Federal inspection record · CMS data as of October 1, 2026
The Estates At Excelsior LLC
515 Division Street, Excelsior, MN · (952) 474-5488
- Cited for abuse (CMS abuse icon)
- Certified beds
- 45
- Residents per day
- 26
- Ownership
- For-Profit
- Chain
- Monarch Healthcare Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 1986
1
How this home got 2 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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Minnesota.
-
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.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Minnesota homes
The Estates At Excelsior LLC carries 94 inspection points. That is fewer than 18% of Minnesota's 335 rated homes.
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
42 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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 (1)
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Resident Rights9E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- 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.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
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.
Quality of Life and Care9E
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
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.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control8F
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
- F
Provide and implement an infection prevention and control program.
- D
Implement a program that monitors antibiotic use.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Resident Assessment and Care Planning4D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Pharmacy Service3E
- E
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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.
Nutrition and Dietary3F
- F
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Administration3F
- F
Have a plan that describes the process for conducting QAPI and QAA activities.
- F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspection history
2026-04-07
12 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2025-06-16
24 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2024-05-16
6 health deficiencies · 2 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 44 min of nursing staff time a day, 1 h 32 min of it from a registered nurse.
This home
3 h 44 min
Minnesota average
4 h 16 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 32% of nursing staff and 38% 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
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.5 pts worse | 96.8% | 97.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.6 pts better | 100.0% | 96.4% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts worse | 4.3% | 4.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms8.4 pts worse | 12.5% | 4.1% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.8 pts worse | 5.7% | 3.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.6 pts worse | 18.3% | 12.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication10.1 pts worse | 27.3% | 17.2% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened11.5 pts better | 7.3% | 18.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.9 pts better | 11.3% | 18.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.2 pts worse | 2.9% | 1.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.6 pts better | 0.0% | 2.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence10.7 pts better | 13.0% | 23.7% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1 pts worse | 6.1% | 5.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better | 91.7% | 88.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.4 pts better | 12.2% | 14.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication6.1 pts worse | 8.0% | 1.9% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine7.3 pts worse | 76.0% | 83.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.7 pts worse | 24.7% | 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
| Name | Role | Share | Homes |
|---|---|---|---|
| Halpert, Marc | 5% Or Greater Indirect Ownership Interest · Individual | 30% | 45 facilities |
| Legum, Joshua | 5% Or Greater Indirect Ownership Interest · Individual | 30% | 45 facilities |
| Spartan Healthcare LLC | 5% Or Greater Direct Ownership Interest · Organization | 30% | 45 facilities |
| Yazoma Holdings, LLC | 5% Or Greater Direct Ownership Interest · Organization | 30% | 44 facilities |
| Stern, William | 5% Or Greater Direct Ownership Interest · Individual | 20% | 45 facilities |
| Jaffa, Noam | 5% Or Greater Indirect Ownership Interest · Individual | 7% | 45 facilities |
| Nij LLC | 5% Or Greater Direct Ownership Interest · Organization | 7% | 44 facilities |
| Halpert, Marc | Corporate Officer · Individual | 0% | 45 facilities |
| Legum, Joshua | W-2 Managing Employee · Individual | 0% | 45 facilities |
| Legum, Joshua | Corporate Officer · Individual | 0% | 45 facilities |
| Monarch Healthcare Operating Iv LLC | Operational/Managerial Control · Organization | 0% | 15 facilities |
| Stern, William | Corporate Officer · Individual | 0% | 45 facilities |
| Stern, William | Operational/Managerial Control · Individual | 0% | 45 facilities |
·
Fire safety
11 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4E
- E
Provide properly protected cooking facilities.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- B
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Provide properly protected cooking facilities.
Miscellaneous2F
- C
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems1F
- F
Meet requirements for the installation and maintenance of electrical systems.
Services1B
- B
Have properly installed electrical wiring and gas equipment.
Emergency Preparedness1F
- F
Conduct testing and exercise requirements.
·
Other homes nearby
-
Hope Springs At Minnetonka
Minnetonka, MN
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- —
- Fines
- $9,496
-
Lake Minnetonka Shores
Spring Park, MN · Presbyterian Homes & Services
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 14 min
- Fines
- $8,827
-
Folkestone
Wayzata, MN · Presbyterian Homes & Services
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 50 min
- Fines
- $0