Federal inspection record · CMS data as of October 1, 2026
Lakehouse Healthcare & Rehabilitation Center
3737 Bryant Avenue South, Minneapolis, MN · (612) 827-5931
- Certified beds
- 277
- Residents per day
- 236
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1967
1
How this home got 1 star
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.
-
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.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Minnesota homes
Lakehouse Healthcare & Rehabilitation Center carries 140 inspection points. That is fewer than 8% 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
80 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.
Harm and immediate-jeopardy citations (1)
-
J
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Everything else, by area of care
Quality of Life and Care26E
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide activities to meet all resident's needs.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide care or services that was trauma informed and/or culturally competent.
- D
Provide or obtain dental services for each resident.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 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.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide routine and 24-hour emergency dental care for each resident.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide activities to meet all resident's needs.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
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.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Resident Rights15E
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Keep residents' personal and medical records private and confidential.
- 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 request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
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.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Assessment and Care Planning12D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure each resident receives an accurate assessment.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Nutrition and Dietary9E
- D
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
- D
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- D
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Infection Control6F
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- 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.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Pharmacy Service6E
- D
Ensure medication error rates are not 5 percent or greater.
- E
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.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
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
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.
- F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Nursing and Physician Services1D
- D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspection history
2025-08-15
22 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (9 deficiencies)
2024-08-01
31 health deficiencies · 21 fire-safety deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
2023-06-29
27 health deficiencies · 19 fire-safety deficiencies
Top issue: Quality of Life and Care (10 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 26 min of nursing staff time a day, 41 min of it from a registered nurse.
This home
3 h 26 min
Minnesota average
4 h 16 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 34% of nursing staff and 17% of registered nurses left in the past year, along with 1 administrator.
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. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts better | 1.3 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts worse | 2.3 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine8 pts worse | 89.3% | 97.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine7.1 pts worse | 89.3% | 96.4% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.8 pts better | 2.3% | 4.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.6 pts worse | 6.7% | 4.1% | 13.5% |
| Percentage of long-stay residents who lose too much weight6.5 pts worse | 10.4% | 3.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.5 pts better | 12.2% | 12.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.5 pts worse | 20.7% | 17.2% | 15.4% |
| 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 worsened0.9 pts better | 17.9% | 18.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9 pts worse | 27.2% | 18.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.6 pts better | 0.1% | 1.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.6 pts better | 1.0% | 2.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.4 pts worse | 25.1% | 23.7% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.6 pts better | 4.5% | 5.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine22.3 pts worse | 65.8% | 88.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.4 pts better | 9.2% | 14.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts better | 1.3% | 1.9% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine21.1 pts worse | 62.2% | 83.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.9 pts worse | 26.9% | 23.0% | 23.4% |
·
Who owns and runs it
23 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Lake Harriet Operator Holdings LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| 3737 Bryant Avenue LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Ccp Mn Holdings, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Fairbairn, Scott | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Fairbairn, Scott | Adp Of The SNF · Individual | 0% | 6 facilities |
| Glen Holdco LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 3 facilities |
| Gottesman, Daniel | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 24 facilities |
| Harmony Holdings 2005, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Hewitt, Reid | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Hewitt, Reid | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Hewitt, Reid | Adp Of The SNF · Individual | 0% | 2 facilities |
| Highview Holdco LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Jk 2022 Family Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 4 facilities |
| Knobel, Reuven | Corporate Officer · Individual | 0% | 2 facilities |
| Lighthouse Holdings 2016, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Mimi Holdco LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 3 facilities |
| Mn Holdings 101 LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Mn V Associates LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Sshg Family Grantor Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Sshg Family Grantor Trust | Adp Of The SNF · Organization | 0% | 1 facilities |
| Tarlow, Leon | Corporate Officer · Individual | 0% | 2 facilities |
| Ydn Family Grantor Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Ydn Family Grantor Trust | Adp Of The SNF · Organization | 0% | 1 facilities |
·
Fire safety
47 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke16F
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- F
Install corridor and hallway doors that block smoke.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Provide properly protected cooking facilities.
- E
Install an approved automatic sprinkler system.
- E
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
- C
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- C
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Provide properly protected cooking facilities.
- C
Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems10F
- D
Ensure proper usage of power strips and extension cords.
- D
Have proper medical gas storage and administration areas.
- D
Ensure proper storage of liquid oxygen.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
- E
Ensure proper storage of liquid oxygen.
- D
Have proper medical gas storage and administration areas.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
Egress7F
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Have properly located and lighted "Exit" signs.
- D
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- C
Install emergency lighting that can last at least 1 1/2 hours.
- F
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- D
Install emergency lighting that can last at least 1 1/2 hours.
- D
Have properly located and lighted "Exit" signs.
Miscellaneous5F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- C
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Services4F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Install properly constructed and protected linen or trash chutes.
- E
Have an externally vented heating system.
- D
Install properly constructed and protected linen or trash chutes.
Emergency Preparedness4F
- C
Establish staff and initial training requirements.
- C
Conduct testing and exercise requirements.
- F
Implement emergency and standby power systems.
- C
Develop and maintain an Emergency Preparedness Program (EP).
Electrical1F
- F
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
·
Other homes nearby
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★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 2 h 52 min
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-
Birchwood Care Home
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- Nursing / resident / day
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-
Redeemer Health Care Center
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