Abuse citation flag

Overview

Address
515 DIVISION STREET, EXCELSIOR, MN 55331
Phone
9524745488
Certified beds
45
Avg daily residents
29 (65% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1986-07-01
Setting
Urban
1 /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.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
4/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
2/5
Quality Measures breakdown
Long-Stay Quality Measures 2/5
Short-Stay Quality Measures 2/5

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
3.44 3.20 4.15 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
1.29 0.56 1.55 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
0.43 0.71 0.52
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
1.72 1.93 2.08
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.72
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.02

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)
3.04
hrs / resident / day
RN (weekend)
1.03
hrs / resident / day
Total nurse (adjusted, weekend)
3.66
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
42.9%
annual
RN turnover
30.0%
annual
Administrators departed
1
last 12 months

Resident acuity

Nursing Case-Mix Index
1.13
near national average
Case-Mix Index Ratio
0.82
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) 2025-06-16 22 20 3 176 1 176
Cycle 2/3 (prior) 2024-05-16 16 5 11 88 1 88
Total weighted health score
154.0
lower is better

Deficiencies (44)

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).

1 A/B/C No actual harm — minor
42 D/E/F Actual harm — potential for minor
1 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. J 2025-11-26
0582 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. D 2025-06-16 2025-07-30
0565 Honor the resident's right to organize and participate in resident/family groups in the facility. E 2025-06-16 2025-07-30
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 2025-06-16 2025-07-30
0605 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. D 2025-06-16 2025-07-30
0628 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. E 2025-06-16 2025-07-30
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D 2025-06-16 2025-07-30
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2025-06-16 2025-07-30
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2025-06-16 2025-07-30
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2025-06-16 2025-07-30
0692 Provide enough food/fluids to maintain a resident's health. D 2025-06-16 2025-07-30
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. D 2025-06-16 2025-07-30
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2025-06-16 2025-07-30
0806 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. D 2025-06-16 2025-07-30
0809 Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. F 2025-06-16 2025-07-30
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2025-06-16 2025-07-30
0865 Have a plan that describes the process for conducting QAPI and QAA activities. F 2025-06-16 2025-07-30
0867 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F 2025-06-16 2025-07-30
0880 Provide and implement an infection prevention and control program. F 2025-06-16 2025-07-30
0881 Implement a program that monitors antibiotic use. D 2025-06-16 2025-07-30
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. D 2025-06-16 2025-07-30
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2025-06-16 2025-07-30
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2025-01-29 2025-02-28
0880 Provide and implement an infection prevention and control program. D 2025-01-29 2025-02-28
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2024-11-07 2024-11-29
0625 Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. D 2024-05-16 2024-06-18
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 2024-05-16 2024-06-18
0867 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F 2024-05-16 2024-06-18
0880 Provide and implement an infection prevention and control program. E 2024-05-16 2024-06-18
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. D 2024-05-16 2024-06-18
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2024-04-25 2024-05-08
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2023-08-11 2023-09-01
0553 Allow resident to participate in the development and implementation of his or her person-centered plan of care. D 2023-08-11 2023-09-01
0558 Reasonably accommodate the needs and preferences of each resident. D 2023-08-11 2023-09-01
0692 Provide enough food/fluids to maintain a resident's health. D 2023-08-11 2023-09-01
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2023-06-02 2023-07-28
0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. D 2023-06-02 2023-07-28
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2023-06-02 2023-07-28
0692 Provide enough food/fluids to maintain a resident's health. D 2023-06-02 2023-07-28
0801 Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. C 2023-06-02 2023-07-28
0865 Have a plan that describes the process for conducting QAPI and QAA activities. F 2023-06-02 2023-07-28
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 2023-06-02 2023-07-28
0826 Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor. E 2023-06-02 2023-07-28
0880 Provide and implement an infection prevention and control program. D 2023-06-02 2023-07-28

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 9.8% Medicaid 54.5% Other 35.7%

Operating performance

Operating Margin
-22.5%
Total Margin
-14.0%
Occupancy Rate
60.8%
Cost per Resident Day
$43

Revenue & costs

Net Patient Revenue
$3.8M
Total Costs
$478K
Net Income
-$570K

Balance sheet

Total Assets
$10.7M
Total Liabilities
$11.8M
Fund Balance
-$1.0M
Current Ratio
0.89

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 EXCELSIOR LLC
Chain-average star ratings (for peer context)
Overall
2.3
Health
2.3
Staffing
3.3
QM
3.0

Owner / manager organizations (4)

Organization Role Association
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 (10)

Name Role Association
STERN, WILLIAM 5% OR GREATER DIRECT OWNERSHIP INTEREST since 03/01/2017
AREM, JEFFREY 5% OR GREATER INDIRECT 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
STERN, WILLIAM OPERATIONAL/MANAGERIAL CONTROL since 03/01/2017
HALPERT, MARC CORPORATE OFFICER since 03/01/2017
LEGUM, JOSHUA CORPORATE OFFICER 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
Resident
Sprinkler systems
Yes
Abuse citation flag
Yes — last 2 cycles
Methodology & sources

Full methodology →

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.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $43 metrics.cost_per_resident_day
Cost Report Current Ratio 0.89 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 54.5% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 9.8% metrics.medicare_day_share
Cost Report Net Income ($) $-569,650 metrics.net_income
Cost Report Net Patient Revenue ($) $3,778,686 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 60.8% metrics.occupancy_rate
Cost Report Operating Margin (%) -22.5% metrics.operating_margin
Cost Report Total Assets ($) $10,745,641 metrics.total_assets
Cost Report Total Costs ($) $477,818 metrics.total_costs
Cost Report Total Fund Balances ($) $-1,038,082 metrics.fund_balance
Cost Report Total Liabilities ($) $11,783,723 metrics.total_liabilities
Cost Report Total Margin (%) -14.0% metrics.total_margin
Provider Information Abuse Icon Y Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.52082 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.07608 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 1.55380 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 4.15069 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.66372 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 29.2 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 0.70998 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 1.92957 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.55962 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.19917 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 2.81973 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 EXCELSIOR City/Town
Provider Information CMS Certification Number (CCN) 245332 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 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 44.8997 Latitude
Provider Information Legal Business Name ESTATES AT EXCELSIOR LLC Legal Business Name
Provider Information Location 515 DIVISION STREET,EXCELSIOR,MN,55331 Location
Provider Information Long-Stay QM Rating 2 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -93.557 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 45 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 1.13332 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.82265 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 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 515 DIVISION STREET 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 Excelsior 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 2 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 176 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 3 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 20 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-06-16 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 176 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 22 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 5 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-05-16 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 88 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 11 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 88 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 16 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 1.02616 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 30.0 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.71903 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.43155 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.72024 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.02111 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 1.28748 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 3.43927 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 2 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 9524745488 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 3.03576 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 42.9 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 154.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 55331 ZIP Code