The Estates at Roseville LLC
2727 North Victoria, Roseville, MN 55113 · Ramsey County · 140 certified beds · avg 134 residents/day · certified since Aug 1, 1969
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: ★★☆☆☆2/5 · CMS overall rating: 2/5
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)
▲ Immediate jeopardy, one-off · Jun 10, 2026 · 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 (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jun 2, 2026 (Past Non-Compliance)
All citations in the current public record (28)
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 | ▲ J · Immediate jeopardy, 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 |
| Nov 20, 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. · from a complaint |
| Nov 20, 2025 | 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. · from a complaint |
| May 21, 2025 | F · Potential for harm, facility-wide | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
| May 21, 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. |
| May 21, 2025 | E · Potential for harm, repeated | 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. |
| May 21, 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 |
| May 21, 2025 | 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. |
| May 21, 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. |
| May 21, 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. |
| May 21, 2025 | D · Potential for harm, one-off | The facility admitted a resident without a doctor's order, or did not make sure each resident stayed under a doctor's ongoing care. |
| May 21, 2025 | 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. |
| May 21, 2025 | D · Potential for harm, one-off | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. |
| May 21, 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 |
| Mar 14, 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. |
| Mar 14, 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. |
| Mar 14, 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. |
| Mar 14, 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. |
| Mar 14, 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. |
| Mar 14, 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. |
| Mar 14, 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. |
| Mar 14, 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. |
| Mar 14, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| May 18, 2023 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| May 18, 2023 | E · Potential for harm, repeated | 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 18, 2023 | 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 18, 2023 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| May 18, 2023 | 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (9 → 11).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 0 | E |
| 2024 | 9 | 0 | D |
| 2025 | 13 | 0 | F |
| 2026 | 1 | 1 | J ▲ |
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 $27,378.
| Date | Type | Amount / length |
|---|---|---|
| Jun 10, 2026 | Fine | $27,378 |
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) | 4.00 | 4.83 | 3.95 | bottom 16% in Minnesota; top 39% in the U.S. |
| Registered Nurse hours | 0.59 | 1.22 | 0.69 | bottom 3% in Minnesota; top 49% in the U.S. |
| Weekend total nurse staffing | 3.84 | 4.27 | 3.50 | bottom 32% in Minnesota; top 28% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.43 | 0.69 | 0.48 | bottom 23% in Minnesota; top 43% in the U.S. |
| Total nursing staff turnover (%) | 35.6 | 42.2 | 45.8 | top 37% in Minnesota; top 25% in the U.S. |
| RN turnover (%) | 61.9 | 38.6 | 42.9 | bottom 15% in Minnesota; bottom 19% 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 3.57, RN 0.53, weekend 3.42. Staffing rating: 4/5.
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: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Arem, Jeffrey | Individual | 5% or Greater Direct Ownership Interest | — | 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 |
| Stern, William | Individual | Operational/Managerial Control | 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.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
- "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "What is your policy on physical restraints, and what alternatives do you try first?"
- "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 Villas at Roseville | 0.8 mi | Roseville, MN | ★★★☆☆ | 3/5 | |
| Langton Shores | 0.9 mi | Roseville, MN | ★★★★★ | 5/5 | |
| Presbyterian Homes of Arden Hills | 2.2 mi | Arden Hills, MN | ★★★★☆ | 3/5 | |
| Lyngblomsten Care Center | 3.2 mi | Saint Paul, MN | ★★★☆☆ | 2/5 | |
| Good Samaritan Society - Maplewood | 3.5 mi | Saint Paul, MN | ★★★☆☆ | 2/5 | |
| St Anthony Health & Rehabilitation | 3.6 mi | St Anthony, MN | ★★★★☆ | 3/5 | |
| The Villas at New Brighton | 3.6 mi | New Brighton, MN | ★☆☆☆☆ | 1/5 | |
| New Brighton Care Center | 3.8 mi | New Brighton, MN | ★★☆☆☆ | 2/5 | |
| St Anthony Park Home INC | 4.0 mi | Saint Paul, MN | ★★☆☆☆ | 1/5 | |
| Harmony Gardens | 4.9 mi | Maplewood, MN | ★★★★☆ | 3/5 | |
| The Villas at St Paul | 4.9 mi | Saint Paul, MN | ★★☆☆☆ | 2/5 | |
| Crest View Lutheran Home | 5.0 mi | Columbia Heights, MN | ★☆☆☆☆ | 1/5 | abuse |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 245105.