Cycle 1
Health 2026-02-12 · Fire 2026-02-12
6 health deficiencies
Top issue: Environmental (1 deficiency)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Bloomington, MN
Minnesota Masonic Home Care Center
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
11501 Masonic Home Drive, Bloomington, MN
(952) 948-7000
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
194
Certified beds
Average residents
160
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1986-09-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
1.60
Registered nurse staffing · state 1.06 · national 0.68
LPN hours / resident day
0.64
Licensed practical nurse staffing · state 0.62 · national 0.87
Aide hours / resident day
2.45
Nurse aide staffing · state 2.56 · national 2.35
Total nurse hours
4.69
All reported nurse hours · state 4.23 · national 3.89
Licensed hours
2.24
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
4.11
Weekend nurse staffing · state 3.68 · national 3.43
Weekend RN hours
1.20
Weekend registered nurse coverage · state 0.68 · national 0.47
Physical therapist
0.30
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
1.78
CMS adjusted RN staffing hours
Adjusted total hours
5.20
CMS adjusted total nurse staffing hours
Case-mix index
1.23
Higher values indicate more complex resident acuity
RN turnover
21%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
31%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
259
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
75.39
Composite VBP score used to determine payment impact.
Payment multiplier
1.0246
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.72
Baseline 14.14% · Performance 20.17% · Measure score 2.72 · Achievement 2.72 · Improvement 0
Healthcare-associated infections
10
Baseline 5.16% · Performance 4.83% · Measure score 10 · Achievement 10 · Improvement 9
Total nurse turnover
9.26
Baseline 22.99% · Performance 25.84% · Measure score 9.26 · Achievement 9.26 · Improvement 0
Adjusted total nurse staffing
8.18
Baseline 5.32 hours · Performance 5.40 hours · Measure score 8.18 · Achievement 8.18 · Improvement 1.39
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.29% |
10.72%
1.4 pts better
|
No Different than the National Rate · Eligible stays 697 · Observed rate 7.03% · Lower 95% interval 7.33% |
| Discharge to community | 68.47% |
50.57%
17.9 pts better
|
Better than the National Rate · Eligible stays 703 · Observed rate 68.56% · Lower 95% interval 65.25% |
| Medicare spending per beneficiary | 0.82 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 398 · Denominator 398 |
| Falls with major injury | 0.5% |
0.77%
0.3 pts better
|
Numerator 2 · Denominator 398 |
| Discharge self-care score | 60.24% |
53.69%
6.6 pts better
|
Numerator 203 · Denominator 337 |
| Discharge mobility score | 67.36% |
50.94%
16.4 pts better
|
Numerator 227 · Denominator 337 |
| Pressure ulcers or injuries, new or worsened | 3.02% |
2.29%
0.7 pts worse
|
Numerator 12 · Denominator 397 · Adjusted rate 3.9% |
| Healthcare-associated infections requiring hospitalization | 4.83% |
7.12%
2.3 pts better
|
Better than the National Rate · Eligible stays 421 · Observed rate 2.61% · Lower 95% interval 3.36% |
| Staff COVID-19 vaccination coverage | 17.86% |
8.2%
9.7 pts better
|
Numerator 87 · Denominator 487 |
| Staff flu vaccination coverage | 57.62% |
42%
15.6 pts better
|
Numerator 295 · Denominator 512 |
| Discharge function score | 65.88% |
56.45%
9.4 pts better
|
Numerator 222 · Denominator 337 |
| Transfer of health information to provider | 99.04% |
95.95%
3.1 pts better
|
Numerator 308 · Denominator 311 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 39 · Denominator 39 |
| Resident COVID-19 vaccinations up to date | 64.82% |
25.2%
39.6 pts better
|
Numerator 129 · Denominator 199 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
1.7
0.2 pts worse
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.3 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.5 |
2.0
1.5 pts better
|
1.8
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.4 · Expected 1.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.9% |
97.3%
0.4 pts worse
|
93.4%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 95.2% · Q2 97.0% · Q3 97.1% · Q4 98.1% · 4Q avg 96.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.1% |
96.1%
3 pts better
|
95.5%
3.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.2% |
3.9%
2.3 pts worse
|
3.3%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 6.1% · Q3 9.5% · Q4 5.6% · 4Q avg 6.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.9% |
4.3%
1.4 pts better
|
11.4%
8.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 2.2% · Q3 2.1% · Q4 5.0% · 4Q avg 2.9% |
| Percentage of long-stay residents who lose too much weight | 3.4% |
4.1%
0.7 pts better
|
5.4%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 4.9% · Q3 4.4% · Q4 1.1% · 4Q avg 3.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 5.4% |
12.4%
7 pts better
|
19.6%
14.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 3.7% · Q3 5.5% · Q4 6.3% · 4Q avg 5.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.6% |
17.5%
3.9 pts better
|
16.7%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 13.5% · Q3 14.6% · Q4 14.8% · 4Q avg 13.6% · 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 | 19.1% |
22.5%
3.4 pts better
|
16.3%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.2% · Q2 20.9% · Q3 20.6% · Q4 14.1% · 4Q avg 19.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.7% |
18.6%
4.9 pts better
|
14.9%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.5% · Q2 11.5% · Q3 10.2% · Q4 16.1% · 4Q avg 13.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.3% |
2.3%
About the same
|
1.0%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 3.8% · Q3 2.0% · Q4 1.6% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.2% |
2.6%
0.6 pts worse
|
1.7%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 3.0% · Q3 4.8% · Q4 1.9% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.9% |
24.8%
2.1 pts worse
|
19.8%
7.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.3% · Q2 24.9% · Q3 27.1% · Q4 21.9% · 4Q avg 26.9% |
| Percentage of long-stay residents with pressure ulcers | 4.5% |
5.4%
0.9 pts better
|
5.1%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 5.9% · Q3 4.4% · Q4 5.1% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.6% |
88.6%
10 pts better
|
81.7%
16.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.9% · Q2 98.9% · Q3 98.5% · Q4 98.0% · 4Q avg 98.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.7% |
14.0%
6.3 pts better
|
12.0%
4.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.7% · Observed 6.5% · Expected 9.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.6% |
1.9%
0.3 pts better
|
1.6%
About the same
|
Short Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.3% · Q3 1.7% · Q4 1.7% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.1% |
82.7%
15.4 pts better
|
79.7%
18.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.3% |
23.1%
5.2 pts worse
|
23.9%
4.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.3% · Observed 20.5% · Expected 17.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-12-18 · Fire 2024-12-18
3 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Cycle 3
Health 2023-10-19 · Fire 2023-10-19
10 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2026-02-12
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Not marked corrected
F · Potential for more than minimal harm
2026-02-12
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Not marked corrected
E · Potential for more than minimal harm
2026-02-12
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Not marked corrected
E · Potential for more than minimal harm
2026-02-12
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Not marked corrected
E · Potential for more than minimal harm
2026-02-12
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Not marked corrected
E · Potential for more than minimal harm
2024-12-18
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-01-21
E · Potential for more than minimal harm
2024-12-18
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-01-21
E · Potential for more than minimal harm
2024-12-18
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-01-21
E · Potential for more than minimal harm
2024-12-18
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-01-21
D · Potential for more than minimal harm
2024-12-18
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-01-21
D · Potential for more than minimal harm
2024-12-18
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-01-21
E · Potential for more than minimal harm
2023-10-19
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-11-30
E · Potential for more than minimal harm
2023-10-19
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-11-30
D · Potential for more than minimal harm
2023-10-19
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-11-30
D · Potential for more than minimal harm
2023-10-19
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-11-30
Inspection history
Recent health citations
E · Potential for more than minimal harm
2026-02-12
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Not marked corrected
D · Potential for more than minimal harm
2026-02-12
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Not marked corrected
D · Potential for more than minimal harm
2026-02-12
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.
Not marked corrected
D · Potential for more than minimal harm
2026-02-12
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Not marked corrected
D · Potential for more than minimal harm
2026-02-12
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Not marked corrected
D · Potential for more than minimal harm
2026-02-12
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Not marked corrected
D · Potential for more than minimal harm
2024-12-18
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-01-21
D · Potential for more than minimal harm
2024-12-18
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-21
D · Potential for more than minimal harm
2024-12-18
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-01-21
D · Potential for more than minimal harm
2023-10-19
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-11-30
D · Potential for more than minimal harm
2023-10-19
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2023-11-30
D · Potential for more than minimal harm
2023-10-19
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-11-30
D · Potential for more than minimal harm
2023-10-19
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2023-11-30
D · Potential for more than minimal harm
2023-10-19
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-30
D · Potential for more than minimal harm
2023-10-19
F693 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2023-11-30
D · Potential for more than minimal harm
2023-10-19
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-11-30
D · Potential for more than minimal harm
2023-10-19
F744 · Quality of Life and Care Deficiencies
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2023-11-30
B · Minimal harm
2023-10-19
F565 · Resident Rights Deficiencies
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2023-11-30
J · Immediate jeopardy
2023-04-12
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-01-25
Penalties and ownership
What sits behind the stars
$12,649
2023-04-12
Fine
Fine · fine $12,649
Fine
Ownership
Berg, Dayton
Corporate Officer · Individual
Campbell, Douglas
Corporate Officer · Individual
Cook, John
Corporate Officer · Individual
Fendler, Robert
Corporate Officer · Individual
Hanson, Mary
Corporate Officer · Individual
Himmler, Paul
Corporate Officer · Individual
Johnson, Steven
Corporate Officer · Individual
Krall, Tony
Corporate Officer · Individual
Mccurdy, Joyce
Corporate Officer · Individual
Mcnear, Roger
Corporate Officer · Individual
Mn Masonic Elder Services
Operational/Managerial Control · Organization
Mork, Susan
W-2 Managing Employee · Individual
Neetenbeek, Eric
Corporate Officer · Individual
Olson, David
Corporate Officer · Individual
Pelava, Patricia
W-2 Managing Employee · Individual
Proctor, James
Corporate Officer · Individual
Rosenzweig, Michael
Corporate Officer · Individual
Schroeder, Beth
W-2 Managing Employee · Individual
Shirley, James
Corporate Officer · Individual
Solem, Foster
Corporate Officer · Individual
Studell, John
Corporate Officer · Individual
Sullivan, Burnett
Corporate Officer · Individual
Willette, Pam
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Presbyterian Homes Of Bloomington
Bloomington, MN
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#2
The Estates at Bloomington LLC
Bloomington, MN
3-star overall rating with 3-star inspections with 11 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#3
Friendship Village Of Bloomington
Bloomington, MN
4-star overall rating with 3-star inspections with $99,500 in total fines with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Jump out