Cycle 1
Health 2025-05-22 · Fire 2025-05-22
4 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Edina, MN
Aurora On France
4-star overall rating with 3-star inspections with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
6500 France Avenue, Edina, MN
(952) 848-8865
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
65
Certified beds
Average residents
56
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Ebenezer Senior Living
Operator or chain grouping
Approved since
2017-01-05
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
6 facilities
Chain averages 3 overall / 3 health / 4 staffing / 3 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
2.69
Registered nurse staffing · state 1.06 · national 0.68
LPN hours / resident day
0.73
Licensed practical nurse staffing · state 0.62 · national 0.87
Aide hours / resident day
3.19
Nurse aide staffing · state 2.56 · national 2.35
Total nurse hours
6.61
All reported nurse hours · state 4.23 · national 3.89
Licensed hours
3.42
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
5.89
Weekend nurse staffing · state 3.68 · national 3.43
Weekend RN hours
1.96
Weekend registered nurse coverage · state 0.68 · national 0.47
Physical therapist
0.22
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
2.93
CMS adjusted RN staffing hours
Adjusted total hours
7.21
CMS adjusted total nurse staffing hours
Case-mix index
1.26
Higher values indicate more complex resident acuity
RN turnover
30%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
24%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
77
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
88.39
Composite VBP score used to determine payment impact.
Payment multiplier
1.0271
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.66
Baseline 15.74% · Performance 18.34% · Measure score 6.66 · Achievement 6.66 · Improvement 0
Healthcare-associated infections
10
Baseline 3.65% · Performance 4.85% · Measure score 10 · Achievement 10 · Improvement 0
Total nurse turnover
8.69
Performance 28.16% · Measure score 8.69 · Achievement 8.69 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
10
Baseline 4.10 hours · Performance 6.75 hours · Measure score 10 · Achievement 10 · Improvement 9
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.99% |
10.72%
1.7 pts better
|
No Different than the National Rate · Eligible stays 551 · Observed rate 6.9% · Lower 95% interval 7.32% |
| Discharge to community | 56% |
50.57%
5.4 pts better
|
Better than the National Rate · Eligible stays 560 · Observed rate 55.18% · Lower 95% interval 52.59% |
| Medicare spending per beneficiary | 0.68 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 99.72% |
95.27%
4.5 pts better
|
Numerator 360 · Denominator 361 |
| Falls with major injury | 1.11% |
0.77%
0.3 pts worse
|
Numerator 4 · Denominator 361 |
| Discharge self-care score | 54.74% |
53.69%
1.1 pts better
|
Numerator 127 · Denominator 232 |
| Discharge mobility score | 62.5% |
50.94%
11.6 pts better
|
Numerator 145 · Denominator 232 |
| Pressure ulcers or injuries, new or worsened | 2.49% |
2.29%
0.2 pts worse
|
Numerator 9 · Denominator 361 · Adjusted rate 3.28% |
| Healthcare-associated infections requiring hospitalization | 4.85% |
7.12%
2.3 pts better
|
No Different than the National Rate · Eligible stays 302 · Observed rate 2.65% · Lower 95% interval 3.06% |
| Staff COVID-19 vaccination coverage | 1.03% |
8.2%
7.2 pts worse
|
Numerator 2 · Denominator 195 |
| Staff flu vaccination coverage | 36.02% |
42%
6 pts worse
|
Numerator 58 · Denominator 161 |
| Discharge function score | 66.38% |
56.45%
9.9 pts better
|
Numerator 154 · Denominator 232 |
| Transfer of health information to provider | 97.4% |
95.95%
1.5 pts better
|
Numerator 75 · Denominator 77 |
| Transfer of health information to patient | 97.25% |
96.28%
1 pts better
|
Numerator 248 · Denominator 255 |
| Resident COVID-19 vaccinations up to date | 49.73% |
25.2%
24.5 pts better
|
Numerator 92 · Denominator 185 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.2% |
88.6%
1.6 pts better
|
81.7%
8.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 88.7% · Q2 89.0% · Q3 90.7% · Q4 92.3% · 4Q avg 90.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.0% |
14.0%
3 pts better
|
12.0%
1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.0% · Observed 9.9% · Expected 10.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.9%
0.9 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.3% · Q3 0.7% · Q4 0.8% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 73.8% |
82.7%
8.9 pts worse
|
79.7%
5.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 73.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 31.3% |
23.1%
8.2 pts worse
|
23.9%
7.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 31.3% · Observed 25.9% · Expected 19.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-06-20 · Fire 2024-06-20
10 health deficiencies
Top issue: Infection Control (3 deficiencies)
10 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Cycle 3
Health 2023-07-27 · Fire 2023-07-27
5 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
C · Minimal harm
2025-05-22
K346 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2025-07-07
C · Minimal harm
2025-05-22
K354 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2025-07-07
F · Potential for more than minimal harm
2024-06-20
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-07-30
F · Potential for more than minimal harm
2024-06-20
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-07-30
F · Potential for more than minimal harm
2024-06-20
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-07-30
F · Potential for more than minimal harm
2024-06-20
K901 · Electrical Deficiencies
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2024-07-30
F · Potential for more than minimal harm
2024-06-20
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-07-30
F · Potential for more than minimal harm
2024-06-20
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-07-30
E · Potential for more than minimal harm
2024-06-20
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-07-30
E · Potential for more than minimal harm
2024-06-20
K321 · Smoke Deficiencies
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 2024-07-30
E · Potential for more than minimal harm
2024-06-20
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-07-30
D · Potential for more than minimal harm
2024-06-20
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-07-30
C · Minimal harm
2023-07-27
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-09-28
C · Minimal harm
2023-07-27
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-09-28
B · Minimal harm
2023-07-27
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-09-28
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-05-22
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-07-08
E · Potential for more than minimal harm
2025-05-22
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-08
D · Potential for more than minimal harm
2025-05-22
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-07-08
D · Potential for more than minimal harm
2025-05-22
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-08
D · Potential for more than minimal harm
2024-09-24
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-11-05
D · Potential for more than minimal harm
2024-09-24
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-11-05
F · Potential for more than minimal harm
2024-06-20
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-07-30
D · Potential for more than minimal harm
2024-06-20
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-07-30
D · Potential for more than minimal harm
2024-06-20
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-07-30
D · Potential for more than minimal harm
2024-06-20
F690 · Quality of Life and Care Deficiencies
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 2024-07-30
D · Potential for more than minimal harm
2024-06-20
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-07-30
D · Potential for more than minimal harm
2024-06-20
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-30
D · Potential for more than minimal harm
2024-06-20
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-07-30
D · Potential for more than minimal harm
2024-06-20
F887 · Infection Control Deficiencies
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2024-07-30
D · Potential for more than minimal harm
2023-07-27
F557 · Resident Rights Deficiencies
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2023-09-28
D · Potential for more than minimal harm
2023-07-27
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-09-28
D · Potential for more than minimal harm
2023-07-27
F688 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2023-09-28
D · Potential for more than minimal harm
2023-07-27
F690 · Quality of Life and Care Deficiencies
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 2023-09-28
C · Minimal harm
2023-07-27
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2023-09-28
Penalties and ownership
What sits behind the stars
Ownership
Ebenezer Society
5% Or Greater Direct Ownership Interest · Organization
Carlson-Weinberg, Susan
Corporate Director · Individual
Ebenezer Management Services Inc
Operational/Managerial Control · Organization
Faust, Kim
Corporate Director · Individual
Gruman, Robb
Corporate Director · Individual
Hereford, James
Corporate Officer · Individual
Hokr, Thomas
Corporate Director · Individual
Jacobson, Carolyn
Corporate Officer · Individual
Lundberg, Jonathan
Corporate Officer · Individual
Piper, Kenneth
Corporate Director · Individual
Waligora, Nadette
Corporate Director · Individual
Walker, Robert
Corporate Director · Individual
Willett, Todd
Corporate Officer · Individual
Willett, Todd
W-2 Managing Employee · Individual
Wordelman, Scott
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Edenbrook Of Edina
Minneapolis, MN
2-star overall rating with 2-star inspections with 8 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#2
Mount Olivet Careview Home
Minneapolis, MN
3-star overall rating with 2-star inspections with $55,043 in total fines with 9 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Mount Olivet Home
Minneapolis, MN
5-star overall rating with 3-star inspections with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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