Gables of Boutwells Landing

Name: Gables of Boutwells Landing
Address: 13575 58TH STREET NORTH, Oak Park Heights, MN, 55082, US
Telephone: 6514307200

13575 58th Street North, Oak Park Heights, MN 55082 · Washington County · 108 certified beds · avg 101 residents/day · certified since Mar 4, 2009

Part of chain: PRESBYTERIAN HOMES & SERVICES (21 facilities, chain avg rating 4.3★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

5.45

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · May 30, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Jul 9, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (11)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jun 10, 2026	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jun 10, 2026	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Jun 10, 2026	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Jun 10, 2026	D · Potential for harm, one-off	The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have.
Jun 10, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jun 10, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Apr 2, 2025	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Jul 10, 2024	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Jul 10, 2024	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Jul 10, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
May 30, 2024	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (1 → 6).

Year	Citations	Serious (G–L)	Worst severity that year
2024	4	1	G ▲
2025	1	0	D
2026	6	0	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

0 fines totaling $0, plus 1 Medicare payment denial period.

Date	Type	Amount / length
May 30, 2024	Payment Denial	12 days from Jun 27, 2024

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Minnesota avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	5.45	4.83	3.95	top 19% in Minnesota; top 8% in the U.S.
Registered Nurse hours	1.71	1.22	0.69	top 12% in Minnesota; top 3% in the U.S.
Weekend total nurse staffing	5.16	4.27	3.50	top 11% in Minnesota; top 5% in the U.S.
Weekend RN hours (not acuity-adjusted)	1.18	0.69	0.48	top 9% in Minnesota; top 4% in the U.S.
Total nursing staff turnover (%)	31.0	42.2	45.8	top 25% in Minnesota; top 16% in the U.S.
RN turnover (%)	22.2	38.6	42.9	top 22% in Minnesota; top 17% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.65, RN 1.46, weekend 4.41. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Valley Senior Services Alliance	Organization	5% or Greater Direct Ownership Interest	100%	12/05/2005
Computershare Corporate Trust Company, Na	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	07/01/2024
Computershare Corporate Trust Company, Na	Organization	5% or Greater Security Interest	NOT APPLICABLE	07/01/2024
Fletcher, Jonathan	Individual	Corporate Director	NOT APPLICABLE	02/01/2025
Fletcher, Jonathan	Individual	Corporate Officer	NOT APPLICABLE	02/01/2025
Fletcher, Jonathan	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2025
Fletcher, Jonathan	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2025
Meyer, Mark	Individual	Corporate Officer	NOT APPLICABLE	12/05/2015
Meyer, Mark	Individual	Operational/Managerial Control	NOT APPLICABLE	03/11/2011
Meyer, Mark	Individual	ADP of the SNF	NOT APPLICABLE	03/11/2011
Middleton, Gavin	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2019
Middleton, Gavin	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2019
Pederson, Jane	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2021
Pederson, Jane	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2021
Pederson, Mark	Individual	Corporate Director	NOT APPLICABLE	01/01/2023
Peterson, Heidi	Individual	Corporate Director	NOT APPLICABLE	01/01/2023
Peterson, Heidi	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2023
Peterson, Heidi	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2023
PHS Management, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	03/11/2011
PHS Management, LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/24/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"If my family member is able to manage their own medications, would you allow it, and how is that decided?"
"Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
"How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
The Estates at Greeley LLC	1.6 mi	Stillwater, MN	★★★★☆	4/5
The Estates at Linden LLC	2.2 mi	Stillwater, MN	★★★★★	4/5
Good Samaritan Society - Stillwater	2.4 mi	Stillwater, MN	★★★☆☆	3/5
Christian Community Home	6.0 mi	Hudson, WI	★★★★★	3/5
Maplewood Rehabilitation Center	9.4 mi	Maplewood, MN	★☆☆☆☆	1/5
Cerenity Care Center White Bear Lake	10.0 mi	White Bear Lake, MN	★★★★☆	3/5
Harmony Gardens	10.2 mi	Maplewood, MN	★★★★☆	3/5
Woodbury Health Care Center	10.8 mi	Woodbury, MN	★☆☆☆☆	1/5
St Therese of Woodbury LLC	11.4 mi	Woodbury, MN	★★★★☆	3/5
Good Samaritan Society - Maplewood	12.2 mi	Saint Paul, MN	★★★☆☆	2/5
Cerenity Marian of St Paul LLC	12.4 mi	Saint Paul, MN	★★★★☆	3/5
Waverly Gardens	12.8 mi	North Oaks, MN	★★★☆☆	2/5	abuse

Compare this facility with the 3 closest →

All facilities in Oak Park Heights →

Facility data as of CMS processing date 2026-08-01. CCN 245615.

The Care File

Visit checklist — Gables of Boutwells Landing

13575 58th Street North, Oak Park Heights, MN 55082 · 6514307200

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $0

Most serious findings on record:

▲ May 30, 2024 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
☐ "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
☐ "How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 245615 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)