8 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
16 fire-safety deficiencies
Top issue: Egress (6 deficiencies)
St Anthony, MN
1-star overall rating with 2-star inspections with $10,203 in total fines with 8 recent health deficiencies with 16 fire-safety deficiencies in the latest cycle
3700 Foss Road Northeast, St Anthony, MN
(612) 788-9673
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
110
Certified beds
Average residents
78
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Goodman Group
Operator or chain grouping
Approved since
1984-07-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
10 facilities
Chain averages 3 overall / 3 health / 4 staffing / 4 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
RN hours / resident day
1.15
Registered nurse staffing · state 1.06 · national 0.68
LPN hours / resident day
0.70
Licensed practical nurse staffing · state 0.62 · national 0.87
Aide hours / resident day
2.07
Nurse aide staffing · state 2.56 · national 2.35
Total nurse hours
3.92
All reported nurse hours · state 4.23 · national 3.89
Licensed hours
1.86
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
3.51
Weekend nurse staffing · state 3.68 · national 3.43
Weekend RN hours
0.91
Weekend registered nurse coverage · state 0.68 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
1.25
CMS adjusted RN staffing hours
Adjusted total hours
4.26
CMS adjusted total nurse staffing hours
Case-mix index
1.26
Higher values indicate more complex resident acuity
RN turnover
52%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
44%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Program rank
8,720
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
25.86
Composite VBP score used to determine payment impact.
Payment multiplier
0.9840
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.14
Baseline 20.21% · Performance 20.90% · Measure score 1.14 · Achievement 1.14 · Improvement 0
Healthcare-associated infections
0
Baseline 8.65% · Performance 9.30% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
5.27
Baseline 53.68% · Performance 42.16% · Measure score 5.27 · Achievement 5.27 · Improvement 3.50
Adjusted total nurse staffing
3.94
Baseline 4.14 hours · Performance 4.20 hours · Measure score 3.94 · Achievement 3.94 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.31% |
10.72%
0.4 pts better
|
No Different than the National Rate · Eligible stays 88 · Observed rate 9.09% · Lower 95% interval 7.2% |
| Discharge to community | 49.85% |
50.57%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 90 · Observed rate 43.33% · Lower 95% interval 37.96% |
| Medicare spending per beneficiary | 1.03 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 60 · Denominator 60 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 60 |
| Discharge self-care score | 43.4% |
53.69%
10.3 pts worse
|
Numerator 23 · Denominator 53 |
| Discharge mobility score | 49.06% |
50.94%
1.9 pts worse
|
Numerator 26 · Denominator 53 |
| Pressure ulcers or injuries, new or worsened | 3.33% |
2.29%
1 pts worse
|
Numerator 2 · Denominator 60 · Adjusted rate 2.52% |
| Healthcare-associated infections requiring hospitalization | 9.3% |
7.12%
2.2 pts worse
|
No Different than the National Rate · Eligible stays 55 · Observed rate 14.55% · Lower 95% interval 5.42% |
| Staff COVID-19 vaccination coverage | 2.97% |
8.2%
5.2 pts worse
|
Numerator 3 · Denominator 101 |
| Staff flu vaccination coverage | 40.79% |
42%
1.2 pts worse
|
Numerator 62 · Denominator 152 |
| Discharge function score | 54.72% |
56.45%
1.7 pts worse
|
Numerator 29 · Denominator 53 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 97.44% |
96.28%
1.2 pts better
|
Numerator 38 · Denominator 39 |
| Resident COVID-19 vaccinations up to date | 48.48% |
25.2%
23.3 pts better
|
Numerator 16 · Denominator 33 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 4.5 |
1.7
2.8 pts worse
|
1.9
2.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 4.5 · Observed 3.3 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.1 |
2.0
1.1 pts worse
|
1.8
1.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.1 · Observed 2.5 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% |
97.3%
2.3 pts better
|
93.4%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.1% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.9% |
96.1%
0.8 pts better
|
95.5%
1.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.0% |
3.9%
0.9 pts better
|
3.3%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 1.6% · Q3 3.3% · Q4 1.6% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 8.6% |
4.3%
4.3 pts worse
|
11.4%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 10.6% · Q3 6.4% · Q4 9.3% · 4Q avg 8.6% |
| Percentage of long-stay residents who lose too much weight | 4.9% |
4.1%
0.8 pts worse
|
5.4%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 9.4% · Q3 1.9% · Q4 3.8% · 4Q avg 4.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 3.4% |
12.4%
9 pts better
|
19.6%
16.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.9% · Q3 3.7% · Q4 7.7% · 4Q avg 3.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 25.8% |
17.5%
8.3 pts worse
|
16.7%
9.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.4% · Q2 25.0% · Q3 30.0% · Q4 19.5% · 4Q avg 25.8% · 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 | 37.0% |
22.5%
14.5 pts worse
|
16.3%
20.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q4 33.2% · 4Q avg 37.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 27.0% |
18.6%
8.4 pts worse
|
14.9%
12.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.2% · Q2 22.0% · Q3 34.0% · Q4 25.5% · 4Q avg 27.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
2.3%
1.8 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · 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 5.8% · Q2 1.7% · Q3 5.1% · Q4 0.0% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.8% |
24.8%
3 pts better
|
19.8%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 22.8% · Q3 18.7% · Q4 27.7% · 4Q avg 21.8% |
| Percentage of long-stay residents with pressure ulcers | 3.7% |
5.4%
1.7 pts better
|
5.1%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 4.3% · Q3 3.4% · Q4 2.1% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.8% |
88.6%
10.2 pts better
|
81.7%
17.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.0% · Q2 99.2% · Q3 99.3% · Q4 99.2% · 4Q avg 98.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.0% |
14.0%
About the same
|
12.0%
2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.0% · Observed 15.5% · Expected 12.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 5.1% |
1.9%
3.2 pts worse
|
1.6%
3.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 5.4% · Q3 7.4% · Q4 1.4% · 4Q avg 5.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 72.7% |
82.7%
10 pts worse
|
79.7%
7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 72.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.8% |
23.1%
0.7 pts worse
|
23.9%
0.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.8% · Observed 23.9% · Expected 24.0% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
16 fire-safety deficiencies
Top issue: Egress (6 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Nutrition and Dietary (1 deficiency)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Fire safety
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-05-19
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-19
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-05-19
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2025-05-19
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-05-19
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2025-05-19
Fire Safety
Have horizontal exits used in accordance with safety requirements.
Corrected 2025-05-19
Fire Safety
Install proper backup exit lighting.
Corrected 2025-04-24
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 2025-05-19
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-05-19
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-05-19
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-05-19
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-05-19
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-05-19
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-05-19
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-05-19
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2024-04-04
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2024-04-04
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-04
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-04-04
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-04-04
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-04-04
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-04-04
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-04-04
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-04-04
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-04-04
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-04-04
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-04-04
Fire Safety
Ensure proper storage of liquid oxygen.
Corrected 2024-04-04
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2024-04-04
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-02-24
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-02-24
Inspection history
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 2025-08-21
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2025-05-19
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-05-19
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-05-19
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-05-19
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-19
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 2025-05-19
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 2025-05-19
Health
Respond appropriately to all alleged violations.
Corrected 2025-03-13
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2025-03-13
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-11-06
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 2024-11-06
Health
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2024-11-06
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-11-06
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-04-04
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-04-04
Health
Provide and implement an infection prevention and control program.
Corrected 2024-04-04
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-04-04
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-04-04
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-04-04
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-04-04
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2024-04-04
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-04
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-04-04
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-04-04
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-04-04
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-02-24
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2023-02-24
Penalties and ownership
Fine · fine $10,203
Fine
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
General Partnership Interest · Individual
Corporate Officer · Individual
General Partnership Interest · Organization
General Partnership Interest · Organization
General Partnership Interest · Organization
General Partnership Interest · Organization
General Partnership Interest · Organization
General Partnership Interest · Individual
General Partnership Interest · Individual
Corporate Officer · Individual
General Partnership Interest · Organization
General Partnership Interest · Individual
General Partnership Interest · Individual
General Partnership Interest · Individual
General Partnership Interest · Organization
General Partnership Interest · Organization
Corporate Officer · Individual
General Partnership Interest · Individual
General Partnership Interest · Organization
General Partnership Interest · Organization
General Partnership Interest · Organization
General Partnership Interest · Individual
General Partnership Interest · Individual
Contracted Managing Employee · Individual
General Partnership Interest · Individual
Corporate Officer · Individual
General Partnership Interest · Organization
General Partnership Interest · Individual
General Partnership Interest · Organization
General Partnership Interest · Organization
General Partnership Interest · Organization
General Partnership Interest · Organization
W-2 Managing Employee · Individual
General Partnership Interest · Organization
General Partnership Interest · Organization
General Partnership Interest · Organization
General Partnership Interest · Organization
Corporate Director · Individual
General Partnership Interest · Individual
General Partnership Interest · Organization
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