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

Parmly On The Lake LLC

28210 Old Towne Road, Chisago City, MN · (651) 257-0575

CMS overall rating

1 of 5

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Certified beds
91
Residents per day
84
Ownership
For-Profit
Chain
Monarch Healthcare Management
Medicare / Medicaid
Medicare + Medicaid
Certified since
July 1, 1986

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

Parmly On The Lake LLC carries 102 inspection points. That is fewer than 15% of Minnesota's 335 rated homes.

5★4★3★2★1★+11 homes above 194.7505102550100inspection points → fewer is better on the leftThis home · 102 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

31 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 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 23 4 pts
E 3 8 pts
F 4 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 1 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.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Quality of Life and Care15D
  1. D

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

    August 27, 2026 · Standard · F677 · Not yet marked corrected

  2. D

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

    August 27, 2026 · Standard · F684 · Not yet marked corrected

  3. D

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

    August 27, 2026 · Standard · F686 · Not yet marked corrected

  4. D

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

    August 27, 2026 · Standard · F689 · Not yet marked corrected

  5. D

    Provide enough food/fluids to maintain a resident's health.

    August 27, 2026 · Standard · F692 · Not yet marked corrected

  6. D

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

    August 27, 2026 · Standard · F695 · Not yet marked corrected

  7. D

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

    August 27, 2026 · Standard · F698 · Not yet marked corrected

  8. D

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

    June 15, 2026 · Complaint · F684 · Corrected June 12, 2026

  9. D

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

    May 26, 2026 · Complaint · F695 · Corrected May 28, 2026

  10. D

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

    February 11, 2025 · Complaint · F684 · Corrected February 14, 2025

  11. D

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

    September 19, 2024 · Standard · F684 · Corrected October 18, 2024

  12. D

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

    September 19, 2024 · Standard · F686 · Corrected October 18, 2024

  13. D

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

    September 19, 2024 · Standard · F689 · Corrected October 18, 2024

  14. D

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

    July 13, 2023 · Standard · F684 · Corrected September 1, 2023

  15. D

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

    July 13, 2023 · Standard · F689 · Corrected September 1, 2023

Infection Control4E
  1. D

    Provide and implement an infection prevention and control program.

    August 27, 2026 · Complaint · F880 · Not yet marked corrected

  2. D

    Provide and implement an infection prevention and control program.

    June 15, 2026 · Complaint · F880 · Corrected June 12, 2026

  3. E

    Provide and implement an infection prevention and control program.

    September 19, 2024 · Standard · F880 · Corrected October 18, 2024

  4. E

    Provide and implement an infection prevention and control program.

    July 13, 2023 · Standard · F880 · Corrected September 1, 2023

Pharmacy Service3F
  1. F

    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.

    August 27, 2026 · Standard · F761 · Not yet marked corrected

  2. 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.

    June 15, 2026 · Complaint · F761 · Corrected June 12, 2026

  3. D

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    September 19, 2024 · Standard · F756 · Corrected October 18, 2024

Nursing and Physician Services2F
  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.

    August 27, 2026 · Complaint · F725 · Not yet marked corrected

  2. C

    Post nurse staffing information every day.

    August 27, 2026 · Complaint · F732 · Not yet marked corrected

Nutrition and Dietary2F
  1. F

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

    August 27, 2026 · Standard · F809 · Not yet marked corrected

  2. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    August 27, 2026 · Standard · F812 · Not yet marked corrected

Resident Rights2D
  1. D

    Allow residents to self-administer drugs if determined clinically appropriate.

    August 27, 2026 · Standard · F554 · Not yet marked corrected

  2. D

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    July 13, 2023 · Standard · F561 · Corrected September 1, 2023

Freedom from Abuse, Neglect, and Exploitation2D
  1. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    June 12, 2025 · Complaint · F600 · Corrected August 5, 2025

  2. D

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    September 19, 2024 · Standard · F604 · Corrected October 18, 2024

Resident Assessment and Care Planning1D
  1. D

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

    August 27, 2026 · Standard · F657 · Not yet marked corrected

Inspection history

  1. 2026-08-27

    19 health deficiencies · 1 fire-safety deficiencies

    Top issue: Quality of Life and Care (9 deficiencies)

  2. 2024-09-19

    8 health deficiencies · 0 fire-safety deficiencies

    Top issue: Quality of Life and Care (4 deficiencies)

  3. 2023-07-13

    4 health deficiencies · 0 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 22 min of nursing staff time a day, 59 min of it from a registered nurse.

This home

3 h 22 min

Minnesota average

4 h 16 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 55% of nursing staff and 48% of registered nurses left in the past year.

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 days2.6 pts worse4.11.51.8
Number of outpatient emergency department visits per 1000 long-stay resident days2.2 pts worse3.91.71.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.1 pts better98.4%97.3%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.9 pts worse90.5%96.4%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.5 pts better1.6%4.1%3.2%
Percentage of long-stay residents who have depressive symptoms0.4 pts better3.7%4.1%13.5%
Percentage of long-stay residents who lose too much weight0.8 pts better3.1%3.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication1.2 pts worse13.9%12.7%19.5%
Percentage of long-stay residents who received an antipsychotic medication2.6 pts worse19.8%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 worsened9.5 pts worse28.3%18.8%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased4.4 pts better13.8%18.2%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1.1 pts better0.6%1.7%0.7%
Percentage of long-stay residents with a urinary tract infection0.9 pts better1.7%2.6%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.6 pts worse30.3%23.7%18.3%
Percentage of long-stay residents with pressure ulcers1.3 pts better3.8%5.1%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.1 pts better97.2%88.1%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit2.8 pts worse17.4%14.6%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts worse3.1%1.9%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine4.3 pts worse79.0%83.3%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission5.3 pts worse28.3%23.0%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Halpert, Marc5% Or Greater Indirect Ownership Interest · Individual28%45 facilities
Legum, Joshua5% Or Greater Indirect Ownership Interest · Individual28%45 facilities
Spartan Healthcare LLC5% Or Greater Direct Ownership Interest · Organization28%45 facilities
Yazoma Holdings, LLC5% Or Greater Direct Ownership Interest · Organization28%44 facilities
Stern, William5% Or Greater Indirect Ownership Interest · Individual19%45 facilities
Wbs Holdings LLC5% Or Greater Direct Ownership Interest · Organization19%26 facilities
Jca Holdings LLC5% Or Greater Direct Ownership Interest · Organization15%8 facilities
Jaffa, Noam5% Or Greater Indirect Ownership Interest · Individual10%45 facilities
Nij LLC5% Or Greater Direct Ownership Interest · Organization10%44 facilities
Halpert, MarcCorporate Officer · Individual0%45 facilities
Jaffa, NoamCorporate Director · Individual0%45 facilities
Legum, JoshuaContracted Managing Employee · Individual0%45 facilities
Monarch Healthcare Operating V LLCOperational/Managerial Control · Organization0%2 facilities
Stern, WilliamCorporate Officer · Individual0%45 facilities

·

Fire safety

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

Egress1D
  1. D

    Install proper backup exit lighting.

    August 27, 2026 · K281 · Corrected October 7, 2026

·

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