Federal inspection record · CMS data as of October 1, 2026
Waverly Gardens
5919 Centerville Road, North Oaks, MN · (651) 765-4063
- Cited for abuse (CMS abuse icon)
- Certified beds
- 60
- Residents per day
- 57
- Ownership
- Non-Profit
- Chain
- Presbyterian Homes & Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 2, 2006
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Minnesota.
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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.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 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
Waverly Gardens carries 70.25 inspection points. That is fewer than 31% 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
8 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 (2)
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J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Freedom from Abuse, Neglect, and Exploitation2D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning1D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care1D
- 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.
Pharmacy Service1D
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Resident Rights1C
- C
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Inspection history
2026-08-19
3 health deficiencies · 7 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2024-09-26
4 health deficiencies · 7 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
2023-08-24
1 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 28 min of nursing staff time a day, 55 min of it from a registered nurse.
This home
4 h 28 min
Minnesota average
4 h 16 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 34% of nursing staff and 47% of registered nurses left in the past year, along with 1 administrator.
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
$113,312 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-05-29 | Fine | $113,312 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts better | 1.3 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.5 pts better | 0.2 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine10.9 pts worse | 86.4% | 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 injury1.9 pts better | 2.2% | 4.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.5 pts better | 0.6% | 4.1% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.9 pts worse | 4.8% | 3.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.3 pts better | 9.4% | 12.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.5 pts better | 14.7% | 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 worsened11.4 pts worse | 30.2% | 18.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.5 pts worse | 19.7% | 18.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder6.2 pts worse | 7.9% | 1.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.7 pts worse | 3.3% | 2.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.4 pts better | 20.3% | 23.7% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4.6 pts worse | 9.7% | 5.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine1.4 pts worse | 86.7% | 88.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.9 pts better | 13.7% | 14.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts worse | 3.1% | 1.9% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.9 pts better | 86.2% | 83.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.5 pts better | 16.5% | 23.0% | 23.4% |
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Who owns and runs it
21 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 |
|---|---|---|---|
| Presbyterian Homes And Services | 5% Or Greater Direct Ownership Interest · Organization | 100% | 11 facilities |
| Computershare Corporate Trust Company, Na | 5% Or Greater Mortgage Interest · Organization | 0% | 59 facilities |
| Computershare Corporate Trust Company, Na | 5% Or Greater Security Interest · Organization | 0% | 59 facilities |
| Fletcher, Jonathan | Corporate Director · Individual | 0% | 18 facilities |
| Fletcher, Jonathan | Corporate Officer · Individual | 0% | 18 facilities |
| Fletcher, Jonathan | Operational/Managerial Control · Individual | 0% | 18 facilities |
| Fletcher, Jonathan | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 18 facilities |
| Fletcher, Jonathan | Adp Of The SNF · Individual | 0% | 18 facilities |
| Meyer, Mark | Corporate Officer · Individual | 0% | 21 facilities |
| Meyer, Mark | Operational/Managerial Control · Individual | 0% | 21 facilities |
| Meyer, Mark | Adp Of The SNF · Individual | 0% | 21 facilities |
| Pederson, Jane | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Pederson, Jane | Adp Of The SNF · Individual | 0% | 4 facilities |
| Pederson, Mark | Corporate Director · Individual | 0% | 14 facilities |
| Peterson, Heidi | Corporate Director · Individual | 0% | 18 facilities |
| Peterson, Heidi | Operational/Managerial Control · Individual | 0% | 18 facilities |
| Peterson, Heidi | Adp Of The SNF · Individual | 0% | 18 facilities |
| Phs Management, LLC | Operational/Managerial Control · Organization | 0% | 21 facilities |
| Phs Management, LLC | Adp Of The SNF · Organization | 0% | 21 facilities |
| Sammon, Katherine | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Sammon, Katherine | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Install an approved automatic sprinkler system.
- F
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Egress4F
- F
Install emergency lighting that can last at least 1 1/2 hours.
- F
Meet other general requirements.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- F
Have properly located and lighted "Exit" signs.
Gas, Vacuum, and Electrical Systems2F
- F
Meet requirements for the installation and maintenance of electrical systems.
- F
Ensure that testing and maintenance of electrical equipment is performed.
Services1F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Electrical1F
- F
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Emergency Preparedness1C
- C
Establish procedures for tracking staff and patients during an emergency.
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Other homes nearby
-
Cerenity Care Center White Bear Lake
White Bear Lake, MN
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 7 min
- Fines
- $36,990
-
Harmony Gardens
Maplewood, MN · Cassia
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 40 min
- Fines
- $0
-
Langton Shores
Roseville, MN · Presbyterian Homes & Services
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 4 h 43 min
- Fines
- $0