Federal inspection record · CMS data as of October 1, 2026

Maplewood Rehabilitation Center

1900 Sherren Avenue East, Maplewood, MN · (651) 770-1365

CMS overall rating

1 of 5

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Certified beds
115
Residents per day
100
Ownership
For-Profit
Chain
Monarch Healthcare Management
Medicare / Medicaid
Medicare + Medicaid
Certified since
May 1, 1985

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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Minnesota.

  2. 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.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Minnesota homes

Maplewood Rehabilitation Center carries 98 inspection points. That is fewer than 16% of Minnesota's 335 rated homes.

5★4★3★2★1★+11 homes above 194.7505102550100inspection points → fewer is better on the leftThis home · 98 pts · 1★

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

43 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 35 4 pts
E 5 8 pts
F 2 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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)

  1. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    July 9, 2025 · Complaint inspection · Quality of Life and Care · F689 · Corrected July 21, 2025

Everything else, by area of care

Quality of Life and Care17E
  1. E

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    December 4, 2025 · Complaint · F677 · Corrected January 22, 2026

  2. E

    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.

    December 4, 2025 · Standard · F688 · Corrected January 22, 2026

  3. D

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    December 4, 2025 · Standard · F676 · Corrected January 22, 2026

  4. D

    Provide activities to meet all resident's needs.

    December 4, 2025 · Standard · F679 · Corrected January 22, 2026

  5. D

    Assist a resident in gaining access to vision and hearing services.

    December 4, 2025 · Complaint · F685 · Corrected January 22, 2026

  6. 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.

    December 4, 2025 · Standard · F690 · Corrected January 22, 2026

  7. D

    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

    December 4, 2025 · Standard · F691 · Corrected January 22, 2026

  8. D

    Provide safe and appropriate respiratory care for a resident when needed.

    December 4, 2025 · Standard · F695 · Corrected January 22, 2026

  9. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    July 9, 2025 · Complaint · F684 · Corrected July 21, 2025

  10. D

    Assist a resident in gaining access to vision and hearing services.

    November 7, 2024 · Standard · F685 · Corrected December 16, 2024

  11. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    November 7, 2024 · Complaint · F689 · Corrected December 16, 2024

  12. D

    Provide safe and appropriate respiratory care for a resident when needed.

    November 7, 2024 · Complaint · F695 · Corrected December 16, 2024

  13. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    April 29, 2024 · Complaint · F684 · Corrected May 23, 2024

  14. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    October 26, 2023 · Standard · F684 · Corrected December 7, 2023

  15. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    October 26, 2023 · Standard · F686 · Corrected December 7, 2023

  16. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    October 26, 2023 · Standard · F698 · Corrected December 7, 2023

  17. D

    Provide care or services that was trauma informed and/or culturally competent.

    October 26, 2023 · Standard · F699 · Corrected December 7, 2023

Resident Assessment and Care Planning8D
  1. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    January 27, 2026 · Complaint · F656 · Corrected February 6, 2026

  2. D

    Ensure each resident receives an accurate assessment.

    December 4, 2025 · Standard · F641 · Corrected January 22, 2026

  3. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    December 4, 2025 · Standard · F657 · Corrected January 22, 2026

  4. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    December 4, 2025 · Complaint · F842 · Corrected January 22, 2026

  5. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    November 7, 2024 · Complaint · F657 · Corrected December 16, 2024

  6. D

    Plan the resident's discharge to meet the resident's goals and needs.

    November 7, 2024 · Standard · F660 · Corrected December 16, 2024

  7. D

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    October 26, 2023 · Standard · F655 · Corrected December 7, 2023

  8. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    October 26, 2023 · Standard · F657 · Corrected December 7, 2023

Resident Rights8E
  1. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    December 4, 2025 · Standard · F550 · Corrected January 22, 2026

  2. D

    Reasonably accommodate the needs and preferences of each resident.

    December 4, 2025 · Complaint · F558 · Corrected January 22, 2026

  3. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    December 4, 2025 · Complaint · F580 · Corrected January 22, 2026

  4. D

    Keep residents' personal and medical records private and confidential.

    December 4, 2025 · Standard · F583 · Corrected January 22, 2026

  5. D

    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.

    December 4, 2025 · Standard · F584 · Corrected January 22, 2026

  6. D

    Give the resident's representative the ability to exercise the resident's rights.

    November 7, 2024 · Standard · F551 · Corrected December 16, 2024

  7. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    November 7, 2024 · Standard · F580 · Corrected December 16, 2024

  8. E

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    January 30, 2024 · Complaint · F550 · Corrected February 27, 2024

Infection Control4E
  1. D

    Provide and implement an infection prevention and control program.

    December 4, 2025 · Standard · F880 · Corrected January 22, 2026

  2. E

    Provide and implement an infection prevention and control program.

    November 7, 2024 · Standard · F880 · Corrected December 16, 2024

  3. D

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    November 7, 2024 · Standard · F883 · Corrected December 16, 2024

  4. D

    Implement a program that monitors antibiotic use.

    October 26, 2023 · Standard · F881 · Corrected December 7, 2023

Administration1F
  1. F

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    December 4, 2025 · Standard · F867 · Corrected January 22, 2026

Environmental1E
  1. E

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    November 7, 2024 · Standard · F921 · Corrected December 16, 2024

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    September 24, 2024 · Complaint · F609 · Corrected October 8, 2024

Nursing and Physician Services1F
  1. F

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    January 30, 2024 · Complaint · F725 · Corrected February 27, 2024

Pharmacy Service1D
  1. D

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    October 26, 2023 · Standard · F757 · Corrected December 7, 2023

Inspection history

  1. 2025-12-04

    19 health deficiencies · 7 fire-safety deficiencies

    Top issue: Quality of Life and Care (8 deficiencies)

  2. 2024-11-07

    12 health deficiencies · 5 fire-safety deficiencies

    Top issue: Quality of Life and Care (5 deficiencies)

  3. 2023-10-26

    12 health deficiencies · 0 fire-safety deficiencies

    Top issue: Quality of Life and Care (5 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 38 min of nursing staff time a day, 1 h 2 min of it from a registered nurse.

This home

3 h 38 min

Minnesota average

4 h 16 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 39% of nursing staff and 39% 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.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.4 pts better1.11.51.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts worse1.81.71.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.7 pts better100.0%97.3%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.4 pts better98.8%96.4%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.7 pts better1.4%4.1%3.2%
Percentage of long-stay residents who have depressive symptoms0.3 pts better3.8%4.1%13.5%
Percentage of long-stay residents who lose too much weight0.5 pts worse4.4%3.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication1.8 pts worse14.5%12.7%19.5%
Percentage of long-stay residents who received an antipsychotic medication10.4 pts worse27.6%17.2%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened1.9 pts better16.9%18.8%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased0.8 pts better17.4%18.2%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts better0.3%1.7%0.7%
Percentage of long-stay residents with a urinary tract infection0.2 pts worse2.8%2.6%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.6 pts worse31.3%23.7%18.3%
Percentage of long-stay residents with pressure ulcers3.6 pts better1.5%5.1%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.6 pts better99.7%88.1%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit1.8 pts better12.8%14.6%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts better1.3%1.9%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine9.5 pts better92.8%83.3%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission2.2 pts worse25.2%23.0%23.4%

·

Who owns and runs it

15 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Monarch Healthcare Operating Xiv LLC5% Or Greater Direct Ownership Interest · Organization100%2 facilities
Goodreid, MackenzieW-2 Managing Employee · Individual0%1 facilities
Greenberg, JosephContracted Managing Employee · Individual0%2 facilities
Halpert, Marc5% Or Greater Indirect Ownership Interest · Individual0%45 facilities
Halpert, MarcCorporate Officer · Individual0%45 facilities
Halpert, MarcOperational/Managerial Control · Individual0%45 facilities
Jaffa, Noam5% Or Greater Indirect Ownership Interest · Individual0%45 facilities
Jaffa, NoamCorporate Director · Individual0%45 facilities
Legum, Joshua5% Or Greater Indirect Ownership Interest · Individual0%45 facilities
Nij LLC5% Or Greater Indirect Ownership Interest · Organization0%44 facilities
Spartan Healthcare LLC5% Or Greater Indirect Ownership Interest · Organization0%45 facilities
Stern, William5% Or Greater Indirect Ownership Interest · Individual0%45 facilities
Stern, WilliamCorporate Officer · Individual0%45 facilities
Wbs Holdings LLC5% Or Greater Indirect Ownership Interest · Organization0%26 facilities
Yazoma Holdings, LLC5% Or Greater Indirect Ownership Interest · Organization0%44 facilities

·

Fire safety

12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke7F
  1. F

    Provide properly protected cooking facilities.

    December 4, 2025 · K324 · Corrected January 26, 2026

  2. F

    Install an approved automatic sprinkler system.

    December 4, 2025 · K351 · Corrected January 26, 2026

  3. F

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

    December 4, 2025 · K362 · Corrected January 26, 2026

  4. F

    Install corridor and hallway doors that block smoke.

    December 4, 2025 · K363 · Corrected January 26, 2026

  5. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    November 7, 2024 · K345 · Corrected December 20, 2024

  6. F

    Install an approved automatic sprinkler system.

    November 7, 2024 · K351 · Corrected December 20, 2024

  7. F

    Install corridor and hallway doors that block smoke.

    November 7, 2024 · K363 · Corrected December 20, 2024

Gas, Vacuum, and Electrical Systems2F
  1. F

    Ensure proper usage of power strips and extension cords.

    December 4, 2025 · K920 · Corrected January 26, 2026

  2. F

    Have proper medical gas storage and administration areas.

    December 4, 2025 · K923 · Corrected January 26, 2026

Miscellaneous1F
  1. F

    Have simulated fire drills held at unexpected times.

    December 4, 2025 · K712 · Corrected January 26, 2026

Egress1F
  1. F

    Have properly located and lighted "Exit" signs.

    November 7, 2024 · K293 · Corrected December 20, 2024

Services1F
  1. F

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    November 7, 2024 · K521 · Corrected December 20, 2024

·

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