Hastings, MN

Regina Senior Living

2-star overall rating with 2-star inspections with $15,919 in total fines with 15 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

1175 Nininger Road, Hastings, MN

(651) 480-4333

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

57

Certified beds

Average residents

47

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Benedictine Health System

Operator or chain grouping

Approved since

1982-06-02

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

22 facilities

Chain averages 3 overall / 3 health / 4 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

0.91

Registered nurse staffing · state 1.06 · national 0.68

LPN hours / resident day

0.76

Licensed practical nurse staffing · state 0.62 · national 0.87

Aide hours / resident day

2.15

Nurse aide staffing · state 2.56 · national 2.35

Total nurse hours

3.81

All reported nurse hours · state 4.23 · national 3.89

Licensed hours

1.67

RN + LPN hours · state 1.68 · national 1.54

Weekend hours

3.30

Weekend nurse staffing · state 3.68 · national 3.43

Weekend RN hours

0.55

Weekend registered nurse coverage · state 0.68 · national 0.47

Physical therapist

0.20

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

1.03

CMS adjusted RN staffing hours

Adjusted total hours

4.31

CMS adjusted total nurse staffing hours

Case-mix index

1.21

Higher values indicate more complex resident acuity

RN turnover

67%

Annual RN turnover · state 39% · national 45%

Total nurse turnover

48%

Annual nurse turnover · state 42% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,767

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

Performance score

42.78

Composite VBP score used to determine payment impact.

Payment multiplier

0.9957

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.96

Baseline 21.61% · Performance 18.67% · Measure score 5.96 · Achievement 5.96 · Improvement 5.92

Healthcare-associated infections

4.76

Baseline 6.00% · Performance 6.41% · Measure score 4.76 · Achievement 4.76 · Improvement 0

Total nurse turnover

3.36

Baseline 71.83% · Performance 53.70% · Measure score 3.36 · Achievement 2.44 · Improvement 3.36

Adjusted total nurse staffing

3.03

Baseline 3.87 hours · Performance 3.94 hours · Measure score 3.03 · Achievement 3.03 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.06%
10.72%
0.7 pts better
No Different than the National Rate · Eligible stays 94 · Observed rate 8.51% · Lower 95% interval 6.88%
Discharge to community 51.83%
50.57%
1.3 pts better
No Different than the National Rate · Eligible stays 90 · Observed rate 46.67% · Lower 95% interval 44.84%
Medicare spending per beneficiary 0.68
1.02
0.3 pts better
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 73 · Denominator 73
Falls with major injury 1.37%
0.77%
0.6 pts worse
Numerator 1 · Denominator 73
Discharge self-care score 53.23%
53.69%
0.5 pts worse
Numerator 33 · Denominator 62
Discharge mobility score 66.13%
50.94%
15.2 pts better
Numerator 41 · Denominator 62
Pressure ulcers or injuries, new or worsened 6.85%
2.29%
4.6 pts worse
Numerator 5 · Denominator 73 · Adjusted rate 7.7%
Healthcare-associated infections requiring hospitalization 6.41%
7.12%
0.7 pts better
No Different than the National Rate · Eligible stays 53 · Observed rate 3.77% · Lower 95% interval 3.26%
Staff COVID-19 vaccination coverage 6.49%
8.2%
1.7 pts worse
Numerator 5 · Denominator 77
Staff flu vaccination coverage 14.46%
42%
27.5 pts worse
Numerator 12 · Denominator 83
Discharge function score 58.06%
56.45%
1.6 pts better
Numerator 36 · Denominator 62
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Transfer of health information to patient 100%
96.28%
3.7 pts better
Numerator 43 · Denominator 43
Resident COVID-19 vaccinations up to date 43.24%
25.2%
18 pts better
Numerator 16 · Denominator 37

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
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 100.0%
96.1%
3.9 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 1.9%
3.9%
2 pts better
3.3%
1.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.5% · Q3 2.4% · Q4 2.5% · 4Q avg 1.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 1.4%
4.3%
2.9 pts better
11.4%
10 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.4%
Percentage of long-stay residents who lose too much weight 3.3%
4.1%
0.8 pts better
5.4%
2.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 5.6% · Q3 2.6% · Q4 2.7% · 4Q avg 3.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 7.3%
12.4%
5.1 pts better
19.6%
12.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 8.3% · Q3 5.1% · Q4 5.4% · 4Q avg 7.3%
Percentage of long-stay residents who received an antipsychotic medication 4.8%
17.5%
12.7 pts better
16.7%
11.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 3.4% · Q3 2.9% · Q4 3.2% · 4Q avg 4.8% · 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 25.6%
22.5%
3.1 pts worse
16.3%
9.3 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 25.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 29.7%
18.6%
11.1 pts worse
14.9%
14.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 32.4% · Q2 28.6% · Q3 34.2% · Q4 22.9% · 4Q avg 29.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.4%
2.3%
0.9 pts better
1.0%
0.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 0.0% · Q3 0.0% · Q4 3.7% · 4Q avg 1.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 6.2%
2.6%
3.6 pts worse
1.7%
4.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 2.5% · Q3 4.8% · Q4 15.0% · 4Q avg 6.2% · 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 19.9% · Q2 33.0% · Q3 16.5% · Q4 19.0% · 4Q avg 22.2%
Percentage of long-stay residents with pressure ulcers 5.0%
5.4%
0.4 pts better
5.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 7.7% · Q3 4.6% · Q4 2.3% · 4Q avg 5.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 95.8%
88.6%
7.2 pts better
81.7%
14.1 pts better
Short Stay · 2024Q4-2025Q3 · Q1 97.5% · Q2 98.9% · Q3 95.5% · Q4 91.7% · 4Q avg 95.8%
Percentage of short-stay residents who had an outpatient emergency department visit 24.9%
14.0%
10.9 pts worse
12.0%
12.9 pts worse
Short Stay · 20240701-20250630 · Adjusted 24.9% · Observed 24.5% · Expected 11.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 2.9%
1.9%
1 pts worse
1.6%
1.3 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 5.3% · Q3 1.5% · Q4 0.0% · 4Q avg 2.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 97.8%
82.7%
15.1 pts better
79.7%
18.1 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 17.8%
23.1%
5.3 pts better
23.9%
6.1 pts better
Short Stay · 20240701-20250630 · Adjusted 17.8% · Observed 16.3% · Expected 21.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-20 · Fire 2025-03-20

15 health deficiencies

Top issue: Resident Rights (7 deficiencies)

4 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2024-01-25 · Fire 2024-01-25

4 health deficiencies

Top issue: Infection Control (2 deficiencies)

8 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 3 Health 2022-10-12 · Fire 2022-10-12

9 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

10 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-20

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-05-06

F · Potential for more than minimal harm 2025-03-20

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-05-06

F · Potential for more than minimal harm 2025-03-20

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-05-06

F · Potential for more than minimal harm 2025-03-20

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-05-06

F · Potential for more than minimal harm 2024-01-25

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-01-30

F · Potential for more than minimal harm 2024-01-25

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-02-28

F · Potential for more than minimal harm 2024-01-25

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-03-10

F · Potential for more than minimal harm 2024-01-25

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-02-28

F · Potential for more than minimal harm 2024-01-25

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-02-05

F · Potential for more than minimal harm 2024-01-25

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-02-09

F · Potential for more than minimal harm 2024-01-25

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-02-28

C · Minimal harm 2024-01-25

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-02-12

F · Potential for more than minimal harm 2022-10-12

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2022-11-30

F · Potential for more than minimal harm 2022-10-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-11-30

F · Potential for more than minimal harm 2022-10-12

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2022-11-30

F · Potential for more than minimal harm 2022-10-12

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2022-11-30

E · Potential for more than minimal harm 2022-10-12

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2022-11-30

D · Potential for more than minimal harm 2022-10-12

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-11-30

D · Potential for more than minimal harm 2022-10-12

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2022-11-30

D · Potential for more than minimal harm 2022-10-12

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2022-11-30

D · Potential for more than minimal harm 2022-10-12

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2022-11-30

D · Potential for more than minimal harm 2022-10-12

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2022-11-30

Inspection history

Recent health citations

G · Actual harm 2025-07-15

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-08-20

D · Potential for more than minimal harm 2025-07-15

F553 · Resident Rights Deficiencies

Health

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2025-08-20

D · Potential for more than minimal harm 2025-07-15

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 2025-08-20

D · Potential for more than minimal harm 2025-07-15

F691 · Quality of Life and Care Deficiencies

Health

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Corrected 2025-08-20

F · Potential for more than minimal harm 2025-03-20

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 2025-05-06

E · Potential for more than minimal harm 2025-03-20

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-05-06

D · Potential for more than minimal harm 2025-03-20

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 2025-05-06

D · Potential for more than minimal harm 2025-03-20

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 2025-05-06

D · Potential for more than minimal harm 2025-03-20

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-05-06

D · Potential for more than minimal harm 2025-03-20

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 2025-05-06

D · Potential for more than minimal harm 2025-03-20

F638 · Resident Assessment and Care Planning Deficiencies

Health

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2025-05-06

D · Potential for more than minimal harm 2025-03-20

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-05-06

D · Potential for more than minimal harm 2025-03-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-06

B · Minimal harm 2025-03-20

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2025-05-06

B · Minimal harm 2025-03-20

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2025-05-06

D · Potential for more than minimal harm 2024-01-25

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-01-25

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-01-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-01-25

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2024-03-01

J · Immediate jeopardy 2023-10-06

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-11-07

D · Potential for more than minimal harm 2023-10-06

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 2023-11-07

D · Potential for more than minimal harm 2023-10-06

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-11-07

D · Potential for more than minimal harm 2023-08-22

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 2022-10-12

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 2022-11-18

D · Potential for more than minimal harm 2022-10-12

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-11-18

D · Potential for more than minimal harm 2022-10-12

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2022-11-18

D · Potential for more than minimal harm 2022-10-12

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2022-11-18

D · Potential for more than minimal harm 2022-10-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-11-18

Penalties and ownership

What sits behind the stars

$15,919 2023-08-22

Fine

Fine · fine $15,919

Fine

Ownership

Benedictine Health System

5% Or Greater Direct Ownership Interest · Organization

100% 25 facilities 2014-01-01
Benedictine Health System

Operational/Managerial Control · Organization

0% 25 facilities 2013-09-01
Bergien, Tricia

Corporate Officer · Individual

0% 25 facilities 2016-11-18
Bruhn, Jennifer

Corporate Director · Individual

0% 8 facilities 2019-11-25
Carley, Gerald

Operational/Managerial Control · Individual

0% 23 facilities 2017-12-18
Conzemius, Nicholas

Corporate Director · Individual

0% 1 facilities 2014-01-13
Estenson, Bernedette

Corporate Director · Individual

0% 1 facilities 2016-10-10
Jurgens, Tony

Corporate Director · Individual

0% 1 facilities 2018-09-01
Laselle, Anthony

Corporate Director · Individual

0% 1 facilities 2017-05-15
Niebur, Theresa

Corporate Director · Individual

0% 1 facilities 2016-10-10
Rymanowski, Kevin

Corporate Officer · Individual

0% 25 facilities 2013-09-20
Sturm, Briana

Contracted Managing Employee · Individual

0% 1 facilities 2021-05-24

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