The Estates at Linden LLC
105 West Linden Street, Stillwater, MN 55082 · Washington County · (651) 439-5004
51 certified beds, about 32 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1986
CMS Care Compare ratings, data as of September 1, 2026 · CCN 245337 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 8, 2026, inspectors cited 3 health deficiencies (the Minnesota average is 7.1, the national average 9.2).
Of 12 health citations since November 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.47 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 1.09 of those hours.
51.3% of nursing staff left within the year CMS measured (Minnesota average 42.2%).
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.
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 12 health citations on file.
January 8, 2026Standard inspection · 3 citations
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure call lights were accessible for 1 of 1 resident (R11).
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview, and document review, the facility failed to implement pressure ulcer interventions for 1 of 1 resident (R11) reviewed for pressure ulcers.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure environmental services staff (EVS) followed infection control measures for handling potentially contaminated laundry and linens for 1 of 1 resident (R34) observed for TBP. Additionally, the facility failed to ensure infection control tracking and surveillance was completed for R25 who had symptoms of a respiratory infection.
November 1, 2024Standard inspection · 2 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 manage pain consistent with the comprehensive assessment, plan of care, and physician's orders and to ensure potential acute opioid withdrawal symptoms were assessed to prevent avoidable, significant, pain for 1 of 1 resident (R23) reviewed for pain management. This deficient practice caused actual harm for R23, who experienced unmanaged pain and withdrawal symptoms.
- D Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure freedom of movement was not restricted for 1 of 1 residents (R15) whose wheelchair was locked during mealtime in the dining room.
November 2, 2023Standard inspection, Complaint inspection · 7 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and document review the facility failed to ensure food was labeled with an expiration date. The facility also failed to ensure food was prepared in a clean and sanitary environment. In addition, the facility failed to ensure the dishwasher temperatures were logged daily, and the chemical sanitization solution was at the correct concentration to ensure proper sanitization to prevent foodborne illness. This had the potential to affect all 34 residents in the facility.
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and document review, the facility failed to ensure a risk assessment and a water management program was developed and maintained to help reduce the risk of Legionnaire's Disease (Legionella) bacterial growth and subsequent contamination in the facility's water supply and/or storage. These findings had potential to affect all 34 residents, staff and visitors within the nursing home.
- 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 an allegation of resident-to-resident (R134,R135) abuse was reported to the state agency (SA) within two hours.
- D Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Inspectors wroteBased on observation, interview and document review the facility failed to provide a shower and accommodate a specific shower day for one of one resident (R6) who was refused showers. The facility further failed to assess why the resident was repeatedly refused his shower.
- D Provide activities to meet all resident's needs.
Inspectors wroteBased on observation, interview and document review the facility failed to comprehensively assess, develop and implement activities for one of one resident (R10) reviewed who had a decline in condition.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview and document review the facility failed to report to the provider timely, and appropriately respond to, significantly high blood pressure after a medication change for one of one resident (R2) reviewed for quality of care.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, interview and document review the facility failed to reassess a newly incontinent resident after foley catheter removal for a toileting program for one of one resident (R5) reviewed for bowel and bladder.
Fire safety inspections
4 fire safety citations on file: 1 on January 8, 2026, 3 on November 1, 2024.
Every fire safety citation4 citations
- D Have properly located and lighted "Exit" signs.
- F Construct fire resistant interior walls.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
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.
| Measure | This home | Minnesota | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.47 | 4.19 | 3.86 |
| Registered nurses | 1.09 | 1.06 | 0.69 |
| All nursing staff on weekends | 3.14 | 3.71 | 3.42 |
| Nurse aides | 1.89 | ||
| Licensed practical nurses | 0.49 | ||
| Nursing staff turnover (share who left in a year) | 51.3% | 42.2% | 45.8% |
| Registered nurse turnover | 41.7% | 38.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 2.90 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 3.61 on weekdays and 3.14 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 22.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.51 in April to June 2025 to 3.47 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 | 3.47 | 1.09 | 3.61 | 3.14 | 22.7% | 0 of 90 | 32 |
| Oct to Dec 2025 | 3.39 | 1.23 | 3.52 | 3.06 | 25.7% | 0 of 92 | 34 |
| Jul to Sep 2025 | 3.26 | 1.01 | 3.42 | 2.85 | 19.2% | 0 of 92 | 36 |
| Apr to Jun 2025 | 3.51 | 1.10 | 3.65 | 3.14 | 22.8% | 0 of 91 | 33 |
| 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 | 7.8 | 18.2 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 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 | 6.2 | 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 | 7.9 | 20.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.6 | 5.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 19.1 | 17.1 | 15.4 |
Owners and operators
Legal business name: ESTATES AT LINDEN 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 | |
| Stern, William | Operational/managerial control | Individual | 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 you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on January 8, 2026: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
- 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 January 8, 2026: "Provide and implement an infection prevention and control program."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on November 1, 2024: "Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on January 8, 2026: "Reasonably accommodate the needs and preferences of each resident."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.14 hours per resident per day, below the Minnesota average of 3.71.
Other nursing homes nearby
- The Estates at Greeley LLC Stillwater, 0.6 mi · 4 of 5 stars · 22 citations
- Good Samaritan Society - Stillwater Stillwater, 0.7 mi · 3 of 5 stars · 30 citations
- Gables of Boutwells Landing Oak Park Heights, 2.2 mi · 4 of 5 stars · 11 citations
- Christian Community Home Hudson, 6.8 mi · 5 of 5 stars · 12 citations
- Cerenity Care Center White Bear Lake White Bear Lake, 10.5 mi · 4 of 5 stars · 23 citations
- Maplewood Rehabilitation Center Maplewood, 10.8 mi · 1 of 5 stars · 43 citations
- Harmony Gardens Maplewood, 11.5 mi · 4 of 5 stars · 23 citations
- Waverly Gardens North Oaks, 12.9 mi · 3 of 5 stars · 8 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 Linden LLC's Medicare star rating?
- CMS rates The Estates at Linden LLC 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did The Estates at Linden LLC get at its last inspection?
- 3 health deficiencies at the standard inspection on January 8, 2026. The Minnesota average is 7.1.
- Has The Estates at Linden LLC been fined?
- CMS lists no fines in the last three years.
- Does The Estates at Linden 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 Linden LLC?
- CMS lists 13 owners and managers, and links the home to Monarch Healthcare Management. Legal business name: ESTATES AT LINDEN 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.