Minnesota › Hennepin County › Excelsior
The Estates At Excelsior LLC
515 Division Street, Excelsior, MN 55331
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 45 beds, The Estates At Excelsior LLC serves Excelsior in Hennepin County, Minnesota and has taken Medicare and Medicaid residents since 1986.
CMS gives it 1 of 5 stars overall, below the Minnesota median of 3; the health inspection rating is 1, staffing 4 and quality measures 2.
Inspectors recorded 46 health deficiencies across the three most recent survey cycles (12, 24, 10 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 102.2 per 100 beds, more than the state median of 30.0.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.6 hours per resident per day (1.4 RN), close to the Minnesota median of 4.2; nursing staff turnover is 40.0%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Hennepin Co. median | Minnesota median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 46 | 30 | 20 | 28.7 |
| Citations per 100 beds | 102.2 | 33.8 | 30.0 | 26.8 |
| Total nurse hours per resident day | 3.6 | 4.2 | 4.2 | 3.9 |
| RN hours per resident day | 1.4 | 1.1 | 1.0 | 0.7 |
| Nursing staff turnover | 40.0% | 30.9% | 40.0% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (54 in the county, 338 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Minnesota average per facility for the same cycle, as published by CMS. Standard health survey dates: 7 Apr 2026, 16 Jun 2025.
Severity mix: J ×1 D ×33 E ×6 F ×6
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 7 Apr 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard survey | 22 May 2026 |
| 7 Apr 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 22 May 2026 |
| 7 Apr 2026 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 22 May 2026 |
| 7 Apr 2026 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Standard survey | 22 May 2026 |
| 7 Apr 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 22 May 2026 |
| 7 Apr 2026 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 22 May 2026 |
| 7 Apr 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 22 May 2026 |
| 7 Apr 2026 | F0688 | Provide 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. | D | Standard survey | 22 May 2026 |
| 7 Apr 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 22 May 2026 |
| 7 Apr 2026 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 22 May 2026 |
| 7 Apr 2026 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Standard survey | 22 May 2026 |
| 26 Nov 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 17 Nov 2025 |
| 16 Jun 2025 | F0809 | Ensure 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. | F | Standard survey | 30 Jul 2025 |
| 16 Jun 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 30 Jul 2025 |
| 16 Jun 2025 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 30 Jul 2025 |
| 16 Jun 2025 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 30 Jul 2025 |
| 16 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 30 Jul 2025 |
| 16 Jun 2025 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 30 Jul 2025 |
| 16 Jun 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Standard survey | 30 Jul 2025 |
| 16 Jun 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 30 Jul 2025 |
| 16 Jun 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Complaint investigation | 30 Jul 2025 |
| 16 Jun 2025 | F0584 | Honor 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. | D | Standard survey | 30 Jul 2025 |
| 16 Jun 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 30 Jul 2025 |
| 16 Jun 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 30 Jul 2025 |
| 16 Jun 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 30 Jul 2025 |
| 16 Jun 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 30 Jul 2025 |
| 16 Jun 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 30 Jul 2025 |
| 16 Jun 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 30 Jul 2025 |
| 16 Jun 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 30 Jul 2025 |
| 16 Jun 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 30 Jul 2025 |
| 16 Jun 2025 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 30 Jul 2025 |
| 16 Jun 2025 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 30 Jul 2025 |
| 16 Jun 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 30 Jul 2025 |
| 29 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 28 Feb 2025 |
| 29 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 28 Feb 2025 |
| 7 Nov 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 29 Nov 2024 |
| 16 May 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 18 Jun 2024 |
| 16 May 2024 | F0761 | Ensure 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. | E | Standard survey | 18 Jun 2024 |
| 16 May 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 18 Jun 2024 |
| 16 May 2024 | F0625 | Notify 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. | D | Standard survey | 18 Jun 2024 |
| 16 May 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 18 Jun 2024 |
| 25 Apr 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 8 May 2024 |
| 11 Aug 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 1 Sep 2023 |
| 11 Aug 2023 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Complaint investigation | 1 Sep 2023 |
| 11 Aug 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 1 Sep 2023 |
| 11 Aug 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 1 Sep 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Minnesota average. Turnover: nursing staff 40.0%, RNs 62.5%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Minnesota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 10.9% | 18.0% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.2% | 1.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 2.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.5% | 3.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 7.5% | 1.4% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.0% | 20.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.5% | 4.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 24.4% | 15.9% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Estates At Excelsior Llc. Chain: Monarch Healthcare Management (45 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Nij LLC | 5% or greater direct ownership interest | 7% | 03/01/2017 |
| Spartan Healthcare LLC | 5% or greater direct ownership interest | 30% | 03/01/2017 |
| Yazoma Holdings, LLC | 5% or greater direct ownership interest | 30% | 03/01/2017 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Hennepin County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Allina Health Restorative Suites | Plymouth | 50 | 5 | 4 | 5 | 13 | 26.0 | — | 28 Aug 2025 |
| Birchwood Care Home | Minneapolis | 60 | 5 | 4 | 3 | 31 | 51.7 | — | 29 Jul 2025 |
| Covenant Living of Golden Valley Care & Rehab Ctr | Golden Valley | 88 | 5 | 5 | 5 | 4 | 4.5 | — | 9 May 2025 |
| Fairview University Trans Serv | Minneapolis | 28 | 5 | 5 | 5 | 0 | 0.0 | — | — |
| Folkestone | Wayzata | 30 | 5 | 4 | 5 | 9 | 30.0 | — | 20 Nov 2025 |
| Good Samaritan Ambassador | New Hope | 77 | 5 | 5 | 5 | 2 | 2.6 | — | 9 Jan 2025 |
| Haven Homes of Maple Plain | Maple Plain | 64 | 5 | 5 | 5 | 3 | 4.7 | — | 24 Jul 2025 |
| Lake Minnetonka Shores | Spring Park | 60 | 5 | 4 | 5 | 9 | 15.0 | $9K | 25 Apr 2024 |
All 54 facilities in Hennepin County
Questions and answers
How many deficiencies has The Estates At Excelsior LLC been cited for?
46 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Minnesota median is 20 per facility.
Has The Estates At Excelsior LLC been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at The Estates At Excelsior LLC compare?
Reported total nurse staffing is 3.6 hours per resident per day against a Minnesota median of 4.2 and a national average of 3.9.
Who operates The Estates At Excelsior LLC?
It is part of the Monarch Healthcare Management chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Nij LLC, Spartan Healthcare LLC and Yazoma Holdings, LLC. Individual owners and managers are not listed on this site.
When was The Estates At Excelsior LLC last inspected?
The most recent survey or investigation in the CMS record is dated 7 Apr 2026; the most recent standard health survey was 7 Apr 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.