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MONARCH HEALTHCARE MANAGEMENT

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

45

States

1

Beds

3,423

Avg score

73.4

Avg turnover

47%

Federal fines

$1,546,487

Flags across this group

6 of the group's homes carry a CMS abuse icon. 1 home is in or a candidate for the Special Focus Facility programme.

All 45 homes

A

89/100

The Green Prairie Rehabilitation Center

Plainview, MN · Wabasha County

CMS 5/542 bedsFor-profitMedicaid
Nurse hours
3.29 /day
Staff turnover
39%
Serious cites
0

The Green Prairie Rehabilitation Center runs 42 beds in Plainview under corporate for-profit ownership, and its last health inspection came in December 2025 with no deficiencies at the harm or jeopardy level, though one abuse-related citation is on the record among ten total. Nurse staffing sits at 3.29 hours per resident day, roughly 15% under the national average of 3.86, and weekends run about 11% leaner than weekdays. Turnover is 38.9%, which is actually better than the 45.8% national figure. Federal ratings put quality measures and staffing at the top of the scale, and inspection results close behind.

A

87/100

The Estates At Linden Llc

Stillwater, MN · Washington County

CMS 5/551 bedsFor-profitMedicaid
Nurse hours
3.47 /day
Staff turnover
51%
Serious cites
0

The Estates at Linden runs 3.47 nurse hours per resident day, roughly 10 percent under the national average of 3.86, and weekend coverage drops about another 10 percent below its own weekday levels. Staff turnover sits at 51.3 percent against a national 45.8 percent, so the people around your relative change fairly often. Its inspection record shows 12 deficiencies, including one at the harm or jeopardy level and two tied to abuse. On the other hand, the last inspection was recent, January 2026, and the quality measure side of things holds up well. For-profit, LLC-owned, 51 beds in Stillwater. The staffing numbers and that abuse finding are what you'd want to ask about directly.

A

87/100

The Villas At Richfield

Richfield, MN · Hennepin County

CMS 3/5105 bedsFor-profitMedicaid
Nurse hours
3.27 /day
Staff turnover
28%
Serious cites
0

The Villas At Richfield runs lean on nurse staffing, 3.27 hours per resident day, about 15% under the national average, with weekends roughly 9% thinner than weekdays. What stands out instead is retention: 28.4% turnover against a 45.8% national rate, which suggests people stay, even if there aren't quite enough of them. The inspection record shows 36 deficiencies, none at harm or jeopardy level, though two are abuse-related and worth asking about directly. This for-profit LLC was last inspected in May 2026, and a 3/5 health inspection rating sits alongside 4/5 marks for quality measures and staffing.

A

86/100

The Estates At Bloomington Llc

Bloomington, MN · Hennepin County

CMS 3/568 bedsFor-profitMedicaid
Nurse hours
3.33 /day
Staff turnover
37%
Serious cites
0

The Estates at Bloomington runs 68 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.33 hours per resident day, roughly 14% under the national average of 3.86. Weekends dip about 9% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the brighter spot: 37.1% against a national 45.8%. The inspection record is where you'll want to ask questions. There are 33 deficiencies on file, including one at the harm or jeopardy level and four tied to abuse. The last inspection was April 23, 2026. A three-out-of-five health inspection rating with that count tells you the survey history is doing more work here than the staffing or quality numbers.

A

85/100

Laurels Peak Health Care, Llc

Mankato, MN · Blue Earth County

CMS 4/560 bedsFor-profitMedicaid
Nurse hours
3.93 /day
Staff turnover
43%
Serious cites
0

Laurels Peak runs 60 beds in Mankato under corporate for-profit ownership, and its staffing is the clear strength: 3.93 nurse hours per resident day sits slightly above the national average, enough for CMS to hand it a top staffing rating. Weekend coverage dips about 12% below weekday levels, so ask how that plays out on a Sunday. Turnover at 43% is a touch better than the national 45.8%. The concern is the inspection record, 37 deficiencies, one serious enough to reach harm or jeopardy level, and a 2-out-of-5 health inspection rating from a visit in September 2025. No abuse citations appear. Solid hands-on care, weaker safety and compliance.

B

83/100

Maplewood Rehabilitation Center

Maplewood, MN · Ramsey County

CMS 1/5115 bedsFor-profitMedicaid
Nurse hours
3.58 /day
Staff turnover
36%
Serious cites
0

Maplewood Rehabilitation Center runs 115 certified beds under for-profit LLC ownership, and its numbers pull in different directions. Nurse staffing sits at 3.58 hours per resident day, roughly 7% under the national average of 3.86, and weekends drop about 9% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is the bright spot at 35.8%, well under the 45.8% national figure, which suggests the staff who are there tend to stay. What drags the record down is the inspection history: 43 deficiencies on file, including one at the harm or jeopardy level and one abuse-related, with the most recent inspection dated December 2025.

B

82/100

The Villas At The Cedars

Saint Louis Park, MN · Hennepin County

CMS 1/5107 bedsFor-profitMedicaid
Nurse hours
3.40 /day
Staff turnover
39%
Serious cites
0

The Villas At The Cedars runs 107 certified beds under corporate ownership in Saint Louis Park, and its staffing sits at 3.40 nurse hours per resident day, roughly 12% under the national average of 3.86, with weekends running about 9% thinner than weekdays. Turnover at 39.3% is actually better than the 45.8% national figure, so the problem here isn't retention so much as raw coverage. What drags the record down is the inspection side: 59 deficiencies, including 3 at harm or jeopardy level and 5 tied to abuse, with one $22,205 fine and a September 2024 inspection. The quality and staffing stars look fine on paper, but the health inspection star sits at 1 out of 5.

B

81/100

The Villas At Roseville

Roseville, MN · Ramsey County

CMS 3/563 bedsFor-profitMedicaid
Nurse hours
3.29 /day
Staff turnover
41%
Serious cites
0

The Villas At Roseville runs about 3.29 nursing hours per resident per day, roughly 15% under the national average of 3.86, and weekends drop another 10% below its own weekday staffing. Turnover sits at 41%, a bit better than the 45.8% national figure. What stands out on the record is the inspection side: 19 deficiencies, two of them at the harm or jeopardy level and one abuse-related, plus two fines totaling $24,791. Ownership is for-profit, through a limited liability company. With a last inspection date of April 2026, the numbers suggest asking specifically about weekend coverage and how the abuse-related finding was resolved.

B

80/100

The Estates At Chateau Llc

Minneapolis, MN · Hennepin County

CMS 2/569 bedsFor-profitMedicaid
Nurse hours
3.09 /day
Staff turnover
37%
Serious cites
0

The Estates at Chateau has a staffing paradox worth understanding. Its CMS staffing star is 5/5, yet the actual hours, 3.09 per resident day, sit about 20% under the national average of 3.86, and weekends run roughly 11% thinner than weekdays. Turnover at 36.7% is better than the 45.8% national figure, so leadership is retaining workers. The problem is the inspection record: 50 deficiencies, one at harm or jeopardy level, six tied to abuse, and a $35,565 fine. A single star on health inspections against three on quality measures tells you the care processes look adequate on paper while the survey history says otherwise.

B

80/100

Sleepy Eye Rehabilitati Center

Sleepy Eye, MN · Brown County

CMS 4/561 bedsFor-profitMedicaid
Nurse hours
3.88 /day
Staff turnover
56%
Serious cites
0

Sleepy Eye Rehabilitation Center runs 61 certified beds as a for-profit corporation, and its recent inspection history is the strongest thing it has going. The last survey was in January 2026 and turned up 17 deficiencies, but only one at the harm or jeopardy level and none related to abuse, a record that supports its 4-star health inspection rating. Staffing sits right at the national average, 3.88 nurse hours per resident day against 3.86, though weekends drop about 12% below the home's own weekday level. The number worth pausing on is turnover: 56.4% against a national average of 45.8%, meaning more than half the nursing staff leaves each year. That churn is what keeps this home a step short of the top tier, despite solid inspections.

B

80/100

Lakeshore Rehabilitation Center Llc

Waseca, MN · Waseca County

CMS 2/552 bedsFor-profitMedicaid
Nurse hours
3.32 /day
Staff turnover
46%
Serious cites
0

Lakeshore Rehabilitation Center runs 52 certified beds in Waseca under corporate for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.32 hours per resident day, roughly 14% under the national average of 3.86, and weekends run about 9% thinner than weekdays, so coverage is lightest exactly when families tend to visit. Staff turnover of 46.3% is essentially at the national average, meaning the workforce churns as much as anywhere else. On the plus side, the current record shows 13 deficiencies with none at the harm level and none abuse-related, and the most recent inspection was in March 2025.

B

80/100

The Estates At Lynnhurst Llc

Saint Paul, MN · Ramsey County

CMS 2/570 bedsFor-profitMedicaid
Nurse hours
3.01 /day
Staff turnover
53%
Serious cites
0

The Estates at Lynnhurst is a for-profit home in Saint Paul with 70 certified beds, and its staffing numbers deserve a close look. Total nurse coverage runs 3.01 hours per resident day, roughly 22 percent under the national average of 3.86, and weekends dip about 11 percent below its own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover sits at 52.9 percent against a national 45.8 percent, meaning more than half the nursing staff turns over each year. The current inspection record carries 43 deficiencies, including three tied to abuse, though none reached harm or jeopardy level. The most recent inspection was in April 2025.

B

80/100

The North Shore Estates Llc

Duluth, MN · St. Louis County

CMS 2/570 bedsFor-profitMedicaid
Nurse hours
3.15 /day
Staff turnover
32%
Serious cites
0

North Shore Estates runs lean on nurse hours, about 3.15 per resident day against a national average near 3.86, and weekends get thinner still, roughly 10% below its own weekday coverage. What keeps the place from looking worse on paper is retention: 32.1% turnover beats the 45.8% national figure by a wide margin, so the aides and nurses you'd meet have likely been there a while. The trade-off shows up in the inspection record: 24 deficiencies, one tied to abuse, though none rose to actual harm or jeopardy, and the last state visit was in February 2026. Quality measures land middling, which fits a home that's stable but stretched.

B

79/100

The Villas At St Louis Park

Saint Louis Park, MN · Hennepin County

CMS 1/5100 bedsFor-profitMedicaid
Nurse hours
3.44 /day
Staff turnover
36%
Serious cites
0

The Villas At St Louis Park runs 100 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.44 hours per resident day, roughly 11% under the national average of 3.86. Weekends dip about 8% below the home's own weekday levels, so coverage thins out right when families tend to visit. Turnover is 36.1%, which is actually better than the 45.8% national figure, and the staffing star rating reflects that relative stability. The inspection record is where things get harder to defend: 50 deficiencies on the current record, including two at harm or jeopardy level and three tied to abuse, plus $26,153 in fines across two penalties. The most recent inspection was February 13, 2026. A 2-out-of-5 health inspection rating against a 4-out-of-5 staffing rating tells you the care capacity exists but the compliance record doesn't match it.

B

78/100

The Estates At Roseville Llc

Roseville, MN · Ramsey County

CMS 2/5140 bedsFor-profitMedicaid
Nurse hours
3.57 /day
Staff turnover
36%
Serious cites
0

The Estates at Roseville runs 140 certified beds under corporate for-profit ownership, and its last health inspection was in May 2025. That inspection record carries 27 deficiencies, none flagged at the harm or jeopardy level, though two are abuse-related, worth asking about directly. Nurse staffing sits at 3.57 hours per resident day, roughly 8 percent under the national figure, and weekends run about 4 percent thinner than weekdays. Staff turnover is 35.6 percent, below the 45.8 percent national average, which suggests people tend to stay. So you have solid quality and staffing ratings sitting alongside a middling inspection history and a fairly long deficiency list.

B

78/100

The Villas At St Paul

Saint Paul, MN · Ramsey County

CMS 2/5105 bedsFor-profitMedicaid
Nurse hours
3.21 /day
Staff turnover
48%
Serious cites
0

The Villas At St Paul runs about 3.21 nurse hours per resident day, roughly 17% under the national average, and weekend coverage drops another 10% below its own weekday level. That's a for-profit partnership operating 105 certified beds, with staff turnover at 48.1%, a bit above the 45.8% national figure. Inspectors were last in on April 3, 2025, and the home carries 36 deficiencies, none at harm or jeopardy level, though three are abuse-related. Its last inspection is recent, which counts for something, and the staffing star rating holds at 4/5 despite the below-average total hours. So the picture is mixed: adequate on paper in some categories, thinner on direct care hours and weekend consistency than the numbers first suggest.

B

77/100

The Gardens At Foley Llc

Foley, MN · Benton County

CMS 2/578 bedsFor-profitMedicaid
Nurse hours
3.62 /day
Staff turnover
56%
Serious cites
0

The Gardens at Foley runs a 78-bed for-profit home in Benton County, and the staffing numbers are the first thing worth noticing. At 3.62 nurse hours per resident day, it sits about 6% under the national average, and weekends drop roughly 14% below its own weekday level, so coverage thins out right when families tend to visit and when fewer eyes are on residents. Annual turnover of 56.4% is well above the 45.8% national figure, which usually means caregivers cycle through faster than they can learn the building and its residents. The inspection record shows 26 deficiencies, one serious enough to reach harm or jeopardy level, with a single fine of $8,824 and a September 2025 survey.

B

76/100

The Villas At Brookview

Golden Valley, MN · Hennepin County

CMS 1/5104 bedsFor-profitMedicaid
Nurse hours
3.50 /day
Staff turnover
38%
Serious cites
0

The Villas At Brookview runs 104 beds in Golden Valley under corporate ownership, and its inspection record is the thing to look at first: 36 deficiencies on file, including one at the harm-or-jeopardy level and two tied to abuse. That is a lot of citations, and the single star CMS gives its health inspections reflects it, the last full inspection was April 16, 2026. Staffing sits at 3.50 nurse hours per resident day, roughly 9% under the national average, and weekends run about 12% thinner than weekdays. Turnover of 38.3% is actually better than the 45.8% national figure, so the issue here isn't retention, it's how many hours each resident gets.

B

76/100

The Estates At Twin Rivers Llc

Anoka, MN · Anoka County

CMS 2/550 bedsFor-profitMedicaid
Nurse hours
3.48 /day
Staff turnover
46%
Serious cites
0

The Estates at Twin Rivers runs 50 certified beds in Anoka under corporate for-profit ownership, and its staffing sits about 10% under the national average at 3.48 nurse hours per resident day. Weekends dip roughly 11% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is essentially average at 45.5%. The real trouble is the inspection record: 38 deficiencies currently on file, one serious enough to reach harm or jeopardy level, from a survey completed May 23, 2025, a one-star health inspection rating against a two-star quality measure score. Staffing hours look better than that, but they don't erase what inspectors found.

B

75/100

The Villas At New Brighton

New Brighton, MN · Ramsey County

CMS 1/599 bedsFor-profitMedicaid
Nurse hours
3.64 /day
Staff turnover
37%
Serious cites
0

The Villas At New Brighton runs a for-profit operation with 99 certified beds, and the staffing picture is mixed. Nurses provide 3.64 hours per resident day, about 6% under the national average of 3.86, and weekend coverage drops roughly 10% below weekday levels. Staff turnover of 36.5% actually beats the national 45.8%, so retention isn't the problem. The inspection record is. CMS rated health inspections 1 out of 5, with 61 deficiencies on file, including 6 at the harm or jeopardy level and 4 tied to abuse. Fines total $202,827 across 22 penalties, and the most recent inspection was April 23, 2026. A 4/5 staffing star doesn't offset that inspection history, the problems are documented, recent, and serious.

B

74.5/100

The Estates At Delano Llc

Delano, MN · Wright County

CMS 4/539 bedsFor-profitMedicaid
Nurse hours
3.35 /day
Staff turnover
n/a
Serious cites
0

The Estates at Delano runs 3.35 nurse hours per resident day, roughly 13 percent under the national average, and weekend coverage drops about 14 percent below its own weekday level. That thin staffing shows up in the federal staffing rating, which sits at 2 out of 5 even as inspections and quality measures both score 4. The record carries 19 deficiencies, including one at the harm or jeopardy level and four tied to abuse, plus a single $11,928 fine. The most recent inspection was in November 2025. This is a for-profit limited liability company with 39 beds, and the gap between how it looks on paper and how it's actually staffed is worth asking about directly.

B

72/100

The Estates At St Louis Park Llc

Saint Louis Park, MN · Hennepin County

CMS 3/5145 bedsNon-profitMedicaid
Nurse hours
3.37 /day
Staff turnover
26%
Serious cites
0

The Estates at St Louis Park runs a nonprofit shop with 145 beds, and its staff tends to stick around, turnover of 25.5% is well under the national 45.8%. That stability is real, and so is the fact that weekend coverage dips about 8% below weekday levels. But 47 deficiencies on the current record, including three at the harm level and three tied to abuse, along with $107,139 in fines, suggest the day-to-day care has problems that steady staffing hasn't solved. The state inspected most recently in August 2025, and the issues it found landed in the middle of CMS's range on both health inspections and quality measures. Families weighing this one should ask directly how the home is addressing those harm and abuse findings.

B

72/100

The Villas At Robbinsdale

Robbinsdale, MN · Hennepin County

CMS 1/575 bedsFor-profitMedicaid
Nurse hours
3.44 /day
Staff turnover
31%
Serious cites
0

The Villas At Robbinsdale runs on thinner nurse staffing than most homes, 3.44 hours per resident day against a national average of 3.86, and weekends dip about 12% below its own weekday levels, so coverage is lightest exactly when families tend to visit. Turnover at 30.9% is better than the 45.8% national figure, which matters for continuity of care. What pulls the record down is inspections: 40 deficiencies, two of them at harm or jeopardy level and two tied to abuse, with $104,974 in fines and a one-star health inspection rating. The most recent inspection was April 2025.

B

72/100

Hillcrest Health Care, Llc

Mankato, MN · Blue Earth County

CMS 1/595 bedsFor-profitMedicaid
Nurse hours
3.55 /day
Staff turnover
54%
Serious cites
0

Hillcrest runs 3.55 nurse hours per resident day, roughly 8% under the national average, and weekends drop about 11% below its own weekday staffing. That thinner weekend coverage matters because the record shows 41 deficiencies, three of them at harm or jeopardy level and one abuse-related, with a $17,345 fine and an inspection from June 2024. Turnover sits at 54.1% against a national 45.8%, so aides and nurses are cycling out faster than usual. The corporation that owns the 95-bed home is for-profit. Two out of five on inspections and two out of five on quality measures, with staffing the relative bright spot at three, describes a building where the clinical basics get done but the margin for error is narrow.

B

71/100

The Emeralds At Fairbault Llc

Faribault, MN · Rice County

CMS 1/5109 bedsFor-profitMedicaid
Nurse hours
3.31 /day
Staff turnover
64%
Serious cites
0

The Emeralds At Faribault runs lean on nursing staff, 3.31 hours per resident per day against a national average of 3.86, and weekends drop about 8% below its own weekday coverage. Staff turnover sits at 63.8%, well above the 45.8% national figure, which matters because that's a lot of caregivers cycling through the building each year. The inspection record is where the real concern lives: 61 deficiencies, including 8 tied to abuse, with the most recent inspection in May 2025. None were cited at the harm or jeopardy level, so this isn't a home where residents have been seriously injured in a documented incident, but the sheer volume and the abuse-related findings are worth asking about directly before you decide.

B

71/100

The Villas At The Park

Saint Louis Park, MN · Hennepin County

CMS 2/552 bedsFor-profitMedicaid
Nurse hours
3.16 /day
Staff turnover
37%
Serious cites
0

The Villas At The Park runs 3.16 nurse staffing hours per resident day, about 18% under the national average of 3.86, and weekends dip roughly 7% below its own weekday levels, so coverage is thinnest exactly when families tend to visit. Turnover is a genuine bright spot at 36.6%, well under the 45.8% national figure, and the quality measure rating sits at 4/5. The inspection record is where this home gets tripped up: 29 deficiencies on file, two at harm or jeopardy level, two abuse-related, and 16 fines totaling $162,230. The most recent inspection was November 2025. A for-profit corporate owner, steady staff retention, and a long citation history coexist here, the staffing numbers and deficiency log are what deserve your scrutiny.

B

71/100

Parmly On The Lake Llc

Chisago City, MN · Chisago County

CMS 2/591 bedsFor-profitMedicaid
Nurse hours
3.48 /day
Staff turnover
52%
Serious cites
0

Parmly On The Lake runs 91 certified beds in Chisago City and staffs at 3.48 total nurse hours per resident day, roughly 10% under the national average of 3.86. That shortfall gets worse on weekends, when coverage drops about 11% below its own weekday level, and 52% annual turnover means a lot of the aides and nurses your family meets will be new. The current inspection record carries 20 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus one fine of $8,193. The most recent inspection was September 19, 2024, so that record is fairly current. For-profit corporate ownership, and the quality measure star rating sits at 2 of 5.

B

71/100

The Estates At Greeley Llc

Stillwater, MN · Washington County

CMS 4/564 bedsFor-profitMedicaid
Nurse hours
3.30 /day
Staff turnover
55%
Serious cites
0

The Estates at Greeley runs 64 beds in Stillwater under for-profit partnership ownership, and its nursing hours come in around 14% under the national average, with weekends staffed roughly 12% lighter than weekdays. Turnover sits at 54.7% against a national 45.8%, meaning nearly six in ten caregivers left over the year. Its inspection record carries 22 deficiencies, including one at the harm level and four tied to abuse. The most recent inspection was in August 2024. CMS rates the staffing 4 out of 5 but the quality measures just 2, and those two numbers don't tell the same story about what daily life looks like here.

C

69/100

River Valley Health And Rehabilitation Center Llc

Redwood Falls, MN · Redwood County

CMS 3/543 bedsFor-profitMedicaid
Nurse hours
3.62 /day
Staff turnover
84%
Serious cites
0

River Valley Health and Rehabilitation Center runs 43 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.62 hours per resident day, roughly 6% under the national average of 3.86. Weekends get thinner still, running about 12% below the home's own weekday level, so coverage dips exactly when families tend to visit. The bigger number to sit with is turnover: 83.7% annually against a national average of 45.8%, meaning most of the people caring for your relative are new to the building. Twenty-one deficiencies sit on the current record, including one at the harm or jeopardy level and four tied to abuse. The last inspection was March 24, 2026, with a single fine of $14,069.

C

69/100

Mala Strana Health Care, Llc

New Prague, MN · Scott County

CMS 4/569 bedsFor-profitMedicaid
Nurse hours
3.79 /day
Staff turnover
75%
Serious cites
0

Mala Strana runs 69 certified beds under for-profit corporate ownership, and its inspection history is genuinely strong, a 4-out-of-5 health inspection rating with the most recent survey completed in April 2026. The trouble sits elsewhere. Nurse staffing comes in at 3.79 hours per resident day, just under the national average, and weekends drop roughly 10% below what the home staffs on weekdays, which matters when aides are already stretched. Turnover is the number that should give you pause: 75.3% of staff leaving annually against a national average of 45.8%. Ten deficiencies sit on the current record, including one at the harm level and two tied to abuse. Good surveys, thin staffing, heavy churn.