10 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
13 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Minneapolis, MN
1-star overall rating with 2-star inspections with $8,190 in total fines with 10 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
5101 Minnehaha Avenue South, Minneapolis, MN
(651) 539-2400
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
341
Certified beds
Average residents
292
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2014-01-06
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
RN hours / resident day
0.00
Registered nurse staffing
LPN hours / resident day
0.00
Licensed practical nurse staffing
Aide hours / resident day
0.00
Nurse aide staffing
Total nurse hours
0.00
All reported nurse hours
Licensed hours
0.00
RN + LPN hours
Weekend hours
0.00
Weekend nurse staffing
Weekend RN hours
0.00
Weekend registered nurse coverage
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.00
CMS adjusted RN staffing hours
Adjusted total hours
0.00
CMS adjusted total nurse staffing hours
Case-mix index
0.00
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Program rank
1
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
100
Composite VBP score used to determine payment impact.
Payment multiplier
1.0278
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
10
Baseline 26.67% · Performance 14.74% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
10
Baseline 6.25 hours · Performance 6.94 hours · Measure score 10 · Achievement 10 · Improvement 9
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 5 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure. |
| Medicare spending per beneficiary | Not Available |
1.02
|
Too few residents or stays to report publicly. |
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 24 · Denominator 24 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 24 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 4.17% |
2.29%
1.9 pts worse
|
Numerator 1 · Denominator 24 · Adjusted rate 2.34% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 1 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 14.92% |
8.2%
6.7 pts better
|
Numerator 88 · Denominator 590 |
| Staff flu vaccination coverage | 20.17% |
42%
21.8 pts worse
|
Numerator 117 · Denominator 580 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.1 |
1.7
1.6 pts better
|
1.9
1.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.1 · Observed 0.1 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.2 |
2.0
1.8 pts better
|
1.8
1.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.2 · Observed 0.1 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% |
97.3%
2.3 pts better
|
93.4%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 99.3% · Q2 99.7% · Q3 99.7% · Q4 99.6% · 4Q avg 99.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.0% |
96.1%
1.9 pts better
|
95.5%
2.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.9% |
3.9%
About the same
|
3.3%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 3.5% · Q3 5.4% · Q4 4.2% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.2% |
4.3%
2.1 pts better
|
11.4%
9.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 1.6% · Q3 3.0% · Q4 2.0% · 4Q avg 2.2% |
| Percentage of long-stay residents who lose too much weight | 3.7% |
4.1%
0.4 pts better
|
5.4%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 4.8% · Q3 3.0% · Q4 4.7% · 4Q avg 3.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 6.1% |
12.4%
6.3 pts better
|
19.6%
13.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 5.1% · Q3 5.6% · Q4 7.2% · 4Q avg 6.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 20.8% |
17.5%
3.3 pts worse
|
16.7%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.6% · Q2 20.6% · Q3 21.4% · Q4 18.5% · 4Q avg 20.8% · 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 | 23.7% |
22.5%
1.2 pts worse
|
16.3%
7.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.4% · Q2 27.4% · Q3 26.4% · Q4 20.5% · 4Q avg 23.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 23.0% |
18.6%
4.4 pts worse
|
14.9%
8.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.2% · Q2 21.6% · Q3 26.1% · Q4 23.1% · 4Q avg 23.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
2.3%
1.9 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.7% · Q3 0.9% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.6% |
2.6%
About the same
|
1.7%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 1.8% · Q3 2.8% · Q4 2.8% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.5% |
24.8%
4.3 pts better
|
19.8%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.3% · Q2 21.5% · Q3 16.7% · Q4 22.6% · 4Q avg 20.5% |
| Percentage of long-stay residents with pressure ulcers | 4.8% |
5.4%
0.6 pts better
|
5.1%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 5.3% · Q3 6.0% · Q4 3.9% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 76.6% |
88.6%
12 pts worse
|
81.7%
5.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 73.5% · Q2 85.3% · Q3 81.5% · Q4 66.7% · 4Q avg 76.6% |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.2% |
1.9%
2.3 pts worse
|
1.6%
2.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 4.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 45.7% |
82.7%
37 pts worse
|
79.7%
34 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 45.7% |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
13 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Resident Rights (3 deficiencies)
13 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-06-16
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2025-06-02
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-06-02
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2025-06-02
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-06-02
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-06-02
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-06-11
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2025-06-02
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-07-01
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-06-02
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-06-02
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-06-02
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2025-07-01
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-05-31
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-31
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2024-04-29
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-04-29
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-04-29
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-04-29
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-04-29
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-04-29
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-04-29
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-04-29
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-04-29
Fire Safety
Meet other general requirements.
Corrected 2024-04-29
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-04-29
Fire Safety
Have horizontal exits used in accordance with safety requirements.
Corrected 2023-08-11
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-08-25
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-08-25
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-08-11
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2023-08-11
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-08-11
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-08-11
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2023-08-11
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-08-11
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-08-11
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-08-11
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-08-11
Inspection history
Health
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.
Corrected 2025-08-11
Health
Have policies and procedures ensuring the administrator's responsibilities for facility closure are completed successfully.
Not marked corrected
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-04-14
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 2025-06-02
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-06-02
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2025-06-02
Health
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.
Corrected 2025-06-02
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-06-02
Health
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.
Corrected 2025-06-02
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-02
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-04-29
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-04-29
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 2024-04-29
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-04-29
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 2024-04-29
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2024-04-29
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-04-29
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2023-08-11
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-08-11
Health
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.
Corrected 2023-08-11
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-08-11
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-05-12
Penalties and ownership
Fine · fine $8,190
Fine
Operational/Managerial Control · Individual
W-2 Managing Employee · Individual
W-2 Managing Employee · Individual
W-2 Managing Employee · Individual
Operational/Managerial Control · Individual
W-2 Managing Employee · Individual
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