required moderate staff assistance with showering, lower body dressing, footwear, transfers from bed/chair/toilet/shower and personal hygiene. R86 required set up assistance from staff for oral hygiene and supervision for toileting hygiene. [...]
Inspectors wroteBased on interview and document review, the facility failed to provide timely and quarterly care conferences for 3 of 4 residents (R184, R224, R146) reviewed for care planning.
Inspectors wroteBased on observation, interview and document review, the facility failed to ensure 2 of 9 residents (R21, R28) reviewed for activities of daily living (ADLs) and who were dependent on staff for their ADLs, routinely had their fingernails cleaned and trimmed.
Inspectors wroteBased on observation, interview and document review, the facility failed to compressively reassess a resident for activity interest and socialization needs after hospitalization for a stroke for 1 of 2 residents (R42) reviewed for activities who was no longer able to communicate verbally with other residents and move around the facility independently.
Inspectors wroteBased on observation, interview, and document review the facility failed to ensure orders were current and accurate for 1 of 1 resident (R90) reviewed for orders. In addition, facility failed to ensure site care was performed for 1 of 2 residents (R4) reviewed for tube feeding
Inspectors wroteBased on observation, interview, and record review the facility failed to follow identifed pressure relieving interventions, to timely identify a wound as a pressure ulcer and failed to follow care plan interventions to promote healing and prevent worsening of a pressure ulcer for 1 of 4 residents (R4) reviewed for pressure ulcer care.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure a nursing functional maintenance program was implemented to prevent a possible decline in range of motion (ROM) for 1 of 6 residents (R190) reviewed for range of motion.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure 1 of 1 resident (R90) who was observed using an electric heating pad, was free of potential injury.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure appropriate interventions were taken to reduce the risk of aspiration for 2 of 2 residents (R4, R129) reviewed who used a tube feeding and was observed to be positioned flat in bed while their feeding was running. In addition, the facility failed to ensure infection prevention practices were followed and tube feeding was administered at the ordered flow rate for 1 of 2 residents (R4) reviewed for tube feeding administration.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure oxygen order parameters were followed for 1 of 4 residents (R21) and that provider orders for as needed (PRN) oxygen administration were in place for 1 of 4 residents (R204) reviewed for respiratory care.
Inspectors wroteBased in observation, interview and document review the facility failed to assess a resident for potential trauma, who was found to have vulvar lesions and under went a Sexual Assault Nurse Examiner exam, in order to implement any potential interventions to ensure R42 was safe and did not have lasting negative effects for 1 of 1 resident (R42) reviewed for trauma informed care.
Inspectors wroteBased on interview and document review the facility failed to ensure pharmacy consultant recommendations were followed up on in a timely manner for 2 of 5 residents (R183, R204) reviewed for medication management.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure a scheduled antifungal medication without an end date was evaluated for the appropriateness of its continued use for 1 of 6 residents (R129) reviewed for unnecessary medications.
Inspectors wroteBased on interview and document review, the facility failed provide appropriate side effect monitoring with antipsychotic medication consumption related to residents who did not have an Abnormal Involuntary Movement Scale (AIMS) or orthostatic blood pressures for 1 of 3 residents (R183), and the facility failed to provide non pharmaceutical interventions prior to medication use for 1 of 3 residents (R204) reviewed for unnecessary medication use.
Inspectors wroteBased on observation and interview the facility failed to ensure the actual working hours for nursing staff was recorded on the daily staffing sheet posted each day. This had the potential to impact any residents, family or staff who may have wanted to view the actual working hours.
Inspectors wroteBased on observation, interview, and document review, the facility failed to accommodate resident needs by ensuring call lights were within reach for 3 of 5 (R3, R4, R5) residents reviewed for call light usage. R3's admission Minimum Data Set (MDS) dated [DATE] indicated intact cognition with diagnoses that included dementia, muscle weakness and repeated falls. R3's care plan dated 1/20/25 lacked direction regarding call light usage. On 1/27/25 at 1:13 p.m., R3 was observed seated in her wheelchair with the call light cord lying in a coil on the floor behind her wheelchair. R3 stated she pushed her call light button when she needed help. She could not reach her call light and if she tried to pick it up off the floor, she would probably fall out of her wheelchair. On 1/27/25 at 1:20 p.m., registered nurse (RN)-A confirmed R3's call light button was out of her reach. [...]
Inspectors wroteBased on interview and record review the facility failed to accurately assess a resident's skin condition for 1 of 3 residents (R3) reviewed. R3 was found to have an inflammatory skin condition on both of his hands and elbow that was not identified on R3's Minimum Data Set (MDS) and R3's assessments.
Inspectors wroteBased on observation, interview and document review, the facility failed to provide timely notification of critical lab results to the physician for 1 of 3 residents (R3) reviewed for change in condition.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide appropriate catheter care and services to minimize the risk for urinary tract infections for 1 of 3 (R1) residents. Additionally, the facility failed to follow provider's orders when catheter required to be flushed for 1 of 1 (R1) residents reviewed with indwelling catheter.
Inspectors wroteBased on observation and interview, the facility failed to provide a dignified dining experience in the locked memory care unit dining room. This had the potential to effect all 36 residents and visitors.
Inspectors wroteBased on observation, interview and document review, the facility failed to ensure an appropriate safety plan was in place to protect residents of the facility while there was an ongoing investigation for an allegation of abuse. This had the ability to effect all residents on the units the allegated perpetrator worked on.
Inspectors wroteBased on observation, interview, and record review, the facility failed to include individualized approaches for care, including non-pharmacological interventions to aid in the management of mood and behavior, in the comprehensive care plan for 1 of 5 residents (R67) reviewed for unnecessary medications. In addition, the facility failed to ensure dementia care was incorporated into the care plan for 1 of 2 residents (R184) reviewed for dementia care and failed to ensure accurate orders for 1 of 1 residents (R190) reviewed for range of motion.
Inspectors wroteBased on observation and interview, the facility failed to provide a safe, sanitary, comfortable environment for resident on the locked memory care unit. This had the potential to affect all 36 residents, staff and visitors. Findings Include: During interview on 7/8/24 at 1:42 p.m., family member (FM)-A stated the facility was always dirty and had an odor of urine in the hallways. FM-A stated she cleaned R169's room or it would be dirty also. On 7/8/24 at 3:07 p.m., the carpeted floor in the dining room on the unit was observed to have various crumbs and other debris. An approximately 2 x 2 inch piece of paper that was white and yellow was under one square table. Numerous small, light colored, powder-like spots around the whole room. [...]
Inspectors wroteBased on observation, interview and document review, the facility failed to ensure physician's orders for self-administration of medication (SAM) and SAM occurred at the appropriate time for 1 of 1 resident (R173) reviewed for self-administration of medication.
Inspectors wroteBased on document review and interview, the facility failed to provide smoking opportunities for 1 of 1 residents (R581) reviewed for choices. Findings Include: R581's admission Record printed 7/11/24, included diagnosis of weakness and dementia without behavioral disturbance. R581's Nursing admission Evaluation dated 6/20/24, included a section for tobacco use with a selected answer of yes for flame lite tobacco use. Smoking evaluation dated 7/1/24, included R581 wished to smoke during her stay at the facility. Resident wished to ulitized flame lit cigarettes. Resident was marked safe to smoke with limitations. R581's progress note dated 7/1/24, included the resident was observed smoking cigarettes in the hallway of the facility. Progress note dated 7/2/24, included the resident was able to express ideas and wants. [...]
Inspectors wroteBased on interview and document review, the facility failed to notify the Office of Ombudsman for Long-Term Care (OOLTC) of facility-initiated transfers for 2 of 2 residents (R45, R143) who had been hospitalized .
Inspectors wroteBased on interview and document review, the facility failed to provide notification to the resident and/or resident representative of the facility bed hold policy within 24 hours of an emergency transfer for 1 of 2 residents (R45) who required an emergency transfer to the hospital.
Inspectors wroteBased on interview and document review, the facility failed to revise and update a comprehensive care plan for 1 of 2 residents (R45) reviewed for hospitalizations, and 1 or 3 residents (R45) reviewed for dialysis for services provided per plan of care.
Inspectors wroteBased on observation , interview and document review, the facility failed to provide bathing for 1 of 1 residents (R166) reviewed for activities of daily living (ADL's).
Inspectors wroteBased on interview and document review, the facility failed to ensure residents received timely follow-up treatment and care in accordance with professional standards of practice and provider's recommendations for 1 of 1 residents (R121) reviewed for appointments. The facility also failed to follow provider orders and administer a blood pressure medication only when outside certain parameters for 1 of 1 residents (R40) reviewed for quality of care. Additionally the facility failed to monitor vital signs as ordered for 2 of 3 residents (R73, R138) reviewed for nutrition and recognize nursing staff were documenting colostomy care as being provided to a resident that did not have a colostomy for 1 of 1 resident (R190). R40's quarterly Minimum Data Set (MDS) dated [DATE], indicated R57 was severely cognitively impaired. [...]
Inspectors wroteBased on observation, interview and document review, the facility failed to provide timely assistance in repositioning and toileting for 1 of 1 resident (R138) reviewed for pressure ulcers.
Inspectors wroteBased on observation, interview and document review the facility failed to ensure a post hospitalization assessment was completed for 1 of 1 residents (R45) who had their arteriovenous (AV) access site and hemodialysis treatment discontinued and also failed to ensure post-dialysis monitoring assessments were consistently completed and accurately documented to provide continuity of care and reduce the risk of complications for 3 of 3 residents (R45, R166 and R143) reviewed for dialysis care and services.
Inspectors wroteBased on interview and record review the facility failed to develop and implement dementia care as part of the comprehensive care plan for 1 of 3 residents (R184) reviewed for dementia care.
Inspectors wroteBased on interview and record review, the facility failed to identify individualized approaches for care, including non-pharmacological interventions to aid in the management of mood and behavior, for 2 of 5 residents (R67, R184) reviewed for unnecessary medications.
Inspectors wroteBased on interview and document review, the facility failed to ensure 3 of 5 residents (R6, R45, R202) were offered or received pneumococcal vaccination in accordance to Center for Disease Control (CDC) recommendations.
Inspectors wroteBased on interview, observation and document review, the facility failed to review a progress note from a physician's appointment for 1 of 4 residents (R1). The progress note identified suicidal ideation and physical abuse allegations, putting R1 at risk for harm from self or others.
Inspectors wroteBased on interview and document review, the facility failed to maintain a complete, accurately documented, and readily accessible medical record in accordance with accepted professional standards and practices for 1 of 1 resident (R5).
Inspectors wroteBased on observation, interview, and document review, the facility failed to initiate oxygen orders for 3 of 5 residents (R2, R3, R4) and bilevel positive airway pressure (BiPAP, delivers pressurized air to the lungs) orders for 1 of 1 resident (R5) reviewed for respiratory care.
Inspectors wroteBased on observations, interview and document review, the facility failed to follow professional standards following the correct procedure as ordered for 1 of 1 resident (R3) who received lymphedema wraps (multilayer wraps to add compression to excess fluid to assist in circulation). R3 had multiple orders with different procedures for his lymphedma wraps that staff provide treatment of.
Inspectors wroteBased on observation, interviews and record review the facility failed to disinfect reusable medical equipment consistent with accepted standards of practice for 2 of 2 residents (R3) and (R4) observed following personal cares. The facility had 52 positive COVID-19 cases.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure nail care was provided for 1 of 2 residents (R105) reviewed who were dependent on staff for personal cares.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure 2 of 3 (R1 & R3) residents reviewed for comprehensive care plans had developed and implemented person-centered care plans.
28 fire safety citations on file: 8 on June 25, 2026, 6 on March 7, 2025, 14 on July 11, 2024.
| Date | Penalty | Amount or length |
|---|---|---|
| March 7, 2025 | Fine | $25,480 |
| March 7, 2025 | Payment Denial | 7 days from March 29, 2025 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 4.23 | 4.19 | 3.86 |
| Registered nurses | 1.39 | 1.06 | 0.69 |
| All nursing staff on weekends | 3.78 | 3.71 | 3.42 |
| Nurse aides | 2.12 | ||
| Licensed practical nurses | 0.72 | ||
| Nursing staff turnover (share who left in a year) | 27.5% | 42.2% | 45.8% |
| Registered nurse turnover | 21.8% | 38.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.22 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 4.42 on weekdays and 3.78 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.18 in April to June 2025 to 4.23 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 | 4.23 | 1.39 | 4.42 | 3.78 | 1.8% | 0 of 90 | 231 |
| Oct to Dec 2025 | 4.16 | 1.35 | 4.31 | 3.78 | 1.8% | 0 of 92 | 233 |
| Jul to Sep 2025 | 4.37 | 1.24 | 4.53 | 3.96 | 1.6% | 0 of 92 | 228 |
| Apr to Jun 2025 | 4.18 | 1.13 | 4.34 | 3.78 | 1.0% | 0 of 91 | 246 |
| 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.
Staff pay reports
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. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Minnesota, all employers | |||
| CNAs (nursing assistants) | $22.44 | $19.39 to $23.72 | 29,120 |
| LPNs and LVNs | $30.65 | $28.83 to $34.26 | 12,840 |
| Registered nurses | $48.80 | $42.76 to $55.17 | 70,110 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
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.
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 | 19.1 | 18.2 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.5 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.5 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.3 | 4.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.7 | 1.9 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 25.9 | 20.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.9 | 5.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.1 | 17.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.7 | 23.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.9 | 14.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.9 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for North Ridge Health and Rehab's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (46.5% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
46.5% this home
No different from the national rate
US median of homes 51.5% · Minnesota: 66 better, 14 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 218 eligible stays.
13.1% this home
No different from the national rate
US median of homes 10.7% · Minnesota: 0 better, 0 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 224 eligible stays.
8.8% this home
No different from the national rate
US median of homes 7.1% · Minnesota: 2 better, 0 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 168 eligible stays.
47.5% this home
Median of homes: Minnesota57.8% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 122 residents counted.
0.4% this home
Median of homes: Minnesota0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 228 residents counted.
0.8% this home
Median of homes: Minnesota2.0% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 228 residents counted.
94.0% this home
Median of homes: Minnesota98.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 67 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: NORTH RIDGE SKILLED, LLC. CMS links this home to Mission Health Communities, a group of 29 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| North Ridge Operator LLC | 5% or greater direct ownership interest | Organization | 100% | 01/01/2014 |
| Barres, LLC | 5% or greater indirect ownership interest | Organization | 01/01/2014 | |
| T and C Capital Assets, LLC | 5% or greater indirect ownership interest | Organization | 01/01/2014 | |
| Windward Health Partners LLC | 5% or greater indirect ownership interest | Organization | 01/01/2014 | |
| Crino, Bryan | 5% or greater indirect ownership interest | Individual | 01/01/2014 | |
| Feuer, Scott | 5% or greater indirect ownership interest | Individual | 01/01/2014 | |
| Lindeman, Stuart | 5% or greater indirect ownership interest | Individual | 01/01/2014 | |
| Passero, Joseph | 5% or greater indirect ownership interest | Individual | 01/01/2014 | |
| McCray, David | Corporate director | Individual | 04/02/2024 | |
| Rasquinha, Clemencia | Corporate director | Individual | 04/02/2024 | |
| Yoakum, Jamie | Corporate officer | Individual | 03/20/2024 | |
| Mission Health Communities | Operational/managerial control | Organization | 01/01/2014 | |
| Mission Health Communities, LLC | Operational/managerial control | Organization | 01/01/2014 | |
| Barnes, Michelle | Operational/managerial control | Individual | 12/01/2018 | |
| Yoakum, Jamie | Operational/managerial control | Individual | 03/20/2024 |
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.
Chosen from this home's own inspection record.
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