Chisago City, MN

Parmly on the Lake LLC

3-star overall rating with 3-star inspections with $8,193 in total fines with 7 recent health deficiencies

28210 Old Towne Road, Chisago City, MN

(651) 257-0575

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

91

Certified beds

Average residents

84

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Monarch Healthcare Management

Operator or chain grouping

Approved since

1986-07-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.89

Registered nurse staffing

LPN hours / resident day

0.77

Licensed practical nurse staffing

Aide hours / resident day

1.97

Nurse aide staffing

Weekend hours

3.20

Weekend nurse staffing

RN turnover

30%

Annual RN turnover

Total nurse turnover

36%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 3.2
1.7
1.5 pts worse
1.9
1.3 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.6
2.0
0.4 pts better
1.8
0.2 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.1%
97.3%
1.8 pts better
93.4%
5.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.2%
96.1%
0.9 pts worse
95.5%
0.3 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 6.5%
3.9%
2.6 pts worse
3.3%
3.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 4.5%
4.3%
0.2 pts worse
11.4%
6.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 3.8%
4.1%
0.3 pts better
5.4%
1.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 10.9%
12.4%
1.5 pts better
19.6%
8.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 20.2%
17.5%
2.7 pts worse
16.7%
3.5 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 27.2%
22.5%
4.7 pts worse
16.3%
10.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 13.8%
18.6%
4.8 pts better
14.9%
1.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.7%
2.3%
1.6 pts better
1.0%
0.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 3.1%
2.6%
0.5 pts worse
1.7%
1.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 31.4%
24.8%
6.6 pts worse
19.8%
11.6 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 94.5%
88.6%
5.9 pts better
81.7%
12.8 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 18.3%
14.0%
4.3 pts worse
12.0%
6.3 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 3.4%
1.9%
1.5 pts worse
1.6%
1.8 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 87.4%
82.7%
4.7 pts better
79.7%
7.7 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 24.1%
23.1%
1 pts worse
23.9%
0.2 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-09-19 · Fire 2024-09-19

7 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-07-13 · Fire 2023-07-13

5 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-02-17 · Fire 2022-02-17

7 health deficiencies

Top issue: Resident Rights (3 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2022-02-17

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2022-03-18

D · Potential for more than minimal harm 2022-02-17

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 2022-03-18

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-06-12

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 2025-08-05

D · Potential for more than minimal harm 2025-02-11

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-02-14

E · Potential for more than minimal harm 2024-09-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-18

D · Potential for more than minimal harm 2024-09-19

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-10-18

D · Potential for more than minimal harm 2024-09-19

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-18

D · Potential for more than minimal harm 2024-09-19

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-18

D · Potential for more than minimal harm 2024-09-19

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 2024-10-18

D · Potential for more than minimal harm 2024-09-19

F756 · Pharmacy Service Deficiencies

Health

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

Corrected 2024-10-18

D · Potential for more than minimal harm 2023-09-14

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 2023-09-25

J · Immediate jeopardy 2023-09-08

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-09-08

D · Potential for more than minimal harm 2023-09-08

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 2023-09-08

E · Potential for more than minimal harm 2023-07-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-09-01

D · Potential for more than minimal harm 2023-07-13

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 2023-09-01

D · Potential for more than minimal harm 2023-07-13

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-09-01

D · Potential for more than minimal harm 2023-07-13

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 2023-09-01

J · Immediate jeopardy 2022-02-17

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2022-03-18

D · Potential for more than minimal harm 2022-02-17

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 2022-03-18

D · Potential for more than minimal harm 2022-02-17

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.

Corrected 2022-03-18

D · Potential for more than minimal harm 2022-02-17

F690 · Quality of Life and Care Deficiencies

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 2022-03-18

Penalties and ownership

What sits behind the stars

$8,193 2023-09-08

Fine

Fine · fine $8,193

Fine

Ownership

Halpert, Marc

5% Or Greater Indirect Ownership Interest · Individual

28% 45 facilities 2017-12-29
Legum, Joshua

5% Or Greater Indirect Ownership Interest · Individual

28% 45 facilities 2017-12-29
Spartan Healthcare LLC

5% Or Greater Direct Ownership Interest · Organization

28% 45 facilities 2017-12-29
Yazoma Holdings, LLC

5% Or Greater Direct Ownership Interest · Organization

28% 44 facilities 2017-12-29
Stern, William

5% Or Greater Indirect Ownership Interest · Individual

19% 45 facilities 2017-12-29
Wbs Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

19% 26 facilities 2017-12-29
Arem, Jeffrey

5% Or Greater Indirect Ownership Interest · Individual

15% 33 facilities 2017-12-29
Jca Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

15% 8 facilities 2017-12-29
Jaffa, Noam

5% Or Greater Indirect Ownership Interest · Individual

10% 45 facilities 2017-12-29
Nij LLC

5% Or Greater Direct Ownership Interest · Organization

10% 44 facilities 2017-12-29
Halpert, Marc

Corporate Officer · Individual

0% 45 facilities 2017-12-29
Jaffa, Noam

Corporate Director · Individual

0% 45 facilities 2017-12-29
Legum, Joshua

Contracted Managing Employee · Individual

0% 45 facilities 2017-12-29
Monarch Healthcare Operating V LLC

Operational/Managerial Control · Organization

0% 2 facilities 2017-12-29
Stern, William

Corporate Officer · Individual

0% 45 facilities 2017-12-29

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