LAKE MINNETONKA SHORES

CCN 245210 · PHS LAKE MINNETONKA LLC · Non profit - Corporation · PRESBYTERIAN HOMES & SERVICES chain · 60 certified beds · Hennepin · MN


LAKE MINNETONKA SHORES is a 60-bed nursing home in SPRING PARK, Minnesota. CMS has certified it for Medicare and Medicaid since 1977-01-01. It averages 54.2 residents a day.

What harm was found in the violations cited at LAKE MINNETONKA SHORES?

CMS lists 9 health-inspection deficiencies for LAKE MINNETONKA SHORES, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2024-04-25.

Survey dateTagDeficiencySeverity
2024-04-25F0578Honor 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.J
2024-04-25F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-04-25F0761, F0880, F0883Ensure 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. / Provide and implement an infection prevention and control program. / Develop and implement policies and procedures for flu and pneumonia vaccinations.D
2024-04-25F0732Post nurse staffing information every day.C
2023-08-24F0583, F0657, F0677Keep residents' personal and medical records private and confidential. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable.D

Why was LAKE MINNETONKA SHORES fined?

DateTypeAmount
2024-04-25Fine$8,827

How is LAKE MINNETONKA SHORES staffed?

MeasureThis facilityMN average
Total nurse staffing hours per resident per day4.262094.19318
Total nursing staff turnover (%)29.142.2
Average number of residents per day54.260.3

Who owns LAKE MINNETONKA SHORES, and what chain is it in?

LAKE MINNETONKA SHORES is registered with CMS as Non profit - Corporation, operates under the legal business name PHS LAKE MINNETONKA LLC and belongs to the PRESBYTERIAN HOMES & SERVICES chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTPRESBYTERIAN HOMES HOUSING AND ASSISTED LIVING, INC.since 04/14/2010
5% OR GREATER MORTGAGE INTERESTNORTHEAST BANKsince 06/03/2014
5% OR GREATER SECURITY INTERESTNORTHEAST BANKsince 06/03/2014
CORPORATE DIRECTORFLETCHER, JONATHAN, MEYER, MARK, PEDERSON, MARKsince 01/01/2023
CORPORATE OFFICERFLETCHER, JONATHAN, MEYER, MARKsince 02/01/2025
OPERATIONAL/MANAGERIAL CONTROLPHS MANAGEMENT, LLC, PRESBYTERIAN HOMES HOUSING AND ASSISTED LIVING, INC., MIELKE, JOHN, SOKOLOSKI, SHAYLEEsince 03/11/2011
ADP OF THE SNFPHS MANAGEMENT, LLC, PRESBYTERIAN HOMES HOUSING AND ASSISTED LIVING, INC., MIELKE, JOHN, PETERSON, HEIDI, SOKOLOSKI, SHAYLEEsince 01/12/2025

Were you or a family member harmed at LAKE MINNETONKA SHORES?