ElderGrade
C

60.6/100

Average

The Estates At Rush City Llc

650 Bremer Avenue South, Rush City, MN 55069

CMS 2/5 stars #3 of 4 in Chisago County (320) 358-4765
Certified beds
41
Occupancy
70%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • Nursing staff turnover of 72%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

24.6/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -1.4 for 21 total citations against a national median of 17

Staffing

22/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.25 total nurse hours per resident per day (national median 3.77)
  • 1.38 RN hours per resident per day
  • Weekend staffing drops 10% against weekdays

Staff stability

2/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 72% of nursing staff left in the last year

Resident outcomes

2/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 1 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.78 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 1.38 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.39 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 72.00%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 21 citations

Last standard health inspection: January 29, 2026 (6 months ago).

F Jan 29, 2026 F0812 From a complaint

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

E Jan 29, 2026 F0641

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

No actual harm, potential for more than minimal harm

E Jan 29, 2026 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D Jan 29, 2026 F0605

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

No actual harm, potential for more than minimal harm

D Jan 29, 2026 F0628

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

No actual harm, potential for more than minimal harm

D Jan 29, 2026 F0684

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

No actual harm, potential for more than minimal harm

D Jan 29, 2026 F0689

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

E Dec 5, 2024 F0726 From a complaint

Nursing and Physician Services Deficiencies

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of MONARCH HEALTHCARE MANAGEMENT, which operates 45 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
LEGUM, JOSHUA Individual W-2 MANAGING EMPLOYEE
HALPERT, MARC Individual CORPORATE DIRECTOR
STERN, WILLIAM Individual CORPORATE OFFICER
MONARCH HEALTHCARE OPERATING IV LLC Organization OPERATIONAL/MANAGERIAL CONTROL
STERN, WILLIAM Individual OPERATIONAL/MANAGERIAL CONTROL
NIJ LLC Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST
AREM, JEFFREY Individual 5% OR GREATER DIRECT OWNERSHIP INTEREST
JAFFA, NOAM Individual 5% OR GREATER INDIRECT OWNERSHIP INTEREST
SPARTAN HEALTHCARE LLC Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST
YAZOMA HOLDINGS, LLC Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST
HALPERT, MARC Individual 5% OR GREATER INDIRECT OWNERSHIP INTEREST
LEGUM, JOSHUA Individual 5% OR GREATER INDIRECT OWNERSHIP INTEREST

What families say

Write a review

No family reviews yet for The Estates At Rush City Llc. If you or a relative have experience of this home, other families would find it useful.

Be the first to review

Every review is confirmed by email and read by a moderator before it appears. We remove reviews written by or for a facility. If something is wrong right now, report a concern — that routes you to your state ombudsman, who can actually intervene.

Common questions about The Estates At Rush City Llc

What is the ElderGrade for The Estates At Rush City Llc? +

The Estates At Rush City Llc holds an ElderGrade of C (60.6 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at The Estates At Rush City Llc? +

Residents receive an average of 3.78 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has The Estates At Rush City Llc been cited for harming residents? +

Yes. 1 of the 21 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does The Estates At Rush City Llc accept Medicaid? +

Yes, The Estates At Rush City Llc is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.