SNF
The Estates at Bloomington LLC
CCN: 245324 · BLOOMINGTON, MN 55420 · Hennepin County
Overview
- Address
- 9200 NICOLLET AVENUE SOUTH, BLOOMINGTON, MN 55420
- Phone
- 9528818676
- Certified beds
- 68
- Avg daily residents
- 63 (93% of beds filled)
- Ownership
- For-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1986-07-01
- Setting
- Urban
3 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.43 | 3.32 | 3.99 | ≥ 3.48 | Below floor |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 1.12 | 0.58 | 1.31 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.41 | 0.74 | 0.47 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 1.91 | 2.00 | 2.22 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.53 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.07 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.10
hrs / resident / day
RN (weekend)
1.00
hrs / resident / day
Total nurse (adjusted, weekend)
3.60
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
35.5%
annual
RN turnover
40.0%
annual
Administrators departed
1
last 12 months
Resident acuity
Nursing Case-Mix Index
1.18
higher acuity than avg
Case-Mix Index Ratio
0.85
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-01-30 | 11 | 11 | 0 | 48 | 1 | 48 |
| Cycle 2/3 (prior) | 2023-11-08 | 15 | 8 | 7 | 68 | 1 | 68 |
Total weighted health score
53.0
lower is better
Deficiencies (37)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
2 A/B/C No actual harm — minor
34 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0584 | 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 | 2025-01-30 | 2025-03-10 |
| 0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2025-01-30 | 2025-03-10 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-01-30 | 2025-03-10 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-01-30 | 2025-03-10 |
| 0685 | Assist a resident in gaining access to vision and hearing services. | D | 2025-01-30 | 2025-03-10 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-01-30 | 2025-03-10 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-01-30 | 2025-03-10 |
| 0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | 2025-01-30 | 2025-03-10 |
| 0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2025-01-30 | 2025-03-10 |
| 0758 | 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. | D | 2025-01-30 | 2025-03-10 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2025-01-30 | 2025-03-10 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-09-04 | 2024-09-30 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-01-05 | 2024-01-20 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-01-05 | 2024-01-20 |
| 0572 | Give residents a notice of rights, rules, services and charges. | D | 2023-12-12 | 2024-01-03 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-12-12 | 2024-01-03 |
| 0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | 2023-11-08 | 2023-12-15 |
| 0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2023-11-08 | 2023-12-15 |
| 0645 | PASARR screening for Mental disorders or Intellectual Disabilities | B | 2023-11-08 | 2023-12-15 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-11-08 | 2023-12-15 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-11-08 | 2023-12-15 |
| 0732 | Post nurse staffing information every day. | C | 2023-11-08 | 2023-12-15 |
| 0761 | 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. | D | 2023-11-08 | 2023-12-15 |
| 0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | 2023-11-08 | 2023-12-15 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-08-01 | 2023-08-18 |
| 0610 | Respond appropriately to all alleged violations. | D | 2023-08-01 | 2023-08-18 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2023-02-23 | 2023-03-24 |
| 0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2023-02-23 | 2023-03-24 |
| 0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2023-02-23 | 2023-03-24 |
| 0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2023-02-23 | 2023-03-24 |
| 0687 | Provide appropriate foot care. | D | 2023-02-23 | 2023-03-24 |
| 0688 | 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 | 2023-02-23 | 2023-03-24 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | D | 2023-02-23 | 2023-03-24 |
| 0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2023-02-23 | 2023-03-24 |
| 0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2023-02-23 | 2023-03-24 |
| 0761 | 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. | E | 2023-02-23 | 2023-03-24 |
| 0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2023-02-23 | 2023-03-24 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 5.8% Medicaid 68.2% Other 26.0%
Operating performance
Operating Margin
4.2%
Total Margin
8.9%
Occupancy Rate
90.6%
Cost per Resident Day
$45
Revenue & costs
Net Patient Revenue
$8.0M
Total Costs
$1.0M
Net Income
$752K
Balance sheet
Total Assets
$19.6M
Total Liabilities
$18.6M
Fund Balance
$1.0M
Current Ratio
1.04
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: MONARCH HEALTHCARE MANAGEMENT
- Chain ID
361- Facilities in chain
- 45
- Legal business name
- ESTATES AT BLOOMINGTON LLC
Chain-average star ratings (for peer context)
Overall
2.3
Health
2.3
Staffing
3.3
QM
3.0
Owner / manager organizations (5)
| Organization | Role | Association |
|---|---|---|
| HML LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 03/01/2017 |
| NIJ LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 03/01/2017 |
| SPARTAN HEALTHCARE LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 03/01/2017 |
| YAZOMA HOLDINGS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 03/01/2017 |
| MONARCH HEALTHCARE OPERATING IV LLC | OPERATIONAL/MANAGERIAL CONTROL | since 03/01/2017 |
Owner / manager individuals (8)
| Name | Role | Association |
|---|---|---|
| AREM, JEFFREY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 03/01/2017 |
| STERN, WILLIAM | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 03/01/2017 |
| HALPERT, MARC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 03/01/2017 |
| JAFFA, NOAM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 03/01/2017 |
| LEGUM, JOSHUA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 03/01/2017 |
| HALPERT, MARC | CORPORATE DIRECTOR | since 03/01/2017 |
| STERN, WILLIAM | CORPORATE OFFICER | since 03/01/2017 |
| LEGUM, JOSHUA | W-2 MANAGING EMPLOYEE | since 03/01/2017 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Both
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $45 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 1.04 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 68.2% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 5.8% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $752,262 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $8,031,407 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 90.6% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | 4.2% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $19,615,226 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,014,615 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $1,037,175 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $18,578,051 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 8.9% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.47143 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.21627 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 1.30661 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.99431 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.60235 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 63.0 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.73666 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.00207 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.58065 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.31938 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 2.92568 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.3 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.3 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 3.0 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 3.3 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 361 | Chain ID |
| Provider Information | Chain Name | MONARCH HEALTHCARE MANAGEMENT | Chain Name |
| Provider Information | City/Town | BLOOMINGTON | City/Town |
| Provider Information | CMS Certification Number (CCN) | 245324 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Hennepin | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1986-07-01 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 3 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 44.8371 | Latitude |
| Provider Information | Legal Business Name | ESTATES AT BLOOMINGTON LLC | Legal Business Name |
| Provider Information | Location | 9200 NICOLLET AVENUE SOUTH,BLOOMINGTON,MN,55420 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -93.278 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 1 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 68 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 45 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.17591 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.85356 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 3 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 9200 NICOLLET AVENUE SOUTH | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | The Estates at Bloomington LLC | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 260 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 4 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 48 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 0 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 11 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-01-30 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 48 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 11 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 8 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2023-11-08 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 68 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 7 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 68 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 15 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 1.00122 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 40.0 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.52865 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.40531 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 1.90541 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.06626 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 1.12334 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.43405 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 4 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 4 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | MN | State |
| Provider Information | Telephone Number | 9528818676 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.09707 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 35.5 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 53.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Both | With a Resident and Family Council |
| Provider Information | ZIP Code | 55420 | ZIP Code |