Stillwater, MN

The Estates at Linden LLC

4-star overall rating with 4-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

105 West Linden Street, Stillwater, MN

(651) 439-5004

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 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

51

Certified beds

Average residents

36

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Monarch Healthcare Management

Operator or chain grouping

Approved since

1986-07-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

45 facilities

Chain averages 2 overall / 2 health / 3 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

1.01

Registered nurse staffing · state 1.06 · national 0.68

LPN hours / resident day

0.44

Licensed practical nurse staffing · state 0.62 · national 0.87

Aide hours / resident day

1.80

Nurse aide staffing · state 2.56 · national 2.35

Total nurse hours

3.26

All reported nurse hours · state 4.23 · national 3.89

Licensed hours

1.46

RN + LPN hours · state 1.68 · national 1.54

Weekend hours

2.85

Weekend nurse staffing · state 3.68 · national 3.43

Weekend RN hours

0.66

Weekend registered nurse coverage · state 0.68 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

1.27

CMS adjusted RN staffing hours

Adjusted total hours

4.09

CMS adjusted total nurse staffing hours

Case-mix index

1.09

Higher values indicate more complex resident acuity

RN turnover

57%

Annual RN turnover · state 39% · national 45%

Total nurse turnover

56%

Annual nurse turnover · state 42% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,398

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

Performance score

29.87

Composite VBP score used to determine payment impact.

Payment multiplier

0.9857

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

2.58

Performance 53.12% · Measure score 2.58 · Achievement 2.58 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

3.39

Baseline 3.84 hours · Performance 4.04 hours · Measure score 3.39 · Achievement 3.39 · Improvement 0.55

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.82%	10.72% 0.1 pts worse	No Different than the National Rate · Eligible stays 34 · Observed rate 11.76% · Lower 95% interval 6.39%
Discharge to community	53.04%	50.57% 2.5 pts better	No Different than the National Rate · Eligible stays 28 · Observed rate 46.43% · Lower 95% interval 39.5%
Medicare spending per beneficiary	0.91	1.02 0.1 pts better
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 19 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 22 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	4.76%	8.2% 3.4 pts worse	Numerator 2 · Denominator 42
Staff flu vaccination coverage	45.28%	42% 3.3 pts better	Numerator 24 · Denominator 53
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.3%	97.3% 1 pts better	93.4% 4.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 96.9% · Q2 100.0% · Q3 100.0% · Q4 96.6% · 4Q avg 98.3%
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	1.7%	3.9% 2.2 pts better	3.3% 1.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 6.9% · 4Q avg 1.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.9%	4.3% 2.4 pts better	11.4% 9.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 3.7% · Q3 0.0% · Q4 0.0% · 4Q avg 1.9%
Percentage of long-stay residents who lose too much weight	2.2%	4.1% 1.9 pts better	5.4% 3.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 0.0% · Q3 0.0% · Q4 4.8% · 4Q avg 2.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	4.4%	12.4% 8 pts better	19.6% 15.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 4.2% · Q3 5.0% · Q4 4.8% · 4Q avg 4.4%
Percentage of long-stay residents who received an antipsychotic medication	23.5%	17.5% 6 pts worse	16.7% 6.8 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 23.5% · 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	7.4%	22.5% 15.1 pts better	16.3% 8.9 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 7.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	9.8%	18.6% 8.8 pts better	14.9% 5.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 15.0% · Q4 5.0% · 4Q avg 9.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.5%	2.3% 0.8 pts better	1.0% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 3.1% · Q3 0.0% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	5.1%	2.6% 2.5 pts worse	1.7% 3.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 6.9% · Q3 3.6% · Q4 0.0% · 4Q avg 5.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	13.8%	24.8% 11 pts better	19.8% 6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 13.5% · Q3 20.4% · Q4 9.7% · 4Q avg 13.8%
Percentage of long-stay residents with pressure ulcers	9.6%	5.4% 4.2 pts worse	5.1% 4.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 11.7% · Q3 12.7% · Q4 9.2% · 4Q avg 9.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	86.9%	88.6% 1.7 pts worse	81.7% 5.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 87.5% · Q2 85.0% · Q3 83.3% · Q4 92.5% · 4Q avg 86.9%
Percentage of short-stay residents who newly received an antipsychotic medication	1.3%	1.9% 0.6 pts better	1.6% 0.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 0.0% · Q3 0.0% · 4Q avg 1.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	90.2%	82.7% 7.5 pts better	79.7% 10.5 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 90.2%

Survey summary

Recent inspection cycles

Cycle 1 Health 2026-01-08 · Fire 2026-01-08

3 health deficiencies

Top issue: Infection Control (1 deficiency)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2024-11-01 · Fire 2024-11-01

2 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2023-11-02 · Fire 2023-11-02

7 health deficiencies

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

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2026-01-08

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2026-01-16

F · Potential for more than minimal harm 2024-11-01

K331 · Smoke Deficiencies

Fire Safety

Construct fire resistant interior walls.

Corrected 2024-11-25

F · Potential for more than minimal harm 2024-11-01

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 2024-11-25

D · Potential for more than minimal harm 2024-11-01

K927 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

Corrected 2024-11-25

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-08

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2026-01-30

D · Potential for more than minimal harm 2026-01-08

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2026-01-30

D · Potential for more than minimal harm 2026-01-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2026-01-30

G · Actual harm 2024-11-01

F697 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-27

D · Potential for more than minimal harm 2024-11-01

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2024-11-27

F · Potential for more than minimal harm 2023-11-02

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 2023-12-15

F · Potential for more than minimal harm 2023-11-02