The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited November 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
NORRIS SQUARE
COTTAGE GROVE, MN · Medicare-certified · 72 beds
In good standing
Non-profitChain member
5 of 5 overall
Norris Square in Cottage Grove, MN has an overall 5-star rating, with 5 stars for staffing and 4 stars for health inspections; reported nurse staffing is 4.36 hours per resident per day, above the federal benchmark of 4.1, and there were no fines in the last 24 months. Its quality measures are 3 stars, and recent inspection citations included pressure ulcer care, resident/family group rights, and maintaining a safe, clean, comfortable environment.
Facility ratings
Health inspections
Staffing
4.3638 hrs/resident/day
Quality measures
Last inspection: December 10, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.3638.
Staffing detail
- Registered nurses
- 1.62
- Licensed practical nurses
- 0.13
- Nurse aides
- 2.61
- Weekend nursing
- 3.88
Hours per resident per day.
Total staff turnover: 39%
Registered nurse turnover: 33%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
11.5%Steady
Residents with a fall causing major injury
0%Steady
Residents with pressure ulcers (bedsores)
8.1%Steady
Residents with a urinary tract infection
3.2%Worsening
Residents who lost too much weight
3.9%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
14.3%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
19.5%Steady
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
4.9%Improving
Residents with new or worsening incontinence
25.9%Improving
Residents with depressive symptoms
5.3%Improving
Long-stay residents given the seasonal flu vaccine
86.7%Steady
Long-stay residents given the pneumonia vaccine
96%Improving
Short-stay residents given the seasonal flu vaccine
87.8%Steady
Short-stay residents given the pneumonia vaccine
93.9%Improving
What the inspectors found
The home failed to protect residents’ right to organize and take part in resident and family groups. Cited December 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 565 — 42 CFR §483.10 — S/S: D
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited December 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: D
The home failed to provide care or services that were trauma-informed and culturally competent. Cited December 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 699 — 42 CFR §483.25 — S/S: D
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited October 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 payment denial.
- 16 days
Medicare/Medicaid payment denial
Nov 3, 2023
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of PRESBYTERIAN HOMES & SERVICES · 21 homes · 4.3 stars avg
- Occupancy
- 35.1 residents on an average day (49% of 72 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 7 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.