The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
GABLES OF BOUTWELLS LANDING
OAK PARK HEIGHTS, MN · Medicare-certified · 108 beds
In good standing
Non-profitChain member
5 of 5 overall
5 out of 5 stars overall. Gables of Boutwells Landing has a 4-star health inspection rating, 5-star staffing, and 4-star quality measures; reported nurse staffing is above the federal benchmark (4.65 vs. 4.1 hours per resident per day), with no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.6506 hrs/resident/day
Quality measures
Last inspection: April 2, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.6506.
Staffing detail
- Registered nurses
- 1.50
- Licensed practical nurses
- 0.17
- Nurse aides
- 2.98
- Weekend nursing
- 4.39
Hours per resident per day.
Total staff turnover: 30%
Registered nurse turnover: 24%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
39%Worsening
Residents with a fall causing major injury
4.9%Improving
Residents with pressure ulcers (bedsores)
3.9%Worsening
Residents with a urinary tract infection
2.3%Improving
Residents who lost too much weight
9.3%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
14.2%Worsening
Residents whose ability to walk got worse
18.2%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
18.6%Worsening
Short-stay residents newly given an antipsychotic
0.5%Improving
Residents with a long-term catheter
0.9%Worsening
Residents with new or worsening incontinence
33.8%Improving
Residents with depressive symptoms
8%Steady
Long-stay residents given the seasonal flu vaccine
89.4%Steady
Long-stay residents given the pneumonia vaccine
99%Worsening
Short-stay residents given the seasonal flu vaccine
92.7%Steady
Short-stay residents given the pneumonia vaccine
98.6%Worsening
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited August 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited August 2023 — limited pattern, potential for harm.
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F-Tag 550 — 42 CFR §483.10(a) — S/S: E
The home failed to provide appropriate care to help a resident maintain or improve movement and mobility. Cited April 2025 — isolated incident, potential for harm.
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F-Tag 688 — 42 CFR §483.25(c) — S/S: D
The home failed to ensure a licensed pharmacist reviewed residents' medications each month and reported any problems as required. Cited July 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 756 — 42 CFR §483.45(c) — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 payment denial.
- 12 days
Medicare/Medicaid payment denial
May 30, 2024
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of PRESBYTERIAN HOMES & SERVICES · 21 homes · 4.3 stars avg
- Occupancy
- 99.5 residents on an average day (92% of 108 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 17 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.