The Estates at Lynnhurst LLC

471 Lynnhurst Avenue West · Saint Paul, MN · 55104 · 6516456453

70 certified beds For profit - Corporation Chain: Monarch Healthcare Management

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

Total nurse staffing below 3.0 hours per resident-day

2.71 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Score breakdown

Inspection record 30% of score 43
Serious harm & abuse 20% 100
Staffing 20% 57
Federal penalties 15% 100
Trend 10% 75
Context 5% 75

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

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day2.713.48 min · 4.1 strong
RN hours / resident-day0.770.55–0.75
Weekend hours / resident-day2.40≈ weekday level
Nursing turnover / year50%median 45%
Fines (3-yr window)none

Inspection citations (43 in the current record)

  • Potential for harm · D August 13, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected August 26, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 27, 2025 · found via complaint

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

    Corrected August 26, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 27, 2025 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected August 1, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D June 27, 2025 · found via complaint

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

    Corrected August 26, 2025 · Quality of Life and Care

  • Potential for harm · D April 10, 2025

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

    Corrected May 13, 2025 · Resident Rights

  • Potential for harm · D April 10, 2025

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected May 13, 2025 · Resident Rights

  • Potential for harm · D April 10, 2025

    Keep residents' personal and medical records private and confidential.

    Corrected May 13, 2025 · Resident Rights

  • Potential for harm · D April 10, 2025

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected May 13, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 10, 2025

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected May 13, 2025 · Quality of Life and Care

  • Potential for harm · D April 10, 2025

    Assist a resident in gaining access to vision and hearing services.

    Corrected May 13, 2025 · Quality of Life and Care

  • Potential for harm · D April 10, 2025

    Provide appropriate foot care.

    Corrected May 13, 2025 · Quality of Life and Care

  • Potential for harm · D April 10, 2025

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

    Corrected May 13, 2025 · Quality of Life and Care

  • Potential for harm · D April 10, 2025

    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 May 13, 2025 · Pharmacy Service

  • Potential for harm · E April 10, 2025

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Corrected May 13, 2025 · Nutrition and Dietary

  • Potential for harm · E April 10, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected May 13, 2025 · Nutrition and Dietary

  • Potential for harm · D April 10, 2025

    Provide and implement an infection prevention and control program.

    Corrected May 13, 2025 · Infection Control

  • Potential for harm · D April 10, 2025

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected May 13, 2025 · Environmental

  • Potential for harm · D April 10, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected May 13, 2025 · Quality of Life and Care

  • Potential for harm · E July 23, 2024 · found via complaint

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected August 20, 2024 · Environmental

  • Potential for harm · D June 4, 2024 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected July 18, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D February 7, 2024

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

    Corrected March 29, 2024 · Resident Rights

  • Potential for harm · D February 7, 2024

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

    Corrected March 29, 2024 · Resident Rights

  • Potential for harm · D February 7, 2024

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected March 29, 2024 · Quality of Life and Care

  • Potential for harm · D February 7, 2024

    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 March 29, 2024 · Quality of Life and Care

  • Potential for harm · D February 7, 2024

    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 March 29, 2024 · Quality of Life and Care

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

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 245394 · 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.