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Lakehouse Healthcare & Rehabilitation CenterCMS ratings, inspections and fines

Address
3737 Bryant Avenue South, Minneapolis, MN 55409
CCN
245055
Ownership type
For-profit, limited liability company
Certified beds
260
Chain
None in the CMS record
Residents per day
235
CMS flags
None in the CMS record
CMS star ratings
Overall rating1 of 5
Health inspection rating1 of 5
Staffing rating4 of 5
Quality measure rating2 of 5
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives Lakehouse Healthcare & Rehabilitation Center an overall rating of 1 of 5 stars. The last standard survey was on 15 Aug 2025. The latest survey cycle has 23 health citations. The median for nursing homes in Minnesota is 6. CMS lists no fines for this home in its penalties file.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Lakehouse Healthcare & Rehabilitation Center, with medians
Rating (1 to 5 stars)This homeHennepin County medianMinnesota medianUS average (CMS)
Overall rating13.03.03.0
Health inspection rating12.03.02.8
Staffing rating45.04.02.9
Quality measure rating24.03.03.6

A median is the middle value of the homes in the group: 54 homes in the county, 338 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of Lakehouse Healthcare & Rehabilitation Center in the last three survey cycles
Survey cycleStandard surveyCitationsMinnesota median
Cycle 1 (latest)15 Aug 2025236
Cycle 21 Aug 2024307
Cycle 3No date286

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 81 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyK0L0
Actual harm that is not immediate jeopardyG0H0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0B0C0

Survey cycle 1 (latest): 23 citations

Standard survey of this cycle: .

Health citations of Lakehouse Healthcare & Rehabilitation Center in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
30 Apr 2026F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation2 Jun 2026
30 Apr 2026F0693Ensure 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.DComplaint investigation2 Jun 2026
30 Apr 2026F0880Provide and implement an infection prevention and control program.DComplaint investigation2 Jun 2026
10 Mar 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation15 Apr 2026
19 Nov 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation6 Jan 2026
3 Sep 2025F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.JComplaint investigation29 Aug 2025
15 Aug 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey2 Oct 2025
15 Aug 2025F0583Keep residents' personal and medical records private and confidential.DStandard survey2 Oct 2025
15 Aug 2025F0641Ensure each resident receives an accurate assessment.DStandard survey2 Oct 2025
15 Aug 2025F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey2 Oct 2025
15 Aug 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey2 Oct 2025
15 Aug 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey2 Oct 2025
15 Aug 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey2 Oct 2025
15 Aug 2025F0679Provide activities to meet all resident's needs.DStandard survey2 Oct 2025
15 Aug 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey2 Oct 2025
15 Aug 2025F0692Provide enough food/fluids to maintain a resident's health.DStandard survey2 Oct 2025
15 Aug 2025F0699Provide care or services that was trauma informed and/or culturally competent.DStandard survey2 Oct 2025
15 Aug 2025F0759Ensure medication error rates are not 5 percent or greater.DStandard survey2 Oct 2025
15 Aug 2025F0791Provide or obtain dental services for each resident.DStandard survey2 Oct 2025
15 Aug 2025F0808Ensure 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.DStandard survey2 Oct 2025
15 Aug 2025F0880Provide and implement an infection prevention and control program.DStandard survey2 Oct 2025
15 Aug 2025F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FComplaint investigation2 Oct 2025
15 Aug 2025F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.FStandard survey2 Oct 2025

Survey cycle 2: 30 citations

Standard survey of this cycle: .

Health citations of Lakehouse Healthcare & Rehabilitation Center in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
18 Jul 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation3 Sep 2025
18 Jul 2025F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint investigation3 Sep 2025
18 Jul 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation3 Sep 2025
13 Jun 2025F0578Honor 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.DComplaint investigation15 Jul 2025
2 Jan 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation5 Feb 2025
23 Dec 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation14 Jan 2025
14 Oct 2024F0554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint investigation5 Nov 2024
1 Aug 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint investigation17 Sep 2024
1 Aug 2024F0554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint investigation17 Sep 2024
1 Aug 2024F0584Honor 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.EStandard survey17 Sep 2024
1 Aug 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey17 Sep 2024
1 Aug 2024F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey17 Sep 2024
1 Aug 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey17 Sep 2024
1 Aug 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey17 Sep 2024
1 Aug 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey17 Sep 2024
1 Aug 2024F0685Assist a resident in gaining access to vision and hearing services.DStandard survey17 Sep 2024
1 Aug 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey17 Sep 2024
1 Aug 2024F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey17 Sep 2024
1 Aug 2024F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint investigation17 Sep 2024
1 Aug 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey17 Sep 2024
1 Aug 2024F0758Implement 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.DStandard survey17 Sep 2024
1 Aug 2024F0759Ensure medication error rates are not 5 percent or greater.DComplaint investigation17 Sep 2024
1 Aug 2024F0761Ensure 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.EStandard survey17 Sep 2024
1 Aug 2024F0790Provide routine and 24-hour emergency dental care for each resident.DStandard survey17 Sep 2024
1 Aug 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey17 Sep 2024
1 Aug 2024F0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.DComplaint investigation17 Sep 2024
1 Aug 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey17 Sep 2024
1 Aug 2024F0880Provide and implement an infection prevention and control program.FComplaint investigation17 Sep 2024
1 Aug 2024F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DComplaint investigation17 Sep 2024
1 Aug 2024F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EStandard survey17 Sep 2024

Survey cycle 3: 28 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Lakehouse Healthcare & Rehabilitation Center in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
10 Jun 2024F0552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint investigation16 Jul 2024
10 Jun 2024F0578Honor 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.DComplaint investigation16 Jul 2024
10 Jun 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation16 Jul 2024
24 Apr 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation15 May 2024
8 Mar 2024F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation29 Mar 2024
11 Jan 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation9 Feb 2024
28 Dec 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation6 Feb 2024
28 Dec 2023F0808Ensure 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.DComplaint investigation6 Feb 2024
10 Aug 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation1 Sep 2023
29 Jun 2023F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard survey1 Sep 2023
29 Jun 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey1 Sep 2023
29 Jun 2023F0635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.DStandard survey1 Sep 2023
29 Jun 2023F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard survey1 Sep 2023
29 Jun 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey1 Sep 2023
29 Jun 2023F0679Provide activities to meet all resident's needs.DStandard survey1 Sep 2023
29 Jun 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey1 Sep 2023
29 Jun 2023F0688Provide 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.DStandard survey1 Sep 2023
29 Jun 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey1 Sep 2023
29 Jun 2023F0693Ensure 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.DStandard survey1 Sep 2023
29 Jun 2023F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard survey1 Sep 2023
29 Jun 2023F0758Implement 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.DStandard survey1 Sep 2023
29 Jun 2023F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey1 Sep 2023
29 Jun 2023F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard survey1 Sep 2023
29 Jun 2023F0808Ensure 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.DStandard survey1 Sep 2023
29 Jun 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey1 Sep 2023
29 Jun 2023F0880Provide and implement an infection prevention and control program.FStandard survey1 Sep 2023
29 Jun 2023F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard survey1 Sep 2023
29 Jun 2023F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard survey1 Sep 2023

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

CMS lists no fine and no payment denial for this home in its penalties file.

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at Lakehouse Healthcare & Rehabilitation Center
StaffThis homeMinnesota medianMinnesota average (CMS)
All nurse staff3.344.204.19
Registered nurses (RN)0.701.001.06
Licensed practical nurses (LPN)0.710.61
Nurse aides1.942.52
All nurse staff, weekends3.093.703.71
Nurse staff turnover in a year
34.5%
Nurse staff turnover, Minnesota median
40.0%
RN turnover in a year
20.6%
Administrators who left in a year
2

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of Lakehouse Healthcare & Rehabilitation Center, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeMinnesota medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay25.1%18.0%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.5%1.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.0%2.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.9%3.7%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.7%1.4%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay18.3%20.2%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.9%4.9%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay21.5%15.9%13.4%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
For-profit, limited liability company
Legal business name
Lake Harriet Operator LLC
Organisations in the CMS ownership record of Lakehouse Healthcare & Rehabilitation Center
OrganisationRole in the CMS recordInterestSince
Lake Harriet Operator Holdings LLC5% or greater direct ownership interest100%1 May 2023
CCP MN Holdings, LLC5% or greater indirect ownership interest1 May 2023
Glen Holdco LLC5% or greater indirect ownership interest1 May 2023
Harmony Holdings 2005, LLC5% or greater indirect ownership interest1 May 2023
Highview Holdco LLC5% or greater indirect ownership interest1 May 2023
Lighthouse Holdings 2016, LLC5% or greater indirect ownership interest1 May 2023
Mimi Holdco LLC5% or greater indirect ownership interest1 May 2023
MN Holdings 101 LLC5% or greater indirect ownership interest1 May 2023
MN V Associates LLC5% or greater indirect ownership interest1 May 2023
3737 Bryant Avenue LLCAdp of the snf1 May 2023

The site shows organisations only. It does not show the names of persons.

Other homes in Hennepin County

The 12 nearest other nursing homes in Hennepin County, Minnesota
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Grand Avenue Rest HomeMinneapolis3 of 59$011 Sep 2025
Birchwood Care HomeMinneapolis5 of 50$019 May 2026
Redeemer Health Care CenterMinneapolis5 of 57$05 Jun 2025
Southside Care CenterSpecial Focus candidateMinneapolis1 of 527$06 Apr 2026
The Estates at Chateau LLCMinneapolis2 of 514$35,56518 Sep 2025
Jones Harrison ResidenceMinneapolis3 of 511$09 Jan 2026
Mount Olivet Careview HomeMinneapolis4 of 54$55,04325 Feb 2026
Mount Olivet HomeMinneapolis5 of 53$014 May 2026
Benedictine Health Center of MinneapolisMinneapolis3 of 58$84,7743 Apr 2026
Providence PlaceMinneapolis1 of 518$116,40014 May 2026
The Villas at the ParkSaint Louis Park2 of 58$144,58620 Nov 2025
Andrew ResidenceMinneapolis2 of 57$011 Sep 2025

All 54 nursing homes in Hennepin County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Lakehouse Healthcare & Rehabilitation Center (CCN 245055). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/lakehouse-healthcare-rehabilitation-center-minneapolis-mn-245055/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was Lakehouse Healthcare & Rehabilitation Center last inspected?
The latest inspection with a citation in the CMS record was on 30 Apr 2026. It was a complaint investigation. It gave 3 citations. The standard survey before the last one was on 1 Aug 2024.
Who operates Lakehouse Healthcare & Rehabilitation Center?
The CMS record gives the ownership type as for-profit, limited liability company. CMS lists no chain for the home. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
Is Lakehouse Healthcare & Rehabilitation Center a Special Focus Facility?
No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in Minnesota as Special Focus Facilities and 10 as candidates.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.