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Waverly Gardens

5919 Centerville Road, North Oaks, MN 55127 · Ramsey County · (651) 765-4063

60 certified beds, about 57 residents a day · Non profit - Corporation · Medicare and Medicaid since 2006

CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 245613 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on August 19, 2026, inspectors cited 0 health deficiencies (the Minnesota average is 7.1, the national average 9.2).

Of 8 health citations since August 2023, 2 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 1 fine totaling $113,312 in the last three years; the largest was $113,312, and the latest is dated May 29, 2026.

Nurses and nurse aides worked 4.50 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 0.84 of those hours.

35.5% 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 8 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
5D
0E
0F
Potential for minimal harm
0A
0B
1C
August 19, 2026Standard inspection · 0 citations
May 29, 2026Complaint inspection · 3 citations
  1. J
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 2, 2026
    Inspectors wroteThe facility failed to ensure 1 of 3 residents (R1) reviewed for abuse, was free from abuse during cares on 5/16/26, when licensed practical nurse (LPN)-A performed a manual removal of impacted feces from the rectum without consent and continued after R1 asked LPN-A to stop. The immediate jeopardy began on 5/16/26, when the facility failed to ensure R1 was free from abuse during cares when licensed practical nurse (LPN)-A performed a manual removal of impacted feces from the rectum without consent and continued after R1 requested he stop. The administrator and director of nursing (DON) were notified of the immediate jeopardy on 5/27/26 at 5:00 p.m. [...]
  2. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 2, 2026
    Inspectors wroteBased on interview and document review, the facility failed to report an allegation of abuse to the State Agency (SA) within two hours for 1 of 1 resident (R1) who was witnessed being abused by a staff member.
  3. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 2, 2026
    Inspectors wroteBased on interviews and document review the facility failed to thoroughly investigate an allegation of staff to resident abuse and protect residents during the investigation for 1 of 1 residents (R1) who reported abuse.
September 26, 2024Standard inspection · 4 citations
  1. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 13, 2024
    Inspectors wroteBased on interview and document review, the facility failed to hold, at a minimum, quarterly care conference meetings with the resident and their representative to allow the resident and/or representative the opportunity to review and participate in the revision of the care plan for 1 of 2 residents (R13) reviewed for care conferences.
  2. D
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 13, 2024
    Inspectors wroteBased on interview, and document review, the facility failed to implement interventions to prevent further development of decreased range of motion for 3 of 4 residents (R2, R4, and R28) reviewed for positioning and mobility.
  3. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 13, 2024
    Inspectors wroteBased on interview and document review, the facility failed to act upon the consultant pharmacist's recommendation for 1 of 5 residents (R11) reviewed for unnecessary medications.
  4. C
    Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
    F575 · Resident Rights · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) November 13, 2024
    Inspectors wroteBased on observation, interview and document review the facility failed to post accessible contact information of all pertinent State agencies or Ombudsman information for 4 or 4 residents (R12, R20, R46, and R47), who routinely attend resident council. This had the potential to affect all 52 residents who resided in the facility.
February 7, 2024Complaint inspection · 1 citation
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 5, 2024
    Inspectors wroteBased on interview and document review, the facility failed to comprehensively assess and provide the provision of supervision of self transfer to prevent and/or mitigate the risk of falls for 1 of 3 residents (R2) who had a history of falls. This resulted in actual harm for R2 who fell and sustained back and rib fractures.
August 24, 2023Standard inspection · 0 citations

Fire safety inspections

14 fire safety citations on file: 7 on August 19, 2026, 7 on September 26, 2024.

Every fire safety citation14 citations
  1. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · August 19, 2026 · Not yet corrected
  2. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · August 19, 2026 · Not yet corrected
  3. F
    Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
    K 901 · August 19, 2026 · Not yet corrected
  4. F
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · August 19, 2026 · Not yet corrected
  5. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · August 19, 2026 · Not yet corrected
  6. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · August 19, 2026 · Not yet corrected
  7. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · August 19, 2026 · Not yet corrected
  8. F
    Meet other general requirements.
    K 200 · September 26, 2024 · Corrected (the home has a date of correction)
  9. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · September 26, 2024 · Corrected (the home has a date of correction)
  10. F
    Have properly located and lighted "Exit" signs.
    K 293 · September 26, 2024 · Corrected (the home has a date of correction)
  11. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · September 26, 2024 · Corrected (the home has a date of correction)
  12. F
    Install an approved automatic sprinkler system.
    K 351 · September 26, 2024 · Corrected (the home has a date of correction)
  13. F
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · September 26, 2024 · Corrected (the home has a date of correction)
  14. C
    Establish procedures for tracking staff and patients during an emergency.
    E 18 · September 26, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
May 29, 2026Fine $113,312

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.

MeasureThis homeMinnesotaUnited States
All nursing staff (RN, LPN and aides)4.504.193.86
Registered nurses0.841.060.69
All nursing staff on weekends4.163.713.42
Nurse aides3.00
Licensed practical nurses0.65
Nursing staff turnover (share who left in a year)35.5%42.2%45.8%
Registered nurse turnover50.0%38.6%42.9%
Administrators who left1

CMS expects 3.31 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 4.64 on weekdays and 4.16 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.62 in April to June 2025 to 4.50 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.500.844.644.16 0.0%0 of 9057
Oct to Dec 20254.420.764.514.18 0.0%0 of 9257
Jul to Sep 20254.430.924.544.16 0.0%0 of 9257
Apr to Jun 20254.620.944.754.30 0.0%0 of 9156
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Minnesota, Jan to Mar 20264.191.054.383.735.2%0.8% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeMinnesotaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
21.218.213.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
6.91.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.82.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.74.03.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.41.91.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
29.320.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
10.05.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
17.617.115.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
21.223.523.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
15.914.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.01.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.01.91.8

Owners and operators

Legal business name: PRESBYTERIAN HOMES OF NORTH OAKS 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%03/17/2020
Computershare Corporate Trust Company, Na5% or greater mortgage interestOrganization07/01/2024
Computershare Corporate Trust Company, Na5% or greater security interestOrganization07/01/2024
Fletcher, JonathanCorporate directorIndividual02/01/2025
Pederson, MarkCorporate directorIndividual01/01/2023
Peterson, HeidiCorporate directorIndividual01/01/2023
Fletcher, JonathanCorporate officerIndividual02/01/2025
Meyer, MarkCorporate officerIndividual03/30/2001
Phs Management, LLCOperational/managerial controlOrganization03/11/2011
Fletcher, JonathanOperational/managerial controlIndividual02/01/2025
Meyer, MarkOperational/managerial controlIndividual03/11/2011
Pederson, JaneOperational/managerial controlIndividual04/01/2021
Peterson, HeidiOperational/managerial controlIndividual01/01/2023
Sammon, KatherineOperational/managerial controlIndividual11/21/2022
Fletcher, JonathanIndividual is an owner, partner or trustee of any ADP of the SNFIndividual03/26/2026
Phs Management, LLCAdp of the SNFOrganization02/17/2026
Fletcher, JonathanAdp of the SNFIndividual02/01/2025
Meyer, MarkAdp of the SNFIndividual03/11/2011
Pederson, JaneAdp of the SNFIndividual04/01/2021
Peterson, HeidiAdp of the SNFIndividual01/01/2023
Sammon, KatherineAdp of the SNFIndividual11/21/2022

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on May 29, 2026: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  2. 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 September 26, 2024: "Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on September 26, 2024: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on September 26, 2024: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
  5. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

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 Waverly Gardens's Medicare star rating?
CMS rates Waverly Gardens 3 out of 5 stars overall, with 2 for health inspections, 5 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Waverly Gardens get at its last inspection?
0 health deficiencies at the standard inspection on August 19, 2026. The Minnesota average is 7.1.
Has Waverly Gardens been fined?
Yes. CMS lists 1 fine totaling $113,312 in the last three years.
Does Waverly Gardens 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 Waverly Gardens?
CMS lists 21 owners and managers, and links the home to Presbyterian Homes & Services. Legal business name: PRESBYTERIAN HOMES OF NORTH OAKS INC,.

Sources

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