The home failed to provide safe, appropriate pain management for a resident who needed it. Cited January 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
Nursing home report
Monarch Healthcare Management - The Estates at Delano
Registered name: The Estates at Delano LLC
DELANO, MN · Medicare-certified · 39 beds
In good standing
For-profitChain member
Data as of July 1, 2026
4 of 5 overall
Monarch Healthcare Management - The Estates at Delano has an overall rating of 4 out of 5 stars, with strong health inspection and quality ratings but a low staffing rating of 2 out of 5. Reported nurse staffing is 3.35 hours per resident day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.353 hrs/resident/day
Quality measures
Last inspection: November 19, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.353.
Staffing detail
- Registered nurses
- 1.02
- Licensed practical nurses
- 0.50
- Nurse aides
- 1.83
- Weekend nursing
- 2.89
Hours per resident per day.
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
—20%—
Residents with a fall causing major injury
7.4%0%Improving
Residents with pressure ulcers (bedsores)
18.5%12.2%Improving
Residents with a urinary tract infection
3.7%0%Improving
Residents who lost too much weight
8.7%12%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
9.5%4.2%Improving
Residents whose ability to walk got worse
—16.9%—
Long-stay residents on antianxiety or sleep medication
4.3%12%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
13.3%16.7%Worsening
Residents with depressive symptoms
8%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
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—81.2%—
Short-stay residents given the pneumonia vaccine
97.6%84.8%Worsening
What the inspectors found
The home failed to submit complete and accurate staffing information based on verifiable records. Cited October 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 851 — 42 CFR §483.70 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited January 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 921 — 42 CFR §483.90 — S/S: F
The nursing home failed to provide the required notice or documentation about a resident’s needs, appeal rights, or bed-hold policy. Cited November 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 628 — 42 CFR §483.15(c)(2) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $11,928 in total fines.
- $11,928
Federal fine
Nov 29, 2023
Operator & ownership
Recent ownership change · Mar 1, 2017
Now operated by Estates at Delano LLC, previously Ggnsc Delano LLC.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of MONARCH HEALTHCARE MANAGEMENT · 45 homes · 2.3 stars avg
- Occupancy
- 33.7 residents on an average day (86% of 39 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 40 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.