2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
The Estates at Excelsior is a nursing home in Excelsior, MN, offering long-term care, rehabilitation, and skilled nursing. Promoting a nurturing and inviting environment, the community ensures older adults are well-cared for during their stay. Residents also receive high-quality services, including 24-hour care, housekeeping, laundry, and nutritious meals, ensuring a worry-free living. Focusing on residents’ holistic well-being, the community strives to provide the best possible care tailored to their unique needs and habits.
Arts and crafts, music therapy, and sensory activities are among the many activities that residents can participate in to make friends and create unforgettable memories. A beauty and barbershop and thoughtfully curated amenities are also available, so residents can rest comfortably. Situated near Highway 7 in the tree-lined neighborhood of Excelsior, the community guarantees accessibility and convenience. This nursing home is one of the trusted choices for senior living in Minnesota, especially with its top-tier services.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 69th out of 89 homes in Minnesota for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 1h 26m per day | ▲ 34% State avg: 1h 4m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 27m per day | ▼ 28% State avg: 37m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 45m per day | ▼ 32% State avg: 2h 33m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 5m per day | ▼ 16% State avg: 3h 41m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 66% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 1h 5m per day | ▲ 58% State avg: 41m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
9% more staff per resident than Minnesota average
0% compared with Minnesota average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
19 total: 12 full-time employees and 7 contractors.
19
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursAssists with medical care and medications.
5 total: 3 full-time employees and 2 contractors.
5
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursHelps with daily care and mobility.
19 total: 13 full-time employees and 6 contractors.
19
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
759 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 13 | 6 | 19 | 4,195 | 92 | 100% | 8 |
| Registered Nurse | 12 | 7 | 19 | 2,731 | 92 | 100% | 9.4 |
| Licensed Practical Nurse | 3 | 2 | 5 | 828 | 71 | 77% | 10 |
| Administrator | 1 | 0 | 1 | 473 | 63 | 68% | 7.5 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 432 | 52 | 57% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 429 | 57 | 62% | 7.5 |
| Other Dietary Services Staff | 1 | 0 | 1 | 411 | 59 | 64% | 7 |
| Nurse Practitioner | 2 | 0 | 2 | 270 | 36 | 39% | 7.5 |
| RN Director of Nursing | 2 | 0 | 2 | 238 | 32 | 35% | 7.4 |
| Physical Therapy Aide | 0 | 2 | 2 | 236 | 63 | 68% | 3.7 |
| Qualified Social Worker | 0 | 2 | 2 | 150 | 59 | 64% | 2.5 |
| Speech Language Pathologist | 0 | 4 | 4 | 127 | 43 | 47% | 2.9 |
| Occupational Therapy Aide | 1 | 0 | 1 | 88 | 22 | 24% | 4 |
| Respiratory Therapy Technician | 0 | 13 | 13 | 54 | 35 | 38% | 1.2 |
| Physical Therapy Assistant | 0 | 6 | 6 | 33 | 22 | 24% | 1.3 |
| Medical Director | 0 | 1 | 1 | 27 | 3 | 3% | 9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 14 | 4 | 4% | 3.5 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.9
7% worse than Minnesota averageMinnesota average: 11.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.4
8% worse than Minnesota averageMinnesota average: 22.6
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
27.8%
47% worse than Minnesota averageMinnesota average: 18.9%
Percent of long-stay residents whose ability to move independently worsened
19.6%
18% better than Minnesota averageMinnesota average: 23.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.9%
In line with Minnesota averageMinnesota average: 25.0%
Percent of long-stay residents experiencing one or more falls with major injury
2.2%
41% better than Minnesota averageMinnesota average: 3.7%
Percent of long-stay high risk residents with pressure ulcers
8.7%
60% worse than Minnesota averageMinnesota average: 5.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Minnesota averageMinnesota average: 2.7%
Percent of long-stay residents who lose too much weight
1.3%
68% better than Minnesota averageMinnesota average: 4.1%
Percent of long-stay residents who have depressive symptoms
14.1%
224% worse than Minnesota averageMinnesota average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
19.3%
12% worse than Minnesota averageMinnesota average: 17.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.3%
In line with Minnesota averageMinnesota average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Minnesota averageMinnesota average: 96.0%
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
83.3%
6% worse than Minnesota averageMinnesota average: 88.9%
Percent of short-stay residents who newly received an antipsychotic medication
4.1%
114% worse than Minnesota averageMinnesota average: 1.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
65.6%
21% worse than Minnesota averageMinnesota average: 82.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
34.2%
48% worse than Minnesota averageMinnesota average: 23.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
8.6%
39% better than Minnesota averageMinnesota average: 14.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Minnesota averageMinnesota average: 0.8%
Rate of successful return to home or community from a skilled nursing facility.
51.3%
In line with Minnesota averageMinnesota average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
36% of new residents, usually for short-term rehab.
57% of new residents, often for short stays.
8% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
35Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for The Estates at Excelsior from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #80 / 89Payroll — State benchmarkedThis home is ranked 80th out of 89 homes in Minnesota. Shows total annual staff payroll benchmarked to the Minnesota average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Minnesota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #6 / 89Payroll % — State benchmarkedThis home is ranked 6th out of 89 homes in Minnesota. Shows payroll as a percentage of revenue versus the Minnesota average. Well-run Minnesota facilities typically land around 61–68% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Minnesota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Building Type: Single-story
Beauty Services
Housekeeping Services
Social and Recreational Activities
On-site Medical Care and Health Services
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (57% of admissions), and a typical private pay stay runs around 2 - 3 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.7 miles from city center
Estimated distance in miles from Excelsior's city center to The Estates at Excelsior's address, calculated via Google Maps.
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The information below is reported by the Minnesota Department of Health, Health Regulation Division.
| The Estates at Excelsior | NH | Excelsior | 45
Facility
45
MN AVG
61
Rank
#273 / 532 |
60.8%
Facility
60.8%
MN AVG
79.7%
Rank
#246 / 331 | -24% | 3.91
Facility
3.91
MN AVG
4.77
Rank
#69 / 89 | +62% | -18% | $0
Facility
$0
MN AVG
$47.9k
Rank
#1 / 90 | 43
Facility
43
MN AVG
23.2
Rank
#76 / 90 | 6.1
Facility
6.1
MN AVG
3.8
Rank
#82 / 90 | - | 26 | - |
40
Facility
40
MN AVG
43
Rank
#337 / 632 | - | $3.8M
Facility
$3.8M
MN AVG
$9.9M
Rank
#87 / 89 | $2.3M
Facility
$2.3M
MN AVG
$4.9M
Rank
#80 / 89 | 60.9%
Facility
60.9%
MN AVG
50.7%
Rank
#6 / 89 | 245332 | ||||
| Hopkins Restorative Care Center | - | NH HC MC PC | Hopkins | 52
Facility
52
MN AVG
61
Rank
#250 / 532 |
67.6%
Facility
67.6%
MN AVG
79.7%
Rank
#228 / 331 | -15% | - | - | - | - | - | - | - | - | - | - | - | - |
34
Facility
34
MN AVG
43
Rank
#376 / 632 | $5.6M
Facility
$5.6M
MN AVG
$9.9M
Rank
#73 / 89 | $3.6M
Facility
$3.6M
MN AVG
$4.9M
Rank
#75 / 89 | 64%
Facility
64%
MN AVG
50.7%
Rank
#26 / 89 | 245052 |
The Estates at Excelsior is located in Excelsior, Minnesota.
Here are the financial assistance programs available to residents in Minnesota.
The Estates at Excelsior has a walk score of 40. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
The Estates at Excelsior's occupancy is 60.8%.
The team at The Estates at Excelsior can be reached at iniles@monarchmn.com.
The Estates at Excelsior is registered as a for-profit.
Yes — there is 1 photo of The Estates at Excelsior in the photo gallery on this page.
The Estates at Excelsior is located at 515 Division St, Excelsior, MN 55331.
(952) 474-5488 will put you in contact with the team at The Estates at Excelsior.
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