The Estates at Excelsior LLC
515 DIVISION STREET, EXCELSIOR, MN 55331 · CCN 245332
Abuse icon
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 45
- Avg residents/day
- 29.2
- Phone
- 9524745488
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 | 2025-06-16 | 22 | 8.1 | 9.5 | +13.9 worse |
| 2 | 2024-05-16 | 9 | 7.8 | 9.8 | +1.2 worse |
| 3 | 2023-06-02 | 13 | 7.4 | 9.3 | +5.6 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 4 |
| Resident assessment and care planning | 3 |
| Resident rights | 4 |
| Nutrition and dietary | 3 |
| Pharmacy service | 1 |
| Administration | 2 |
| Infection control | 3 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.44 | 42.9% |
| RN staffing (reported) | 1.29 | 30.0% |
| Total nurse staffing (adjusted) | 4.15 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- MONARCH HEALTHCARE MANAGEMENT
- Facilities in chain
- 45
- Chain avg overall
- 2.30 / 5
Inspection citations (44)1 immediate jeopardy
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-11-26 · Health
Immediate jeopardy
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2025-06-16 · Health · corrected 2025-07-30
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2025-06-16 · Health · corrected 2025-07-30
Potential for more than minimal harm
- DF0584Honor 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.2025-06-16 · Health · corrected 2025-07-30
Potential for more than minimal harm
- DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-06-16 · Health · corrected 2025-07-30
Potential for more than minimal harm
- EF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-06-16 · Health · corrected 2025-07-30
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 admitted2025-06-16 · Health · corrected 2025-07-30
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.2025-06-16 · Health · corrected 2025-07-30
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.2025-06-16 · Health · corrected 2025-07-30
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-06-16 · Health · corrected 2025-07-30
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-06-16 · Health · corrected 2025-07-30
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2025-06-16 · Health · corrected 2025-07-30
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-06-16 · Health · corrected 2025-07-30
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-06-16 · Health · corrected 2025-07-30
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.2025-06-16 · Health · corrected 2025-07-30
Potential for more than minimal harm
- FF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2025-06-16 · Health · corrected 2025-07-30
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-06-16 · Health · corrected 2025-07-30
Potential for more than minimal harm
- FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2025-06-16 · Health · corrected 2025-07-30
Potential for more than minimal harm
- FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2025-06-16 · Health · corrected 2025-07-30
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2025-06-16 · Health · corrected 2025-07-30
Potential for more than minimal harm
- DF0881Implement a program that monitors antibiotic use.2025-06-16 · Health · corrected 2025-07-30
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-06-16 · Health · corrected 2025-07-30
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-29 · Health · corrected 2025-02-28
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-01-29 · Health · corrected 2025-02-28
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.2024-11-07 · Health · corrected 2024-11-29
Potential for more than minimal harm
- DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2024-05-16 · Health · corrected 2024-06-18
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.2024-05-16 · Health · corrected 2024-06-18
Potential for more than minimal harm
- FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-05-16 · Health · corrected 2024-06-18
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-05-16 · Health · corrected 2024-06-18
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-05-16 · Health · corrected 2024-06-18
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-04-25 · Health · corrected 2024-05-08
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-08-11 · Health · corrected 2023-09-01
Potential for more than minimal harm
- DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2023-08-11 · Health · corrected 2023-09-01
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2023-08-11 · Health · corrected 2023-09-01
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2023-08-11 · Health · corrected 2023-09-01
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-06-02 · Health · corrected 2023-07-28
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.2023-06-02 · Health · corrected 2023-07-28
Potential for more than minimal harm
- DF0584Honor 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.2023-06-02 · Health · corrected 2023-07-28
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-02 · Health · corrected 2023-07-28
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2023-06-02 · Health · corrected 2023-07-28
Potential for more than minimal harm
- CF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2023-06-02 · Health · corrected 2023-07-28
Potential for minimal harm
- EF0826Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor.2023-06-02 · Health · corrected 2023-07-28
Potential for more than minimal harm
- FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2023-06-02 · Health · corrected 2023-07-28
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-06-02 · Health · corrected 2023-07-28
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| HALPERT, MARC | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 30% | 2017-03-01 |
| YAZOMA HOLDINGS, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 30% | 2017-03-01 |
| LEGUM, JOSHUA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 30% | 2017-03-01 |
| SPARTAN HEALTHCARE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 30% | 2017-03-01 |
| STERN, WILLIAM | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | 2017-03-01 |
| NIJ LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 7% | 2017-03-01 |
| AREM, JEFFREY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7% | 2017-03-01 |
| JAFFA, NOAM | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7% | 2017-03-01 |
| MONARCH HEALTHCARE OPERATING IV LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-03-01 |
| STERN, WILLIAM | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-03-01 |
| HALPERT, MARC | Individual | CORPORATE OFFICER | — | 2017-03-01 |
| LEGUM, JOSHUA | Individual | CORPORATE OFFICER | — | 2017-03-01 |
| STERN, WILLIAM | Individual | CORPORATE OFFICER | — | 2017-03-01 |
| LEGUM, JOSHUA | Individual | W-2 MANAGING EMPLOYEE | — | 2017-03-01 |
Other facilities in EXCELSIOR
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.