West Saint Paul, MN

Walker Methodist Westwood Ridge Ii

1-star overall rating with 1-star inspections with $24,070 in total fines with 13 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

61 Thompson Avenue West, West Saint Paul, MN

(651) 259-6702

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

37

Certified beds

Average residents

28

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2012-11-21

CMS approved date

Coverage

Medicare

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.00

Registered nurse staffing

LPN hours / resident day

0.00

Licensed practical nurse staffing

Aide hours / resident day

0.00

Nurse aide staffing

Weekend hours

0.00

Weekend nurse staffing

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 85.9%
88.6%
2.7 pts worse
81.7%
4.2 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 13.8%
14.0%
0.2 pts better
12.0%
1.8 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 1.5%
1.9%
0.4 pts better
1.6%
0.1 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 52.5%
82.7%
30.2 pts worse
79.7%
27.2 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 24.2%
23.1%
1.1 pts worse
23.9%
0.3 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-23 · Fire 2025-01-23

13 health deficiencies

Top issue: Infection Control (4 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-02-28 · Fire 2024-02-28

10 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

12 fire-safety deficiencies

Top issue: Egress (4 deficiencies)

Cycle 3 Health 2023-07-20 · Fire 2023-07-20

7 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-01-23

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-03-04

F · Potential for more than minimal harm 2025-01-23

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-03-04

F · Potential for more than minimal harm 2025-01-23

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-03-04

F · Potential for more than minimal harm 2024-02-28

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-04-23

F · Potential for more than minimal harm 2024-02-28

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2024-04-23

F · Potential for more than minimal harm 2024-02-28

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-04-23

F · Potential for more than minimal harm 2024-02-28

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-04-23

F · Potential for more than minimal harm 2024-02-28

K901 · Electrical Deficiencies

Fire Safety

Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

Corrected 2024-04-23

F · Potential for more than minimal harm 2024-02-28

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 2024-04-23

F · Potential for more than minimal harm 2024-02-28

K926 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Corrected 2024-04-23

E · Potential for more than minimal harm 2024-02-28

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-04-23

E · Potential for more than minimal harm 2024-02-28

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-04-23

E · Potential for more than minimal harm 2024-02-28

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-04-23

D · Potential for more than minimal harm 2024-02-28

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-04-23

C · Minimal harm 2024-02-28

K226 · Egress Deficiencies

Fire Safety

Have horizontal exits used in accordance with safety requirements.

Corrected 2024-04-23

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-01-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-04

F · Potential for more than minimal harm 2025-01-23

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2025-03-04

F · Potential for more than minimal harm 2025-01-23

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2025-03-04

E · Potential for more than minimal harm 2025-01-23

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-03-04

E · Potential for more than minimal harm 2025-01-23

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2025-03-04

D · Potential for more than minimal harm 2025-01-23

F561 · Resident Rights Deficiencies

Health

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

Corrected 2025-03-04

D · Potential for more than minimal harm 2025-01-23

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2025-03-04

D · Potential for more than minimal harm 2025-01-23

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-03-04

D · Potential for more than minimal harm 2025-01-23

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-03-04

D · Potential for more than minimal harm 2025-01-23

F657 · Resident Assessment and Care Planning Deficiencies

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 2025-03-04

D · Potential for more than minimal harm 2025-01-23

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-03-04

D · Potential for more than minimal harm 2025-01-23

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 2025-03-04

D · Potential for more than minimal harm 2025-01-23

F758 · Pharmacy Service Deficiencies

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 2025-03-04

D · Potential for more than minimal harm 2024-12-11

F758 · Pharmacy Service Deficiencies

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 2025-01-20

J · Immediate jeopardy 2024-09-12

F678 · Quality of Life and Care Deficiencies

Health

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2024-10-22

D · Potential for more than minimal harm 2024-09-12

F580 · Resident Rights Deficiencies

Health

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

Corrected 2024-10-22

D · Potential for more than minimal harm 2024-09-12

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-10-22

D · Potential for more than minimal harm 2024-09-12

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-22

F · Potential for more than minimal harm 2024-02-28

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2024-04-05

E · Potential for more than minimal harm 2024-02-28

F755 · Pharmacy Service Deficiencies

Health

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

Corrected 2024-04-05

D · Potential for more than minimal harm 2024-02-28

F554 · Resident Rights Deficiencies

Health

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

Corrected 2024-04-05

D · Potential for more than minimal harm 2024-02-28

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-04-05

D · Potential for more than minimal harm 2024-02-28

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2024-04-05

D · Potential for more than minimal harm 2024-02-01

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-03-15

D · Potential for more than minimal harm 2023-07-20

F553 · Resident Rights Deficiencies

Health

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2023-09-08

D · Potential for more than minimal harm 2023-07-20

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2023-09-08

D · Potential for more than minimal harm 2023-07-20

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2023-09-08

D · Potential for more than minimal harm 2023-07-20

F758 · Pharmacy Service Deficiencies

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 2023-09-08

D · Potential for more than minimal harm 2023-07-20

F790 · Quality of Life and Care Deficiencies

Health

Provide routine and 24-hour emergency dental care for each resident.

Corrected 2023-09-08

D · Potential for more than minimal harm 2023-07-20

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-09-08

Penalties and ownership

What sits behind the stars

$24,070 2024-09-12

Fine

Fine · fine $24,070

Fine

Ownership

Anderson, Mark

Corporate Officer · Individual

0% 3 facilities 2024-01-01
Billberg, Greg

Corporate Director · Individual

0% 2 facilities 2024-01-01
Coauette, Chad

Corporate Director · Individual

0% 2 facilities 2024-01-01
Critz, Julie

Corporate Director · Individual

0% 2 facilities 2024-01-01
Fairbairn, Scott

Contracted Managing Employee · Individual

0% 4 facilities 2019-09-01
Finn, Michael

Corporate Director · Individual

0% 1 facilities 2014-07-22
Grundhauser, Russell

Corporate Officer · Individual

0% 1 facilities 2016-12-29
Grundhauser, Russell

W-2 Managing Employee · Individual

0% 1 facilities 2016-12-29
Gugisberg, Marnie

Corporate Director · Individual

0% 5 facilities 2024-01-01
Hanson, Phillip

Corporate Director · Individual

0% 8 facilities 2017-01-01
Jodsaas, Vicki

Corporate Director · Individual

0% 2 facilities 2024-01-01
Kraft, Carol

Corporate Director · Individual

0% 1 facilities 2021-01-01
Lee, Kate

Corporate Director · Individual

0% 1 facilities 2022-01-01
Montgomery, Jeff

Corporate Director · Individual

0% 2 facilities 2024-01-01
Perry, Katie

Corporate Officer · Individual

0% 8 facilities 2024-01-01
Redden, Scott

Corporate Director · Individual

0% 1 facilities 2022-01-01
Semmer, Fred

Corporate Director · Individual

0% 2 facilities 2022-01-01
Syltie, Michael

Operational/Managerial Control · Individual

0% 1 facilities 2023-09-25
Syltie, Michael

W-2 Managing Employee · Individual

0% 1 facilities 2023-09-25
Vivie

Operational/Managerial Control · Organization

0% 2 facilities 2024-01-01
Walker Methodist

Operational/Managerial Control · Organization

0% 1 facilities 2010-09-08
Walker Senior Services Inc

Operational/Managerial Control · Organization

0% 1 facilities 2010-09-08
Wolf, David

Corporate Director · Individual

0% 2 facilities 2024-01-01

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