The Estates at Excelsior LLC
515 Division Street · Excelsior, MN · 55331 · 9524745488
45 certified beds For profit - Limited Liability company Chain: Monarch Healthcare Management
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
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
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 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
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.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 5 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.61 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.43 | 0.55–0.75 |
| Weekend hours / resident-day | 3.09 | ≈ weekday level |
| Nursing turnover / year | 36% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (49 in the current record)
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Potential for harm · D April 7, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 22, 2026 · Resident Rights
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Potential for harm · D April 7, 2026
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected May 22, 2026 · Resident Rights
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Potential for harm · D April 7, 2026
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected May 22, 2026 · Resident Rights
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Potential for harm · D April 7, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 22, 2026 · Resident Assessment and Care Planning
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Potential for harm · D April 7, 2026
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected May 22, 2026 · Quality of Life and Care
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Potential for harm · D April 7, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 22, 2026 · Quality of Life and Care
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Potential for harm · D April 7, 2026
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.
Corrected May 22, 2026 · Quality of Life and Care
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Potential for harm · D April 7, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 22, 2026 · Quality of Life and Care
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Potential for harm · E April 7, 2026
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected May 22, 2026 · Pharmacy Service
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Potential for harm · D April 7, 2026
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected May 22, 2026 · Infection Control
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Potential for harm · D April 7, 2026
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected May 22, 2026 · Infection Control
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Immediate jeopardy · J November 26, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Past Non-Compliance · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 16, 2025 · found via complaint
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected July 30, 2025 · Resident Rights
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Potential for harm · E June 16, 2025
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected July 30, 2025 · Resident Rights
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Potential for harm · D June 16, 2025
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 30, 2025 · Resident Rights
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Potential for harm · D June 16, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected July 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E June 16, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected July 30, 2025 · Resident Rights
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Potential for harm · D June 16, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected July 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 16, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 16, 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 July 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 16, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 30, 2025 · Quality of Life and Care
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Potential for harm · D June 16, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected July 30, 2025 · Quality of Life and Care
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Potential for harm · D June 16, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected July 30, 2025 · Quality of Life and Care
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Potential for harm · D June 16, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 30, 2025 · Pharmacy Service
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Potential for harm · D June 16, 2025
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected July 30, 2025 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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 245332 · certified since July 1, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.