Homes where the federal record contains at least one of the following: a CMS abuse icon, Special Focus
Facility status or candidacy, or a citation scored at actual harm or immediate jeopardy. Ordered with
Special Focus homes first.
Read this as a prompt, not a verdict. A citation can be years old and the management
responsible may have gone. It means you ask what happened and what changed, and you get a specific answer
before you sign anything.
Villas At Bryn Mawr runs on thin nursing coverage, 2.73 hours per resident day against a national average of 3.86, and weekends dip about 7% below its own weekday levels, so the thinnest shifts come when oversight is lightest. The inspection record is the real concern: 61 deficiencies logged, six of them at harm or jeopardy level and three tied to abuse, with two fines totaling $51,980. Staff turnover sits at 29.2%, which is actually better than the 45.8% national average, so the problem isn't retention so much as how many hands are on deck and what inspectors keep finding.
Franklin Restorative Care Center runs on 3.19 nurse staffing hours per resident day, roughly 17 percent under the national average, and weekends dip about 7 percent below its own weekday level. That thin margin matters more here because turnover sits at 64.8 percent against a national 45.8 percent, so replacements are constantly learning residents who need consistency. The inspection record is where the trouble concentrates: 37 deficiencies, including one at harm or jeopardy level and four tied to abuse, with the most recent survey in May 2025. Corporate for-profit ownership, 40 beds, and staffing that earns a single star tell you where the pressure points are.
Wabasso Restorative Care Center runs 44 beds under for-profit LLC ownership, and its staffing sits at 3.15 nurse hours per resident day, roughly 18% under the national average, with weekends about 8% thinner than weekdays. Turnover is 37.9%, better than the 45.8% national figure, so the people who stay seem to stay. What pulls the record down is the inspection side: 69 deficiencies on file, including 6 at harm or jeopardy level and 11 tied to abuse, plus a $19,135 fine and a spot in CMS's Special Focus Facility program, which is reserved for the homes with the most persistent problems. The most recent inspection was January 14, 2026.
The Shores of Worthington carries 61 deficiencies on its current record, five of them serious enough to cause harm or put residents in jeopardy, and three tied to abuse. That's the kind of paper trail that lands a home in CMS's Special Focus Facility program, which it is. Staff turnover sits at 57.9% against a national average of 45.8%, more than half the nursing staff leaving in a year, which matters more than the 3.76 daily nurse hours per resident, slightly under the national 3.86. Seven fines totaling $160,691 round out the picture. The last inspection was April 2026. Ownership is a for-profit limited liability company. One star for health inspections, three for quality measures, four for staffing.
Bywood East runs on thin staffing: 2.43 nurse hours per resident per day against a national average of 3.86, and weekends drop about 17% below its own weekday coverage. The inspection record is the bigger concern, 77 deficiencies on file, including 7 at the harm or jeopardy level and 13 tied to abuse, which is why CMS has placed it in the Special Focus Facility program, a designation reserved for the country's most persistently troubled homes. Its quality measure stars look good on paper, but those reflect resident assessments rather than the care environment itself, and a 1-star inspection rating with the most recent survey dated May 2026 tells you regulators keep finding problems. Turnover at 36.8% runs below the national figure, so the issue isn't retention, it's how few staff there are.
Tweeten Lutheran runs about 0.95 nurse hours per resident per day, roughly a quarter of the national average, and weekend coverage drops another 20% below its own weekday level. Annual turnover sits at 81%, well above the 45.8% norm, and its current inspection record carries 34 deficiencies, including 4 at the harm or jeopardy level and 4 tied to abuse. The most recent inspection was in April 2026.
Highland Chateau runs 4.02 nurse hours per resident day, modestly above the national figure, but that number hides a lot. Staff turnover sits at 68.7 percent against a national average near 46 percent, and weekend coverage dips below the home's own weekday level, so the people at the bedside are constantly changing. The inspection record is the bigger concern: 98 deficiencies logged, five serious enough to involve harm or jeopardy, two tied to abuse, and $67,594 in fines across three penalties. CMS has placed it in the Special Focus Facility program, which the agency reserves for homes with a persistent pattern of poor care.
Nurse staffing here runs about 24% above the national average, and turnover is lower than most homes, 34.7% against 45.8% nationwide. That matters, because consistent caregivers usually mean better daily care. But the inspection record tells a different story: 159 deficiencies, 12 of them serious enough to put residents in harm's way, 8 tied to abuse. Eight fines total $174,044, and CMS has placed the home in its Special Focus Facility program, a status reserved for the most persistently troubled buildings. It was last inspected in June 2026. Good staffing can coexist with serious compliance problems. Ask to see the plan of correction and how the abuse-related findings were resolved.
Olivia Restorative Care Center has enough nurses on paper, 3.62 hours per resident day, close to the national figure, but that staffing thins out on weekends, running about 12% below its own weekday level. The bigger problem is what inspectors found: 40 deficiencies on the current record, six serious enough to put residents in harm's way and five tied to abuse. That's why CMS placed this 60-bed for-profit home in its Special Focus Facility program, a designation reserved for the worst repeat offenders. Staff turnover of 58.7% means the people providing care keep changing, which matters when residents need consistent attention. Inspectors were last on site in July 2025.
Valley View Manor has enough nurses on paper, about 3.93 hours per resident day, just above the national average, and its staffing star reflects that. The trouble is what inspections keep finding. Fifty-two deficiencies sit on the current record, including two at the harm level and nine tied to abuse, with one $81,446 fine. CMS has placed the home in its Special Focus Facility program, a designation reserved for the homes with the most persistent problems, and the health inspection rating sits at 1 out of 5. Weekend staffing also drops roughly 13% below weekday levels, so coverage thins exactly when oversight tends to be lightest.
Park River Healthcare and Rehabilitation Center in Coon Rapids is a for-profit, individually owned home with 98 certified beds, and the numbers pull in two directions. Nurse staffing runs 4.58 hours per resident day, about 19% above the national average, and turnover at 41.7% is better than the 45.8% national figure, so there are real people on the floor, though weekend coverage dips roughly 6% below its own weekday level. The trouble sits in inspections: a 1-out-of-5 health inspection rating, 41 deficiencies on the current record, three at harm or jeopardy level and four abuse-related, with the most recent inspection dated April 27, 2026. Strong staffing and quality measure scores don't cancel out that inspection history.
Southside Care Center is a 17-bed for-profit home in Minneapolis that Medicare has flagged for its Special Focus Facility program, a designation reserved for the homes with the most persistent compliance problems. The record backs that up: 62 deficiencies, including two at the harm or jeopardy level and two tied to abuse, alongside a one-star health inspection rating. Nurse staffing sits at 2.13 hours per resident day, roughly 45% under the national average, and weekends run about 7% thinner than weekdays. The quality measure rating looks better at four stars, but that's self-reported data, and it doesn't offset a staffing and inspection picture this thin.
Crest View Lutheran Home has 106 certified beds and runs on a nonprofit model, with total nurse staffing at 4.19 hours per resident day, roughly 8% above the national average of 3.86. That's a real strength. Weekend staffing, though, drops about 6% below its own weekday level, so coverage thins out when families tend to visit. The bigger concern sits in its inspection record: 48 deficiencies, including 4 at the harm or jeopardy level and 3 tied to abuse. One fine totaling $16,720 is on file, and the most recent inspection was June 26, 2025. Staffing looks solid on paper; the survey history is where the risk shows up.
The Estates at Fridley runs 3.25 nurse hours per resident day, roughly 16 percent under the national figure, and weekends drop another 11 percent below its own weekday staffing. Turnover sits at 42.5 percent, a touch better than the 45.8 percent national rate, and a nonprofit corporation holds the license, though that hasn't kept the record clean. Thirty-seven deficiencies are on file, including one at the harm level and two tied to abuse, with the most recent inspection dated August 2025. The staffing star lands at 4, quality at 3, but health inspections sit at 2 out of 5, which is where families should focus their questions.
Nurse staffing at Mayo Clinic Health System - Lake City runs 4.70 hours per resident day, about 22% above the national average, and CMS gives it 5 stars for staffing. Weekends dip roughly 9% below its own weekday levels, and turnover sits at 44.4%, essentially the national rate. The trouble is inspections: 22 deficiencies on the current record, including 3 at harm or jeopardy level and 4 abuse-related, with two fines totaling $145,117. Its most recent inspection was July 31, 2025. Strong hands-on care and a 4-star quality measure score are real, but a 2-star inspection rating and that deficiency history are what hold this home back.
Benedictine Health Center runs 96 certified beds in Duluth under nonprofit, church-related ownership, and its staffing sits at 3.94 nurse hours per resident day, a bit above the national average of 3.86. That margin shrinks on weekends, when coverage drops roughly 13% below its own weekday level. The bigger problem shows up in its record: 19 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with a 1-out-of-5 inspection rating. Annual turnover of 51.8% runs ahead of the 45.8% national figure, so the people providing that above-average care keep changing. Its quality measure score is strong; the inspection history is what pulls it down.
Heritage Manor runs a 65-bed nonprofit home in Chisholm, and the numbers pull in different directions. Staffing sits at 3.41 nurse hours per resident day, roughly 12 percent under the national average, and weekends drop about 14 percent below the home's own weekday level, so coverage thins out exactly when families tend to visit. Turnover is the bright spot at 31 percent, well under the 45.8 percent national figure, which suggests less churn than most places. The current inspection record is the concern: 25 deficiencies, including one at the harm level and one abuse-related, with the most recent inspection in June 2025.
Warroad Care Center runs on a paradox: 5.00 nurse staffing hours per resident day, roughly 29% above the national average, and a 4-out-of-5 staffing star to match. That's genuinely hard to find in a 49-bed rural home. The problem is everything else. Fifty deficiencies sit on the current record, including five at harm or jeopardy level and eleven tied to abuse, and CMS has levied seven fines totaling $280,774. Weekend staffing drops about 13% below the home's own weekday level, so the strong average doesn't hold every day. A 1-out-of-5 inspection rating with a December 2025 survey means the state has been watching closely. Good hours alone haven't kept residents safe here.
The Estates at Excelsior runs on thin margins where it counts. Nurse staffing sits at 3.59 hours per resident day, about 7% under the national average, and weekends drop roughly 12% below what the home manages Monday through Friday, so the thinnest coverage lands when families tend to visit. Turnover at 40% is actually a bit better than the 45.8% national figure, though it's still four in ten staff leaving each year.
What pulls the record down is the inspection side: 46 deficiencies on the current record, including one at the harm or jeopardy level and three tied to abuse, against a one-star health inspection rating. The last inspection was April 7, 2026.
Stewartville Care Center runs on a paradox: 4.36 nurse hours per resident day, roughly 13% above the national average, yet the people providing that care turn over at 60.3% a year against a 45.8% norm. Weekends dip about 13% below weekday coverage, and the inspection record is thin for a 50-bed nonprofit, 33 deficiencies, two at harm or jeopardy level, three tied to abuse, and a 2-out-of-5 inspection rating. Quality measures sit at 1/5 even as staffing earns 4/5, which tells you the hands are present but the consistency and outcomes aren't holding. One fine totaling $11,911 and an April 2025 inspection round out the picture.
Cura Of Melrose runs a nonprofit home with 75 certified beds in Stearns County. The nurse staffing number looks decent on paper, 4.02 hours per resident day, a bit above the national average, but weekends drop roughly 10% below weekday coverage, and turnover sits at 57.2% against a national 45.8%, so the people providing that care keep changing. The inspection record is where the trouble shows: 16 deficiencies, four serious enough to involve harm or jeopardy, two tied to abuse, and a $26,685 fine. Two stars each on health inspections and quality measures tells you the same story the deficiency count does.
Cura Of Willmar runs a 78-bed nonprofit home where the nurses' hours per resident day come in about 23% above the national average, and that staffing earns a 4 out of 5 from CMS. The catch is weekends, when coverage drops roughly 13% below what the home runs on weekdays. Inspections are the weaker side: 17 deficiencies on the current record, including one at the harm or jeopardy level and one tied to abuse, with the most recent visit in August 2025. Quality measures land mid-range. Strong weekday nursing hours don't cancel out a harm-level finding, and families weighing this home should ask directly how weekends and evenings get covered.
Bethany On The Lake runs 3.81 nurse staffing hours per resident day, roughly one percent under the national average, and weekend coverage drops about 13% below its own weekday level. Turnover sits at 40.4%, which is actually better than the 45.8% national figure. The trouble shows up in inspections: a 2-out-of-5 health inspection rating, 10 deficiencies on the current record, two of them at harm or jeopardy level and two tied to abuse, plus one fine of $19,330. The last inspection was August 2025. Corporate-owned, 83 beds. Staffing is the strong point here; the survey history is what pulls the overall picture down.
Fairway View Neighborhoods is city-owned, and the staffing shows it: 4.84 nurse hours per resident day, about a quarter above the national average, with turnover at 28.1% against a national 45.8%. Weekends run roughly 13% thinner than weekdays, so care can look different depending on when you visit. The harder reading comes from inspections, a two-star health inspection rating, nine deficiencies on record including one at the harm level and two tied to abuse, with the most recent inspection in May 2025. Quality measures sit at one star. Strong staffing is real here, but the inspection record is what a family should ask about directly.
Bayside Manor runs on thin staffing: 3.60 nurse hours per resident day against a national average of 3.86, and weekends drop about 14% below its own weekday levels, so care gets leanest exactly when families tend to visit. The bigger warning sign is turnover, 75% of staff leaving annually, well above the 45.8% norm, which means unfamiliar faces on a 44-bed unit. Its record shows 34 deficiencies, three involving harm or jeopardy and six tied to abuse, plus a $16,982 fine. Ownership is for-profit, and the last inspection was December 2025. The quality measures look decent, but that gap between how the home scores on paper and how it actually operates is worth asking about directly.
Villa St Vincent runs a hundred beds in Crookston under nonprofit ownership, and its staffing is the one number that looks healthy, 3.96 nurse hours per resident day, slightly above the national average, with turnover at 42.3% that's a touch better than the 45.8% norm. Weekends thin out about 13% from weekday coverage. The inspection record is where this home struggles: 25 deficiencies on file, five at harm or jeopardy level and seven abuse-related, plus a $29,234 fine, with the last survey dated June 2026. Quality measures sit low, and the staffing strength isn't enough to offset that citation history.
Bigfork Valley Communities runs on unusually deep staffing for a 40-bed hospital-district home, 6.04 nurse hours per resident day against a national average near 3.86. Turnover sits at 26.7%, well under the 45.8% national figure, so the people caring for residents tend to stay. Weekend coverage dips about 19% from weekday levels, which is worth asking about directly. The inspection record shows 10 deficiencies, none tied to harm or abuse, and the most recent survey was in December 2025. Quality measures land mid-range, which is the one area where the numbers don't stand out.
Mission Nursing Home runs on 1.09 nurse hours per resident day, roughly a quarter of what the average U.S. nursing home provides. The weekend gap is small, but the baseline itself is the problem. Turnover sits at 24 percent, well below the national 45.8 percent, so the staff who are there tend to stay, there just aren't many of them per resident. On the inspection side, the record shows 33 deficiencies, including two at harm or jeopardy level and one abuse-related, with a $14,015 fine. Federal ratings put quality measures and health inspections at 2 out of 5, staffing at 1. The most recent inspection was May 2026.
Browns Valley Health Center is a 31-bed nonprofit home where the day-to-day staffing is genuinely strong, 4.19 nurse hours per resident, roughly 8% above the national average, and turnover at 40% beats the 45.8% national figure. Weekends run about 15% thinner than weekdays, so ask how that gap gets covered. The trouble sits in inspections: nine deficiencies on the current record, including one at the harm level and three tied to abuse, plus a $26,685 fine. The last inspection was in April 2026. Good staffing and a clean quality-measure score don't cancel out an abuse-related finding, read the inspection report yourself before deciding.
Waverly Gardens runs a nonprofit home with 60 beds in North Oaks, and the staffing is where it looks strongest, 4.50 nurse hours per resident day, roughly 17% above the national average, with turnover at 35.5% against a national 45.8%. Weekend coverage dips about 8% below its own weekday level, so the extra hours aren't spread evenly across the week. The inspection record is the real weight here: 11 deficiencies on file, two of them at harm or jeopardy level and three abuse-related, with the last inspection in September 2024. That combination, good staffing numbers sitting alongside a 2/5 inspection rating and 2/5 quality measures, is what keeps the overall picture middling rather than strong.
The Villas at Osseo is a for-profit LLC home with 100 beds, and its inspection history is the part that should give you pause: 42 deficiencies on the current record, including 3 at the harm or jeopardy level and 4 tied to abuse. Three fines totaling $48,399 back that up. Nurse staffing sits at 3.59 hours per resident day, roughly 7% under the national average, and weekends run about 11% thinner than weekdays. Turnover is 46.8%, slightly above the national 45.8%. The most recent inspection was June 12, 2025, so the record is current. Quality measures rate mid-range, staffing comparatively better, but the harm-level and abuse findings are what a family should weigh hardest.
The state-run veterans home in Fergus Falls runs leaner than most on staffing churn, 27.2% turnover against a national 45.8% means the aides and nurses who show up tend to stick around, and 5.17 nurse hours per resident day sits well above the 3.86 average. Weekends dip about 10% below weekday coverage, so that cushion isn't perfectly flat.
The trouble is inspections. Five deficiencies on record, including two at the harm or jeopardy level and two tied to abuse, plus a $23,520 fine. The most recent inspection came in May 2026, so the record is current. Strong staffing and quality scores, real problems on the health side.