Mission Nursing Home
3401 East Medicine Lake Boulevard, Plymouth, MN 55441 · Hennepin County · 70 certified beds · avg 62 residents/day · certified since Feb 1, 1991
Abuse citation flag (CMS)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5
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 · Feb 25, 2026 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
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: Feb 19, 2026 (Past Non-Compliance)
▲ Actual harm, one-off · Apr 10, 2025 · F-0697 · triggered by a complaint
The facility did not provide safe and appropriate pain management for a resident who needed it.
Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.
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: Apr 3, 2025 (Past Non-Compliance)
All citations in the current public record (33)
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 |
|---|---|---|
| May 22, 2026 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| May 22, 2026 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| May 22, 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. |
| Mar 5, 2026 | D · Potential for harm, one-off | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. · from a complaint |
| Feb 25, 2026 | ▲ G · Actual harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Feb 11, 2026 | 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. · from a complaint |
| Jan 8, 2026 | E · Potential for harm, repeated | The facility did not verify that its nurse aides had completed their required training, or did not retrain aides who had been out of nurse aide work for 2 years. · from a complaint |
| Jul 3, 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. · from a complaint |
| Jul 3, 2025 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Jul 3, 2025 | 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. · from a complaint |
| Apr 10, 2025 | ▲ G · Actual harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| Apr 10, 2025 | 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. · from a complaint |
| Apr 10, 2025 | 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. · from a complaint |
| Mar 12, 2025 | F · Potential for harm, facility-wide | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Mar 12, 2025 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Mar 12, 2025 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| May 31, 2024 | 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. |
| May 31, 2024 | F · Potential for harm, facility-wide | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| May 31, 2024 | 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. |
| May 31, 2024 | D · Potential for harm, one-off | The facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately. |
| May 31, 2024 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| May 31, 2024 | 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. |
| May 31, 2024 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| May 31, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| May 31, 2024 | 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. |
| May 31, 2024 | 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. |
| May 31, 2024 | 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. |
| May 31, 2024 | 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. |
| May 31, 2024 | 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. |
| May 31, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Apr 24, 2024 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. · from a complaint |
| Dec 13, 2023 | 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. · from a complaint |
| Dec 13, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · from a complaint |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (3 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | F |
| 2024 | 15 | 0 | F |
| 2025 | 9 | 1 | G ▲ |
| 2026 | 7 | 1 | G ▲ |
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)
1 fine totaling $14,015.
| Date | Type | Amount / length |
|---|---|---|
| Feb 11, 2026 | Fine | $14,015 |
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) | 1.29 | 4.83 | 3.95 | bottom 1% in Minnesota; bottom 1% in the U.S. |
| Registered Nurse hours | 0.38 | 1.22 | 0.69 | bottom 1% in Minnesota; bottom 19% in the U.S. |
| Weekend total nurse staffing | 1.26 | 4.27 | 3.50 | bottom 1% in Minnesota; bottom 1% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.30 | 0.69 | 0.48 | bottom 7% in Minnesota; bottom 32% in the U.S. |
| Total nursing staff turnover (%) | 24.0 | 42.2 | 45.8 | top 8% in Minnesota; top 6% in the U.S. |
| RN turnover (%) | 11.1 | 38.6 | 42.9 | top 5% in Minnesota; top 4% 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 1.09, RN 0.32, weekend 1.07. Staffing rating: 1/5.
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: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Missions, INC Programs | Organization | 5% or Greater Direct Ownership Interest | 100% | 04/17/1975 |
| Aurand, Claudia | Individual | Corporate Director | NOT APPLICABLE | 06/01/2021 |
| Barker, Joel | Individual | Corporate Director | NOT APPLICABLE | 06/01/2021 |
| Billy, Stacey | Individual | Corporate Director | NOT APPLICABLE | 06/01/2021 |
| Bobo, Cynthia | Individual | Corporate Director | NOT APPLICABLE | 06/01/2023 |
| Collins, Lucas | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/05/2018 |
| Collins, Lucas | Individual | ADP of the SNF | NOT APPLICABLE | 02/05/2018 |
| Daniels, Kathryn | Individual | Corporate Director | NOT APPLICABLE | 07/01/2022 |
| Determan, Teresa | Individual | Corporate Director | NOT APPLICABLE | 06/01/2022 |
| Fallon, Tamara | Individual | Corporate Director | NOT APPLICABLE | 06/01/2021 |
| Kiwus, Kelly | Individual | Corporate Director | NOT APPLICABLE | 06/01/2023 |
| Mannix, Peter | Individual | Corporate Director | NOT APPLICABLE | 10/01/2023 |
| Meyer, Ellen | Individual | Corporate Director | NOT APPLICABLE | 06/01/2022 |
| Missions, INC Programs | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 04/17/1975 |
| Missions, INC Programs | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/17/1975 |
| Missions, INC Programs | Organization | ADP of the SNF | NOT APPLICABLE | 04/17/1975 |
| Moncrief, William | Individual | Corporate Director | NOT APPLICABLE | 07/01/2022 |
| Moncrief, William | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2022 |
| Moncrief, William | Individual | ADP of the SNF | NOT APPLICABLE | 02/20/2025 |
| Nettles, Andrea | Individual | Corporate Director | NOT APPLICABLE | 06/01/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you coordinate hospice care, and can residents stay here while receiving it?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How do you confirm each aide's training and certification before they start caring for residents?"
- "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 |
|---|---|---|---|---|---|
| Allina Health Restorative Suites | 1.5 mi | Plymouth, MN | ★★★★★ | 4/5 | |
| Good Samaritan Ambassador | 1.9 mi | New Hope, MN | ★★★★★ | 5/5 | |
| North Ridge Health and Rehab | 2.8 mi | New Hope, MN | ★☆☆☆☆ | 1/5 | SFF |
| The Villas at Brookview | 3.1 mi | Golden Valley, MN | ★☆☆☆☆ | 1/5 | |
| Woodlake Healthcare and Rehabilitation Center | 3.3 mi | Crystal, MN | ★★★☆☆ | 3/5 | |
| The Terrace at Crystal LLC | 3.4 mi | Crystal, MN | —/5 | SFF | |
| Covenant Living of Golden Valley Care & Rehab Ctr | 3.5 mi | Golden Valley, MN | ★★★★★ | 5/5 | |
| The Birches at Trillium Woods | 3.8 mi | Plymouth, MN | ★★★★★ | 4/5 | |
| Good Samaritan Society - Specialty Care Community | 4.3 mi | Robbinsdale, MN | ★★☆☆☆ | 1/5 | |
| The Villas at St Louis Park | 4.4 mi | Saint Louis Park, MN | ★★☆☆☆ | 2/5 | |
| The Villas at Robbinsdale | 4.4 mi | Robbinsdale, MN | ★☆☆☆☆ | 1/5 | |
| Courage Kenny Rehabilitation Institutes TRP | 4.6 mi | Golden Valley, MN | ★★★★☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 245546.