Starfile

Starfile / Minnesota

LAKE MINNETONKA SHORES

4527 SHORELINE DRIVE, SPRING PARK, MN 55384 · CCN 245210

Ratings

Overall
★★★★★ 5
Health inspection
★★★★☆ 4
Quality measures
★★★☆☆ 3
Staffing
★★★★★ 5

Facility

Ownership type
Non profit - Corporation
Certified beds
60
Avg residents/day
53.2
Phone
9524714001

Inspection history vs Minnesota & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityMinnesota avgNational avgvs state
12025-04-0308.19.5-8.1 better
22024-04-2567.89.8-1.8 better
32023-08-2437.49.3-4.4 better

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)4.3132.7%
RN staffing (reported)1.2726.7%
Total nurse staffing (adjusted)4.97

Fines & penalties

Total fines
$8,827
Number of fines
1
Number of penalties
1
Payment denials
0

Chain

Chain
PRESBYTERIAN HOMES & SERVICES
Facilities in chain
20
Chain avg overall
4.40 / 5

Inspection citations (9)1 immediate jeopardy

  1. JF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2024-04-25 · Health · corrected 2024-05-17

    Immediate jeopardy

  2. CF0732Post nurse staffing information every day.2024-04-25 · Health · corrected 2024-05-17

    Potential for minimal harm

  3. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2024-04-25 · Health · corrected 2024-05-17

    Potential for more than minimal harm

  4. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-04-25 · Health · corrected 2024-05-17

    Potential for more than minimal harm

  5. DF0880Provide and implement an infection prevention and control program.2024-04-25 · Health · corrected 2024-05-17

    Potential for more than minimal harm

  6. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-04-25 · Health · corrected 2024-05-17

    Potential for more than minimal harm

  7. DF0583Keep residents' personal and medical records private and confidential.2023-08-24 · Health · corrected 2023-09-28

    Potential for more than minimal harm

  8. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-08-24 · Health · corrected 2023-09-28

    Potential for more than minimal harm

  9. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-08-24 · Health · corrected 2023-09-28

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
PRESBYTERIAN HOMES HOUSING AND ASSISTED LIVING, INC.Organization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2010-04-14
PHS MANAGEMENT, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2011-03-11
PRESBYTERIAN HOMES HOUSING AND ASSISTED LIVING, INC.OrganizationOPERATIONAL/MANAGERIAL CONTROL2010-04-14
MIELKE, JOHNIndividualOPERATIONAL/MANAGERIAL CONTROL2019-08-29
SOKOLOSKI, SHAYLEEIndividualOPERATIONAL/MANAGERIAL CONTROL2019-07-11
FLETCHER, JONATHANIndividualCORPORATE DIRECTOR2025-02-01
MEYER, MARKIndividualCORPORATE DIRECTOR2010-04-14
PEDERSON, MARKIndividualCORPORATE DIRECTOR2023-01-01
FLETCHER, JONATHANIndividualCORPORATE OFFICER2025-02-01
MEYER, MARKIndividualCORPORATE OFFICER2010-04-14
NORTHEAST BANKOrganization5% OR GREATER SECURITY INTEREST2014-06-03
NORTHEAST BANKOrganization5% OR GREATER MORTGAGE INTEREST2014-06-03

Other facilities in SPRING PARK

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.