LAKEHOUSE HEALTHCARE & REHABILITATION CENTER
3737 BRYANT AVENUE SOUTH, MINNEAPOLIS, MN 55409 · CCN 245055
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 260
- Avg residents/day
- 223.5
- Phone
- 6128275931
Inspection history vs Minnesota & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Minnesota avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-08-15 | 23 | 8.1 | 9.5 | +14.9 worse |
| 2 | 2024-08-01 | 31 | 7.8 | 9.8 | +23.2 worse |
| 3 | 2023-06-29 | 23 | 7.4 | 9.3 | +15.6 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 8 |
| Resident assessment and care planning | 6 |
| Resident rights | 4 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Environmental | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.57 | 38.3% |
| RN staffing (reported) | 0.72 | 32.4% |
| Total nurse staffing (adjusted) | 3.94 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Inspection citations (77)1 immediate jeopardy
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-11-19 · Health · corrected 2026-01-06
Potential for more than minimal harm
- JF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2025-09-03 · Health · corrected 2025-08-29
Immediate jeopardy
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-08-15 · Health · corrected 2025-10-02
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2025-08-15 · Health · corrected 2025-10-02
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-08-15 · Health · corrected 2025-10-02
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-08-15 · Health · corrected 2025-10-02
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-08-15 · Health · corrected 2025-10-02
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-08-15 · Health · corrected 2025-10-02
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-08-15 · Health · corrected 2025-10-02
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2025-08-15 · Health · corrected 2025-10-02
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-08-15 · Health · corrected 2025-10-02
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2025-08-15 · Health · corrected 2025-10-02
Potential for more than minimal harm
- DF0699Provide care or services that was trauma informed and/or culturally competent.2025-08-15 · Health · corrected 2025-10-02
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2025-08-15 · Health · corrected 2025-10-02
Potential for more than minimal harm
- DF0791Provide or obtain dental services for each resident.2025-08-15 · Health · corrected 2025-10-02
Potential for more than minimal harm
- DF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2025-08-15 · Health · corrected 2025-10-02
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-08-15 · Health · corrected 2025-10-02
Potential for more than minimal harm
- FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-08-15 · Health · corrected 2025-10-02
Potential for more than minimal harm
- FF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-08-15 · Health · corrected 2025-10-02
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-07-18 · Health · corrected 2025-09-03
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-07-18 · Health · corrected 2025-09-03
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-07-18 · Health · corrected 2025-09-03
Potential for more than minimal harm
- DF0578Honor 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.2025-06-13 · Health · corrected 2025-07-15
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-01-02 · Health · corrected 2025-02-05
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-23 · Health · corrected 2025-01-14
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-10-14 · Health · corrected 2024-11-05
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-08-01 · Health · corrected 2024-09-17
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-08-01 · Health · corrected 2024-09-17
Potential for more than minimal harm
- EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2024-08-01 · Health · corrected 2024-09-17
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-08-01 · Health · corrected 2024-09-17
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-08-01 · Health · corrected 2024-09-17
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-08-01 · Health · corrected 2024-09-17
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-08-01 · Health · corrected 2024-09-17
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-08-01 · Health · corrected 2024-09-17
Potential for more than minimal harm
- DF0685Assist a resident in gaining access to vision and hearing services.2024-08-01 · Health · corrected 2024-09-17
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-01 · Health · corrected 2024-09-17
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-08-01 · Health · corrected 2024-09-17
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-08-01 · Health · corrected 2024-09-17
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-08-01 · Health · corrected 2024-09-17
Potential for more than minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-08-01 · Health · corrected 2024-09-17
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2024-08-01 · Health · corrected 2024-09-17
Potential for more than minimal harm
- EF0761Ensure 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.2024-08-01 · Health · corrected 2024-09-17
Potential for more than minimal harm
- DF0790Provide routine and 24-hour emergency dental care for each resident.2024-08-01 · Health · corrected 2024-09-17
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-08-01 · Health · corrected 2024-09-17
Potential for more than minimal harm
- DF0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.2024-08-01 · Health · corrected 2024-09-17
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-08-01 · Health · corrected 2024-09-17
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2024-08-01 · Health · corrected 2024-09-17
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-08-01 · Health · corrected 2024-09-17
Potential for more than minimal harm
- EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-08-01 · Health · corrected 2024-09-17
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-06-10 · Health · corrected 2024-07-16
Potential for more than minimal harm
- DF0578Honor 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.2024-06-10 · Health · corrected 2024-07-16
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-06-10 · Health · corrected 2024-07-16
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-04-24 · Health · corrected 2024-05-15
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-03-08 · Health · corrected 2024-03-29
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-01-11 · Health · corrected 2024-02-09
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-12-28 · Health · corrected 2024-02-06
Potential for more than minimal harm
- DF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2023-12-28 · Health · corrected 2024-02-06
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-08-10 · Health · corrected 2023-09-01
Potential for more than minimal harm
- DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-06-29 · Health · corrected 2023-09-01
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-06-29 · Health · corrected 2023-09-01
Potential for more than minimal harm
- DF0635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.2023-06-29 · Health · corrected 2023-09-01
Potential for more than minimal harm
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2023-06-29 · Health · corrected 2023-09-01
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-06-29 · Health · corrected 2023-09-01
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2023-06-29 · Health · corrected 2023-09-01
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-06-29 · Health · corrected 2023-09-01
Potential for more than minimal harm
- DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2023-06-29 · Health · corrected 2023-09-01
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-29 · Health · corrected 2023-09-01
Potential for more than minimal harm
- DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2023-06-29 · Health · corrected 2023-09-01
Potential for more than minimal harm
- DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2023-06-29 · Health · corrected 2023-09-01
Potential for more than minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2023-06-29 · Health · corrected 2023-09-01
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-06-29 · Health · corrected 2023-09-01
Potential for more than minimal harm
- DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2023-06-29 · Health · corrected 2023-09-01
Potential for more than minimal harm
- DF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2023-06-29 · Health · corrected 2023-09-01
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-06-29 · Health · corrected 2023-09-01
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2023-06-29 · Health · corrected 2023-09-01
Potential for more than minimal harm
- EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-06-29 · Health · corrected 2023-09-01
Potential for more than minimal harm
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-06-29 · Health · corrected 2023-09-01
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| LAKE HARRIET OPERATOR HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-05-01 |
| CCP MN HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-05-01 |
| GLEN HOLDCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-05-01 |
| HARMONY HOLDINGS 2005, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-05-01 |
| HIGHVIEW HOLDCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-05-01 |
| IB MIMI 2022 FAMILY TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-05-01 |
| JK 2022 FAMILY TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-05-01 |
| LIGHTHOUSE HOLDINGS 2016, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-05-01 |
| MIMI HOLDCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-05-01 |
| ML MILANO 2022 FAMILY TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-05-01 |
| MN HOLDINGS 101 LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-05-01 |
| MN V ASSOCIATES LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-05-01 |
| SSHG FAMILY GRANTOR TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-01-01 |
| YDN FAMILY GRANTOR TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-01-01 |
| FAIRBAIRN, SCOTT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-05-01 |
| HEWITT, REID | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-14 |
| KNOBEL, REUVEN | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| TARLOW, LEON | Individual | CORPORATE OFFICER | — | 2024-01-01 |
Other facilities in MINNEAPOLIS
| Name | Overall | Beds |
|---|---|---|
| REDEEMER RESIDENCE INC | ★★★★★ | 119 |
| Mount Olivet Home | ★★★★★ | 92 |
| Fairview University Trans Serv | ★★★★★ | 28 |
| Catholic Eldercare On Main | ★★★★☆ | 164 |
| Mount Olivet Careview Home | ★★★☆☆ | 155 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.