Harmony Gardens

Name: Harmony Gardens
Address: 1438 COUNTY ROAD C EAST, Maplewood, MN, 55109, US
Telephone: 6514886658

1438 County Road C East, Maplewood, MN 55109 · Ramsey County · 64 certified beds · avg 60 residents/day · certified since Dec 1, 1986 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: CASSIA (16 facilities, chain avg rating 4.4★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.93

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 · Sep 19, 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: Sep 18, 2024 (Past Non-Compliance)

All citations in the current public record (23)

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
Mar 26, 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.
Mar 26, 2026	D · Potential for harm, one-off	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Mar 26, 2026	D · Potential for harm, one-off	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
Mar 26, 2026	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Apr 4, 2025	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint
Apr 4, 2025	E · Potential for harm, repeated	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. · from a complaint
Apr 4, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Apr 4, 2025	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Jan 9, 2025	F · Potential for harm, facility-wide	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.
Jan 9, 2025	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Jan 9, 2025	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.
Jan 9, 2025	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.
Jan 9, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Jan 9, 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.
Jan 9, 2025	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Jan 9, 2025	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Jan 9, 2025	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Jan 9, 2025	D · Potential for harm, one-off	The facility did not provide each resident with a nourishing, tasty, well-balanced diet that meets their daily nutritional and special dietary needs.
Sep 19, 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
Jan 5, 2024	D · Potential for harm, one-off	The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · from a complaint
Nov 9, 2023	D · Potential for harm, one-off	The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences.
Nov 9, 2023	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Nov 9, 2023	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (10 → 4).

Year	Citations	Serious (G–L)	Worst severity that year
2023	3	0	D
2024	2	1	G ▲
2025	14	0	F
2026	4	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)

No fines or payment denials in the published 3-year window.

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)	4.93	4.83	3.95	top 43% in Minnesota; top 14% in the U.S.
Registered Nurse hours	1.49	1.22	0.69	top 21% in Minnesota; top 5% in the U.S.
Weekend total nurse staffing	4.46	4.27	3.50	top 38% in Minnesota; top 13% in the U.S.
Weekend RN hours (not acuity-adjusted)	1.06	0.69	0.48	top 14% in Minnesota; top 5% in the U.S.
Total nursing staff turnover (%)	24.7	42.2	45.8	top 10% in Minnesota; top 7% in the U.S.
RN turnover (%)	15.8	38.6	42.9	top 12% in Minnesota; top 9% 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 4.64, RN 1.40, weekend 4.21. 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: 4/5 · long-stay residents: 4/5 · short-stay residents: 5/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Cassia	Organization	5% or Greater Indirect Ownership Interest	100%	01/01/2020
Elim Care INC	Organization	5% or Greater Direct Ownership Interest	100%	10/25/1995
Addington, Jon	Individual	Corporate Director	NOT APPLICABLE	01/01/2025
Aderinkomi, Michael	Individual	Corporate Director	NOT APPLICABLE	01/01/2025
Albrecht, Michael	Individual	Operational/Managerial Control	NOT APPLICABLE	10/05/1998
Almsted, Kris	Individual	Operational/Managerial Control	NOT APPLICABLE	03/15/2025
Baldwin, James	Individual	Operational/Managerial Control	NOT APPLICABLE	12/28/1998
Brady, Jaime	Individual	Corporate Officer	NOT APPLICABLE	10/01/2025
Brady, Jaime	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2025
Brady, Jaime	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2025
Brown, Angela	Individual	Corporate Officer	NOT APPLICABLE	01/01/2018
Brown, Angela	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2018
Cassia	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2018
Cassia	Organization	ADP of the SNF	NOT APPLICABLE	03/05/2026
Kern, Matthew	Individual	Corporate Officer	NOT APPLICABLE	10/01/2025
Libbon, Paul	Individual	Corporate Officer	NOT APPLICABLE	10/01/2025
Libbon, Paul	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2025
Libbon, Paul	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2025
Mason, Krissa	Individual	Corporate Officer	NOT APPLICABLE	10/01/2025
Mason, Krissa	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2025

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?"
"What is your policy on physical restraints, and what alternatives do you try first?"
"How do you make sure resident assessments are completed and submitted to the state on time?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"What alternatives do you try before using bed rails, and how do you involve families in that decision?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"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
Maplewood Rehabilitation Center	1.1 mi	Maplewood, MN	★☆☆☆☆	1/5
Good Samaritan Society - Maplewood	2.4 mi	Saint Paul, MN	★★★☆☆	2/5
Cerenity Care Center White Bear Lake	4.3 mi	White Bear Lake, MN	★★★★☆	3/5
The Estates at Roseville LLC	4.9 mi	Roseville, MN	★★☆☆☆	2/5
The Villas at Roseville	5.1 mi	Roseville, MN	★★★☆☆	3/5
Cerenity Marian of St Paul LLC	5.2 mi	Saint Paul, MN	★★★★☆	3/5
Capital View Transitional Care Center	5.3 mi	Saint Paul, MN	★★★★★	5/5
Langton Shores	5.4 mi	Roseville, MN	★★★★★	5/5
The Villas at St Paul	5.8 mi	Saint Paul, MN	★★☆☆☆	2/5
Ebenezer Integrated Care & Rehab	5.8 mi	Saint Paul, MN	★★★★☆	3/5
The Emeralds at St Paul LLC	6.3 mi	Saint Paul, MN	★☆☆☆☆	1/5
Little Sisters of the Poor	6.4 mi	Saint Paul, MN	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Maplewood →

Facility data as of CMS processing date 2026-08-01. CCN 245381.

The Care File

Visit checklist — Harmony Gardens

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

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

Most serious findings on record:

▲ Sep 19, 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?"
☐ "What is your policy on physical restraints, and what alternatives do you try first?"
☐ "How do you make sure resident assessments are completed and submitted to the state on time?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "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 245381 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)