F

The Estates at Excelsior LLC

515 DIVISION STREET, EXCELSIOR, MN 55331
Score: 35 / 100

The Estates At Excelsior Llc has received an F grade based on CMS data, with a score of 35/100 — placing it among the lowest-rated nursing facilities in Minnesota. Families considering this Excelsior facility should carefully review its inspection history and quality metrics.

Staffing at The Estates At Excelsior Llc is near the national average, with 3.44 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 44 deficiencies at The Estates At Excelsior Llc, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.44 3.8 Average
Registered Nurses (RN) 1.29 0.7 Above Average
Licensed Practical Nurses (LPN) 0.43 0.7 Below Average
Certified Nursing Assistants (CNA) 1.72 2.4 Below Average
Weekend Total Nursing 3.04 3.8 Below Average
Weekend RN Hours 1.03 0.7 Above Average

🔍 Inspection & Deficiency History

44
Total Deficiencies
Nov 25, 2025
Most Recent Inspection
⚪ 1 Minor 🟠 42 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0600 Severity J
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Nov 25, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0809 Severity F
    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals
    Jun 15, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0812 Severity F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Jun 15, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0865 Severity F
    Have a plan that describes the process for conducting QAPI and QAA activities.
    Jun 15, 2025 · Administration Deficiencies
  • Tag 0867 Severity F
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    Jun 15, 2025 · Administration Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 6.8% 4.5% Worse
Falls with major injury 4.3% 3.0% Worse
On antipsychotic medication 21.8% 14.5% Worse
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 29.2% 14.0% Worse
Excessive weight loss 1.4% 7.5% Better
New/worsened incontinence 22.6% 45.0% Better

How This Grade Was Calculated

This facility's grade of F is based on a score of 35 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
45
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jun 15, 2025
Deficiencies (Cycle 1)
22