Cycle 1
Health 2025-04-02 · Fire 2025-04-02
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Oak Park Heights, MN
The Gables Of Boutwells Landing
5-star overall rating with 4-star inspections with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
13575 58th Street North, Oak Park Heights, MN
(651) 430-7200
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
108
Certified beds
Average residents
94
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Presbyterian Homes & Services
Operator or chain grouping
Approved since
2009-03-04
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
20 facilities
Chain averages 4 overall / 3 health / 5 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
1.60
Registered nurse staffing · state 1.06 · national 0.68
LPN hours / resident day
0.16
Licensed practical nurse staffing · state 0.62 · national 0.87
Aide hours / resident day
2.86
Nurse aide staffing · state 2.56 · national 2.35
Total nurse hours
4.62
All reported nurse hours · state 4.23 · national 3.89
Licensed hours
1.76
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
4.27
Weekend nurse staffing · state 3.68 · national 3.43
Weekend RN hours
1.20
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
1.80
CMS adjusted RN staffing hours
Adjusted total hours
5.20
CMS adjusted total nurse staffing hours
Case-mix index
1.22
Higher values indicate more complex resident acuity
RN turnover
19%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
34%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,049
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
46.24
Composite VBP score used to determine payment impact.
Payment multiplier
0.9996
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0.53
Baseline 19.95% · Performance 21.19% · Measure score 0.53 · Achievement 0.53 · Improvement 0
Healthcare-associated infections
3.98
Baseline 5.55% · Performance 6.65% · Measure score 3.98 · Achievement 3.98 · Improvement 0
Total nurse turnover
7.58
Baseline 38.98% · Performance 32.71% · Measure score 7.58 · Achievement 7.58 · Improvement 3.94
Adjusted total nurse staffing
6.42
Baseline 4.82 hours · Performance 4.90 hours · Measure score 6.42 · Achievement 6.42 · Improvement 0.35
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.97% |
10.72%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 179 · Observed rate 7.26% · Lower 95% interval 7.43% |
| Discharge to community | 48.69% |
50.57%
1.9 pts worse
|
No Different than the National Rate · Eligible stays 172 · Observed rate 51.74% · Lower 95% interval 43.11% |
| Medicare spending per beneficiary | 0.59 |
1.02
0.4 pts better
|
|
| Drug regimen review with follow-up | 98.36% |
95.27%
3.1 pts better
|
Numerator 120 · Denominator 122 |
| Falls with major injury | 0.82% |
0.77%
About the same
|
Numerator 1 · Denominator 122 |
| Discharge self-care score | 42.48% |
53.69%
11.2 pts worse
|
Numerator 48 · Denominator 113 |
| Discharge mobility score | 16.81% |
50.94%
34.1 pts worse
|
Numerator 19 · Denominator 113 |
| Pressure ulcers or injuries, new or worsened | 1.64% |
2.29%
0.7 pts better
|
Numerator 2 · Denominator 122 · Adjusted rate 2.8% |
| Healthcare-associated infections requiring hospitalization | 6.65% |
7.12%
0.5 pts better
|
No Different than the National Rate · Eligible stays 91 · Observed rate 3.3% · Lower 95% interval 3.26% |
| Staff COVID-19 vaccination coverage | 2.66% |
8.2%
5.5 pts worse
|
Numerator 9 · Denominator 338 |
| Staff flu vaccination coverage | 12.89% |
42%
29.1 pts worse
|
Numerator 54 · Denominator 419 |
| Discharge function score | 53.98% |
56.45%
2.5 pts worse
|
Numerator 61 · Denominator 113 |
| Transfer of health information to provider | 95.45% |
95.95%
0.5 pts worse
|
Numerator 63 · Denominator 66 |
| Transfer of health information to patient | 87.5% |
96.28%
8.8 pts worse
|
Numerator 35 · Denominator 40 |
| Resident COVID-19 vaccinations up to date | 60.61% |
25.2%
35.4 pts better
|
Numerator 40 · Denominator 66 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.5 |
1.7
1.2 pts better
|
1.9
1.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.3 · Expected 1.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
2.0
1 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.7 · Expected 1.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.0% |
97.3%
1.7 pts better
|
93.4%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.6% · Q2 100.0% · Q3 100.0% · Q4 97.4% · 4Q avg 99.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 89.4% |
96.1%
6.7 pts worse
|
95.5%
6.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 89.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.6% |
3.9%
0.7 pts worse
|
3.3%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 5.3% · Q3 3.9% · Q4 7.8% · 4Q avg 4.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.8% |
4.3%
3.5 pts worse
|
11.4%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 5.6% · Q3 11.1% · Q4 9.9% · 4Q avg 7.8% |
| Percentage of long-stay residents who lose too much weight | 7.7% |
4.1%
3.6 pts worse
|
5.4%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.9% · Q3 15.7% · Q4 7.4% · 4Q avg 7.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.8% |
12.4%
6.4 pts worse
|
19.6%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 22.5% · Q2 19.6% · Q3 17.3% · Q4 16.7% · 4Q avg 18.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 34.6% |
17.5%
17.1 pts worse
|
16.7%
17.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.5% · Q2 30.2% · Q3 36.1% · Q4 43.5% · 4Q avg 34.6% · 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 | 20.9% |
22.5%
1.6 pts better
|
16.3%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 16.0% · Q3 22.7% · Q4 14.7% · 4Q avg 20.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.5% |
18.6%
2.1 pts better
|
14.9%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.5% · Q2 10.2% · Q3 18.8% · Q4 17.3% · 4Q avg 16.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% |
2.3%
1.7 pts better
|
1.0%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.4% · Q4 1.1% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.6% |
2.6%
About the same
|
1.7%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 2.6% · Q3 5.3% · Q4 1.3% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 36.8% |
24.8%
12 pts worse
|
19.8%
17 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 43.4% · Q2 34.5% · Q3 39.3% · Q4 30.4% · 4Q avg 36.8% |
| Percentage of long-stay residents with pressure ulcers | 3.0% |
5.4%
2.4 pts better
|
5.1%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 3.0% · Q3 2.7% · Q4 5.5% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.4% |
88.6%
10.8 pts better
|
81.7%
17.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.4% · Q3 98.8% · Q4 99.5% · 4Q avg 99.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.6% |
14.0%
6.4 pts better
|
12.0%
4.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.6% · Observed 6.5% · Expected 9.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.9%
1.3 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.8% · Q3 0.8% · Q4 0.7% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.7% |
82.7%
10 pts better
|
79.7%
13 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 92.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 12.2% |
23.1%
10.9 pts better
|
23.9%
11.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 12.2% · Observed 7.6% · Expected 14.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-07-10 · Fire 2024-07-10
4 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Cycle 3
Health 2023-08-17 · Fire 2023-08-17
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-04-02
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-05-30
F · Potential for more than minimal harm
2024-07-10
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-08-27
F · Potential for more than minimal harm
2024-07-10
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-08-27
F · Potential for more than minimal harm
2024-07-10
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-27
C · Minimal harm
2024-07-10
K321 · Smoke Deficiencies
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 2024-08-27
F · Potential for more than minimal harm
2023-08-17
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-10-31
F · Potential for more than minimal harm
2023-08-17
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-09-29
E · Potential for more than minimal harm
2023-08-17
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2023-09-29
E · Potential for more than minimal harm
2023-08-17
K321 · Smoke Deficiencies
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 2023-09-29
E · Potential for more than minimal harm
2023-08-17
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-09-29
D · Potential for more than minimal harm
2023-08-17
K226 · Egress Deficiencies
Fire Safety
Have horizontal exits used in accordance with safety requirements.
Corrected 2023-09-29
D · Potential for more than minimal harm
2023-08-17
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-09-29
D · Potential for more than minimal harm
2023-08-17
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-09-29
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-04-02
F688 · Quality of Life and Care Deficiencies
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 2025-05-23
D · Potential for more than minimal harm
2024-07-10
F756 · Pharmacy Service Deficiencies
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 2024-08-19
D · Potential for more than minimal harm
2024-07-10
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-08-19
D · Potential for more than minimal harm
2024-07-10
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-08-19
G · Actual harm
2024-05-30
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-09
E · Potential for more than minimal harm
2023-08-17
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 2023-09-29
E · Potential for more than minimal harm
2023-08-17
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-09-29
D · Potential for more than minimal harm
2023-08-17
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-09-29
D · Potential for more than minimal harm
2023-08-17
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-09-29
Penalties and ownership
What sits behind the stars
$0
2024-05-30
Payment Denial
Payment Denial · denial start 2024-06-27 · 12 days
12 day denial
Ownership
Valley Senior Services Alliance
5% Or Greater Direct Ownership Interest · Organization
Kingbay, Wendy
W-2 Managing Employee · Individual
Larson, Duane
Corporate Director · Individual
Lindh, Daniel
Corporate Director · Individual
Lindh, Daniel
Corporate Officer · Individual
Meyer, Mark
Corporate Director · Individual
Meyer, Mark
Corporate Officer · Individual
Phs Management, LLC
Operational/Managerial Control · Organization
Wells Fargo Bank
5% Or Greater Security Interest · Organization
Wells Fargo Bank
5% Or Greater Mortgage Interest · Organization
Nearby options
Other facilities in reach
#1
The Estates at Greeley LLC
Stillwater, MN
3-star overall rating with 3-star inspections with 12 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
The Estates at Linden LLC
Stillwater, MN
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Good Samaritan Society - Stillwater
Stillwater, MN
3-star overall rating with 3-star inspections with 8 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Jump out