9 health deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Robbinsdale, MN
3-star overall rating with 2-star inspections with 9 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
3815 West Broadway Avenue, Robbinsdale, MN
(612) 332-4262
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
96
Certified beds
Average residents
88
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Good Samaritan Society
Operator or chain grouping
Approved since
1985-04-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
89 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
RN hours / resident day
1.30
Registered nurse staffing · state 1.06 · national 0.68
LPN hours / resident day
0.62
Licensed practical nurse staffing · state 0.62 · national 0.87
Aide hours / resident day
2.27
Nurse aide staffing · state 2.56 · national 2.35
Total nurse hours
4.19
All reported nurse hours · state 4.23 · national 3.89
Licensed hours
1.92
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
3.76
Weekend nurse staffing · state 3.68 · national 3.43
Weekend RN hours
0.90
Weekend registered nurse coverage · state 0.68 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
1.49
CMS adjusted RN staffing hours
Adjusted total hours
4.80
CMS adjusted total nurse staffing hours
Case-mix index
1.19
Higher values indicate more complex resident acuity
RN turnover
29%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
32%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Program rank
987
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
61.33
Composite VBP score used to determine payment impact.
Payment multiplier
1.0164
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 19.01% · Performance 26.20% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
9.30
Baseline 6.59% · Performance 5.06% · Measure score 9.30 · Achievement 9.30 · Improvement 9
Total nurse turnover
10
Baseline 34.44% · Performance 20.78% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
5.23
Baseline 4.42 hours · Performance 4.57 hours · Measure score 5.23 · Achievement 5.23 · Improvement 0.58
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 14.04% |
10.72%
3.3 pts worse
|
No Different than the National Rate · Eligible stays 171 · Observed rate 16.37% · Lower 95% interval 10.41% |
| Discharge to community | 56.54% |
50.57%
6 pts better
|
Better than the National Rate · Eligible stays 179 · Observed rate 53.63% · Lower 95% interval 51.19% |
| Medicare spending per beneficiary | 0.69 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 94 · Denominator 94 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 94 |
| Discharge self-care score | 43.42% |
53.69%
10.3 pts worse
|
Numerator 33 · Denominator 76 |
| Discharge mobility score | 55.26% |
50.94%
4.3 pts better
|
Numerator 42 · Denominator 76 |
| Pressure ulcers or injuries, new or worsened | 1.06% |
2.29%
1.2 pts better
|
Numerator 1 · Denominator 94 · Adjusted rate 1.46% |
| Healthcare-associated infections requiring hospitalization | 5.06% |
7.12%
2.1 pts better
|
No Different than the National Rate · Eligible stays 88 · Observed rate 0% · Lower 95% interval 2.13% |
| Staff COVID-19 vaccination coverage | 18.84% |
8.2%
10.6 pts better
|
Numerator 26 · Denominator 138 |
| Staff flu vaccination coverage | 83.85% |
42%
41.8 pts better
|
Numerator 135 · Denominator 161 |
| Discharge function score | 48.68% |
56.45%
7.8 pts worse
|
Numerator 37 · Denominator 76 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 98.77% |
96.28%
2.5 pts better
|
Numerator 80 · Denominator 81 |
| Resident COVID-19 vaccinations up to date | 57.69% |
25.2%
32.5 pts better
|
Numerator 30 · Denominator 52 |
Quality measures
| 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 0.9 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.4 |
2.0
1.6 pts better
|
1.8
1.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.3 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.4% |
97.3%
0.1 pts better
|
93.4%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.5% · Q2 97.0% · Q3 95.3% · Q4 98.5% · 4Q avg 97.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.0% |
96.1%
3.1 pts worse
|
95.5%
2.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.5% |
3.9%
2.4 pts better
|
3.3%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.5% · Q3 1.6% · Q4 1.5% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.5% |
4.3%
3.8 pts better
|
11.4%
10.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.9% · 4Q avg 0.5% |
| Percentage of long-stay residents who lose too much weight | 6.7% |
4.1%
2.6 pts worse
|
5.4%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 4.3% · Q3 8.7% · Q4 6.1% · 4Q avg 6.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.4% |
12.4%
2 pts worse
|
19.6%
5.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 17.0% · Q3 13.0% · Q4 16.0% · 4Q avg 14.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 31.8% |
17.5%
14.3 pts worse
|
16.7%
15.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.0% · Q2 32.0% · Q3 32.1% · Q4 32.1% · 4Q avg 31.8% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 7.5% |
0.1%
7.4 pts worse
|
0.1%
7.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 9.1% · Q3 6.2% · Q4 8.8% · 4Q avg 7.5% |
| Percentage of long-stay residents whose ability to walk independently worsened | 22.6% |
22.5%
0.1 pts worse
|
16.3%
6.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.6% · Q2 10.8% · Q3 37.2% · Q4 21.7% · 4Q avg 22.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 25.4% |
18.6%
6.8 pts worse
|
14.9%
10.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.7% · Q2 22.2% · Q3 23.3% · Q4 28.3% · 4Q avg 25.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.8% |
2.3%
0.5 pts better
|
1.0%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 2.3% · Q3 1.4% · Q4 1.1% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.4% |
2.6%
2.2 pts better
|
1.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.4% |
24.8%
3.4 pts better
|
19.8%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.3% · Q2 13.1% · Q3 24.7% · Q4 29.8% · 4Q avg 21.4% |
| Percentage of long-stay residents with pressure ulcers | 3.8% |
5.4%
1.6 pts better
|
5.1%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 4.0% · Q3 3.8% · Q4 3.7% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 84.9% |
88.6%
3.7 pts worse
|
81.7%
3.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 88.3% · Q2 87.0% · Q3 85.0% · Q4 79.7% · 4Q avg 84.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.6% |
14.0%
6.4 pts better
|
12.0%
4.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.6% · Observed 6.7% · Expected 9.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
1.9%
1.1 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.8% · Q4 2.7% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 84.9% |
82.7%
2.2 pts better
|
79.7%
5.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 84.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.5% |
23.1%
6.4 pts worse
|
23.9%
5.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.5% · Observed 20.2% · Expected 16.3% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (3 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (7 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Fire safety
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 2025-03-17
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-03-17
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-03-17
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-03-17
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-03-17
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-01-15
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-01-15
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-02-12
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-01-15
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-01-15
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 2024-01-15
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-01-15
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-08-05
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-08-05
Inspection history
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2025-08-22
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 2025-03-06
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-03-06
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-03-06
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2025-03-06
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-06
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-03-06
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 2025-03-06
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2025-03-06
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-02-06
Health
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2025-01-24
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-01-24
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-01-24
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-01-24
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-01-24
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-01-24
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-01-24
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-01-24
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-24
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-01-24
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-01-24
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-08-15
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-01-18
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-01-18
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-01-18
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 2024-01-18
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-01-18
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-01-18
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-01-18
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2024-01-18
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-11-26
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-08-05
Health
Perform COVID19 testing on residents and staff.
Corrected 2022-08-05
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2022-08-05
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-08-05
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-08-05
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 2022-08-05
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2022-08-05
Health
Provide and implement an infection prevention and control program.
Corrected 2022-08-05
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Nearby options
Robbinsdale, MN
2-star overall rating with 2-star inspections with $32,122 in total fines with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Crystal, MN
0-star overall rating with 0-star inspections with Special Focus status with $174,044 in total fines with 31 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Golden Valley, MN
5-star overall rating with 4-star inspections with 2 recent health deficiencies
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