Grand Avenue Rest Home
3956 Grand Avenue S0uth · Minneapolis, MN · 55409 · 6128241434
20 certified beds For profit - Corporation
- Inspection results have improved across recent cycles.
The composite number cleared 70 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Total nurse staffing below 3.0 hours per resident-day
2.29 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 2.29 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.97 | 0.55–0.75 |
| Weekend hours / resident-day | 1.92 | ≈ weekday level |
| Nursing turnover / year | 43% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (51 in the current record)
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Potential for harm · D November 26, 2025 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected December 5, 2025 · Resident Rights
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Potential for harm · D September 11, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected October 31, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 11, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 31, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 11, 2025
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected October 31, 2025 · Quality of Life and Care
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Potential for harm · D September 11, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected October 31, 2025 · Pharmacy Service
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Potential for harm · F September 11, 2025
Provide and implement an infection prevention and control program.
Corrected October 31, 2025 · Infection Control
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Potential for harm · D September 11, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected October 31, 2025 · Infection Control
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Potential for harm · F September 11, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected October 31, 2025 · Environmental
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No harm found · B September 11, 2025
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Deficient, Provider has no plan of correction · Environmental
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Potential for harm · F January 21, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · F January 21, 2025 · found via complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected February 21, 2025 · Nursing and Physician Services
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Potential for harm · D August 28, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected October 11, 2024 · Resident Rights
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Potential for harm · D August 28, 2024
Keep residents' personal and medical records private and confidential.
Corrected October 11, 2024 · Resident Rights
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Potential for harm · D August 28, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 11, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 28, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 11, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 28, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 11, 2024 · Quality of Life and Care
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Potential for harm · D August 28, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 11, 2024 · Quality of Life and Care
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Potential for harm · F August 28, 2024
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected October 11, 2024 · Nursing and Physician Services
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Potential for harm · E August 28, 2024
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 October 11, 2024 · Pharmacy Service
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Potential for harm · D August 28, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected October 11, 2024 · Pharmacy Service
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Potential for harm · F August 28, 2024
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected October 11, 2024 · Administration
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Potential for harm · F August 28, 2024
Provide and implement an infection prevention and control program.
Corrected October 11, 2024 · Infection Control
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Potential for harm · F August 28, 2024
Implement a program that monitors antibiotic use.
Corrected October 11, 2024 · Infection Control
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No harm found · B August 28, 2024
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected October 11, 2024 · Environmental
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Potential for harm · D July 19, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected August 31, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 1, 2023 | Payment Denial | 8 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 24E150 · certified since March 31, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.