7 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
9 fire-safety deficiencies
Top issue: Miscellaneous (3 deficiencies)
Minneapolis, MN
3-star overall rating with 2-star inspections with $3,145 in total fines with 7 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
715 West 31st Street, Minneapolis, MN
(612) 823-7286
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
60
Certified beds
Average residents
57
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1974-03-31
CMS approved date
Coverage
Medicaid
Participation flags
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
0.39
Registered nurse staffing · state 1.06 · national 0.68
LPN hours / resident day
0.31
Licensed practical nurse staffing · state 0.62 · national 0.87
Aide hours / resident day
1.00
Nurse aide staffing · state 2.56 · national 2.35
Total nurse hours
1.70
All reported nurse hours · state 4.23 · national 3.89
Licensed hours
0.70
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
1.41
Weekend nurse staffing · state 3.68 · national 3.43
Weekend RN hours
0.24
Weekend registered nurse coverage · state 0.68 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.64
CMS adjusted RN staffing hours
Adjusted total hours
2.76
CMS adjusted total nurse staffing hours
Case-mix index
0.84
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
44%
Annual nurse turnover · state 42% · national 46%
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data. |
| Medicare spending per beneficiary | Not Available |
1.02
|
This provider is not required to submit SNF QRP data. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · This provider is not required to submit SNF QRP data. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data. |
| Staff COVID-19 vaccination coverage | Not Available |
8.2%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 84.7% |
97.3%
12.6 pts worse
|
93.4%
8.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 85.7% · Q2 85.2% · Q3 83.9% · Q4 83.9% · 4Q avg 84.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 86.4% |
96.1%
9.7 pts worse
|
95.5%
9.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 86.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.4% |
3.9%
2.5 pts better
|
3.3%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.9% · Q3 1.8% · Q4 1.8% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.6% |
4.3%
2.3 pts worse
|
11.4%
4.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 6.1% · Q3 5.9% · Q4 9.3% · 4Q avg 6.6% |
| Percentage of long-stay residents who lose too much weight | 2.9% |
4.1%
1.2 pts better
|
5.4%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 4.0% · Q3 5.9% · Q4 0.0% · 4Q avg 2.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 27.4% |
12.4%
15 pts worse
|
19.6%
7.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.5% · Q2 30.2% · Q3 27.3% · Q4 26.8% · 4Q avg 27.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 73.8% |
17.5%
56.3 pts worse
|
16.7%
57.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q4 70.0% · 4Q avg 73.8% · 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 | 0.7% |
22.5%
21.8 pts better
|
16.3%
15.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.1% |
18.6%
14.5 pts better
|
14.9%
10.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 4.3% · Q3 0.0% · Q4 1.9% · 4Q avg 4.1% · 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 2.2% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
2.6%
2.6 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 2.8% |
24.8%
22 pts better
|
19.8%
17 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 1.7% · Q3 1.6% · Q4 4.7% · 4Q avg 2.8% |
| Percentage of long-stay residents with pressure ulcers | 1.5% |
5.4%
3.9 pts better
|
5.1%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 5.8% · 4Q avg 1.5% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
9 fire-safety deficiencies
Top issue: Miscellaneous (3 deficiencies)
Top issue: Resident Rights (5 deficiencies)
25 fire-safety deficiencies
Top issue: Emergency Preparedness (14 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
10 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Fire safety
Fire Safety
Provide primary/alternate means for communication.
Corrected 2025-05-02
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-05-02
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-02
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-05-02
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-05-02
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2025-05-02
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-05-02
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-05-02
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2025-05-02
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2024-06-20
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2024-06-20
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2024-06-20
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2024-06-20
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2024-06-20
Fire Safety
Develop a communication plan.
Corrected 2024-06-20
Fire Safety
List the names and contact information of those in the facility.
Corrected 2024-06-20
Fire Safety
Provide emergency officials' contact information.
Corrected 2024-06-20
Fire Safety
Provide primary/alternate means for communication.
Corrected 2024-06-20
Fire Safety
Establish emergency prep training and testing.
Corrected 2024-06-20
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-06-20
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-06-20
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2024-06-20
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2024-06-20
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-07-26
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2024-07-12
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-12
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-07-12
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-06-05
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2024-06-20
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-06-20
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-07-12
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-05-01
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-06-20
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 2024-05-23
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-08-15
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2023-08-15
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-08-15
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-08-15
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-08-15
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-08-15
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2023-08-15
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-08-15
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-08-08
Fire Safety
Establish emergency prep training and testing.
Corrected 2023-08-08
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-15
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-05-02
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-05-02
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2025-05-02
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-02
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-02
Health
Post nurse staffing information every day.
Corrected 2025-05-02
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-07-01
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-07-10
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2024-06-20
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-06-20
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-06-20
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-06-20
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-06-20
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-06-20
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2024-06-20
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-06-20
Health
Respond appropriately to all alleged violations.
Corrected 2024-06-20
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-06-20
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-06-20
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-20
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-06-20
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-06-20
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-06-20
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2024-06-20
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2024-06-20
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2024-04-19
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2024-04-17
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2024-05-17
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-20
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected 2024-04-20
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-08-08
Penalties and ownership
Fine · fine $3,145
Fine
Nearby options
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1-star overall rating with 1-star inspections with 23 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
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