Mission Nursing Home

3401 East Medicine Lake Boulevard · Plymouth, MN · 55441 · 7632315924

70 certified beds Non profit - Corporation

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Staffing hours comfortably above national benchmarks.
  • Inspection results have improved across recent cycles.

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Red flags

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Score breakdown

Inspection record 30% of score 44
Serious harm & abuse 20% 58
Staffing 20% 90
Federal penalties 15% 74
Trend 10% 75
Context 5% 100

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: 5 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day4.383.48 min · 4.1 strong
RN hours / resident-day1.250.55–0.75
Weekend hours / resident-day3.78≈ weekday level
Nursing turnover / year28%median 45%
Fines (3-yr window)1 · $14,015

Inspection citations (31 in the current record)

  • Potential for harm · D March 5, 2026 · found via complaint

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    Corrected March 26, 2026 · Administration

  • Actual harm · G February 25, 2026 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected February 19, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 11, 2026 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected March 4, 2026 · Quality of Life and Care

  • Potential for harm · E January 8, 2026 · found via complaint

    Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

    Corrected January 23, 2026 · Nursing and Physician Services

  • Potential for harm · D July 3, 2025 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected August 18, 2025 · Resident Rights

  • Potential for harm · D July 3, 2025 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected August 18, 2025 · Pharmacy Service

  • Potential for harm · D July 3, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected August 18, 2025 · Infection Control

  • Actual harm · G April 10, 2025 · found via complaint

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected April 3, 2025 · Quality of Life and Care

  • Potential for harm · D April 10, 2025 · found via complaint

    Reasonably accommodate the needs and preferences of each resident.

    Corrected May 9, 2025 · Resident Rights

  • Potential for harm · D April 10, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected May 9, 2025 · Quality of Life and Care

  • Potential for harm · D March 12, 2025

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected April 18, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E March 12, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected April 18, 2025 · Quality of Life and Care

  • Potential for harm · F March 12, 2025

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected April 18, 2025 · Administration

  • Potential for harm · D May 31, 2024

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected July 12, 2024 · Resident Rights

  • Potential for harm · D May 31, 2024

    Ensure residents have reasonable access to and privacy in their use of communication methods.

    Corrected July 12, 2024 · Resident Rights

  • Potential for harm · D May 31, 2024

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected July 12, 2024 · Resident Rights

  • Potential for harm · D May 31, 2024

    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.

    Corrected July 12, 2024 · Resident Rights

  • Potential for harm · D May 31, 2024

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected July 12, 2024 · Resident Rights

  • Potential for harm · D May 31, 2024

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected July 12, 2024 · Quality of Life and Care

  • Potential for harm · D May 31, 2024

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected July 12, 2024 · Quality of Life and Care

  • Potential for harm · D May 31, 2024

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected July 12, 2024 · Quality of Life and Care

  • Potential for harm · D May 31, 2024

    Provide enough food/fluids to maintain a resident's health.

    Corrected July 12, 2024 · Quality of Life and Care

  • Potential for harm · D May 31, 2024

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected July 12, 2024 · Quality of Life and Care

  • Potential for harm · D May 31, 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 July 12, 2024 · Pharmacy Service

  • Potential for harm · F May 31, 2024

    Provide and implement an infection prevention and control program.

    Corrected July 12, 2024 · Infection Control

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
February 11, 2026Fine$14,015

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 245546 · certified since February 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.