Federal inspection record · CMS data as of October 1, 2026
Grand Avenue Rest Home
3956 Grand Avenue S0uth, Minneapolis, MN · (612) 824-1434
- Certified beds
- 20
- Residents per day
- 17
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicaid
- Certified since
- March 31, 1974
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Minnesota.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Minnesota homes
Grand Avenue Rest Home carries 89 inspection points. That is fewer than 21% of Minnesota's 335 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Minnesota: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–30 pts
- 3★ 30–54 pts
- 2★ 54–92 pts
- 1★ over 92 pts
Bars show every rated home in Minnesota by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
48 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Rights14F
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Keep residents' personal and medical records private and confidential.
- E
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- E
Assure the security of all personal funds of residents deposited with the facility.
- D
Honor the resident's right to manage his or her financial affairs.
- D
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- F
Assure the security of all personal funds of residents deposited with the facility.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- C
Keep residents' personal and medical records private and confidential.
- C
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.
Infection Control7F
- F
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- F
Provide and implement an infection prevention and control program.
- F
Implement a program that monitors antibiotic use.
- F
Provide and implement an infection prevention and control program.
- F
Implement a program that monitors antibiotic use.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Quality of Life and Care5D
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Assist a resident in gaining access to vision and hearing services.
Pharmacy Service5E
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
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.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure that residents are free from significant medication errors.
- E
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.
Environmental4F
- F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- B
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- B
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- B
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Freedom from Abuse, Neglect, and Exploitation4D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning4F
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nursing and Physician Services3F
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Administration1F
- F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2025-09-11
10 health deficiencies · 0 fire-safety deficiencies
Top issue: Environmental (2 deficiencies)
2024-08-28
15 health deficiencies · 3 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
2023-09-01
23 health deficiencies · 6 fire-safety deficiencies
Top issue: Resident Rights (10 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 52 min of nursing staff time a day, 56 min of it from a registered nurse.
This home
2 h 52 min
Minnesota average
4 h 16 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 46% of nursing staff and 60% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine21.7 pts worse | 75.6% | 97.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine46.4 pts worse | 50.0% | 96.4% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4.1 pts better | 0.0% | 4.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.9 pts worse | 6.0% | 4.1% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.9 pts better | 0.0% | 3.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication10.4 pts worse | 23.1% | 12.7% | 19.5% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.5 pts better | 12.3% | 18.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.2 pts better | 16.0% | 18.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.7 pts better | 0.0% | 1.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.6 pts better | 0.0% | 2.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence21.8 pts better | 1.9% | 23.7% | 18.3% |
| Percentage of long-stay residents with pressure ulcers5.1 pts better | 0.0% | 5.1% | 4.5% |
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Fire safety
9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness9F
- F
Develop a communication plan.
- F
Conduct testing and exercise requirements.
- F
Include a process for Emergency Preparedness collaboration.
- F
Establish policies and procedures for medical documentation.
- F
Establish roles under a Waiver declared by secretary.
- F
Develop a communication plan.
- F
Establish emergency prep training and testing.
- F
Implement emergency and standby power systems.
- F
Include a process for Emergency Preparedness collaboration.
·
Other homes nearby
-
Lakehouse Healthcare & Rehabilitation Center
Minneapolis, MN
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 26 min
- Fines
- $0
-
Birchwood Care Home
Minneapolis, MN
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 1 h 55 min
- Fines
- $0
-
Redeemer Health Care Center
Minneapolis, MN · Cassia
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 22 min
- Fines
- $0