Cycle 1
Health 2025-01-16 · Fire 2025-01-16
9 health deficiencies
Top issue: Resident Rights (3 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Minneapolis, MN
Mount Olivet Careview Home
3-star overall rating with 2-star inspections with $55,043 in total fines with 9 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
5517 Lyndale Avenue South, Minneapolis, MN
(612) 827-5677
Overall
3 / 5
CMS overall stars
Health inspections
2 / 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
155
Certified beds
Average residents
147
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1990-01-01
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
1.22
Registered nurse staffing · state 1.06 · national 0.68
LPN hours / resident day
0.60
Licensed practical nurse staffing · state 0.62 · national 0.87
Aide hours / resident day
3.53
Nurse aide staffing · state 2.56 · national 2.35
Total nurse hours
5.35
All reported nurse hours · state 4.23 · national 3.89
Licensed hours
1.82
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
5.01
Weekend nurse staffing · state 3.68 · national 3.43
Weekend RN hours
0.93
Weekend registered nurse coverage · state 0.68 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
1.25
CMS adjusted RN staffing hours
Adjusted total hours
5.52
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
32%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
22%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
392
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
70.8
Composite VBP score used to determine payment impact.
Payment multiplier
1.0228
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.89
Baseline 20.25% · Performance 19.17% · Measure score 4.89 · Achievement 4.89 · Improvement 2.86
Healthcare-associated infections
6.75
Baseline 6.54% · Performance 5.82% · Measure score 6.75 · Achievement 6.75 · Improvement 4.18
Total nurse turnover
10
Baseline 30.61% · Performance 18.88% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
6.68
Baseline 4.96 hours · Performance 4.98 hours · Measure score 6.68 · Achievement 6.68 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.4% |
10.72%
2.3 pts better
|
No Different than the National Rate · Eligible stays 250 · Observed rate 5.2% · Lower 95% interval 5.95% |
| Discharge to community | 59.57% |
50.57%
9 pts better
|
Better than the National Rate · Eligible stays 240 · Observed rate 57.08% · Lower 95% interval 53.93% |
| Medicare spending per beneficiary | 0.73 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 99.38% |
95.27%
4.1 pts better
|
Numerator 161 · Denominator 162 |
| Falls with major injury | 0.62% |
0.77%
0.2 pts better
|
Numerator 1 · Denominator 162 |
| Discharge self-care score | 53.03% |
53.69%
0.7 pts worse
|
Numerator 70 · Denominator 132 |
| Discharge mobility score | 44.7% |
50.94%
6.2 pts worse
|
Numerator 59 · Denominator 132 |
| Pressure ulcers or injuries, new or worsened | 2.48% |
2.29%
0.2 pts worse
|
Numerator 4 · Denominator 161 · Adjusted rate 2.83% |
| Healthcare-associated infections requiring hospitalization | 5.82% |
7.12%
1.3 pts better
|
No Different than the National Rate · Eligible stays 149 · Observed rate 3.36% · Lower 95% interval 3.61% |
| Staff COVID-19 vaccination coverage | 9.78% |
8.2%
1.6 pts better
|
Numerator 35 · Denominator 358 |
| Staff flu vaccination coverage | 44.09% |
42%
2.1 pts better
|
Numerator 250 · Denominator 567 |
| Discharge function score | 46.21% |
56.45%
10.2 pts worse
|
Numerator 61 · Denominator 132 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 33 · Denominator 33 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 104 · Denominator 104 |
| Resident COVID-19 vaccinations up to date | 73.86% |
25.2%
48.7 pts better
|
Numerator 65 · Denominator 88 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.7
0.2 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.2 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.4 |
2.0
1.6 pts better
|
1.8
1.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.3 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
97.3%
2.7 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.2% |
96.1%
3.1 pts better
|
95.5%
3.7 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.6% |
3.9%
1.3 pts better
|
3.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 4.0% · Q3 2.5% · Q4 1.7% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.4% |
4.3%
1.9 pts better
|
11.4%
9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 1.0% · Q3 1.9% · Q4 2.8% · 4Q avg 2.4% |
| Percentage of long-stay residents who lose too much weight | 2.7% |
4.1%
1.4 pts better
|
5.4%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 4.0% · Q3 1.9% · Q4 4.1% · 4Q avg 2.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.5% |
12.4%
2.1 pts worse
|
19.6%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 13.7% · Q3 16.5% · Q4 14.1% · 4Q avg 14.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 22.1% |
17.5%
4.6 pts worse
|
16.7%
5.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 24.7% · Q3 23.0% · Q4 21.7% · 4Q avg 22.1% · 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 | 33.4% |
22.5%
10.9 pts worse
|
16.3%
17.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 36.4% · Q3 31.6% · Q4 29.1% · 4Q avg 33.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 20.8% |
18.6%
2.2 pts worse
|
14.9%
5.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 21.3% · Q3 24.7% · Q4 17.5% · 4Q avg 20.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
2.3%
2 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.7% · Q3 0.0% · Q4 0.6% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.2% |
2.6%
0.4 pts better
|
1.7%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 4.1% · Q3 1.6% · Q4 2.5% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.2% |
24.8%
2.6 pts better
|
19.8%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.9% · Q2 23.0% · Q3 16.1% · Q4 35.2% · 4Q avg 22.2% |
| Percentage of long-stay residents with pressure ulcers | 5.4% |
5.4%
About the same
|
5.1%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 5.7% · Q3 5.4% · Q4 4.6% · 4Q avg 5.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.7% |
88.6%
3.1 pts better
|
81.7%
10 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 90.6% · Q2 92.7% · Q3 92.1% · Q4 91.6% · 4Q avg 91.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.6% |
14.0%
4.4 pts better
|
12.0%
2.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.6% · Observed 8.7% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.9%
1.9 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 86.1% |
82.7%
3.4 pts better
|
79.7%
6.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 86.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.8% |
23.1%
1.3 pts better
|
23.9%
2.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.8% · Observed 19.4% · Expected 21.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-11-02 · Fire 2023-11-02
4 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Cycle 3
Health 2022-05-25 · Fire 2022-05-25
6 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2025-01-16
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2025-02-28
E · Potential for more than minimal harm
2025-01-16
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-02-28
E · Potential for more than minimal harm
2025-01-16
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-02-28
E · Potential for more than minimal harm
2025-01-16
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-02-28
D · Potential for more than minimal harm
2025-01-16
K930 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper storage of liquid oxygen.
Corrected 2025-02-28
E · Potential for more than minimal harm
2023-11-02
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-12-15
D · Potential for more than minimal harm
2023-11-02
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2023-12-15
D · Potential for more than minimal harm
2023-11-02
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-12-15
D · Potential for more than minimal harm
2023-11-02
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-12-15
D · Potential for more than minimal harm
2023-11-02
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-12-15
D · Potential for more than minimal harm
2023-11-02
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-12-15
D · Potential for more than minimal harm
2023-11-02
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-12-15
D · Potential for more than minimal harm
2022-05-25
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2022-07-01
B · Minimal harm
2022-05-25
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-07-01
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-11-18
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-12-19
E · Potential for more than minimal harm
2025-01-16
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-02-28
D · Potential for more than minimal harm
2025-01-16
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-02-28
D · Potential for more than minimal harm
2025-01-16
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-02-28
D · Potential for more than minimal harm
2025-01-16
F561 · Resident Rights Deficiencies
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2025-02-28
D · Potential for more than minimal harm
2025-01-16
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 2025-02-28
D · Potential for more than minimal harm
2025-01-16
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-02-28
D · Potential for more than minimal harm
2025-01-16
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 2025-02-28
D · Potential for more than minimal harm
2025-01-16
F811 · Nutrition and Dietary Deficiencies
Health
Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.
Corrected 2025-02-28
J · Immediate jeopardy
2024-07-16
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-08-07
D · Potential for more than minimal harm
2024-07-16
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 2024-08-07
D · Potential for more than minimal harm
2024-07-16
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-08-07
E · Potential for more than minimal harm
2024-06-04
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-07-22
D · Potential for more than minimal harm
2023-09-07
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 2023-10-27
E · Potential for more than minimal harm
2023-06-26
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 2023-08-16
D · Potential for more than minimal harm
2023-06-23
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-08-11
D · Potential for more than minimal harm
2023-05-01
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-06-01
E · Potential for more than minimal harm
2022-05-25
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-07-01
D · Potential for more than minimal harm
2022-05-25
F578 · Resident Rights Deficiencies
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 2022-07-22
Penalties and ownership
What sits behind the stars
$55,043
2024-06-04
Fine
Fine · fine $55,043
Fine
Ownership
Mount Olivet Careview Home
5% Or Greater Direct Ownership Interest · Organization
Beese, Mark
Corporate Director · Individual
Bent, Christine
Corporate Officer · Individual
Carlson, David
Corporate Director · Individual
Cartwright, Eileen
Corporate Director · Individual
Fairbairn, Scott
Operational/Managerial Control · Individual
Flack, Sharon
Operational/Managerial Control · Individual
Flack, Sharon
Corporate Officer · Individual
Halva, Kurt
Corporate Officer · Individual
Harahan, Tana
Operational/Managerial Control · Individual
Hokanson, Timothy
Operational/Managerial Control · Individual
Hokanson, Timothy
Corporate Officer · Individual
Jarcho, Ruth
Corporate Officer · Individual
Kubat, Nikki
Operational/Managerial Control · Individual
Kuehn, John
Corporate Director · Individual
Lose, David
Corporate Director · Individual
Mcchesney, Julie
Operational/Managerial Control · Individual
Mclean, Erick
Operational/Managerial Control · Individual
Mount Olivet Careview Home
Operational/Managerial Control · Organization
Myslivecek, Griffin
Operational/Managerial Control · Individual
Olson, Trudy
Corporate Director · Individual
Optiz, Heidi
Operational/Managerial Control · Individual
Page, Greg
Corporate Director · Individual
Peterson, Dale
Operational/Managerial Control · Individual
Schwab, Desiree
Operational/Managerial Control · Individual
Telleen, William
Corporate Director · Individual
Turner, Cairo
Operational/Managerial Control · Individual
Vetsch, Gordy
Corporate Officer · Individual
White, Adam
Operational/Managerial Control · Individual
Youngdahl, Peter
Corporate Director · Individual
Nearby options
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Mount Olivet Home
Minneapolis, MN
5-star overall rating with 3-star inspections with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Grand Avenue Rest Home
Minneapolis, MN
3-star overall rating with 2-star inspections with $13,635 in total fines with 9 recent health deficiencies
#3
Edenbrook Of Edina
Minneapolis, MN
2-star overall rating with 2-star inspections with 8 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
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