Waverly Gardens
5919 Centerville Road, North Oaks, MN 55127 · Ramsey County · 60 certified beds · avg 57 residents/day · certified since Aug 2, 2006
Abuse citation flag (CMS)
Part of chain: PRESBYTERIAN HOMES & SERVICES (21 facilities, chain avg rating 4.3★)
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: 3/5
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 · May 29, 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 (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: Jul 2, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Feb 7, 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: Mar 5, 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 |
|---|---|---|
| May 29, 2026 | ▲ J · Immediate jeopardy, 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 |
| May 29, 2026 | 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 |
| May 29, 2026 | 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 |
| Sep 26, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Sep 26, 2024 | 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. |
| Sep 26, 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. |
| Sep 26, 2024 | C · Minimal risk, facility-wide | The facility did not post the names, addresses, and phone numbers of state agencies and advocacy groups, along with a notice that residents may file complaints with the state survey agency. |
| Feb 7, 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 |
| May 25, 2022 | 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 25, 2022 | 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 25, 2022 | 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
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 3 | 0 | D |
| 2024 | 5 | 1 | G ▲ |
| 2026 | 3 | 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 $113,312.
| Date | Type | Amount / length |
|---|---|---|
| May 29, 2026 | Fine | $113,312 |
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) | 5.21 | 4.83 | 3.95 | top 30% in Minnesota; top 10% in the U.S. |
| Registered Nurse hours | 0.98 | 1.22 | 0.69 | bottom 32% in Minnesota; top 17% in the U.S. |
| Weekend total nurse staffing | 4.81 | 4.27 | 3.50 | top 22% in Minnesota; top 8% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.73 | 0.69 | 0.48 | top 33% in Minnesota; top 15% in the U.S. |
| Total nursing staff turnover (%) | 35.5 | 42.2 | 45.8 | top 36% in Minnesota; top 25% in the U.S. |
| RN turnover (%) | 50.0 | 38.6 | 42.9 | bottom 32% in Minnesota; bottom 39% 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 4.50, RN 0.84, weekend 4.16. 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: 2/5 · long-stay residents: 3/5 · short-stay residents: 1/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Presbyterian Homes and Services | Organization | 5% or Greater Direct Ownership Interest | 100% | 03/17/2020 |
| 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 | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 03/26/2026 |
| Fletcher, Jonathan | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2025 |
| Meyer, Mark | Individual | Corporate Officer | NOT APPLICABLE | 03/30/2001 |
| Meyer, Mark | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/11/2011 |
| Meyer, Mark | Individual | ADP of the SNF | NOT APPLICABLE | 03/11/2011 |
| 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 | 02/17/2026 |
| Sammon, Katherine | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/21/2022 |
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?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "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?"
- "Where do you post the contact information for the state agency and the ombudsman, in case we ever need to file a complaint?"
- "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 |
|---|---|---|---|---|---|
| Cerenity Care Center White Bear Lake | 3.4 mi | White Bear Lake, MN | ★★★★☆ | 3/5 | |
| Harmony Gardens | 7.2 mi | Maplewood, MN | ★★★★☆ | 3/5 | |
| Langton Shores | 7.5 mi | Roseville, MN | ★★★★★ | 5/5 | |
| The Villas at New Brighton | 7.7 mi | New Brighton, MN | ★☆☆☆☆ | 1/5 | |
| New Brighton Care Center | 7.9 mi | New Brighton, MN | ★★☆☆☆ | 2/5 | |
| Maplewood Rehabilitation Center | 8.0 mi | Maplewood, MN | ★☆☆☆☆ | 1/5 | |
| The Estates at Roseville LLC | 8.0 mi | Roseville, MN | ★★☆☆☆ | 2/5 | |
| Presbyterian Homes of Arden Hills | 8.3 mi | Arden Hills, MN | ★★★★☆ | 3/5 | |
| Good Samaritan Society - Maplewood | 8.7 mi | Saint Paul, MN | ★★★☆☆ | 2/5 | |
| The Villas at Roseville | 8.8 mi | Roseville, MN | ★★★☆☆ | 3/5 | |
| Benedictine Health Center Innsbruck | 9.0 mi | New Brighton, MN | ★★★☆☆ | 2/5 | |
| St Anthony Health & Rehabilitation | 9.7 mi | St Anthony, MN | ★★★★☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 245613.