Lake Minnetonka Care Center: Data Analysis and Ratings
CMS Five Star Rating(1 out of 5):
20395 SUMMERVILLE ROAD DEEPHAVEN, MN 55331
952-474-4474
Data date: April 01, 2023
The Most Important Data about Lake Minnetonka Care Center
We've looked at a lot of nursing homes, this is what we think you need to see first and if you don't want to spend a lot of time. (It's the tl;dr section.)
There is no indication of abuse occuring at Lake Minnetonka Care Center. (CMS flags facilities where abuse has either happened or is very likely.)
CMS 5-Star Overall Rating:
(1 out of 5):
(The national average overall star rating is 3 stars.)
Current Trend: Improving
Total Nursing Hours Spent Per Resident Per Day: 2.59
(The national average is 3.74 )
According to our analysis, Lake Minnetonka Care Center is ranked #96 out of 103 skilled nursing homes within a 25 mile radius. See detailed information from recent inspection reports, nursing hours analysis, surverys, and information on owners and operators. Click here to view the ranked list of nursing homes near Lake Minnetonka Care Center.
What is this page all about?
Below is everything shred of information that we can find about Lake Minnetonka Care Center, along with our best effort to make sense of the data. Our purpose here is to help you to make good decisions when picking a nursing home and to keep you informed once you have chosen a home. We know from personal experience that choosing a nursing home is not something you do once and then you forget about it. In fact, it gets worse. Once you select a nursing home and get through the initial steps of figuring out how to pay for it, then the real worries start. Are they taking good care of me or my loved one? This is the question that will keep you up at night: Can I really trust these people? We wish we could answer this question, we can't. What he can do is churn through the tons of data and try and help you to make sense of it. We hope it helps.
General Data Card
These are the basic data points for the facility.
Data date: April 01, 2023
Address: 20395 SUMMERVILLE ROAD
DEEPHAVEN, MN 55331
Phone: 952-474-4474
Ranking: Lake Minnetonka Care Center is ranked #24 out of 26 facilities within a 10 mile radius and #96 out of 103 facilities within a 25 mile radius.
Medicare Provider Number: 245606
Participating in Medicare Since: July 02, 1992
No. of Certified Beds: 21
No. of Residents: 17.9
Occupancy: 85.24% (as of 04/01/2023)
Amount fined in recent period: $46,670.06
Complaints filed: 6
Ratings History for Lake Minnetonka Care Center
Review of Lake Minnetonka Care Center Ratings and Inspection Scores
CMS regularly inspects every skilled nursing facility. (The timing is supposed to be annually, but since the beginning of the Covid pandemic, these inspections have not occured as frequently.) The results of the multi-day inspection is reduced to a series of scores which are then translated into the star ratings. The health inspection scores are an absolute value, so you can compare one facility's score directly to another. The Overall Star rating is based on the facility's performance as compared to other facilities in the same state, so you cannot easily compare one facility's Overall star rating to a facility in another state.
Ratings
| Overall Rating | 1: |
| Health Inspection Rating | 1: |
| Quality Rating | 2: |
| Staffing Rating | 1: |
Inspection Scores
| Cycle 1 Score (as of October 21, 2021) | 139 |
| Cycle 2 Score (as of April 19, 2019) | 341 |
| Cycle 3 Score (as of July 12, 2018) | 20 |
| Weighted All Cycles Score | 187 |
It has been 17 months since the most recent inspection.
What Goes Into the Nursing Home's 5-Star Rating
CMS has put a lot of effort into creating its very elaborate 5-Star Quality Rating System specifically to provide a quick way for residents and family members to easily understand how well a nursing home is performing and to make comparing nursing homes easier. The rating system allows people to easily compare facilities across numerous dimensions with the express purpose of identifying the best and best performing nursing homes. The rating system was initially developed in 2008 and the methodologies are regularly reviewed and updated.
The rating system has five separate ratings including:
- Overall rating
- Health Inspection rating
- Staff rating
- RN Staffing rating
- Quality Measures rating
Nursing homes are rated from 1-star to 5-stars with 1-star being the best rating and 5-star being the best rating. For the Health Inspection Rating the nursing homes in each state are ranked based on their weighted three year inspection score. The top 10 percent of nursing homes (those with the lowest scores) are awarded a 5-star rating; the bottom 20 percent (those with the highest scores) are awarded a 1-star rating. In between 1-star and 5-star, the remaining homes are divided equally into three tranches which correspond with the stars 2 to 4. The staff ratings and quality measure ratings follow a similar process but the divisions are based on a national ranking. The division between star ratings is called the “cut-rate”. Cut-rates are redefined periodically and are published by CMS. See the latest cut rates on this table.
Calculating the Overall Star Rating is done differently. According to CMS, the reason for adopting a different system is to give the Health Inspection Rating higher weight in the Overall Rating. So, since there are FIVE ratings and FIVE stars for each rating, there must also be a FIVE step process to calculate the Overall Rating (so symetrical!) :
- Begin with the Health Inspection Rating
- Add one star to the Health Inspection Rating if the Staffing Rating is at least four-stars and is higher than the Health Inspection Rating. (We will call this the "Adjusted Rating".)
- Subtract one star from the Health Inspection Rating if the Staffing Rating is one-star.
- Add a star to the Adjusted Rating if the Quality Measure Rating is 5-stars.
- Subtract one star from the Adjusted Rating if the Quality Measure Rating is 1-star.
Throughout the calculation of the Overall Rating, the rating cannot exceed 5-stars. The Overall Rating is capped at 2-stars if the Health Inspection rating is 1-star. No Overall Rating is awarded if the nursing home does not have a Health Inspection Rating (This effectively means that a nursing home is not rated until the home has been operating for more than two years.)
Changes in a nursing homes star rating can be due to the results of a new health inspection report, the processing of new complaints, the aging of older complaints, a new inspection control survey, a revisit, or the resolution of disputes that change the scope and or severity of deficiencies.
Most Recent Nursing Home Inspections
CMS is required to inspect each senior nursing facility at least annually. These inspections take several days. Additional follow-up inspections as conducted as needed or for certain purposes. Inspections stopped for more than seven months in 2020 due to the Covid pandemic. That stoppage has caused all inspections to be delayed as the inspectors continue to deal with a backlog. The table below shows the latest inspections for Lake Minnetonka Care Center including health, fire, and inspection control inspections:
| Inspection Type | Inspection Date |
|---|---|
| Fire Safety Standard | October 25, 2021 |
| Fire Safety Standard | April 19, 2019 |
| Fire Safety Standard | July 12, 2018 |
| Health Complaint | July 31, 2021 |
| Health Complaint | July 15, 2021 |
| Health Complaint | June 18, 2021 |
| Health Complaint | June 10, 2021 |
| Health Complaint | May 21, 2020 |
| Health Standard | October 21, 2021 |
| Health Standard | April 19, 2019 |
| Health Standard | July 12, 2018 |
| Infection Control | April 22, 2020 |
Owner and Operator Information for Lake Minnetonka Care Center
Our database of owners and operators shows all direct owners of the nursing nurse, any managers and directors, and the most adjacent indirect owners of the facility (that is, if the direct owner is company, then the owners of that company.) Lists of nursing home owners are available and you can search for nursing home owners and operators on our site.
Business Entity Name:
Legal Business Name Not Available
Managers and Directors:
No Information provided
Analysis of Nursing Hours Spent Per Patient
CMS provides detailed information about how long nursing staff spends with residents. This data includes nursing subcategories of Registered Nurse, Licensed Practical Nurse, and non-nursing Certified Nursing Assistants. More hours spend per patient should can indicate a better facility or it could indicate more complicated situations.
The nursing staff of Lake Minnetonka Care Center spends LESS time on average with its residents than the state average and LESS time than the national average for total nursing homes spent per resident.
| Type | Facility | State / National Avg |
|---|---|---|
| Registered Nurse (RN) | ||
| Hours | 0.72 | 1.03 / 0.65 |
| Case Mix | 0.25 | 0.31 / 0.39 |
| Adjusted | 1.13 | NA / NA |
| Licensed Practical Nurse (LPN) | ||
| Hours | 0.90 | 0.67 / 0.88 |
| Case Mix | 0.60 | NA / NA |
| Adjusted | 1.11 | NA / NA |
| Certified Nursing Assistants (CNA) | ||
| Hours | 0.97 | 2.34 / 2.21 |
| Case Mix | 1.74 | NA / NA |
| Adjusted | 1.13 | NA / NA |
| Total Licensed Staff | ||
| Hours | 1.62 | 1.70 / 1.53 |
| Physical Therapist (PT) | ||
| Hours | 0.00 | 0.07 / 0.07 |
| Total Nursing Homes Spent per Resident on Average | ||
| Hours | 2.59 | 4.04 / 3.74 |
| Case Mix | 2.58 | 2.97 / 3.16 |
| Adjusted | 3.17 | NA / NA |
Quality Measures
Quality measures are based both on patient survey information and on the results of actual claims that are filed with CMS. It is not clear what period is covered in the measures.
| Desc. | Perc. | State Avg. / Comparison | |
|---|---|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursing home admission (qm521) | Not Available | ||
| Percentage of short-stay residents who had an outpatient emergency department visit (qm522) | Not Available | ||
| Number of hospitalizations per 1000 long-stay resident days (qm551) | Not Available | ||
| Number of outpatient emergency department visits per 1000 long-stay resident days (qm552) | Not Available | ||
| Percentage of long-stay residents whose need for help with daily activities has increased (qm401) | 15.2% |
13.8% Worse |
|
| Percentage of long-stay residents who lose too much weight (qm404) | 1.5% |
4.6% Better |
|
| Percentage of low risk long-stay residents who lose control of their bowels or bladder (qm405) | 56.0% |
49.8% Worse |
|
| Percentage of long-stay residents with a catheter inserted and left in their bladder (qm406) | 7.6% |
2.9% Worse |
|
| Percentage of long-stay residents with a urinary tract infection (qm407) | 7.4% |
2.9% Worse |
|
| Percentage of long-stay residents who have depressive symptoms (qm408) | 16.4% |
4.3% Worse |
|
| Percentage of long-stay residents who were physically restrained (qm409) | 0.0% |
0.1% Better |
|
| Percentage of long-stay residents experiencing one or more falls with major injury (qm410) | 1.5% |
3.9% Better |
|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (qm415) | 100.0% |
95.8% Better |
|
| Percentage of long-stay residents who received an antipsychotic medication (qm419) | 50.0% |
16.6% Worse |
|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (qm430) | Not Available | ||
| Percentage of short-stay residents who newly received an antipsychotic medication (qm434) | Not Available | ||
| Percentage of long-stay residents whose ability to move independently worsened (qm451) | 17.5% |
15.6% Worse |
|
| Percentage of long-stay residents who received an antianxiety or hypnotic medication (qm452) | 51.5% |
12.6% Worse |
|
| Percentage of high risk long-stay residents with pressure ulcers (qm453) | 0.0% |
6.9% Better |
|
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (qm454) | 100.0% |
94.7% Better |
|
| Percentage of short-stay residents who made improvements in function (qm471) | Not Available | ||
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (qm472) | Not Available | ||
Lake Minnetonka Care Center Violations, Complaints and Fines
These are complaints and fines that are reported by CMS. Some of the data is not very recent, but we have decided to include it here so that you have as much information as possible.
Amount fined in recent period: $46,670.06, Complaints filed: 6
| Deficiency | Deficiency Date / Date Corrected |
|---|---|
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Health) | 07-12-2018 / 08-31-2018 |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. (Health) | 07-12-2018 / 08-31-2018 |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Health) | 07-12-2018 / 08-31-2018 |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (Health) | 07-12-2018 / 08-31-2018 |
| Post nurse staffing information every day. (Health) | 07-12-2018 / 08-31-2018 |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (Health) | 07-12-2018 / 08-12-2018 |
| 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. (Health) | 04-19-2019 / 05-29-2019 |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Health) | 04-19-2019 / 05-29-2019 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Health) | 04-19-2019 / 05-29-2019 |
| Provide enough food/fluids to maintain a resident's health. (Health) | 04-19-2019 / 05-29-2019 |
| Observe each nurse aide's job performance and give regular training. (Health) | 04-19-2019 / 05-29-2019 |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. (Health) | 04-19-2019 / 05-29-2019 |
| Provide and implement an infection prevention and control program. (Health) | 04-19-2019 / 05-29-2019 |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (Health) | 04-19-2019 / 05-29-2019 |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Health) | 04-19-2019 / 05-29-2019 |
| Develop Emergency Preparedness policies and procedures. (Fire Safety) | 04-19-2019 / 05-29-2019 |
| Develop a communication plan. (Fire Safety) | 04-19-2019 / 05-29-2019 |
| Establish emergency prep training and testing. (Fire Safety) | 04-19-2019 / 05-29-2019 |
| Establish policies and procedures for volunteers. (Fire Safety) | 04-22-2020 / 05-05-2020 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Health) | 05-21-2020 / 06-15-2020 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Health) | 06-10-2021 / 06-30-2021 |
| Ensure that residents are free from significant medication errors. (Health) | 06-10-2021 / 06-10-2021 |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. (Health) | 06-18-2021 / 07-31-2021 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Health) | 06-18-2021 / 07-31-2021 |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. (Health) | 06-18-2021 / 08-06-2021 |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Health) | 07-15-2021 / 08-31-2021 |
| Respond appropriately to all alleged violations. (Health) | 07-15-2021 / 08-31-2021 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Health) | 07-15-2021 / 08-06-2021 |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. (Health) | 07-15-2021 / 08-20-2021 |
| 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. (Health) | 07-15-2021 / 08-31-2021 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Health) | 07-31-2021 / 08-06-2021 |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Health) | 10-21-2021 / 12-31-2021 |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Health) | 10-21-2021 / 12-31-2021 |
| Honor the resident's right to organize and participate in resident/family groups in the facility. (Health) | 10-21-2021 / 12-31-2021 |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. (Health) | 10-21-2021 / 12-31-2021 |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Health) | 10-21-2021 / 12-31-2021 |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. (Health) | 10-21-2021 / 12-31-2021 |
| 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. (Health) | 10-21-2021 / 12-31-2021 |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Health) | 10-21-2021 / 12-31-2021 |
| Provide timely, quality laboratory services/tests to meet the needs of residents. (Health) | 10-21-2021 / 12-31-2021 |
| Have a plan that describes the process for conducting QAPI and QAA activities. (Health) | 10-21-2021 / 12-31-2021 |
| Perform COVID19 testing on residents and staff. (Health) | 10-21-2021 / 12-31-2021 |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (Health) | 10-21-2021 / Not Fixed |
| Develop and maintain an Emergency Preparedness Program (EP). (Fire Safety) | 10-21-2021 / 12-31-2021 |
| Develop Emergency Preparedness policies and procedures. (Fire Safety) | 10-21-2021 / 12-31-2021 |
| Develop a communication plan. (Fire Safety) | 10-21-2021 / 12-31-2021 |
| Establish emergency prep training and testing. (Fire Safety) | 10-21-2021 / 12-31-2021 |
| Use approved construction type or materials. (Fire Safety) | 10-25-2021 / Not Fixed |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. (Fire Safety) | 10-25-2021 / Not Fixed |
| Install emergency lighting that can last at least 1 1/2 hours. (Fire Safety) | 10-25-2021 / 12-20-2021 |
| Inspect, test, and maintain automatic sprinkler systems. (Fire Safety) | 10-25-2021 / 12-20-2021 |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. (Fire Safety) | 10-25-2021 / 12-20-2021 |
| Provide a written emergency evacuation plan. (Fire Safety) | 10-25-2021 / 12-20-2021 |
| Have simulated fire drills held at unexpected times. (Fire Safety) | 10-25-2021 / 12-20-2021 |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. (Fire Safety) | 10-25-2021 / 12-20-2021 |
| Ensure proper usage of power strips and extension cords. (Fire Safety) | 10-25-2021 / 12-20-2021 |
Hospitals Near Lake Minnetonka Care Center
Quite often skilled nursing facilities and hospitals work closely together to help patients recover or manage a terminal illness. Hospitals deals with acute care while nursing homes treat patients for a longer period of time. New residents at skilled nursing homes typically come from a hospital and nursing home residents may be readmitted to a hospital if their recovery does not proceed well. (Hospital readmission rates are closely monitored by CMS.) Consequently it is important that you consider which hospitals are near a nursing home which choosing one. Below is a list of hospitals near Lake Minnetonka Care Center.
This information is based on the most recent Hospital data. Historical data is not available.
| Hospital | 5-Star Overall Rating |
|---|---|
|
HENNEPIN COUNTY MEDICAL CENTER 701 PARK AVENUE MINNEAPOLIS, MN 55415 |
2 |
|
ST JOSEPH'S HOSPITAL 45 WEST 10TH STREET SAINT PAUL, MN 55102 |
2 |
|
M HEALTH FAIRVIEW UNIVERSITY OF MN 2450 RIVERSIDE AVENUE MINNEAPOLIS, MN 55454 |
2 |
|
REGIONS HOSPITAL 640 JACKSON STREET SAINT PAUL, MN 55101 |
3 |
|
NORTH MEMORIAL HEALTH HOSPITAL 3300 OAKDALE NORTH ROBBINSDALE, MN 55422 |
4 |
|
ALLINA UNITED HOSPITAL 333 NORTH SMITH AVENUE SAINT PAUL, MN 55102 |
4 |
|
PARK NICOLLET METHODIST HOSPITAL 6500 EXCELSIOR BLVD SAINT LOUIS PARK, MN 55426 |
4 |
|
ABBOTT NORTHWESTERN HOSPITAL 800 EAST 28TH STREET MINNEAPOLIS, MN 55407 |
4 |
|
M HEALTH FAIRVIEW SOUTHDALE HOSPITAL 6401 FRANCE AVENUE SOUTH EDINA, MN 55435 |
4 |
|
ST FRANCIS REGIONAL MEDICAL CENTER 1455 ST FRANCIS AVENUE SHAKOPEE, MN 55379 |
4 |
|
MERCY HOSPITAL 4050 COON RAPIDS BLVD COON RAPIDS, MN 55433 |
4 |
|
M HEALTH FAIRVIEW RIDGES HOSPITAL 201 EAST NICOLLET BOULEVARD BURNSVILLE, MN 55337 |
4 |
|
M HEALTH FAIRVIEW ST JOHN'S HOSPITAL 1575 BEAM AVENUE MAPLEWOOD, MN 55109 |
4 |
|
RIDGEVIEW MEDICAL CENTER 500 SOUTH MAPLE STREET WACONIA, MN 55387 |
5 |
|
BUFFALO HOSPITAL 303 CATLIN ST BUFFALO, MN 55313 |
5 |
|
MAPLE GROVE HOSPITAL 9875 HOSPITAL DRIVE MAPLE GROVE, MN 55369 |
5 |
|
GILLETTE CHILDRENS SPECIALTY HOSPITAL 200 UNIVERSITY AVENUE EAST SAINT PAUL, MN 55106 |
Not Available |
|
CHILDREN'S HOSPITALS & CLINICS OF MN 2525 CHICAGO AVENUE SOUTH MINNEAPOLIS, MN 55404 |
Not Available |
|
ANOKA-METRO REG TREATMENT CTR 3301 SEVENTH AVE NORTH ANOKA, MN 55303 |
Not Available |
Medical Professionals Associated with Lake Minnetonka Care Center
These are the doctors who are affiliated with Lake Minnetonka Care Center. The data is from the most recent period. Historical data is not available.
Detailed Analysis Pages:
Depending on the nursing home, this page can get really long. So, we have also broken up the data onto separate pages to allow you to find what you want more easily. We will keep adding to these pages as we continue to analyze the nursing home database.
CMS Five Star Ratings and Quality Measures for Lake Minnetonka Care Center
Five different rating results plus detailed inspection numbers and quality measures for Lake Minnetonka Care Center.
Covid Infections at Lake Minnetonka Care Center
This report is updated weekly and shows new and historical infection levels.
Nursing Hours Analysis for Lake Minnetonka Care Center
How long a nurse spends with a resident can be an important factor in their recovery. This page shows the average nursing hours spent per resident for RNs, LPNs, CNAs, PTs and all licensed staff.
Ownership Details for Lake Minnetonka Care Center
A list of all of the registered owners for Lake Minnetonka Care Center. This includes direct and indirect owners and managers.
Noted Deficiencies for Lake Minnetonka Care Center
A list of all of the deficiencies for the facility. This includes a description, type of deficiency, incident date and when the facility reports that the incident was corrected.
Comparison Ranking of Nearby Skilled Nursing Facilities
How does Lake Minnetonka Care Center compare to other skilled nursing facilities? This list shows the competitive set within a 25 mile radius.
Best Nursing Homes in DEEPHAVEN, MN
Homes that you should consider. A list ranking the best skilled nursing facilities in DEEPHAVEN based on their weighted inspection score as of April 01, 2023.
Worst Nursing Homes in DEEPHAVEN, MN
Homes that you avoid if possible. A list ranking the worst skilled nursing facilities in DEEPHAVEN based on their weighted inspection score as of April 01, 2023.
Other Data Periods:
Data on Lake Minnetonka Care Center is available for the following periods:
