Arden Hills, MN

Presbyterian Homes Of Arden Hills

3-star overall rating with 2-star inspections with 11 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

3220 Lake Johanna Boulevard, Arden Hills, MN

(651) 631-6000

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

128

Certified beds

Average residents

125

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Presbyterian Homes & Services

Operator or chain grouping

Approved since

1987-02-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

20 facilities

Chain averages 4 overall / 3 health / 5 staffing / 3 quality stars

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

0.77

Registered nurse staffing · state 1.06 · national 0.68

LPN hours / resident day

0.36

Licensed practical nurse staffing · state 0.62 · national 0.87

Aide hours / resident day

3.05

Nurse aide staffing · state 2.56 · national 2.35

Total nurse hours

4.18

All reported nurse hours · state 4.23 · national 3.89

Licensed hours

1.13

RN + LPN hours · state 1.68 · national 1.54

Weekend hours

3.92

Weekend nurse staffing · state 3.68 · national 3.43

Weekend RN hours

0.53

Weekend registered nurse coverage · state 0.68 · national 0.47

Physical therapist

0.12

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

0.85

CMS adjusted RN staffing hours

Adjusted total hours

4.60

CMS adjusted total nurse staffing hours

Case-mix index

1.24

Higher values indicate more complex resident acuity

RN turnover

31%

Annual RN turnover · state 39% · national 45%

Total nurse turnover

25%

Annual nurse turnover · state 42% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,007

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

52.34

Composite VBP score used to determine payment impact.

Payment multiplier

1.0069

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.77

Performance 19.69% · Measure score 3.77 · Achievement 3.77 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

1.48

Performance 7.39% · Measure score 1.48 · Achievement 1.48 · This facility did not have sufficient data to calculate a baseline period measure result.

Total nurse turnover

9.46

Baseline 25.32% · Performance 25.00% · Measure score 9.46 · Achievement 9.46 · Improvement 6.36

Adjusted total nurse staffing

6.22

Baseline 4.96 hours · Performance 4.85 hours · Measure score 6.22 · Achievement 6.22 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.79%
10.72%
0.9 pts better
No Different than the National Rate · Eligible stays 45 · Observed rate 4.44% · Lower 95% interval 6.28%
Discharge to community 38.68%
50.57%
11.9 pts worse
No Different than the National Rate · Eligible stays 41 · Observed rate 26.83% · Lower 95% interval 25.25%
Medicare spending per beneficiary 0.98
1.02
About the same
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 46 · Denominator 46
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 46
Discharge self-care score 34.21%
53.69%
19.5 pts worse
Numerator 13 · Denominator 38
Discharge mobility score 44.74%
50.94%
6.2 pts worse
Numerator 17 · Denominator 38
Pressure ulcers or injuries, new or worsened 4.35%
2.29%
2.1 pts worse
Numerator 2 · Denominator 46 · Adjusted rate 3.44%
Healthcare-associated infections requiring hospitalization 7.39%
7.12%
0.3 pts worse
No Different than the National Rate · Eligible stays 28 · Observed rate 7.14% · Lower 95% interval 3.68%
Staff COVID-19 vaccination coverage 0.98%
8.2%
7.2 pts worse
Numerator 5 · Denominator 511
Staff flu vaccination coverage 3.93%
42%
38.1 pts worse
Numerator 23 · Denominator 585
Discharge function score 55.26%
56.45%
1.2 pts worse
Numerator 21 · Denominator 38
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 65.52%
25.2%
40.3 pts better
Numerator 19 · Denominator 29

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.3
1.7
0.4 pts better
1.9
0.6 pts better
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 0.9 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.3
2.0
1.7 pts better
1.8
1.5 pts better
Long Stay · 20240701-20250630 · Adjusted 0.3 · Observed 0.2 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.3%
97.3%
1 pts better
93.4%
4.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 97.3% · Q2 97.3% · Q3 99.2% · Q4 99.2% · 4Q avg 98.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 88.4%
96.1%
7.7 pts worse
95.5%
7.1 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 88.4%
Percentage of long-stay residents experiencing one or more falls with major injury 6.3%
3.9%
2.4 pts worse
3.3%
3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 7.1% · Q3 5.8% · Q4 5.1% · 4Q avg 6.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 2.7%
4.3%
1.6 pts better
11.4%
8.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 2.0% · Q3 1.9% · Q4 2.7% · 4Q avg 2.7%
Percentage of long-stay residents who lose too much weight 2.9%
4.1%
1.2 pts better
5.4%
2.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 3.3% · Q3 0.0% · Q4 7.8% · 4Q avg 2.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 8.8%
12.4%
3.6 pts better
19.6%
10.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 10.6% · Q3 8.1% · Q4 6.6% · 4Q avg 8.8%
Percentage of long-stay residents who received an antipsychotic medication 16.1%
17.5%
1.4 pts better
16.7%
0.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 13.2% · Q2 18.5% · Q3 15.6% · Q4 16.9% · 4Q avg 16.1% · 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 41.3%
22.5%
18.8 pts worse
16.3%
25 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 31.7% · Q2 48.6% · Q3 38.1% · Q4 46.3% · 4Q avg 41.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 33.4%
18.6%
14.8 pts worse
14.9%
18.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 28.6% · Q2 47.6% · Q3 30.0% · Q4 27.3% · 4Q avg 33.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 4.7%
2.3%
2.4 pts worse
1.0%
3.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 5.9% · Q3 5.2% · Q4 3.5% · 4Q avg 4.7% · 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 0.0% · Q2 1.8% · Q3 4.2% · Q4 4.3% · 4Q avg 2.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 32.2%
24.8%
7.4 pts worse
19.8%
12.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 34.0% · Q2 35.5% · Q3 27.8% · Q4 31.9% · 4Q avg 32.2%
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 5.0% · Q2 5.1% · Q3 7.8% · Q4 3.8% · 4Q avg 5.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 73.2%
88.6%
15.4 pts worse
81.7%
8.5 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 72.3% · Q2 76.1% · Q3 70.9% · Q4 72.7% · 4Q avg 73.2%
Percentage of short-stay residents who had an outpatient emergency department visit 11.7%
14.0%
2.3 pts better
12.0%
0.3 pts better
Short Stay · 20240701-20250630 · Adjusted 11.7% · Observed 10.0% · Expected 9.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 7.7%
1.9%
5.8 pts worse
1.6%
6.1 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 4.9% · Q3 8.6% · Q4 14.8% · 4Q avg 7.7% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 63.8%
82.7%
18.9 pts worse
79.7%
15.9 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 63.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 18.1%
23.1%
5 pts better
23.9%
5.8 pts better
Short Stay · 20240701-20250630 · Adjusted 18.1% · Observed 15.0% · Expected 19.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-09-12 · Fire 2024-09-12

11 health deficiencies

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

3 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2023-08-30 · Fire 2023-08-30

10 health deficiencies

Top issue: Resident Rights (5 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2022-03-10 · Fire 2022-03-10

1 health deficiencies

Top issue: Infection Control (1 deficiency)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-09-12

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-10-15

F · Potential for more than minimal harm 2024-09-12

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2024-10-15

D · Potential for more than minimal harm 2024-09-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-10-15

F · Potential for more than minimal harm 2023-08-30

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-10-18

F · Potential for more than minimal harm 2023-08-30

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-10-13

F · Potential for more than minimal harm 2023-08-30

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-10-13

C · Minimal harm 2022-03-10

K352 · Smoke Deficiencies

Fire Safety

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Corrected 2022-04-01

C · Minimal harm 2022-03-10

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2022-04-01

Inspection history

Recent health citations

G · Actual harm 2025-06-06

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 2025-05-22

D · Potential for more than minimal harm 2025-05-01

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 2025-06-05

D · Potential for more than minimal harm 2025-04-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-08

E · Potential for more than minimal harm 2024-09-12

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 2024-10-29

E · Potential for more than minimal harm 2024-09-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-29

D · Potential for more than minimal harm 2024-09-12

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 2024-10-29

D · Potential for more than minimal harm 2024-09-12

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-29

D · Potential for more than minimal harm 2024-09-12

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-29

D · Potential for more than minimal harm 2024-09-12

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2024-10-29

D · Potential for more than minimal harm 2024-09-12

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-10-29

D · Potential for more than minimal harm 2024-09-12

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-10-29

F · Potential for more than minimal harm 2023-08-30

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 2023-10-13

E · Potential for more than minimal harm 2023-08-30

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2023-10-13

D · Potential for more than minimal harm 2023-08-30

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 2023-10-13

D · Potential for more than minimal harm 2023-08-30

F554 · Resident Rights Deficiencies

Health

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

Corrected 2023-10-13

D · Potential for more than minimal harm 2023-08-30

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 2023-10-13

D · Potential for more than minimal harm 2023-08-30

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2023-10-13

D · Potential for more than minimal harm 2023-08-30

F585 · Resident Rights Deficiencies

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 2023-10-13

D · Potential for more than minimal harm 2023-08-30

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 2023-10-13

D · Potential for more than minimal harm 2023-08-30

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2023-10-13

D · Potential for more than minimal harm 2023-08-30

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-10-13

D · Potential for more than minimal harm 2023-07-26

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-08-29

Penalties and ownership

What sits behind the stars

Ownership

Birkeli, Justin

W-2 Managing Employee · Individual

0% 1 facilities 2020-01-19
Bremer Bank National Association

5% Or Greater Security Interest · Organization

0% 6 facilities 2011-09-30
Bremer Bank National Association

5% Or Greater Mortgage Interest · Organization

0% 6 facilities 2011-09-30
Larson, Duane

Corporate Director · Individual

0% 15 facilities 2020-01-01
Lindh, Daniel

Corporate Director · Individual

0% 14 facilities 1995-01-01
Lindh, Daniel

Corporate Officer · Individual

0% 14 facilities 1995-01-01
Meyer, Mark

Corporate Director · Individual

0% 21 facilities 1995-01-01
Meyer, Mark

Corporate Officer · Individual

0% 21 facilities 1995-01-01
Phs Management, LLC

Operational/Managerial Control · Organization

0% 21 facilities 2011-03-11

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