10 health deficiencies
Top issue: Administration (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Hopkins, MN
4-star overall rating with 3-star inspections with 10 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
615 Minnetonka Mills Road, Hopkins, MN
(952) 938-2761
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
100
Certified beds
Average residents
90
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Cassia
Operator or chain grouping
Approved since
1987-08-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
16 facilities
Chain averages 5 overall / 4 health / 5 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
1.28
Registered nurse staffing · state 1.06 · national 0.68
LPN hours / resident day
0.79
Licensed practical nurse staffing · state 0.62 · national 0.87
Aide hours / resident day
2.26
Nurse aide staffing · state 2.56 · national 2.35
Total nurse hours
4.33
All reported nurse hours · state 4.23 · national 3.89
Licensed hours
2.07
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
3.91
Weekend nurse staffing · state 3.68 · national 3.43
Weekend RN hours
0.95
Weekend registered nurse coverage · state 0.68 · national 0.47
Physical therapist
0.12
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
1.31
CMS adjusted RN staffing hours
Adjusted total hours
4.44
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
48%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
40%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Program rank
2,328
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
50.19
Composite VBP score used to determine payment impact.
Payment multiplier
1.0043
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 20.41% · Performance 22.67% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
5.37
Baseline 8.00% · Performance 6.24% · Measure score 5.37 · Achievement 5.35 · Improvement 5.37
Total nurse turnover
9.14
Baseline 35.34% · Performance 26.32% · Measure score 9.14 · Achievement 9.14 · Improvement 8.10
Adjusted total nurse staffing
5.56
Baseline 4.37 hours · Performance 4.66 hours · Measure score 5.56 · Achievement 5.56 · Improvement 1.56
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.51% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 269 · Observed rate 9.29% · Lower 95% interval 8.21% |
| Discharge to community | 62.89% |
50.57%
12.3 pts better
|
Better than the National Rate · Eligible stays 266 · Observed rate 56.77% · Lower 95% interval 57.07% |
| Medicare spending per beneficiary | 0.8 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 159 · Denominator 159 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 159 |
| Discharge self-care score | 49.57% |
53.69%
4.1 pts worse
|
Numerator 58 · Denominator 117 |
| Discharge mobility score | 40.17% |
50.94%
10.8 pts worse
|
Numerator 47 · Denominator 117 |
| Pressure ulcers or injuries, new or worsened | 1.26% |
2.29%
1 pts better
|
Numerator 2 · Denominator 159 · Adjusted rate 1.59% |
| Healthcare-associated infections requiring hospitalization | 6.24% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 159 · Observed rate 5.66% · Lower 95% interval 4.02% |
| Staff COVID-19 vaccination coverage | 17.71% |
8.2%
9.5 pts better
|
Numerator 31 · Denominator 175 |
| Staff flu vaccination coverage | 23.38% |
42%
18.6 pts worse
|
Numerator 47 · Denominator 201 |
| Discharge function score | 50.43% |
56.45%
6 pts worse
|
Numerator 59 · Denominator 117 |
| Transfer of health information to provider | 92.59% |
95.95%
3.4 pts worse
|
Numerator 25 · Denominator 27 |
| Transfer of health information to patient | 94.07% |
96.28%
2.2 pts worse
|
Numerator 111 · Denominator 118 |
| Resident COVID-19 vaccinations up to date | 62.79% |
25.2%
37.6 pts better
|
Numerator 54 · Denominator 86 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 92.4% |
97.3%
4.9 pts worse
|
93.4%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 86.4% · Q2 94.9% · Q3 94.8% · Q4 93.4% · 4Q avg 92.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.6% |
96.1%
0.5 pts worse
|
95.5%
0.1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.2% |
3.9%
0.3 pts worse
|
3.3%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 3.4% · Q3 5.2% · Q4 6.6% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.4% |
4.3%
2.9 pts better
|
11.4%
10 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.9% · Q4 3.9% · 4Q avg 1.4% |
| Percentage of long-stay residents who lose too much weight | 2.0% |
4.1%
2.1 pts better
|
5.4%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 2.0% · Q3 2.0% · Q4 2.0% · 4Q avg 2.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 2.5% |
12.4%
9.9 pts better
|
19.6%
17.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 0.0% · Q3 4.0% · Q4 3.9% · 4Q avg 2.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.0% |
17.5%
1.5 pts better
|
16.7%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 16.7% · Q3 20.6% · Q4 15.2% · 4Q avg 16.0% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 27.7% |
22.5%
5.2 pts worse
|
16.3%
11.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 27.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.5% |
18.6%
3.1 pts better
|
14.9%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.6% · Q2 14.3% · Q3 14.9% · Q4 13.3% · 4Q avg 15.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
2.3%
1.8 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.7% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.3% |
2.6%
1.3 pts better
|
1.7%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.7% · Q3 1.8% · Q4 1.6% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.3% |
24.8%
2.5 pts better
|
19.8%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.4% · Q2 20.0% · Q3 16.8% · Q4 23.9% · 4Q avg 22.3% |
| Percentage of long-stay residents with pressure ulcers | 6.3% |
5.4%
0.9 pts worse
|
5.1%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 8.8% · Q3 6.9% · Q4 5.2% · 4Q avg 6.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.8% |
88.6%
8.2 pts better
|
81.7%
15.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.4% · Q2 96.2% · Q3 97.7% · Q4 96.9% · 4Q avg 96.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.2% |
14.0%
6.8 pts better
|
12.0%
4.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.2% · Observed 7.1% · Expected 10.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.5% |
1.9%
0.6 pts worse
|
1.6%
0.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 3.2% · Q3 1.5% · Q4 2.0% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 87.2% |
82.7%
4.5 pts better
|
79.7%
7.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 87.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.8% |
23.1%
3.7 pts worse
|
23.9%
2.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.8% · Observed 25.6% · Expected 22.8% · Used in QM five-star |
Survey summary
Top issue: Administration (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-12-30
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-12-30
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2025-12-30
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-01-06
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2025-01-15
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-01-15
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-01-06
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2024-12-11
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-12-11
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-11-20
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-11-15
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2023-11-30
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-11-24
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-11-24
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-11-30
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-11-24
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-11-30
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-11-24
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-11-30
Inspection history
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-12-30
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2025-12-30
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-19
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-06-17
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-06-17
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-06-17
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2025-06-17
Health
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2025-06-17
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-06-17
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-04-17
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2025-01-13
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-13
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2024-07-29
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2024-07-29
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-05-20
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-05-20
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-05-20
Health
Provide and implement an infection prevention and control program.
Corrected 2023-11-15
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-11-15
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-11-15
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-11-15
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-11-15
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-11-15
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2023-11-15
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-10-27
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-07-21
Penalties and ownership
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Nearby options
Saint Louis Park, MN
4-star overall rating with 3-star inspections with 9 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Hopkins, MN
1-star overall rating with 1-star inspections with 19 recent health deficiencies with 16 fire-safety deficiencies in the latest cycle
Saint Louis Park, MN
2-star overall rating with 1-star inspections with $214,545 in total fines with 9 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
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