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
Data as of July 1, 2026
5 of 5 overall
Norris Square in Cottage Grove, MN has an overall 5-star rating, with strong staffing (5 stars and 4.47 hours per resident per day, above the federal benchmark of 4.1) and a 4-star health inspection rating. The quality measures rating is lower at 2 stars, there were no fines in the last 24 months, and recent inspection issues included pressure ulcer care, resident/family group rights, and maintaining a safe, clean, comfortable environment.
Facility ratings
Health inspections
Staffing
4.4671 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 4.4671.
Staffing detail
- Registered nurses
- 1.53
- Licensed practical nurses
- 0.28
- Nurse aides
- 2.65
- Weekend nursing
- 3.90
Hours per resident per day.
Total staff turnover: 40%
Registered nurse turnover: 31%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
—10.3%—
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
7.8%5.3%Improving
Residents with a urinary tract infection
0%3.4%Worsening
Residents who lost too much weight
9.5%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
19%14.3%Improving
Residents whose ability to walk got worse
—32.6%—
Long-stay residents on antianxiety or sleep medication
14.3%35%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
4.6%1.8%Improving
Residents with new or worsening incontinence
19.1%40.5%Worsening
Residents with depressive symptoms
9.4%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—86.7%—
Long-stay residents given the pneumonia vaccine
97.1%100%Improving
Short-stay residents given the seasonal flu vaccine
—87.8%—
Short-stay residents given the pneumonia vaccine
95%96.1%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
- 37.1 residents on an average day (52% 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.