SNF
NORRIS SQUARE
CCN: 245637 · COTTAGE GROVE, MN 55016 · Washington County
Overview
- Address
- 6993 80TH STREET SOUTH, COTTAGE GROVE, MN 55016
- Phone
- 6517696650
- Certified beds
- 40
- Avg daily residents
- 34 (84% of beds filled)
- Ownership
- Non-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 2019-05-13
- Setting
- Urban
5 /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 | 4.64 | 3.50 | 5.12 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 1.60 | 0.61 | 1.76 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.02 | 0.78 | 0.02 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 3.03 | 2.11 | 3.34 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.62 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.21 | — | — | — |
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)
4.27
hrs / resident / day
RN (weekend)
1.28
hrs / resident / day
Total nurse (adjusted, weekend)
4.70
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
36.4%
annual
RN turnover
14.3%
annual
Administrators departed
1
last 12 months
Resident acuity
Nursing Case-Mix Index
1.24
higher acuity than avg
Case-Mix Index Ratio
0.90
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) | 2025-12-10 | 3 | 3 | 0 | 12 | 1 | 12 |
| Cycle 2/3 (prior) | 2024-10-24 | 3 | 2 | 1 | 12 | 1 | 12 |
Total weighted health score
12.0
lower is better
Deficiencies (13)
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).
12 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | 2025-12-10 | 2026-01-30 |
| 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 | 2025-12-10 | 2026-01-30 |
| 0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2025-12-10 | 2026-01-30 |
| 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 | 2024-10-24 | 2024-11-20 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-10-24 | 2024-11-20 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-11-03 | 2023-11-28 |
| 0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | 2023-11-03 | 2023-11-28 |
| 0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2023-11-03 | 2023-11-28 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-11-03 | 2023-11-28 |
| 0679 | Provide activities to meet all resident's needs. | D | 2023-11-03 | 2023-11-28 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-11-03 | 2023-11-28 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2023-11-03 | 2023-11-28 |
| 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 | 2023-11-03 | 2023-11-28 |
Penalties (1)
Fines issued
0
last 3 years
Payment denials
1
| Date | Type | Fine amount |
|---|---|---|
| 2023-11-03 | Payment Denial | — |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 2.9% Medicaid 58.6% Other 38.5%
Operating performance
Total Margin
-2.9%
Occupancy Rate
84.9%
Cost per Resident Day
$51
Revenue & costs
Net Patient Revenue
$4.7M
Total Costs
$632K
Net Income
-$454K
Balance sheet
Total Assets
$42.5M
Total Liabilities
$50.7M
Fund Balance
-$8.1M
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: PRESBYTERIAN HOMES & SERVICES
- Chain ID
412- Facilities in chain
- 20
- Legal business name
- CG CARE CENTER LLC
Chain-average star ratings (for peer context)
Overall
4.4
Health
3.4
Staffing
4.9
QM
3.0
Owner / manager organizations (5)
| Organization | Role | Association |
|---|---|---|
| PRESBYTERIAN HOMES AND SERVICES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 07/25/2017 |
| PHS MANAGEMENT, LLC | OPERATIONAL/MANAGERIAL CONTROL | since 08/17/2017 |
| PRESBYTERIAN HOMES HOUSING AND ASSISTED LIVING, INC. | OPERATIONAL/MANAGERIAL CONTROL | since 11/18/2024 |
| TCF INVESTMENTS MANAGEMENT, INC. | 5% OR GREATER SECURITY INTEREST | since 08/17/2017 |
| TCF INVESTMENTS MANAGEMENT, INC. | 5% OR GREATER MORTGAGE INTEREST | since 08/17/2017 |
Owner / manager individuals (7)
| Name | Role | Association |
|---|---|---|
| KISPERT, CHRISTOPHER | OPERATIONAL/MANAGERIAL CONTROL | since 08/28/2023 |
| MIELKE, JOHN | OPERATIONAL/MANAGERIAL CONTROL | since 08/29/2019 |
| FLETCHER, JONATHAN | CORPORATE DIRECTOR | since 02/01/2025 |
| MEYER, MARK | CORPORATE DIRECTOR | since 02/09/2016 |
| PEDERSON, MARK | CORPORATE DIRECTOR | since 01/01/2023 |
| FLETCHER, JONATHAN | CORPORATE OFFICER | since 02/01/2025 |
| MEYER, MARK | CORPORATE OFFICER | since 02/09/2016 |
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
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 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 111 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $51 | metrics.cost_per_resident_day |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 58.6% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 2.9% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-453,684 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $4,669,043 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 84.9% | metrics.occupancy_rate |
| Cost Report | Total Assets ($) | $42,547,351 | metrics.total_assets |
| Cost Report | Total Costs ($) | $632,071 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-8,113,514 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $50,660,865 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -2.9% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.02461 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 3.33556 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 1.76007 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 5.12023 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 4.70250 | 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 | 33.6 | 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 | 0.77721 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.11228 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.61261 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.50210 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.08673 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 3.4 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 4.4 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 3.0 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 4.9 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 412 | Chain ID |
| Provider Information | Chain Name | PRESBYTERIAN HOMES & SERVICES | Chain Name |
| Provider Information | City/Town | COTTAGE GROVE | City/Town |
| Provider Information | CMS Certification Number (CCN) | 245637 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Washington | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 2019-05-13 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 4 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 44.8295 | Latitude |
| Provider Information | Legal Business Name | CG CARE CENTER LLC | Legal Business Name |
| Provider Information | Location | 6993 80TH STREET SOUTH,COTTAGE GROVE,MN,55016 | 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 | -92.965 | 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 | 40 | 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 | 20 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 1 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.24064 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.90055 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 5 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | Non 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 | 6993 80TH STREET SOUTH | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | NORRIS SQUARE | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 810 | 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 | 12 | 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 | 3 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-12-10 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 12 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 3 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 2 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-10-24 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 12 | 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 | 1 | 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 | 12 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 3 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 1.28064 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 14.3 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.61881 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.02232 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 3.02556 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.20907 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 1.59649 | 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 | 4.64437 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | — | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | 2 | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 5 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | MN | State |
| Provider Information | Telephone Number | 6517696650 | 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 | 4.26546 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 1 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 36.4 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 12.000 | 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 | 55016 | ZIP Code |