The Estates at Delano LLC
433 County Road 30, Delano, MN 55328 · Wright County · (763) 972-2987
39 certified beds, about 34 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1986
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 245336 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on November 19, 2025, inspectors cited 3 health deficiencies (the Minnesota average is 7.1, the national average 9.2).
Of 19 health citations since November 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $11,928 in the last three years; the largest was $11,928, and the latest is dated November 29, 2023.
Nurses and nurse aides worked 3.35 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 1.02 of those hours.
CMS links it to Monarch Healthcare Management, an affiliated group of 45 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.
111/23
1201/24
110/24
110/24
101/25
311/25
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 19 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
13D
0E
4F
Potential for minimal harm
0A
0B
1C
November 19, 2025Standard inspection · 3 citations
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on document review and interview, the facility failed to ensure the Minnesota Ombudsman Office was informed of residents discharging against medical advice (AMA) for 2 of 3 residents (R37 and R38) who were reviewed for discharge from the facility.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview and document review, the facility failed to ensure there were orders and interventions in place for continuous positive airway pressure (CPAP) machine usage for 1 of 1 residents (R16) reviewed for CPAP therapy.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on interview and document review, the facility failed to ensure there were orders in place for Dexcom sensor (a wearable Continuous Glucose Monitoring (CGM) system for people with diabetes) for 1 of 3 residents (R16) reviewed for Dexcom use. In addition the facility failed to ensure orders were in place to remove pressure dressing (bandage applied to stop bleeding) after dialysis (medical procedure filters and removes waste from blood) for 1 of 1 residents (R16) reviewed for dialysis.
January 9, 2025Complaint inspection · 1 citation
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on interview and document review, the facility failed to ensure an abuse protection plan was documented and all staff were educated on the plan for 2 of 3 residents (R1, R2) reviewed for sexual abuse.
October 25, 2024Complaint inspection · 1 citation
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and document review, the facility failed to report an allegation of sexual abuse to law enforcement as required for 1 of 1 residents (R1) reviewed for abuse.
October 16, 2024Standard inspection · 1 citation
- F Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteF851 Based on interview and document review, the facility failed to submit accurate and/or complete data for staffing information at least quarterly based on payroll and other verifiable and auditable data during (2024) 1 of 1 quarter reviewed (Quarter three) in Federal Fiscal Year (2024), to the Centers for Medicare and Medicaid Services (CMS), according to specifications established by CMS. This has the potential to affect all 33 residents residing in the facility.
January 4, 2024Standard inspection, Complaint inspection · 12 citations
- G Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on interview and document review, the facility failed to ensure pain management was provided consistent with professional standards of practice and the residents' goals and preferences for 2 of 2 residents (R131 and R14) reviewed for pain managment. This deficient practice caused actual harm for R131, who experienced unmanaged pain, disturbed sleep patterns and who had reports of pain.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and document review, the facility failed to store and distribute food in accordance with professional standards for food safety. This had the potential to affect all 32 resident currently residing in the facility.
- F Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteBased on interview and document review, the facility failed to submit accurate and/or complete data for staffing information based on payroll and other verifiable and auditable data during 1 of 1 quarter reviewed (Quarter 4), to the Centers for Medicare and Medicaid Services (CMS), according to specifications established by CMS.
- F Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation, interview and document review, the facility failed to provide a safe and sanitary environment. This had the potential to affect all 32 residents. During observations and interview in the facility kitchen on 1/2/24 at 11:15 a.m., above the kitchen stove, the vent screens were noted have two-three inch wide areas thick with grease and imbedded dust. When interviewed the culinary services director (CSD) stated he agreed the vent screens looked bad. The CSD stated normally staff should be taking two panels down at a time and running them through the dish washer. The CSD stated this appeared to not have been done and normally all panels should be washed every two weeks. The CSD stated he had no cleaning logs to show when it had been done last. When interviewed on 1/3/24 at 11:06 a.m., the day cook (cook)-A stated cleaning responsibilities were based on position. [...]
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased of observation, interview and document review, the facility failed to ensure self-administration of medication was clinically appropriate for 1 of 1 residents (R5) reviewed.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on interview and document review, the facility failed to notify a provider of low blood glucose readings for 1 of 1 residents (R7) as well as complaints of increased pain for 1 of 1 residents (R14) reviewed for changes in condition.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on interviews and document review, the facility failed to thoroughly investigate an allegation of misappropriation of property for 1 of 1 resident (R19).
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on interview and document review, the facility failed to send notice of a hospital transfer to the office of the state long term care ombudsman for 1 of 1 residents (R15) reviewed for hospitalization.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on interview and document review, the facility failed to to provide pharmaceutical services including administration of drugs to meet the needs of 1 of 1 (R131) residents reviewed for pain control.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on interview and document review, the facility to routinely assess residents who received antipsychotic medications for signs and symptoms of tardive dyskinesia (disorder that results in involuntary repetitive body movements) for 2 of 2 residents (R1 and R7) reviewed for unecessary medications.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on interview and document review, the facility failed to ensure 3 of 5 residents (R5, R8 and R17) reviewed for immunizations were offered and/or provided the pneumococcal vaccine series as recommended by the Centers for Disease Control (CDC) to help reduce the risk of associated infection(s).
- C Post nurse staffing information every day.
Inspectors wroteBased on interview and document review, the facility failed to ensure the actual hours and number of staff were posted per each shift. This had the potential to affect all residents residing in the facility, staff and/or visitors who may wish to view the information.
November 29, 2023Complaint inspection · 1 citation
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and document review, the facility failed to ensure allegations of abuse were reported immediately, within two hours, to the State Agency (SA) for 1 of 1 residents (R1) reviewed for allegations of abuse.
Fire safety inspections
6 fire safety citations on file: 4 on November 19, 2025, 1 on October 16, 2024, 1 on January 4, 2024.
Every fire safety citation6 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- C Have approved installation, maintenance and testing program for fire alarm systems.
- C Have simulated fire drills held at unexpected times.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| November 29, 2023 | Fine | $11,928 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Minnesota | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.35 | 4.19 | 3.86 |
| Registered nurses | 1.02 | 1.06 | 0.69 |
| All nursing staff on weekends | 2.89 | 3.71 | 3.42 |
| Nurse aides | 1.83 | ||
| Licensed practical nurses | 0.50 | ||
| Nursing staff turnover (share who left in a year) | not reported | 42.2% | 45.8% |
| Registered nurse turnover | not reported | 38.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.54 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 3.54 on weekdays and 2.89 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 21.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.47 in April to June 2025 to 3.35 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 | 3.35 | 1.02 | 3.54 | 2.89 | 21.1% | 2 of 90 | 34 |
| Oct to Dec 2025 | 3.22 | 0.94 | 3.34 | 2.89 | 10.7% | 0 of 92 | 35 |
| Jul to Sep 2025 | 3.31 | 0.97 | 3.40 | 3.07 | 7.6% | 0 of 92 | 34 |
| Apr to Jun 2025 | 3.47 | 1.00 | 3.58 | 3.21 | 10.3% | 0 of 91 | 32 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Minnesota, Jan to Mar 2026 | 4.19 | 1.05 | 4.38 | 3.73 | 5.2% | 0.8% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Minnesota | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 6.6 | 18.2 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.5 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.9 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.4 | 4.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.9 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 16.9 | 20.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 12.5 | 5.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 20.0 | 17.1 | 15.4 |
Owners and operators
Legal business name: ESTATES AT DELANO LLC. CMS links this home to Monarch Healthcare Management, a group of 45 nursing homes averaging 2.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Nij LLC | 5% or greater direct ownership interest | Organization | 7% | 03/01/2017 |
| Spartan Healthcare LLC | 5% or greater direct ownership interest | Organization | 30% | 03/01/2017 |
| Yazoma Holdings, LLC | 5% or greater direct ownership interest | Organization | 30% | 03/01/2017 |
| Arem, Jeffrey | 5% or greater direct ownership interest | Individual | 7% | 03/01/2017 |
| Stern, William | 5% or greater direct ownership interest | Individual | 20% | 03/01/2017 |
| Halpert, Marc | 5% or greater indirect ownership interest | Individual | 30% | 03/01/2017 |
| Jaffa, Noam | 5% or greater indirect ownership interest | Individual | 7% | 03/01/2017 |
| Legum, Joshua | 5% or greater indirect ownership interest | Individual | 30% | 03/01/2017 |
| Legum, Joshua | W-2 managing employee | Individual | 03/01/2017 | |
| Halpert, Marc | Corporate director | Individual | 03/01/2017 | |
| Stern, William | Corporate officer | Individual | 03/01/2017 | |
| Monarch Healthcare Operating IV LLC | Operational/managerial control | Organization | 03/01/2017 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on November 19, 2025: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 4 problems in this area, most recently on January 9, 2025: "Respond appropriately to all alleged violations."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on November 19, 2025: "Provide safe and appropriate respiratory care for a resident when needed."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 2 problems in this area, most recently on October 16, 2024: "Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.89 hours per resident per day, below the Minnesota average of 3.71.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- The Gardens at Winsted LLC Winsted, 9.4 mi · 2 of 5 stars · 39 citations
- Park View Health Care Center Buffalo, 9.5 mi · 5 of 5 stars · 2 citations
- Haven Homes of Maple Plain Maple Plain, 9.5 mi · 5 of 5 stars · 2 citations
- Lake Ridge Care Center of Buffalo, Inc. Buffalo, 10.1 mi · 4 of 5 stars · 9 citations
- Good Samaritan Society - Howard Lake Howard Lake, 10.2 mi · 4 of 5 stars · 11 citations
- Lake Minnetonka Shores Spring Park, 13.2 mi · 5 of 5 stars · 8 citations
- Good Samaritan Society - Waconia and Westview Acre Waconia, 13.4 mi · 2 of 5 stars · 46 citations
- Auburn Home in Waconia Waconia, 13.4 mi · 2 of 5 stars · 30 citations
Minnesota contacts for a concern about a nursing home
These are the official offices in Minnesota. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Minnesota Department of Health, Health Regulation Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
- State inspection reports: MDH Nursing and Boarding Care Home Survey and Complaint Inspection Findings, where Minnesota publishes its own records on licensed homes.
Common questions
- What is The Estates at Delano LLC's Medicare star rating?
- CMS rates The Estates at Delano LLC 4 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did The Estates at Delano LLC get at its last inspection?
- 3 health deficiencies at the standard inspection on November 19, 2025. The Minnesota average is 7.1.
- Has The Estates at Delano LLC been fined?
- Yes. CMS lists 1 fine totaling $11,928 in the last three years.
- Does The Estates at Delano LLC 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 The Estates at Delano LLC?
- CMS lists 12 owners and managers, and links the home to Monarch Healthcare Management. Legal business name: ESTATES AT DELANO LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.