The nursing home failed to protect residents from abuse and neglect by others. Cited November 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
The Estates at Excelsior LLC
EXCELSIOR, MN · Medicare-certified · 45 beds
Needs attention
Abuse citationFor-profitChain member
2 of 5 overall
The Estates at Excelsior LLC has a 2-out-of-5 overall rating, with a very low health inspection rating (1 out of 5) but a 5-out-of-5 staffing rating. Reported nurse staffing is 3.61 hours per resident per day, below the federal benchmark of 4.1, and the facility has a recent abuse citation; it had no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.61 hrs/resident/day
Quality measures
Last inspection: November 26, 2025Penalties, last 24 months: $0recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.61.
Staffing detail
- Registered nurses
- 1.43
- Licensed practical nurses
- 0.44
- Nurse aides
- 1.74
- Weekend nursing
- 3.09
Hours per resident per day.
Total staff turnover: 36%
Registered nurse turnover: 30%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
20%Steady
Residents with a fall causing major injury
5.6%Steady
Residents with pressure ulcers (bedsores)
6.4%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
4.4%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
20.9%Steady
Residents whose ability to walk got worse
9.2%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
19.1%Steady
Short-stay residents newly given an antipsychotic
7.6%Worsening
Residents with a long-term catheter
1%Worsening
Residents with new or worsening incontinence
19.9%Improving
Residents with depressive symptoms
13.8%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
94.4%Improving
Short-stay residents given the seasonal flu vaccine
65.6%Steady
Short-stay residents given the pneumonia vaccine
83.8%Improving
What the inspectors found
The home failed to make sure residents were served meals and snacks at times that fit their needs, preferences, and requests. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 809 — 42 CFR §483.60 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2025 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited June 2025 — widespread issue, potential for harm.
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F-Tag 865 — 42 CFR §483.75 — S/S: F
The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 867 — 42 CFR §483.75 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 21 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of MONARCH HEALTHCARE MANAGEMENT · 45 homes · 2.2 stars avg
- Occupancy
- 26.2 residents on an average day (58% of 45 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 39 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.