Federal inspection record · CMS data as of October 1, 2026

St Gertrudes Health & Rehabilitation Center

1850 Sarazin Street, Shakopee, MN · (952) 233-4411

CMS overall rating

3 of 5

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Certified beds
105
Residents per day
93
Ownership
For-Profit
Chain
Benedictine Health System
Medicare / Medicaid
Medicare + Medicaid
Certified since
November 8, 1996

1

How this home got 3 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Minnesota.

  2. Staffing

    +1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Minnesota homes

St Gertrudes Health & Rehabilitation Center carries 84.75 inspection points. That is fewer than 23% of Minnesota's 335 rated homes.

5★4★3★2★1★+11 homes above 194.7505102550100inspection points → fewer is better on the leftThis home · 84.75 pts · 2★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Minnesota: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–9 pts
  • 4★ 9–30 pts
  • 3★ 30–54 pts
  • 2★ 54–92 pts
  • 1★ over 92 pts

Bars show every rated home in Minnesota by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

33 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 1 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 24 4 pts
E 3 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 3 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (2)

  1. G

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

    February 12, 2024 · Complaint inspection · Quality of Life and Care · F686 · Corrected March 13, 2024

  2. J

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    December 14, 2023 · Complaint inspection · Quality of Life and Care · F689 · Corrected January 5, 2024

Everything else, by area of care

Quality of Life and Care9E
  1. E

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

    July 9, 2026 · Complaint · F684 · Not yet marked corrected

  2. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    January 15, 2026 · Standard · F677 · Corrected February 18, 2026

  3. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    January 15, 2026 · Standard · F698 · Corrected February 18, 2026

  4. D

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

    August 1, 2025 · Complaint · F684 · Corrected August 26, 2025

  5. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    October 31, 2024 · Standard · F677 · Corrected December 4, 2024

  6. D

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

    October 31, 2024 · Standard · F684 · Corrected December 4, 2024

  7. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    October 31, 2024 · Standard · F690 · Corrected December 4, 2024

  8. D

    Assist a resident in gaining access to vision and hearing services.

    December 14, 2023 · Standard · F685 · Corrected January 5, 2024

  9. D

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    December 14, 2023 · Standard · F700 · Corrected January 5, 2024

Resident Rights8D
  1. D

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

    January 15, 2026 · Standard · F554 · Corrected February 18, 2026

  2. D

    Reasonably accommodate the needs and preferences of each resident.

    January 15, 2026 · Standard · F558 · Corrected February 18, 2026

  3. D

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    January 15, 2026 · Standard · F584 · Corrected February 18, 2026

  4. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    August 1, 2025 · Complaint · F580 · Corrected August 26, 2025

  5. D

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    October 31, 2024 · Standard · F561 · Corrected December 4, 2024

  6. C

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    October 31, 2024 · Standard · F577 · Corrected December 4, 2024

  7. D

    Ensure that residents are fully informed and understand their health status, care and treatments.

    December 14, 2023 · Standard · F552 · Corrected January 5, 2024

  8. C

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    December 14, 2023 · Standard · F577 · Corrected January 5, 2024

Pharmacy Service5E
  1. D

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

    July 9, 2026 · Complaint · F755 · Corrected August 18, 2026

  2. D

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

    October 31, 2024 · Standard · F756 · Corrected December 4, 2024

  3. D

    Ensure medication error rates are not 5 percent or greater.

    October 31, 2024 · Standard · F759 · Corrected December 4, 2024

  4. D

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

    February 12, 2024 · Complaint · F755 · Corrected March 12, 2024

  5. E

    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.

    December 14, 2023 · Standard · F761 · Corrected January 5, 2024

Freedom from Abuse, Neglect, and Exploitation4D
  1. D

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    January 15, 2026 · Standard · F605 · Corrected February 18, 2026

  2. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    December 18, 2025 · Complaint · F600 · Corrected January 21, 2026

  3. D

    Respond appropriately to all alleged violations.

    December 18, 2025 · Complaint · F610 · Corrected January 21, 2026

  4. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    November 13, 2024 · Complaint · F609 · Corrected December 11, 2024

Resident Assessment and Care Planning2D
  1. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    January 15, 2026 · Standard · F657 · Corrected February 18, 2026

  2. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    December 18, 2025 · Complaint · F656 · Corrected January 21, 2026

Nutrition and Dietary1F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    January 15, 2026 · Standard · F812 · Corrected February 18, 2026

Infection Control1E
  1. E

    Provide and implement an infection prevention and control program.

    December 14, 2023 · Standard · F880 · Corrected January 5, 2024

Nursing and Physician Services1C
  1. C

    Observe each nurse aide's job performance and give regular training.

    December 14, 2023 · Standard · F730 · Corrected January 5, 2024

Inspection history

  1. 2026-01-15

    13 health deficiencies · 5 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

  2. 2024-10-31

    10 health deficiencies · 6 fire-safety deficiencies

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

  3. 2023-12-14

    10 health deficiencies · 9 fire-safety deficiencies

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

4

Nursing time per resident, per day

Each resident here gets about 4 h 22 min of nursing staff time a day, 1 h 27 min of it from a registered nurse.

This home

4 h 22 min

Minnesota average

4 h 16 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 33% of nursing staff and 22% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$29,260 in federal fines on record over the past three years.

DatePenaltyAmount
2024-02-12Fine$14,742
2023-12-14Fine$14,518
2023-12-14Payment Denial · 4 day denial$0

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.2 pts better99.5%97.3%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.7 pts better98.1%96.4%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1 pts worse5.1%4.1%3.2%
Percentage of long-stay residents who have depressive symptoms3.2 pts worse7.3%4.1%13.5%
Percentage of long-stay residents who lose too much weight3.9 pts better0.0%3.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication36.2 pts worse48.9%12.7%19.5%
Percentage of long-stay residents who received an antipsychotic medication2.4 pts better14.8%17.2%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened10.8 pts worse29.6%18.8%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased2.9 pts worse21.1%18.2%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts better0.3%1.7%0.7%
Percentage of long-stay residents with a urinary tract infection1.1 pts better1.5%2.6%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.2 pts worse23.9%23.7%18.3%
Percentage of long-stay residents with pressure ulcers2.8 pts worse7.9%5.1%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.7 pts better90.8%88.1%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit0.5 pts better14.1%14.6%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts better1.6%1.9%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine5.5 pts better88.8%83.3%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission3.2 pts worse26.2%23.0%23.4%

·

Who owns and runs it

13 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Bauer, MitchellCorporate Director · Individual0%1 facilities
Benedictine Health SystemOperational/Managerial Control · Organization0%26 facilities
Bergien, TriciaCorporate Officer · Individual0%26 facilities
Bowe, TiaCorporate Director · Individual0%3 facilities
Carley, GeraldOperational/Managerial Control · Individual0%22 facilities
Christensen, AndrewCorporate Director · Individual0%1 facilities
Delmonte, KathleenCorporate Director · Individual0%1 facilities
Diamond, MeganContracted Managing Employee · Individual0%1 facilities
Duehr, ElizabethCorporate Director · Individual0%1 facilities
Hennen, LeanderCorporate Director · Individual0%1 facilities
Hofer, KathleenCorporate Director · Individual0%1 facilities
Pratt, EricCorporate Director · Individual0%1 facilities
Rymanowski, KevinCorporate Officer · Individual0%26 facilities

·

Fire safety

20 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke9F
  1. F

    Have an alternate power supply for its alarm system.

    January 15, 2026 · K344 · Corrected February 18, 2026

  2. F

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

    January 15, 2026 · K374 · Not yet marked corrected

  3. D

    Inspect, test, and maintain automatic sprinkler systems.

    January 15, 2026 · K353 · Corrected February 18, 2026

  4. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    October 31, 2024 · K345 · Corrected December 4, 2024

  5. F

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

    October 31, 2024 · K372 · Corrected December 6, 2024

  6. F

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

    October 31, 2024 · K374 · Corrected December 4, 2024

  7. F

    Provide properly protected cooking facilities.

    December 14, 2023 · K324 · Corrected January 12, 2024

  8. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    December 14, 2023 · K345 · Corrected January 10, 2024

  9. D

    Inspect, test, and maintain automatic sprinkler systems.

    December 14, 2023 · K353 · Corrected January 17, 2024

Gas, Vacuum, and Electrical Systems7F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    January 15, 2026 · K918 · Corrected March 3, 2026

  2. F

    Have generator or other power source capable of supplying service within 10 seconds.

    October 31, 2024 · K918 · Corrected December 4, 2024

  3. F

    Have proper medical gas storage and administration areas.

    October 31, 2024 · K923 · Corrected December 4, 2024

  4. F

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

    December 14, 2023 · K914 · Corrected January 10, 2024

  5. F

    Have generator or other power source capable of supplying service within 10 seconds.

    December 14, 2023 · K918 · Corrected January 10, 2024

  6. F

    Have proper medical gas storage and administration areas.

    December 14, 2023 · K923 · Corrected January 10, 2024

  7. D

    Ensure proper usage of power strips and extension cords.

    December 14, 2023 · K920 · Corrected January 10, 2024

Miscellaneous2F
  1. F

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

    January 15, 2026 · K761 · Not yet marked corrected

  2. D

    Have simulated fire drills held at unexpected times.

    December 14, 2023 · K712 · Corrected January 10, 2024

Egress2F
  1. F

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

    October 31, 2024 · K291 · Corrected December 4, 2024

  2. D

    Have properly located and lighted "Exit" signs.

    December 14, 2023 · K293 · Corrected January 10, 2024

·

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