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CASSIA

Every nursing home CMS records under this group, and how the portfolio performs as a whole. Consistency across a group says more about an operator than any single building.

Homes

16

States

4

Beds

1,315

Avg score

89.4

Avg turnover

40%

Federal fines

$134,381

All 16 homes

A

96/100

Apple Valley Village Health Care Center

Apple Valley, MN · Dakota County

CMS 5/5162 bedsNon-profitMedicaid
Nurse hours
4.87 /day
Staff turnover
32%
Serious cites
0

Apple Valley Village runs on a nonprofit model with 162 certified beds, and the staffing numbers are where it separates itself: 4.87 nurse hours per resident day against a national average of 3.86, roughly a quarter more hands-on time than most homes. That staff stays put too, 32.2% annual turnover versus 45.8% nationally, which matters because consistent caregivers know the residents. Weekends dip about 11% below weekday coverage, so ask how that plays out on a Sunday. The 21 deficiencies on record include two tied to abuse, though none rose to harm or jeopardy, and the most recent inspection was June 2025.

A

96/100

Haven Homes Of Maple Plain

Maple Plain, MN · Hennepin County

CMS 5/564 bedsNon-profitMedicaid
Nurse hours
4.65 /day
Staff turnover
29%
Serious cites
0

Haven Homes Of Maple Plain carries a rare set of marks: five stars across health inspections, quality measures, and staffing. The numbers behind that are real, not decorative. Nurse staffing runs 4.65 hours per resident day, roughly 20 percent above the national average, and staff turnover sits at 29.3 percent against a national figure near 46 percent, a workforce that mostly stays put. Weekend coverage dips about 11 percent below weekday levels, worth knowing if you visit Saturdays. The inspection record shows three deficiencies, none at the harm level and none tied to abuse, with the most recent survey dated May 2026. It's a 64-bed nonprofit, small enough that consistency is easier to hold.

A

96/100

Fargo Elim Health Care Center

Fargo, ND · Cass County

CMS 3/588 bedsNon-profitMedicaid
Nurse hours
5.12 /day
Staff turnover
35%
Serious cites
0

Nurse staffing at Fargo Elim runs 5.12 hours per resident day, about a third more than the national average, and the low 35% turnover means the people providing that care tend to stick around. Weekends drop roughly 12% below weekday coverage, so ask how that gap gets filled. The tradeoff shows up in inspections: a 2-out-of-5 health inspection rating with 14 deficiencies on record, one serious enough to involve harm or jeopardy. No abuse citations, and the most recent inspection was April 2026, so the picture is current. Strong staffing and quality measures sit alongside a rougher regulatory history, worth asking the administrator directly what that harm-level deficiency was and what changed after it.

A

94/100

Castle Peak Senior Life And Rehabilitation

Eagle, CO · Eagle County

CMS 5/544 bedsNon-profitMedicaid
Nurse hours
5.02 /day
Staff turnover
44%
Serious cites
0

Castle Peak runs a nonprofit home in Eagle with 44 beds and a staffing level that stands out: about 5.02 nurse hours per resident day, roughly 30% above the national average of 3.86. Weekend coverage slips about 14% below the home's own weekday numbers, and turnover sits at 44.4%, just under the national 45.8%. That strong day-to-day staffing coexists with a mixed inspection record, 22 deficiencies, including 5 at the harm or jeopardy level and 7 tied to abuse, plus two fines totaling $23,580. The most recent inspection was September 19, 2024. Families weighing that inspection history against the staffing and quality marks should ask directly how the abuse-related findings were resolved.

A

94/100

Augustana Care Hastings Health And Rehabilitation

Hastings, MN · Dakota County

CMS 5/572 bedsNon-profitMedicaid
Nurse hours
4.60 /day
Staff turnover
33%
Serious cites
0

Augustana Care Hastings runs a nonprofit shop with real staffing depth, 4.60 nurse hours per resident day against a national average of 3.86, and a 33.3% turnover rate that's meaningfully better than the 45.8% typical elsewhere. Weekends dip about 13% below weekday coverage, so ask how that gap gets filled. The catch sits on the inspection side: 18 deficiencies, one serious enough to reach harm or jeopardy level, plus a $21,645 fine, and the most recent survey dates to May 2025. Quality measures score well, but quality scores are self-reported by the facility. The staffing is genuinely there; the compliance record is the part worth pressing on during a visit.

A

94/100

Redeemer Health Care Center

Minneapolis, MN · Hennepin County

CMS 5/5119 bedsNon-profitMedicaid
Nurse hours
4.34 /day
Staff turnover
34%
Serious cites
0

Redeemer Health Care Center in Minneapolis runs 4.34 nurse hours per resident day, about 13 percent above the national average, and its staff turnover sits at 33.8 percent, noticeably lower than the 45.8 percent typical elsewhere. Weekend staffing dips roughly 10 percent below its own weekday coverage, worth asking about if your family visits Saturdays or Sundays. The 25 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the most recent inspection was June 5, 2025, so the picture is current. This is a nonprofit corporation with 119 certified beds, and its federal ratings put quality measures and staffing at the top of the scale while health inspections land midrange.

A

93/100

Harmony Gardens

Maplewood, MN · Ramsey County

CMS 4/564 bedsNon-profitMedicaid
Nurse hours
4.64 /day
Staff turnover
25%
Serious cites
0

Harmony Gardens runs on nurse staffing of 4.64 hours per resident day, roughly a fifth more than the national average, and its 24.7% turnover is well under half the national rate, people tend to stay. Weekends dip about 9% below weekday coverage, worth knowing if you visit then. The tradeoff sits on the inspection side: 23 deficiencies on the current record, including one at the harm level and three tied to abuse, which pulls the health inspection rating down to 3 out of 5. The most recent inspection was March 2026. Strong staffing and steady retention are real strengths here; the deficiency history is the part to ask about directly before deciding.

A

93/100

Park View Health Care Center

Buffalo, MN · Wright County

CMS 5/592 bedsNon-profitMedicaid
Nurse hours
4.69 /day
Staff turnover
32%
Serious cites
0

Park View Health Care Center runs on more nurse time than most homes get, 4.69 hours per resident day against a national average of 3.86. Weekend coverage dips about 15% below its own weekday level, which is normal, but worth knowing if you're planning visits around care needs. Staff turnover sits at 32% while the national average is 45.8%, so the crew here tends to stick around longer than elsewhere. On inspections, the record is clean: two deficiencies total, neither at the harm level, none abuse-related, and the most recent look came March 31, 2026. As a nonprofit with 92 beds, it's turning in strong numbers across staffing and quality alike.

A

93/100

Elim Wellspring Health Care Center

Princeton, MN · Mille Lacs County

CMS 5/586 bedsNon-profitMedicaid
Nurse hours
5.05 /day
Staff turnover
46%
Serious cites
0

Elim Wellspring runs about 5.05 nurse hours per resident day, roughly a third more staffing than the national average of 3.86, and weekends dip only about 14% below its own weekday level, which is a smaller drop than many homes show. The record is clean where it counts: two deficiencies total, none causing harm and none tied to abuse, with an inspection completed in December 2025. Staff turnover sits at 46.3%, nearly identical to the national 45.8%, so retention here looks typical rather than exceptional. As a nonprofit, it isn't managing to a quarterly earnings number. The staffing and inspection numbers are doing the talking.

A

88.5/100

Milaca Elim Meadows Health Care Center

Milaca, MN · Mille Lacs County

CMS 5/570 bedsNon-profitMedicaid
Nurse hours
4.50 /day
Staff turnover
n/a
Serious cites
0

Milaca Elim Meadows runs on a nonprofit model with 70 certified beds, and its staffing sits at 4.50 nurse hours per resident day, roughly 17 percent above the national average of 3.86. That margin matters most on weekends, where hours dip about 11 percent below the home's own weekday pace, so ask how weekend coverage actually looks on the days your family visits. The inspection record shows 11 deficiencies, none at the harm or jeopardy level and none tied to abuse, with the most recent survey completed in December 2025. Quality measures score at the top of CMS's scale, while inspections and staffing each land one notch below.

A

87/100

Lake Ridge Care Center Of Buffalo, Inc.

Buffalo, MN · Wright County

CMS 4/556 bedsNon-profitMedicaid
Nurse hours
4.38 /day
Staff turnover
48%
Serious cites
0

Lake Ridge Care Center in Buffalo runs at 4.38 nurse hours per resident day, roughly 13% above the national average of 3.86, which is the kind of cushion that matters on a bad night. Turnover sits at 48.3%, just above the national 45.8%, so the people giving that care keep changing. Its last inspection was January 8, 2026, and the current record carries nine deficiencies, one of them serious enough to involve harm or jeopardy, though nothing abuse-related. Weekend staffing drops about 10% below the home's own weekday level, a gap families should ask about directly.

A

85/100

Chapel View Health Care Center

Hopkins, MN · Hennepin County

CMS 4/5100 bedsNon-profitMedicaid
Nurse hours
4.31 /day
Staff turnover
36%
Serious cites
0

Augustana Chapel View runs on a nonprofit model with 100 certified beds, and its strongest number is staffing: 4.31 nurse hours per resident day, roughly 12 percent above the national average of 3.86. Weekend coverage dips about 9 percent below weekday levels there, and annual turnover sits at 35.5 percent against a national 45.8 percent, a relatively stable crew, which matters for residents who depend on familiar faces. The inspection record is where it gets murkier. Twenty-six deficiencies are logged, two of them serious enough to involve harm or jeopardy, though none are abuse-related. One fine, $17,345, has been assessed, and the last inspection was recent, in December 2025. Strong staffing paired with a longer deficiency list is the tension worth asking about directly.

A

85/100

Lakeside Generations Health Care Center

Dassel, MN · Meeker County

CMS 4/555 bedsNon-profitMedicaid
Nurse hours
4.03 /day
Staff turnover
53%
Serious cites
0

Lakeside Generations runs about 4.03 nurse staffing hours per resident day, a bit above the national average, and weekends drop roughly 15% below its own weekday level, worth asking about if your family visits mostly on Saturdays and Sundays. Staff turnover sits at 53.1%, higher than the 45.8% national figure, so continuity of caregivers is a real question. The inspection record shows 8 deficiencies, one at the harm or jeopardy level, with the most recent inspection in January 2026. All three CMS star ratings, health inspections, quality measures, and staffing, come in at 4 out of 5.

B

80/100

Valley View Village

Des Moines, IA · Polk County

CMS 3/579 bedsNon-profitMedicaid
Nurse hours
4.46 /day
Staff turnover
50%
Serious cites
0

Valley View Village is a nonprofit home in Des Moines with 79 beds, and its staffing is genuinely its strong point, 4.46 nurse hours per resident day, about 16% above the national average. Weekend coverage dips roughly 9% below weekday levels, which is common but worth knowing if you're visiting on a Saturday. The harder numbers sit elsewhere: staff turnover of 50% runs above the 45.8% national average, and the current record carries 23 deficiencies, including two at the harm or jeopardy level. The last inspection was in May 2025, and one fine totaling $9,110 has been levied. Consistent nursing hours are a real plus, but the inspection history and turnover suggest asking pointed questions about consistency of care.

B

79.5/100

Newton Village Health Care Center

Newton, IA · Jasper County

CMS 4/524 bedsNon-profitMedicaid
Nurse hours
5.01 /day
Staff turnover
59%
Serious cites
0

Newton Village runs a tight ship on the clinical side: five stars each for staffing and quality measures, and its 5.01 nurse hours per resident day sits about 30% above the national average. Seven deficiencies on record, but none at the harm level and none tied to abuse, with an inspection dated April 2026. The catch is people. Nearly 59% of staff turned over in a year, well above the 45.8% national figure, and weekend coverage drops roughly 15% below its own weekday level. That churn is what keeps this from grading higher. The care numbers look strong; whether the same faces keep showing up is the harder question.

B

77/100

Baptist Health & Rehab

Bismarck, ND · Burleigh County

CMS 4/5140 bedsNon-profitMedicaid
Nurse hours
5.09 /day
Staff turnover
49%
Serious cites
0

Baptist Health & Rehab runs a solidly staffed building on paper, about 5.09 nurse hours per resident day, roughly a third more than the national average, and weekend coverage stays within about 9% of weekday levels, so care doesn't drop off as sharply as it does at many homes. The trouble sits elsewhere. State inspectors have logged 16 deficiencies on the current record, four of them serious enough to put residents in harm's way and two tied to abuse, with $35,323 in fines across three penalties. Staff turnover, at 49.3%, runs slightly above the national figure, and the most recent inspection dates to April 2025. That mix, strong hours, harder inspection history, is what holds the grade down.