Cycle 1
Health 2024-09-26 · Fire 2024-09-26
4 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
7 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
North Oaks, MN
Presbyterian Homes Of North Oaks
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
5919 Centerville Road, North Oaks, MN
(651) 765-4063
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
60
Certified beds
Average residents
57
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Presbyterian Homes & Services
Operator or chain grouping
Approved since
2006-08-02
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
0.92
Registered nurse staffing · state 1.06 · national 0.68
LPN hours / resident day
0.56
Licensed practical nurse staffing · state 0.62 · national 0.87
Aide hours / resident day
2.95
Nurse aide staffing · state 2.56 · national 2.35
Total nurse hours
4.43
All reported nurse hours · state 4.23 · national 3.89
Licensed hours
1.49
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
4.16
Weekend nurse staffing · state 3.68 · national 3.43
Weekend RN hours
0.71
Weekend registered nurse coverage · state 0.68 · national 0.47
Physical therapist
0.25
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
1.07
CMS adjusted RN staffing hours
Adjusted total hours
5.15
CMS adjusted total nurse staffing hours
Case-mix index
1.18
Higher values indicate more complex resident acuity
RN turnover
53%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
42%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,217
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
33.61
Composite VBP score used to determine payment impact.
Payment multiplier
0.9878
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.78
Baseline 20.54% · Performance 19.68% · Measure score 3.78 · Achievement 3.78 · Improvement 1.95
Healthcare-associated infections
0
Baseline 5.53% · Performance 8.25% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
2.15
Baseline 58.75% · Performance 54.88% · Measure score 2.15 · Achievement 2.15 · Improvement 0.64
Adjusted total nurse staffing
7.51
Baseline 4.36 hours · Performance 5.21 hours · Measure score 7.51 · Achievement 7.51 · Improvement 5.52
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.92% |
10.72%
1.8 pts better
|
No Different than the National Rate · Eligible stays 109 · Observed rate 3.67% · Lower 95% interval 5.44% |
| Discharge to community | 54.59% |
50.57%
4 pts better
|
No Different than the National Rate · Eligible stays 102 · Observed rate 52.94% · Lower 95% interval 43.17% |
| Medicare spending per beneficiary | 0.9 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 90 · Denominator 90 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 90 |
| Discharge self-care score | 47.22% |
53.69%
6.5 pts worse
|
Numerator 34 · Denominator 72 |
| Discharge mobility score | 40.28% |
50.94%
10.7 pts worse
|
Numerator 29 · Denominator 72 |
| Pressure ulcers or injuries, new or worsened | 2.25% |
2.29%
About the same
|
Numerator 2 · Denominator 89 · Adjusted rate 2.72% |
| Healthcare-associated infections requiring hospitalization | 8.25% |
7.12%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 72 · Observed rate 8.33% · Lower 95% interval 4.51% |
| Staff COVID-19 vaccination coverage | 2.22% |
8.2%
6 pts worse
|
Numerator 8 · Denominator 361 |
| Staff flu vaccination coverage | 9.73% |
42%
32.3 pts worse
|
Numerator 36 · Denominator 370 |
| Discharge function score | 54.17% |
56.45%
2.3 pts worse
|
Numerator 39 · Denominator 72 |
| Transfer of health information to provider | 75% |
95.95%
21 pts worse
|
Numerator 18 · Denominator 24 |
| Transfer of health information to patient | 91.3% |
96.28%
5 pts worse
|
Numerator 42 · Denominator 46 |
| Resident COVID-19 vaccinations up to date | 61.22% |
25.2%
36 pts better
|
Numerator 30 · Denominator 49 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
1.7
0.1 pts worse
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.6 · Expected 1.7 · 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 0.3 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.4% |
97.3%
0.9 pts worse
|
93.4%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 95.0% · Q3 97.5% · Q4 93.0% · 4Q avg 96.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.1% |
96.1%
5 pts worse
|
95.5%
4.4 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 91.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.8% |
3.9%
2.1 pts better
|
3.3%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 0.0% · Q3 0.0% · Q4 2.3% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.0% |
4.3%
2.3 pts better
|
11.4%
9.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.9% · Q3 2.8% · Q4 2.5% · 4Q avg 2.0% |
| Percentage of long-stay residents who lose too much weight | 4.2% |
4.1%
0.1 pts worse
|
5.4%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 5.3% · Q3 5.9% · Q4 2.9% · 4Q avg 4.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.7% |
12.4%
2.7 pts better
|
19.6%
9.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 10.5% · Q3 11.8% · Q4 11.1% · 4Q avg 9.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.7% |
17.5%
0.2 pts worse
|
16.7%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 18.8% · Q3 20.7% · Q4 18.8% · 4Q avg 17.7% · 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 | 22.0% |
22.5%
0.5 pts better
|
16.3%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q4 22.2% · 4Q avg 22.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 21.5% |
18.6%
2.9 pts worse
|
14.9%
6.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.5% · Q2 21.2% · Q3 16.7% · Q4 24.2% · 4Q avg 21.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.8% |
2.3%
2.5 pts worse
|
1.0%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 4.3% · Q3 2.6% · Q4 9.2% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.0% |
2.6%
0.4 pts worse
|
1.7%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 0.0% · Q3 2.5% · Q4 7.1% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.7% |
24.8%
1.9 pts worse
|
19.8%
6.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.8% · Q2 31.2% · Q3 26.4% · Q4 18.4% · 4Q avg 26.7% |
| Percentage of long-stay residents with pressure ulcers | 7.9% |
5.4%
2.5 pts worse
|
5.1%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 8.6% · Q3 6.7% · Q4 9.4% · 4Q avg 7.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.1% |
88.6%
7.5 pts better
|
81.7%
14.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.2% · Q2 96.7% · Q3 96.9% · Q4 93.5% · 4Q avg 96.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.7% |
14.0%
1.3 pts better
|
12.0%
0.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.7% · Observed 10.2% · Expected 9.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.9%
1.3 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.0% · Q3 0.0% · Q4 1.2% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 82.4% |
82.7%
0.3 pts worse
|
79.7%
2.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 82.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.4% |
23.1%
0.3 pts worse
|
23.9%
0.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.4% · Observed 15.9% · Expected 16.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-08-24 · Fire 2023-08-24
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-05-25 · Fire 2022-05-25
4 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-09-26
K200 · Egress Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2024-11-01
F · Potential for more than minimal harm
2024-09-26
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-11-01
F · Potential for more than minimal harm
2024-09-26
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-11-01
F · Potential for more than minimal harm
2024-09-26
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-11-01
F · Potential for more than minimal harm
2024-09-26
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-11-01
F · Potential for more than minimal harm
2024-09-26
K362 · Smoke Deficiencies
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2024-11-01
C · Minimal harm
2024-09-26
E18 · Emergency Preparedness Deficiencies
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2024-11-13
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-09-26
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 2024-11-13
D · Potential for more than minimal harm
2024-09-26
F688 · Quality of Life and Care Deficiencies
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 2024-11-13
D · Potential for more than minimal harm
2024-09-26
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 2024-11-13
C · Minimal harm
2024-09-26
F575 · Resident Rights Deficiencies
Health
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Corrected 2024-11-13
G · Actual harm
2024-02-07
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 2024-03-05
D · Potential for more than minimal harm
2022-05-25
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-06-28
D · Potential for more than minimal harm
2022-05-25
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-06-28
D · Potential for more than minimal harm
2022-05-25
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-06-28
Penalties and ownership
What sits behind the stars
Ownership
Casper-Robeson, Karen
W-2 Managing Employee · Individual
Erickson, Daniel
W-2 Managing Employee · Individual
Larson, Duane
Corporate Director · Individual
Lindh, Daniel
Corporate Director · Individual
Lindh, Daniel
Corporate Officer · Individual
Mehrkens, John
Corporate Director · Individual
Meyer, Mark
Corporate Director · Individual
Meyer, Mark
Corporate Officer · Individual
Phs Management, LLC
Operational/Managerial Control · Organization
Wells Fargo Bank, N.a.
5% Or Greater Security Interest · Organization
Wells Fargo Bank, N.a.
5% Or Greater Mortgage Interest · Organization
Nearby options
Other facilities in reach
#1
Cerenity Care Center White Bear Lake
White Bear Lake, MN
5-star overall rating with 4-star inspections with $19,645 in total fines with 6 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Harmony Gardens
Maplewood, MN
4-star overall rating with 2-star inspections with 14 recent health deficiencies
#3
Langton Shores
Roseville, MN
5-star overall rating with 5-star inspections with 1 fire-safety deficiencies in the latest cycle
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