Harmony Gardens

1438 County Road C East · Maplewood, MN · 55109 · 6514886658

64 certified beds Non profit - Church related Chain: Cassia Part of a CCRC

  • Staffing hours comfortably above national benchmarks.
  • No federal fines or payment denials in CMS’s 3-year window.

Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 55
Serious harm & abuse 20% 88
Staffing 20% 92
Federal penalties 15% 100
Trend 10% 64
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 5 of 5 Inspections: 3 of 5 Staffing: 5 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day4.373.48 min · 4.1 strong
RN hours / resident-day1.340.55–0.75
Weekend hours / resident-day4.07≈ weekday level
Nursing turnover / year27%median 45%
Fines (3-yr window)none

Inspection citations (29 in the current record)

  • Potential for harm · D April 4, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected May 6, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 4, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected May 6, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E April 4, 2025 · found via complaint

    Ensure each resident receives an accurate assessment.

    Corrected May 6, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E April 4, 2025 · found via complaint

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Corrected May 6, 2025 · Quality of Life and Care

  • Potential for harm · D January 9, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected February 17, 2025 · Resident Rights

  • Potential for harm · D January 9, 2025

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected February 17, 2025 · Resident Rights

  • Potential for harm · D January 9, 2025

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Corrected February 17, 2025 · Quality of Life and Care

  • Potential for harm · D January 9, 2025

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected February 17, 2025 · Quality of Life and Care

  • Potential for harm · D January 9, 2025

    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.

    Corrected February 17, 2025 · Quality of Life and Care

  • Potential for harm · D January 9, 2025

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected February 17, 2025 · Quality of Life and Care

  • Potential for harm · D January 9, 2025

    Provide enough food/fluids to maintain a resident's health.

    Corrected February 17, 2025 · Quality of Life and Care

  • Potential for harm · D January 9, 2025

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected February 17, 2025 · Quality of Life and Care

  • Potential for harm · D January 9, 2025

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

    Corrected February 17, 2025 · Nutrition and Dietary

  • Potential for harm · F January 9, 2025

    Provide and implement an infection prevention and control program.

    Corrected February 17, 2025 · Infection Control

  • Actual harm · G September 19, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected September 18, 2024 · Quality of Life and Care

  • Potential for harm · D January 5, 2024 · found via complaint

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Corrected February 14, 2024 · Quality of Life and Care

  • Potential for harm · D November 9, 2023

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Corrected December 19, 2023 · Resident Rights

  • Potential for harm · D November 9, 2023

    Implement 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.

    Corrected December 19, 2023 · Pharmacy Service

  • Potential for harm · D November 9, 2023 · found via complaint

    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.

    Corrected December 19, 2023 · Resident Rights

  • Actual harm · G February 3, 2023

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected March 15, 2023 · Quality of Life and Care

  • Potential for harm · D February 3, 2023

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected March 15, 2023 · Resident Rights

  • Potential for harm · D February 3, 2023

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected March 15, 2023 · Pharmacy Service

  • Potential for harm · D February 3, 2023

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected March 15, 2023 · Pharmacy Service

  • Potential for harm · D February 3, 2023

    Ensure medication error rates are not 5 percent or greater.

    Corrected March 15, 2023 · Pharmacy Service

  • Potential for harm · D February 3, 2023

    Ensure that residents are free from significant medication errors.

    Corrected March 15, 2023 · Pharmacy Service

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 245381 · certified since December 1, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.