ANALYSIS

The 10 Worst Nursing Homes in Minnesota

Discover the worst nursing homes in Minnesota, identified for their substandard care, regulatory violations, and overall poor performance.

  Finding the Right Nursing Home in Minnesota: Why It Matters

When it comes to choosing a nursing home for your loved ones in Minnesota, it's crucial to have access to accurate and comprehensive information. Our "Worst Nursing Homes in Minnesota" page aims to provide you with insights into the facilities that have fallen short in various aspects of care. Understanding these ratings can help you make more informed decisions and ensure the well-being of those who matter most.

Top Worst Nursing Homes in Minnesota

Our state rankings highlight the nursing homes in Minnesota that have received the lowest quality scores based on a variety of factors, including health inspections, staffing levels, and resident care. These scores are designed to give you a clear picture of which facilities may require closer scrutiny.

Factors Considered:

  • Health and safety inspections
  • Staffing ratios
  • Resident care and outcomes
  • Compliance with federal and state regulations

Our scoring methodology is transparent and designed to provide an unbiased look at each facility's performance. Nursing Homes with the warning icon () have been flagged by CMS for abuse.

Nursing Home Rating
The Terrace at Crystal LLC
3245 VERA CRUZ AVENUE NORTH
CRYSTAL, MN
527.17
Rating Not Available
Warroad Care Center
1401 LAKE STREET NORTHWEST
WARROAD, MN
301.00
/
Highland Chateau Health and Rehabilitation Center
2319 WEST SEVENTH STREET
SAINT PAUL, MN
239.00
Rating Not Available
Luther Haven
1109 EAST HIGHWAY 7
MONTEVIDEO, MN
234.50
The Shores of Worthington
1307 SOUTH SHORE DRIVE
WORTHINGTON, MN
233.67
Thief River Care Center
2001 EASTWOOD DRIVE
THIEF RIVER FALLS, MN
216.00
/
Bywood East Health Care
3427 CENTRAL AVENUE NORTHEAST
MINNEAPOLIS, MN
187.50
Guardian Angels Care Center
400 EVANS AVENUE
ELK RIVER, MN
173.83
The Villas at Bryn Mawr LLC
275 PENN AVENUE NORTH
MINNEAPOLIS, MN
172.67
The Estates at St Louis Park LLC
3201 VIRGINIA AVENUE SOUTH
SAINT LOUIS PARK, MN
166.00
/

Disclaimer: Our rankings are based on data collected from reputable sources, including government reports and independent evaluations. While we strive for accuracy, we encourage you to visit facilities and conduct your own research before making any decisions.

  Worst Nursing Homes in Minnesota By City

Every city in Minnesota has its own set of challenges and standards when it comes to nursing home care. To help you find the information most relevant to your location, we've compiled city-specific rankings of the worst-rated nursing homes. Click on the links below to explore the detailed lists for each city.

Worst Nursing Homes in Minneapolis

  • Bywood East Health Care (187.5)
    • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2024-11-22)
    • 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. (2024-11-22)
  • The Villas at Bryn Mawr LLC (172.667)
    • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (2025-02-14)
    • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2025-02-03)
  • Southside Care Center (160.667)
    • Ensure each resident receives an accurate assessment. (2025-04-04)
    • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (2025-04-04)
  • Lakehouse Healthcare and Rehabilitation Center (151.833)
    • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (2025-02-05)
    • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2025-01-14)
  • Grand Avenue Rest Home (132)
    • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2025-02-21)
    • 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. (2025-02-21)
  • Benedictine Health Center of Minneapolis (104.167)
    • Keep residents' personal and medical records private and confidential. (2025-02-26)
    • Allow resident to participate in the development and implementation of his or her person-centered plan of care. (2025-02-26)
  • Birchwood Care Home (103.833)
    • Have approved installation, maintenance and testing program for fire alarm systems. (2024-07-26)
    • Follow proper procedures when the fire alarm was out of service for more than 4 hours. (2024-07-12)
  • The Estates at Chateau LLC (78)
    • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2024-10-04)
    • Provide care and assistance to perform activities of daily living for any resident who is unable. (2024-10-04)
  • Providence Place (77.333)
    • Keep residents' personal and medical records private and confidential. (2025-03-31)
    • Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. (2025-03-31)
  • Mount Olivet Careview Home (72.167)
    • Allow residents to self-administer drugs if determined clinically appropriate. (2025-02-28)
    • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2025-02-28)

Worst Nursing Homes in St. Paul

Worst Nursing Homes in Rochester

  • Waterview Heights Rehabilitation and Nursing Ctr (785.5)
    • Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. (2025-01-13)
    • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2025-01-13)
  • Rochester Residence and Care Center (317.333)
    • 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. (2025-03-15)
    • Have a plan that describes the process for conducting QAPI and QAA activities. (2025-03-15)
  • Rochester East Health Services (135.167)
    • Provide properly protected cooking facilities. (2025-03-12)
    • Install emergency lighting that can last at least 1 1/2 hours. (2025-03-12)
  • Edenbrook of Rochester (130.167)
    • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2025-02-04)
    • Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. (2025-02-04)
  • The Pearl Nursing Center of Rochester (113)
    • Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. (2025-01-13)
    • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (2025-01-13)
  • Edenbrook Rochester West (110.167)
    • Have generator or other power source capable of supplying service within 10 seconds. (2025-04-30)
    • Provide enough food/fluids to maintain a resident's health. (2025-01-09)
  • Wesley Gardens Corporation (78)
    • Inspect, test, and maintain automatic sprinkler systems. (2024-11-18)
    • Protect each resident from the wrongful use of the resident's belongings or money. (2024-09-04)
  • Rochester Rehabilitation and Living Center (75.167)
    • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (2024-11-26)
    • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2024-11-04)
  • Madonna Towers of Rochester Inc (70.333)
    • Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. (2024-10-01)
    • 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. (2024-10-01)
  • Rochester Center For Rehabilitation and Nursing (66)
    • 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. (2025-03-05)
    • Honor the resident's right to organize and participate in resident/family groups in the facility. (2025-03-05)

Worst Nursing Homes in Duluth

  • Bayshore Residence and Rehabilitation Center (166)
    • Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. (2024-07-06)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2024-07-06)
  • Hilltop Healthcare Rehabilitation and Skilled Nurs (131.333)
    • Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. (2025-01-15)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2024-09-27)
  • Franciscan Health Center (80.667)
    • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (2025-01-31)
    • The resident has the right to receive notices in a format and a language he or she understands. (2025-01-31)
  • Viewcrest Health Center (76)
    • Provide and implement an infection prevention and control program. (2024-10-04)
    • Allow residents to self-administer drugs if determined clinically appropriate. (2024-08-07)
  • The North Shore Estates LLC (41.333)
    • Have generator or other power source capable of supplying service within 10 seconds. (2024-03-06)
    • Allow residents to self-administer drugs if determined clinically appropriate. (2024-02-22)
  • Aftenro Home (39.333)
    • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2025-02-24)
    • Provide enough food/fluids to maintain a resident's health. (2025-02-24)
  • Benedictine Health Center (31.333)
    • Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. (2024-11-27)
    • To conduct inspection, testing and maintenance of fire doors by qualified individuals. (2024-11-27)
  • Ecumen Lakeshore (20.667)
    • Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (2024-06-25)
    • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (2024-06-25)

Worst Nursing Homes in St. Cloud

  Related Lists and Resources

While it's important to be aware of the lowest-rated facilities, we also provide resources to help you find the best care available. Check out our other lists to find top-rated nursing homes and facilities that excel in specific areas.

  Making Informed Decisions

Understanding our rankings and how they are derived can empower you to make better choices for your loved ones. Remember, a low rating in one area doesn't necessarily mean a facility is entirely unsuitable; it's a starting point for further investigation.

  Tips for Evaluating Nursing Homes in Minnesota:

  • Schedule visits to potential facilities
  • Speak with staff and residents
  • Review recent inspection reports
  • Consider the specific needs of your loved one

Disclaimer: NursingHomeDatabase.com does not have a relationship, either commercial or otherwise, with any of the skilled nursing facilities referred to on this site. This is an independent resource that tries to make more and better information available to the public.

  More Resources for Families

Navigating the world of nursing home care can be overwhelming. Here are some resources to help you make the best decisions for your family:

  How We Compile Nursing Home Ratings in Minnesota

Every month, we rank all of the skilled nursing facilities in Minnesota. These rankings are based on data provided by The Centers for Medicare & Medicaid measures ("CMS"), including the CMS 5-Star Rating System and the Health Inspection Scores. The list of the Worst Skilled Nursing Facilities in Minnesota is based on the weighted overall health inspection score which is a composite of CMS's three most recent skilled nursing home inspection scores weighted to give the most recent inspection more importance.

The CMS 5-Star Rating System rates skilled nursing facilities from one to five stars, with one star being the lowest and five stars being the highest. The rating system also rates Minnesota nursing homes across five different dimensions including overall rating, health inspection rating, quality measures rating, overall staffing rating, and RN staffing rating (RN is an acronym for Registered Nurse).

In addition to the 5-Star Rating System, CMS provides numerical metrics that summarize:

  • Health Inspection Domain. The health inspection rating is based on the three most recent standard surveys for each nursing home, results from any complaint investigations during the most recent three-year period, and any repeat revisits needed to verify that required corrections have brought the facility back into compliance. CMS calculates a weighted deficiency score based on points assigned to health deficiencies identified in each active provider’s current health inspection survey and the two prior surveys (including revisits), as well as deficiency findings from the most recent three years of complaint investigations. More recent surveys are weighted more heavily than older surveys: the most recent period (cycle 1) is assigned a weighting factor of 1/2, the previous period (cycle 2) has a weighting factor of 1/3, and the second prior survey (cycle 3) has a weighting factor of 1/6. The weighted time period scores are then summed to create the survey score for each facility.
  • Staffing Domain. Using multiple reporting methods, CMS calculates the amount of time that the nursing staff spends with residents. This is measured across multiple dimensions, one each for three different levels of nursing, including Registered Nurses (“RNs”), Licensed Practical Nurses (“LPNs”), and Certified Nursing Assistants (“CNAs”), plus one metric that totals all contributions. These metrics are expressed in hours per resident per day. CMS also provides state-level and national averages for the metrics to allow for additional comparisons.
  • Quality Measures Domain. A set of quality measures (QMs) has been developed from MDS-based indicators to describe the quality of care provided in nursing homes. These measures address a broad range of functioning and health status in multiple care areas. The facility rating for the QM domain is based on performance on a subset of 11 (out of 18) of the QMs. Ratings for the QM domain are calculated using the three most recent quarters for which data are available. This time period specification was selected to increase the number of assessments available for calculating the QM rating, increasing the stability of estimates and reducing the number of facilities that do not have enough data to report QM ratings.
  • Abuse Flag. Abuse is always a concern in skilled nursing facilities. To highlight the issue, CMS has extracted this feature as its own flag. Facilities with an actual abuse event or where the potential for abuse has been shown for the past two years are flagged. The Health Inspection Score is capped at 2-stars for nursing homes that have been flagged for abuse.

Skilled nursing facilities that are new and do not have at least two surveys completed are not rated by CMS. These facilities may have health inspection scores that can be used to evaluate the facility.

One complication in Minnesota nursing home inspections is the COVID-19 pandemic. Although inspections should be performed every 12 months, COVID has decreased this frequency. While CMS admits that only in “rare cases” do these inspections increase to 15 months, our analysis suggests that this time frame may be even longer. This report shows that the time between inspections is now just under 500 days (more than sixteen months). There are now hundreds of skilled nursing homes in the United States that have not been inspected in more than 24 months. This list shows the skilled nursing homes with the longest period since being inspected. According to the CMS data, these homes have not been inspected since 2018!

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