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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D35 | E9 | F2 |
| Minimal | A· | B· | C1 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Mar 26, 2026 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Mar 12, 2026 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Mar 12, 2026 | Health | Health Complaint, Health Standard | 9 | Potential harm | — | Open → |
| Jun 26, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 27, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 9, 2025 | Fire safety | Fire Safety Standard | 1 | Minimal | — | Open → |
| Jan 9, 2025 | Health | Health Complaint, Health Standard | 12 | Potential harm | — | Open → |
| Feb 7, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Jan 30, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jan 12, 2024 | Health | Health Complaint | 6 | Actual harm | — | Open → |
| Nov 30, 2023 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Nov 30, 2023 | Health | Health Complaint, Health Standard | 8 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Nov 30, 2023 | Civil money penalty (fine) | $41,555 | — | 245189|Fine|53733 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D35 | E9 | F2 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Mar 26, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Apr 15, 2026 | Complaint |
| Mar 26, 2026 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 15, 2026 | Complaint |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
6 facilities in 2 states. CMS chain ID 582.
Chain average overall rating (CMS): 3.5
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Bogey Holdings, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Feb 25, 2019 |
| Akiko Ike | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Feb 25, 2019 |
| Abe Katz | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Feb 10, 2025 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Bogey Holdings, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Feb 25, 2019 |
| Akiko Ike | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Feb 25, 2019 |
| Abe Katz | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Feb 10, 2025 |
| Allyson Bartlett | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 9, 2024 |
| James Feyder |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Good Samaritan Society - Inver Grove Heights 1301 50th Street East, Inver Grove Heights, MN 55077 CCN 245285 | 1 km | 46 | Feb 19, 2026 | 611 harm | — | |
| Walker Methodist Westwood Ridge II 61 Thompson Avenue West, West Saint Paul, MN 55118 CCN 245618 | 2.1 km | 37 | Apr 15, 2026 | 471 IJ | $16k | |
| Woodlyn Heights Healthcare Center 2060 Upper 55th Street East, Inver Grove Heights, MN 55077 CCN 245320 | 2.2 km | 79 | Dec 31, 2025 | 701 harm | — | |
| Cerenity Care Center on Humboldt 512 Humboldt Avenue, Saint Paul, MN 55107 CCN 245255 | 5.1 km | 93 | Mar 5, 2026 | 491 IJ4 harm | $69k | |
| Shirley Chapman Sholom Home East 740 Kay Avenue, Saint Paul, MN 55102 CCN 245411 | 6.4 km | 118 | Jul 23, 2026 | 41 | — | |
| Little Sisters of the Poor 330 Exchange Street South, Saint Paul, MN 55102 CCN 245524 | 6.7 km | 73 | Jan 28, 2026 | 441 IJ | $13k | |
| Cerenity Marian of St Paul LLC 200 Earl Street, Saint Paul, MN 55106 CCN 245365 | 6.9 km | 90 | Mar 18, 2026 | 261 IJ1 harm | $132k | |
| Ebenezer Integrated Care & Rehab 45 West 10th Street, Saint Paul, MN 55102 CCN 245587 | 7.4 km | 62 | Apr 1, 2026 | 301 IJ1 harm | $27k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 245189 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 245189 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Mar 12, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 15, 2026 |
| Mar 12, 2026 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 15, 2026 |
| Mar 12, 2026 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 15, 2026 |
| Mar 12, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 15, 2026 |
| Mar 12, 2026 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 15, 2026 |
| Mar 12, 2026 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 15, 2026 |
| Mar 12, 2026 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 15, 2026 |
| Mar 12, 2026 | F-0791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 15, 2026 |
| Mar 12, 2026 | F-0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Apr 15, 2026 | Complaint |
| Mar 12, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 15, 2026 |
| Jun 26, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 18, 2025 | Complaint |
| Mar 27, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 22, 2025 | Complaint |
| Jan 9, 2025 | F-0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 28, 2025 |
| Jan 9, 2025 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jan 28, 2025 | Complaint |
| Jan 9, 2025 | F-0638 | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 28, 2025 |
| Jan 9, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 28, 2025 |
| Jan 9, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 28, 2025 |
| Jan 9, 2025 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 28, 2025 |
| Jan 9, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 28, 2025 | Complaint |
| Jan 9, 2025 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 28, 2025 |
| Jan 9, 2025 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jan 28, 2025 |
| Jan 9, 2025 | F-0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Jan 28, 2025 |
| Jan 9, 2025 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jan 28, 2025 |
| Jan 9, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 28, 2025 |
| Jan 9, 2025 | E-0025 | Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Jan 28, 2025 |
| Feb 7, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Feb 9, 2024 | Complaint |
| Jan 30, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 9, 2024 | Complaint |
| Jan 30, 2024 | F-0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 9, 2024 | Complaint |
| Jan 12, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Feb 9, 2024 | Complaint |
| Jan 12, 2024 | F-0572 | Give residents a notice of rights, rules, services and charges. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 9, 2024 | Complaint |
| Jan 12, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 9, 2024 | Complaint |
| Jan 12, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 9, 2024 | Complaint |
| Jan 12, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 9, 2024 | Complaint |
| Jan 12, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 9, 2024 | Complaint |
| Nov 30, 2023 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Waiver granted |
| Nov 30, 2023 | K-0271 | Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Waiver granted |
| Nov 30, 2023 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Waiver granted |
| Nov 30, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 31, 2024 |
| Nov 30, 2023 | K-0753 | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 25, 2023 |
| Nov 30, 2023 | K-0927 | Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 25, 2023 |
| Nov 30, 2023 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 27, 2023 | Complaint |
| Nov 30, 2023 | F-0637 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 27, 2023 |
| Nov 30, 2023 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 27, 2023 |
| Nov 30, 2023 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 27, 2023 | Complaint |
| Nov 30, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 27, 2023 |
| Nov 30, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Dec 27, 2023 |
| Nov 30, 2023 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Dec 27, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.20 (case-mix index 1.15).
| Individual |
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Jan 24, 2017 |
| Nicole Folston | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 23, 2024 |
| Christa Hoiland | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2017 |
| Akiko Ike | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 25, 2019 |
| Melissa Ingvalsen | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 25, 2024 |
| Abe Katz | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 10, 2025 |
| Rhonda Lewis | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 20, 2016 |
| Rose Litke | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 18, 2022 |
| Gregory Shahum | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2023 |
| Shelby Wigren | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 23, 2024 |
| Akasa South Holdings LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 23, 2019 |
| Asiv Holdings LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 25, 2019 |
| Beachfront Holdings, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 25, 2019 |
| Birdie Holdings, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 25, 2019 |
| David M Fistel Sv LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 23, 2019 |
| Fairway Wsp Realty LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 25, 2019 |
| Allyson Bartlett | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 9, 2024 |
| James Feyder | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 24, 2017 |
| Nicole Folston | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 23, 2024 |
| Christa Hoiland | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2017 |
| Akiko Ike | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 25, 2019 |
| Melissa Ingvalsen | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 25, 2024 |
| Abe Katz | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 12, 2018 |
| Toba Katz | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 12, 2018 |
| Rhonda Lewis | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 20, 2016 |
| Rose Litke | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 18, 2022 |
| Eran Ratner | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 25, 2019 |
| Gregory Shahum | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2023 |
| Shelby Wigren | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 23, 2024 |