The Estates at Delano LLC
433 County Road 30, Delano, MN 55328 · Wright County · 39 certified beds · avg 34 residents/day · certified since Jul 1, 1986
Part of chain: MONARCH HEALTHCARE MANAGEMENT (45 facilities, chain avg rating 2.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · 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 · Jan 4, 2024 · 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: Feb 6, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (19)
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 |
|---|---|---|
| Nov 19, 2025 | 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). |
| Nov 19, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Nov 19, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Jan 9, 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 |
| Oct 25, 2024 | 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 |
| Oct 16, 2024 | F · Potential for harm, facility-wide | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. |
| Jan 4, 2024 | ▲ G · Actual harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| Jan 4, 2024 | 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. |
| Jan 4, 2024 | F · Potential for harm, facility-wide | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. |
| Jan 4, 2024 | F · Potential for harm, facility-wide | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Jan 4, 2024 | 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 4, 2024 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Jan 4, 2024 | 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. |
| Jan 4, 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. |
| Jan 4, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jan 4, 2024 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Jan 4, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Jan 4, 2024 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Nov 29, 2023 | 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 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | D |
| 2024 | 14 | 1 | G ▲ |
| 2025 | 4 | 0 | D |
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 $11,928.
| Date | Type | Amount / length |
|---|---|---|
| Nov 29, 2023 | Fine | $11,928 |
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) | 3.64 | 4.83 | 3.95 | bottom 5% in Minnesota; bottom 43% in the U.S. |
| Registered Nurse hours | 1.11 | 1.22 | 0.69 | bottom 48% in Minnesota; top 12% in the U.S. |
| Weekend total nurse staffing | 3.13 | 4.27 | 3.50 | bottom 4% in Minnesota; bottom 38% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.52 | 0.69 | 0.48 | bottom 40% in Minnesota; top 30% in the U.S. |
| Total nursing staff turnover (%) | 0.0 | 42.2 | 45.8 | — |
| RN turnover (%) | 0.0 | 38.6 | 42.9 | — |
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 3.35, RN 1.02, weekend 2.89. Staffing rating: 2/5.
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
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Arem, Jeffrey | Individual | 5% or Greater Direct Ownership Interest | 7% | 03/01/2017 |
| Halpert, Marc | Individual | 5% or Greater Indirect Ownership Interest | 30% | 03/01/2017 |
| Jaffa, Noam | Individual | 5% or Greater Indirect Ownership Interest | 7% | 03/01/2017 |
| Legum, Joshua | Individual | 5% or Greater Indirect Ownership Interest | 30% | 03/01/2017 |
| Nij LLC | Organization | 5% or Greater Direct Ownership Interest | 7% | 03/01/2017 |
| Spartan Healthcare LLC | Organization | 5% or Greater Direct Ownership Interest | 30% | 03/01/2017 |
| Stern, William | Individual | 5% or Greater Direct Ownership Interest | 20% | 03/01/2017 |
| Yazoma Holdings, LLC | Organization | 5% or Greater Direct Ownership Interest | 30% | 03/01/2017 |
| Halpert, Marc | Individual | Corporate Director | NOT APPLICABLE | 03/01/2017 |
| Legum, Joshua | Individual | W-2 Managing Employee | NOT APPLICABLE | 03/01/2017 |
| Monarch Healthcare Operating IV LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/01/2017 |
| Stern, William | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2017 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "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 many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "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 Gardens at Winsted LLC | 9.4 mi | Winsted, MN | ★★☆☆☆ | 2/5 | |
| Park View Health Care Center | 9.5 mi | Buffalo, MN | ★★★★★ | 5/5 | |
| Haven Homes of Maple Plain | 9.5 mi | Maple Plain, MN | ★★★★★ | 5/5 | |
| Lake Ridge Care Center of Buffalo, INC. | 10.1 mi | Buffalo, MN | ★★★★☆ | 4/5 | |
| Good Samaritan Society - Howard Lake | 10.2 mi | Howard Lake, MN | ★★★★☆ | 3/5 | |
| Lake Minnetonka Shores | 13.2 mi | Spring Park, MN | ★★★★★ | 4/5 | |
| Good Samaritan Society - Waconia and Westview Acre | 13.4 mi | Waconia, MN | ★★☆☆☆ | 2/5 | |
| Auburn Home in Waconia | 13.4 mi | Waconia, MN | ★★☆☆☆ | 2/5 | |
| Cokato Manor | 16.1 mi | Cokato, MN | ★★★★★ | 4/5 | |
| The Estates at Excelsior LLC | 18.0 mi | Excelsior, MN | ★☆☆☆☆ | 1/5 | abuse |
| Folkestone | 18.5 mi | Wayzata, MN | ★★★★★ | 4/5 | |
| Cura of Monticello | 19.4 mi | Monticello, MN | ★★☆☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 245336.