Cycle 1
Health 2026-01-29 · Fire 2026-01-29
1 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
4 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Burnsville, MN
Ebenezer Ridges Geriatric Care Center
4-star overall rating with 4-star inspections with 1 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
13820 Community Drive, Burnsville, MN
(952) 898-8400
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
114
Certified beds
Average residents
106
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Ebenezer Senior Living
Operator or chain grouping
Approved since
1976-12-01
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
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
1.85
Registered nurse staffing · state 1.06 · national 0.68
LPN hours / resident day
0.66
Licensed practical nurse staffing · state 0.62 · national 0.87
Aide hours / resident day
2.40
Nurse aide staffing · state 2.56 · national 2.35
Total nurse hours
4.91
All reported nurse hours · state 4.23 · national 3.89
Licensed hours
2.51
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
4.40
Weekend nurse staffing · state 3.68 · national 3.43
Weekend RN hours
1.42
Weekend registered nurse coverage · state 0.68 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
1.83
CMS adjusted RN staffing hours
Adjusted total hours
4.86
CMS adjusted total nurse staffing hours
Case-mix index
1.38
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
878
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
62.57
Composite VBP score used to determine payment impact.
Payment multiplier
1.0175
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.01
Baseline 20.96% · Performance 20.04% · Measure score 3.01 · Achievement 3.01 · Improvement 1.85
Healthcare-associated infections
9.11
Baseline 5.45% · Performance 5.11% · Measure score 9.11 · Achievement 9.11 · Improvement 6.93
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
6.65
Baseline 3.48 hours · Performance 4.97 hours · Measure score 6.65 · Achievement 6.65 · Improvement 5.98
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.26% |
10.72%
1.5 pts better
|
No Different than the National Rate · Eligible stays 300 · Observed rate 7.67% · Lower 95% interval 7.64% |
| Discharge to community | 59% |
50.57%
8.4 pts better
|
Better than the National Rate · Eligible stays 282 · Observed rate 56.03% · Lower 95% interval 53.58% |
| Medicare spending per beneficiary | 0.75 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 97.91% |
95.27%
2.6 pts better
|
Numerator 187 · Denominator 191 |
| Falls with major injury | 0.52% |
0.77%
0.2 pts better
|
Numerator 1 · Denominator 191 |
| Discharge self-care score | 33.79% |
53.69%
19.9 pts worse
|
Numerator 49 · Denominator 145 |
| Discharge mobility score | 39.31% |
50.94%
11.6 pts worse
|
Numerator 57 · Denominator 145 |
| Pressure ulcers or injuries, new or worsened | 1.57% |
2.29%
0.7 pts better
|
Numerator 3 · Denominator 191 · Adjusted rate 1.77% |
| Healthcare-associated infections requiring hospitalization | 5.11% |
7.12%
2 pts better
|
No Different than the National Rate · Eligible stays 169 · Observed rate 2.37% · Lower 95% interval 2.99% |
| Staff COVID-19 vaccination coverage | 2.41% |
8.2%
5.8 pts worse
|
Numerator 6 · Denominator 249 |
| Staff flu vaccination coverage | 35.97% |
42%
6 pts worse
|
Numerator 100 · Denominator 278 |
| Discharge function score | 37.24% |
56.45%
19.2 pts worse
|
Numerator 54 · Denominator 145 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 131 · Denominator 131 |
| Transfer of health information to patient | 96% |
96.28%
0.3 pts worse
|
Numerator 24 · Denominator 25 |
| Resident COVID-19 vaccinations up to date | 38.89% |
25.2%
13.7 pts better
|
Numerator 42 · Denominator 108 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
1.7
0.5 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.1 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
2.0
0.8 pts better
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.1 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.1% |
97.3%
3.2 pts worse
|
93.4%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.6% · Q2 97.3% · Q3 93.8% · Q4 87.2% · 4Q avg 94.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.8% |
96.1%
2.7 pts better
|
95.5%
3.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.6% |
3.9%
2.3 pts better
|
3.3%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.4% · Q3 2.5% · Q4 1.3% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.4% |
4.3%
3.1 pts worse
|
11.4%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 3.7% · Q3 7.1% · Q4 10.6% · 4Q avg 7.4% |
| Percentage of long-stay residents who lose too much weight | 3.9% |
4.1%
0.2 pts better
|
5.4%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 10.8% · Q3 2.9% · Q4 0.0% · 4Q avg 3.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.9% |
12.4%
3.5 pts better
|
19.6%
10.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 10.6% · Q3 8.3% · Q4 8.2% · 4Q avg 8.9% |
| 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 20.8% · Q2 16.3% · Q3 14.0% · Q4 13.0% · 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 | 27.3% |
22.5%
4.8 pts worse
|
16.3%
11 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 27.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.9% |
18.6%
0.7 pts better
|
14.9%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.4% · Q2 25.6% · Q3 14.8% · Q4 9.8% · 4Q avg 17.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
2.3%
2 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.0% |
2.6%
0.4 pts worse
|
1.7%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 1.4% · Q3 3.8% · Q4 3.8% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.6% |
24.8%
1.2 pts better
|
19.8%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.4% · Q2 14.6% · Q3 26.0% · Q4 23.5% · 4Q avg 23.6% |
| Percentage of long-stay residents with pressure ulcers | 8.1% |
5.4%
2.7 pts worse
|
5.1%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 8.8% · Q3 6.9% · Q4 8.2% · 4Q avg 8.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 69.2% |
88.6%
19.4 pts worse
|
81.7%
12.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 81.4% · Q2 75.7% · Q3 66.8% · Q4 51.8% · 4Q avg 69.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.3% |
14.0%
0.7 pts better
|
12.0%
1.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.3% · Observed 12.3% · Expected 10.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.9%
1.4 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.5% · Q2 0.5% · Q3 0.5% · Q4 0.5% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 59.9% |
82.7%
22.8 pts worse
|
79.7%
19.8 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 59.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 35.7% |
23.1%
12.6 pts worse
|
23.9%
11.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 35.7% · Observed 32.1% · Expected 21.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-11-21 · Fire 2024-11-21
9 health deficiencies
Top issue: Infection Control (2 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2024-02-01 · Fire 2024-02-01
7 health deficiencies
Top issue: Resident Rights (3 deficiencies)
8 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2026-01-29
K226 · Egress Deficiencies
Fire Safety
Have horizontal exits used in accordance with safety requirements.
Corrected 2026-02-24
F · Potential for more than minimal harm
2026-01-29
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2026-02-24
F · Potential for more than minimal harm
2026-01-29
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2026-02-24
F · Potential for more than minimal harm
2026-01-29
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-02-27
F · Potential for more than minimal harm
2024-11-21
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-12-17
F · Potential for more than minimal harm
2024-11-21
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2024-12-17
F · Potential for more than minimal harm
2024-11-21
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 2024-12-17
F · Potential for more than minimal harm
2024-11-21
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-12-17
F · Potential for more than minimal harm
2024-02-01
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-03-15
F · Potential for more than minimal harm
2024-02-01
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 2024-03-15
F · Potential for more than minimal harm
2024-02-01
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-02-01
D · Potential for more than minimal harm
2024-02-01
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-03-15
D · Potential for more than minimal harm
2024-02-01
K226 · Egress Deficiencies
Fire Safety
Have horizontal exits used in accordance with safety requirements.
Corrected 2024-03-15
D · Potential for more than minimal harm
2024-02-01
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-03-15
D · Potential for more than minimal harm
2024-02-01
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-02-05
D · Potential for more than minimal harm
2024-02-01
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-02-06
Inspection history
Recent health citations
G · Actual harm
2025-07-29
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Not marked corrected
E · Potential for more than minimal harm
2024-11-21
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 2024-12-16
D · Potential for more than minimal harm
2024-11-21
F561 · Resident Rights Deficiencies
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-12-16
D · Potential for more than minimal harm
2024-11-21
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-12-16
D · Potential for more than minimal harm
2024-11-21
F657 · Resident Assessment and Care Planning Deficiencies
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 2024-12-16
D · Potential for more than minimal harm
2024-11-21
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 2024-12-16
D · Potential for more than minimal harm
2024-11-21
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-16
D · Potential for more than minimal harm
2024-05-13
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 2024-06-13
D · Potential for more than minimal harm
2024-05-13
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-06-13
D · Potential for more than minimal harm
2024-05-13
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-06-13
D · Potential for more than minimal harm
2024-02-01
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 2024-02-29
D · Potential for more than minimal harm
2024-02-01
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-02-29
D · Potential for more than minimal harm
2024-02-01
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-02-29
D · Potential for more than minimal harm
2024-02-01
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 2024-02-29
D · Potential for more than minimal harm
2024-02-01
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-02-29
D · Potential for more than minimal harm
2024-02-01
F849 · Administration Deficiencies
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2024-02-29
C · Minimal harm
2024-02-01
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2024-02-29
Penalties and ownership
What sits behind the stars
Ownership
Ebenezer Society
5% Or Greater Indirect Ownership Interest · Organization
Anderson, Brett
Corporate Officer · Individual
Bell, Brittany
Operational/Managerial Control · Individual
Bires, Jackson
Operational/Managerial Control · Individual
Carlson-Weinberg, Susan
Corporate Director · Individual
Chebli, Yasser
Operational/Managerial Control · Individual
Ebenezer Management Services Inc
5% Or Greater Indirect Ownership Interest · Organization
Ebenezer Management Services Inc
Operational/Managerial Control · Organization
Faust, Kim
Corporate Director · Individual
Hereford, James
Corporate Director · Individual
Jacobson, Carolyn
Corporate Director · Individual
Kvenvold, Gayle
Corporate Director · Individual
Landreville, Mark
Corporate Director · Individual
Milius, Margaret
Corporate Director · Individual
Piper, Kenneth
Corporate Director · Individual
Walker, Robert
Corporate Director · Individual
Willett, Todd
Corporate Officer · Individual
Wordelman, Scott
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Apple Valley Village Health Care Center
Apple Valley, MN
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Minnesota Masonic Home Care Center
Bloomington, MN
5-star overall rating with 4-star inspections with $12,649 in total fines with 6 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Martin Luther Care Center
Bloomington, MN
1-star overall rating with 1-star inspections with $25,378 in total fines with 15 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
Jump out