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19 Hospital-Based Nursing Homes in Minnesota

19 of the 338 Medicare-certified nursing homes in Minnesota (6%) are hospital-based, and all are listed below. 14 of the 19 graded homes earn an A and 0 earn a D or F. They average 4.94 nursing hours per resident per day, 0.75 hours above the 4.19 for every home in Minnesota. Fairview University Trans Serv in Minneapolis grades highest at A (99 out of 100).

How hospital-based homes in Minnesota compare

This group set against every nursing home in Minnesota, from the current CMS release.

Nursing hours per resident per day

4.94

All homes in Minnesota: 4.19

Better than the local average

Nurse staff turnover

38.4%

All homes in Minnesota: 42.2%

Better than the local average

Average ElderGrade score

87.4/100

All homes in Minnesota: 79.4/100

Better than the local average

Grade spread

A
B

14 grade A, 4 grade B, 1 grade C,

The best-graded hospital-based home in Minnesota is Fairview University Trans Serv in Minneapolis, MN, grade A, 99/100.

Every hospital-based nursing home in Minnesota

Showing 1 to 19 of 19, best-graded first.

A

99/100

Fairview University Trans Serv

Minneapolis, MN · Hennepin County

CMS 5/528 bedsNon-profitMedicaid
Nurse hours
9.19 /day
Staff turnover
30%
Serious cites
0

Fairview University Trans Serv runs 28 certified beds in Minneapolis under nonprofit ownership, and the numbers behind it are unusually clean. Nurse staffing sits at 9.19 hours per resident day, roughly two and a half times the national average of 3.86, and weekend coverage only slips about 7% below weekday levels, so care doesn't thin out when families tend to visit. Staff turnover is 30%, well under the 45.8% national figure, which suggests people stay. The current record carries zero deficiencies, none at the harm level, no abuse citations, and the last inspection was November 2024, so nothing on file is stale. For a small nonprofit, that combination is rare.

A

96/100

Lakewood Health System

Staples, MN · Todd County

CMS 5/587 bedsNon-profitMedicaid
Nurse hours
4.41 /day
Staff turnover
34%
Serious cites
0

Lakewood Health System in Staples runs on 4.41 nurse hours per resident day, roughly 14% more than the national average, and its staff turnover of 34.3% is well below the 45.8% national figure, people tend to stay here. The tradeoffs show up in two places: weekend staffing dips about 12% below weekday levels, and the current record carries 8 deficiencies, including one at the harm level and one abuse-related. A February 2026 inspection is recent, so the picture is current rather than stale, and the nonprofit ownership removes some of the pressure that drives short-staffing elsewhere. Strong on paper, with a couple of specific things worth asking about directly.

A

94.5/100

Appleton Area Health

Appleton, MN · Swift County

CMS 3/547 bedsGovernmentMedicaid
Nurse hours
4.81 /day
Staff turnover
34%
Serious cites
0

Appleton Area Health runs on city government ownership and 47 certified beds, and the raw numbers are unusual in one respect: total nurse staffing sits at 4.81 hours per resident day, roughly a quarter above the national average of 3.86. That's a real margin, though the CMS staffing star lands at just 1/5, and weekend coverage drops about 18% below the home's own weekday level, so the daily experience isn't as steady as the annual figure suggests. Turnover at 34% is better than the 45.8% national rate. Thirteen deficiencies sit on the current record with none at harm or jeopardy level, one abuse-related, and the last inspection was April 2026.

A

93/100

St Francis Home

Breckenridge, MN · Wilkin County

CMS 5/580 bedsNon-profitMedicaid
Nurse hours
4.20 /day
Staff turnover
33%
Serious cites
0

St Francis Home runs on a church-affiliated nonprofit model in Breckenridge, and the numbers back up the staffing side: 4.20 nurse hours per resident day, roughly 9% above the national average, with a 5/5 CMS staffing rating. Weekend coverage dips about 12% below its own weekday level, worth knowing if you visit Saturdays or Sundays. Turnover sits at 32.6%, well under the 45.8% national figure, which matters for whether your parent sees the same faces. The record shows 8 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in June 2026. Eight findings is a real number, not a spotless one, but the severity is what counts here.

A

92/100

Courage Kenny Rehabilitation Institutes Trp

Golden Valley, MN · Hennepin County

CMS 4/556 bedsNon-profitMedicaid
Nurse hours
7.24 /day
Staff turnover
39%
Serious cites
0

Courage Kenny Rehabilitation Institutes Trp runs 56 certified beds in Golden Valley under nonprofit ownership, and the staffing numbers are the standout: 7.24 nurse hours per resident day, roughly double the national average of 3.86. Weekend coverage dips only about 6% below weekdays, and turnover at 38.7% sits below the 45.8% national figure. The weaker side is inspections, where CMS rates it 2 out of 5, with 12 deficiencies on record including one at the harm or jeopardy level and one tied to abuse, plus a $16,355 fine. That last inspection was recent, in March 2025, so the record is current rather than stale. Strong hands-on care, but a citation history worth asking about directly.

A

91.5/100

Essentia Health Northern Pines Medical Center

Aurora, MN · St. Louis County

CMS 5/533 bedsNon-profitMedicaid
Nurse hours
3.67 /day
Staff turnover
23%
Serious cites
0

Essentia Health Northern Pines runs 33 certified beds in Aurora, and its inspection record is the cleanest part of the story: five deficiencies on file, none of them causing harm or jeopardy, none tied to abuse, and a survey completed in January 2026. Nurse staffing works out to 3.67 hours per resident day, about 5% under the national figure, and weekends drop roughly 19% below what the home staffs on weekdays, worth asking about if your family visits Saturdays or Sundays. The number that stands out is turnover: 22.6% against a national average near 46%, meaning aides and nurses here tend to stay.

A

90/100

Lifecare Greenbush Manor

Greenbush, MN · Roseau County

CMS 5/540 bedsNon-profitMedicaid
Nurse hours
4.33 /day
Staff turnover
44%
Serious cites
0

Lifecare Greenbush Manor runs on 4.33 nurse hours per resident day, roughly 12% above the national average, and that staffing depth shows up in its five-star staffing rating. Weekend coverage dips about 14% below its own weekday level, and turnover sits at 44.2%, basically in line with the national figure, so continuity of care is neither a strength nor a glaring problem here. The inspection record is thin on paper: three deficiencies, none at harm or jeopardy level, though two are abuse-related, which is worth asking about directly. The most recent inspection was in June 2026, so the picture is current. Quality measures land at three stars, softer than the staffing and inspection scores.

A

88.5/100

Essentia Health Virginia Care Cent

Virginia, MN · St. Louis County

CMS 5/540 bedsNon-profitMedicaid
Nurse hours
5.08 /day
Staff turnover
41%
Serious cites
0

Essentia Health Virginia Care Cent runs 40 certified beds as a nonprofit, and its nurse staffing sits at 5.08 hours per resident day, roughly 32% above the national average of 3.86. That's the number driving its staffing star rating of 5/5, though weekend coverage drops about 18% below its own weekday level, so the daily experience can vary. Staff turnover is 40.7%, a bit better than the 45.8% national figure. The home carries 9 deficiencies on its current record with none at the harm or jeopardy level and none abuse-related, and it was last inspected March 26, 2026. Inspection rating is 4/5, quality measures 3/5.

A

88.5/100

Essentia Health Grace Home

Graceville, MN · Big Stone County

CMS 5/530 bedsNon-profitMedicaid
Nurse hours
4.42 /day
Staff turnover
36%
Serious cites
0

Essentia Health Grace Home runs a tight 30-bed operation in Graceville, and the staffing numbers are the story here: 4.42 nurse hours per resident day, well above the national average, with turnover at 36% compared to roughly 46% nationally. That combination matters, enough hands on deck, and staff who tend to stay. The catch is weekends, when coverage drops about a fifth below the home's own weekday level, so a Saturday shift may look thinner than a Tuesday. Eleven deficiencies on record, one serious enough to involve harm or jeopardy, none abuse-related, and the most recent inspection was in March 2026. Quality measures land mid-range, inspections stronger. Worth asking how the weekend gap actually plays out on the floor.

A

87/100

Gundersen St Elizabeth's Care Center

Wabasha, MN · Wabasha County

CMS 5/5100 bedsNon-profitMedicaid
Nurse hours
4.19 /day
Staff turnover
28%
Serious cites
0

Gundersen St Elizabeth's runs on a nonprofit model with 4.19 nurse hours per resident day, roughly 8% above the national average, and its staff turnover sits at 27.6% against a national 45.8%, people tend to stay here. Inspections back that up: the most recent was in June 2026, and of the 8 deficiencies on record, none reached harm or jeopardy level, though one is abuse-related, which is worth asking about directly. Weekend staffing dips about 9% below weekday levels, a common pattern but still a gap. The quality measure score of 2 out of 5 is the one soft spot in an otherwise strong record, so ask what's driving those clinical numbers.

A

86.5/100

First Care Living Center

Fosston, MN · Polk County

CMS 4/536 bedsNon-profitMedicaid
Nurse hours
5.35 /day
Staff turnover
42%
Serious cites
0

First Care Living Center in Fosston runs 36 beds as a nonprofit, and its nurse staffing is the standout: 5.35 hours per resident day against a national average of 3.86, with weekend coverage dipping about 17% below its own weekday level. Turnover sits at 41.7%, slightly better than the 45.8% national figure. The tradeoff shows up in its record, 13 deficiencies, one serious enough to reach harm or jeopardy level, though none abuse-related, and a single fine of $14,433. Its last inspection was in May 2026, and CMS rates inspection and quality measures at 3 out of 5 each. Strong hands-on care, a thinner margin for error on compliance.

A

86/100

Avera Morningside Heights Care Center

Marshall, MN · Lyon County

CMS 3/576 bedsNon-profitMedicaid
Nurse hours
4.80 /day
Staff turnover
24%
Serious cites
0

Avera Morningside Heights runs on a nonprofit model with 76 certified beds, and its staffing is the standout: 4.80 nurse hours per resident day, roughly a quarter above the national average, with weekend coverage dipping only about 7% below weekdays. Turnover sits at 24.4% against a national 45.8%, which suggests people stay. The caution is inspections. Seventeen deficiencies are on record, three of them at harm or jeopardy level, and the most recent inspection was December 2025, recent enough that the findings aren't stale. One fine totaling $17,345 has been levied, and no abuse-related citations appear. Strong, stable staffing is carrying a home whose inspection history has real problems in it.

A

85/100

Essentia Health Homestead

Deer River, MN · Itasca County

CMS 2/532 bedsNon-profitMedicaid
Nurse hours
4.97 /day
Staff turnover
50%
Serious cites
0

Essentia Health Homestead runs a 32-bed nonprofit home in Deer River, and the staffing numbers are the strongest thing it has going. At 4.97 nurse hours per resident day, it beats the national average by roughly 29%, though weekends dip about 11% below its own weekday coverage, so ask how that plays out on a Saturday. The trouble sits elsewhere: 15 deficiencies on record, including 3 at harm or jeopardy level and 2 tied to abuse, plus two fines totaling $67,727. Staff turnover is 50%, above the 45.8% national figure. A recent inspection in April 2026 means the record is current. Strong caregiver ratios, real compliance problems.

A

85/100

Sanford Health Sylvan Court

Canby, MN · Yellow Medcine County

CMS 5/553 bedsNon-profitMedicaid
Nurse hours
4.06 /day
Staff turnover
42%
Serious cites
0

Sylvan Court runs a solid, well-staffed operation in Canby. Nurse staffing sits at 4.06 hours per resident day, about 5% above the national average, and its five-star health inspection rating reflects a clean survey record, six deficiencies total, none at the harm or jeopardy level, though two are abuse-related and worth asking about directly. Staff turnover comes in at 41.8%, slightly better than the national average of 45.8%. The tradeoffs: weekend staffing drops roughly 11% below weekday levels, and the three-star quality measure rating suggests outcomes data isn't as strong as the inspection and staffing numbers. As a nonprofit, it answers to a board rather than shareholders.

B

84/100

Lifeceare Roseau Manor

Roseau, MN · Roseau County

CMS 4/540 bedsNon-profitMedicaid
Nurse hours
5.71 /day
Staff turnover
28%
Serious cites
0

Lifecare Roseau Manor runs on unusually heavy staffing for a 40-bed nonprofit home, 5.71 nurse hours per resident day, roughly half again the national average, and its staff actually stick around, with turnover near 28% against a national rate closer to 46%. Weekends dip about 13% below its own weekday coverage, so care thins out on Saturdays and Sundays. The catch shows up in the inspection record: eight deficiencies, one serious enough to involve harm or jeopardy, plus a $17,610 fine, and residents' measured outcomes sit at the bottom of the federal scale. Plenty of hands, uneven results.

B

84/100

Lakewood Care Center

Baudette, MN · Lake Of Woods County

CMS 4/532 bedsNon-profitMedicaid
Nurse hours
4.41 /day
Staff turnover
37%
Serious cites
0

Lakewood Care Center runs on a church-affiliated nonprofit model with 32 beds in Baudette, and its staffing is the clear strength here: 4.41 nurse hours per resident day sits about 14% above the national average, with turnover at 37% compared to 45.8% nationally. That's a real retention advantage in a rural market where it's hard to keep nurses. The tradeoffs show up elsewhere. Twenty deficiencies sit on the current record, including one at the harm or jeopardy level and one abuse-related citation. Health inspection scoring landed at 3 out of 5, and the quality measure rating is 2 out of 5. The last inspection was June 26, 2025, so the record is recent. Strong staffing, thinner outcomes on care measures and inspection findings.

B

81.5/100

Glenfields Living With Care

Glencoe, MN · Mc Leod County

CMS 4/5108 bedsNon-profitMedicaid
Nurse hours
4.83 /day
Staff turnover
n/a
Serious cites
0

Glenfields Living With Care runs on a nonprofit model with 108 certified beds, and the staffing numbers are the standout: 4.83 total nurse hours per resident day, roughly a quarter above the national average of 3.86. Weekend coverage dips about 8% below its own weekday level, which matters for families who visit or call on Saturdays and Sundays. The record shows 8 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in June 2025. The quality measure score sits lower than the staffing and inspection marks, so the day-to-day care experience may not track as tightly with the strong nurse coverage.

B

80/100

North Shore Health

Grand Marais, MN · Cook County

CMS 4/537 bedsGovernmentMedicaid
Nurse hours
4.59 /day
Staff turnover
72%
Serious cites
0

North Shore Health runs on more nursing hours per resident than most homes in the country, 4.59 a day against a national average of 3.86, and its most recent inspection, in May 2026, turned up eight deficiencies with none causing harm and none tied to abuse. Those are real strengths, and the county hospital district that owns it isn't under pressure to squeeze margins the way a for-profit chain might be. The catch is retention: 71.8% annual turnover, well above the 45.8% national figure, meaning a large share of the staff delivering those hours is new. Weekend coverage also slips about 14% below weekday levels, so ask how weekends and nights actually run.

C

69.5/100

Hendricks Community Hospital

Hendricks, MN · Lincoln County

CMS 1/552 bedsNon-profitMedicaid
Nurse hours
3.53 /day
Staff turnover
57%
Serious cites
0

Hendricks Community Hospital runs 48 certified beds as a nonprofit, and the numbers behind its C grade point to a staffing problem. Total nurse coverage sits at 3.53 hours per resident day, roughly 9% under the national average, and weekends drop about 17% below what the home staffs on weekdays. That thin coverage is compounded by 56.9% annual turnover, well above the 45.8% national figure, so residents cycle through a lot of unfamiliar caregivers. The current record carries 22 deficiencies, three tied to abuse, though none reached the harm or jeopardy level. A recent April 2025 inspection is a positive, but the low quality-measure and staffing ratings suggest the day-to-day care still has real gaps.

Frequently asked questions

How many hospital-based nursing homes are there in Minnesota?
There are 19 hospital-based Medicare-certified nursing homes in Minnesota, 6% of the 338 nursing homes there.
Are hospital-based nursing homes better staffed?
In Minnesota they average 4.94 total nursing hours per resident per day, against 4.19 for all nursing homes in Minnesota, a difference of +0.75 hours. Staff turnover averages 38.4% against 42.2%.
Which hospital-based nursing home grades best in Minnesota?
Fairview University Trans Serv in Minneapolis, MN, grade A, 99 out of 100.
Does being hospital-based mean a nursing home is safe?
No. Of the 19 graded hospital-based homes in Minnesota, 14 grade A and 0 grade D or F.
Do hospital-based nursing homes in Minnesota accept Medicaid?
19 of the 19 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Minnesota