Show Inspection Reports
Total health inspections
2
Massachusetts average 4.5
Last Health inspection on Sep 2024
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
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Nursing Home in Plymouth
CMS overall rating
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.
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.
Trillium Woods
Nursing Home in Plymouth
CMS overall rating
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.
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.
Trillium Woods
Overview of Trillium Woods
Trillium Woods, situated in Plymouth, Minnesota, is an optimal choice for a retirement community that caters to the needs of loved ones. Occupying 46 acres of property with lakes and scenic views, its location provides a serene backdrop. Residents benefit from convenient access to Greater Minneapolis downtown areas, making Trillium Woods an appealing option. The community excels in offering a range of amenities and well-designed apartment homes that elevate senior living, encompassing memory care, assisted living, skilled nursing care, rehabilitation, and independent senior living options.
Trillium Woods, a multi-awarded community, earns its accolades through various services and amenities. Going beyond basic offerings, the community provides a luxurious lifestyle with medical services, such as rehabilitative therapy (physical, occupational, speech), stroke recovery, and pain management– among many others.
Over 20 years of experience
Joseph “Joe” Amend-Marshall is the Executive Director at Trillium Woods, bringing over 20 years of senior living experience. He is a licensed nursing home administrator and assisted living director with a Master of Arts in Health & Human Service Administration. Joe is passionate about aging well and enhancing life in a continuing care retirement community, focusing on exceptional resident service and building a cohesive team.
Quality ratings
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
44
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
72.7%
Residents per day
32
Occupancy rate
72.7%
Residents per day
32
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
Breakdown by payment type
Medicare
39% of new residents, usually for short-term rehab.
Typical stay
26 days
Private pay
60% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
1% of new residents, often for long-term daily care.
Typical stay
19 days
Finances and operations
Voluntary non-profit community
Home revenue
$24.7M
Operating deficit
-$7.9M
Voluntary non-profit community
Home revenue
$24.7M
Operating deficit
-$7.9M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$7.3M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$25.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$32.6M
10 years in operation
A community with a solid operating history and experience delivering ongoing care.
Walk Score: 4 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
CMS Certification Number245627
Staffing
Key information about the people who lead and staff this community.
ContactNancy Birkholtz, Marketing Assistant
Rehabilitation Services
Skilled Nursing
Rehabilitation
Specific ProgramsCommunity Life, Services & Amenities, Dining Options, Active Lifestyle, Health Care Navigator, Testimonials, Campus Map, Independent Living, Assisted Living, Memory Care, Health Services, Skilled Nursing, Rehabilitation, Gallery, About Us, Community Outreach, Our Team, Contact, Blog, Events, Careers
Types of Care at Trillium Woods
Assisted Living
Skilled Nursing
Memory Care
Inspection History
In Massachusetts, the Department of Health, Health Regulation Division is the primary authority for conducting onsite inspections and reporting on the quality of care in residential facilities.
3 visits/inspections
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Latest inspection
Date
September 12, 2024
Routine4 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Massachusetts average: 10 deficiencies
Inspection Report Summary for Trillium Woods
The most recent inspection on September 12, 2024, identified deficiencies related to medication monitoring and administration, including missed orthostatic blood pressure checks for residents on psychotropic medications and insulin given outside physician orders. Earlier inspections showed a clean annual inspection in August 2023 but a substantiated complaint investigation in June 2022 found issues with timely reporting of suspected abuse and incomplete nursing assistant performance reviews. Inspectors cited medication management and regulatory reporting as the main areas of concern. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The inspection history shows some recurring challenges with compliance in clinical monitoring and staff oversight, with a recent focus on medication-related issues.
Health Inspection History
Inspections
Total health citations
4
Massachusetts average 32.7
Citations per inspection
2
Massachusetts average 7.24
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 4 citations resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Massachusetts averageMassachusetts average: 0.3
Serious Health citations
0
0
100% better than Massachusetts averageMassachusetts average: 1.5
0 critical citations
0 serious citations
3 moderate citations
1 minor citation
Citations history (last 3 years)
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Sep 12, 2024
Issues related to medication management, including how drugs are stored, administered, and monitored.
Sep 12, 2024
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Sep 12, 2024
Issues related to medication management, including how drugs are stored, administered, and monitored.
Sep 12, 2024
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jun 02, 2022
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jun 02, 2022
Corrected
Nursing Services minor citation
Issues related to the availability and quality of nursing staff and the care they provide.
Jun 02, 2022
Issues related to the availability and quality of nursing staff and the care they provide.
Jun 02, 2022
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Plymouth The information below is reported by the Massachusetts Executive Office of Elder Affairs and Department of Public Health.
Filter by care type
| Trillium Woods |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
N Nursing | Plymouth (Glacier Vista) | 44 | 87.2% | +9% | 6.18 | +40% | +30% | 0 | 4 | 2.0 | 0 | 41 | A+ | 4 | Lcs Trillium Woods Jv Llc | $6.8M | $7.3M | 106.6% | 245627 | ||||
| The Birches at Trillium Woods |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
N Nursing | Plymouth | 44 | 87.2% | +9% | 6.18 | +40% | +30% | 0 | 4 | 2.0 | 0 | 41 | - | 4 | Lcs Trillium Woods Jv Llc | $6.8M | $7.3M | 106.6% | 245627 | ||||
| Interlude Restorative Suites |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
N Nursing | Plymouth (Campus Drive) | 50 | 83.1% | +4% | 5.01 | +15% | +5% | 1 | 19 | 3.2 | 2 | 46 | - | 34 | Allina Health System | $14.0M | $6.7M | 47.8% | 245624 | ||||
| Mission Nursing Home |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Plymouth (Mission Farms) | 65 | 83.8% | +5% | 4.91 | +77% | +3% | 0 | 27 | 3.9 | 1 | 56 | A+ | 6 | Missions, Inc Programs | $8.4M | $4.2M | 49.6% | 245546 | ||||
| The Waters of Plymouth | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
N Nursing | Plymouth | - | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | 47 | - | - | - | - | - |
Places of interest near Trillium Woods
4.9 miles from city center
Estimated distance in miles from Plymouth's city center to Trillium Woods's address, calculated via Google Maps.
— 7.55 miles to nearest hospital (North Memorial Health - Robbinsdale Hospital)
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
110
Employees
92
Contractors
18
Staff to resident ratio
2.56:1
50% better than Massachusetts averageMassachusetts average ratio: 1.70:1
Avg staff/day
35
Average shift
7.3 hours
8% worse than Massachusetts averageMassachusetts average: 7.9 hours
Total staff hours (quarter)
23,349
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
21
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
44
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
8.5%
1,991 contractor hours this quarter
Respiratory Therapy Technician: 3
Physical Therapy Assistant: 3
Qualified Social Worker: 3
Speech Language Pathologist: 2
Occupational Therapy Aide: 2
Occupational Therapy Assistant: 2
Certified Nursing Assistant: 1
Physical Therapy Aide: 1
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 43 | 1 | 44 | 10,788 | 91 | 100% | 8 |
| Registered Nurse | 21 | 0 | 21 | 3,077 | 91 | 100% | 7.4 |
| Licensed Practical Nurse | 11 | 0 | 11 | 2,934 | 91 | 100% | 7.7 |
| Other Dietary Services Staff | 6 | 0 | 6 | 1,704 | 90 | 99% | 7.7 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 864 | 59 | 65% | 8 |
| Dental Services Staff | 2 | 0 | 2 | 726 | 62 | 68% | 7.7 |
| Physical Therapy Assistant | 0 | 3 | 3 | 666 | 67 | 74% | 5.4 |
| Speech Language Pathologist | 0 | 2 | 2 | 607 | 69 | 76% | 4.8 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Occupational Therapy Aide | 1 | 2 | 3 | 303 | 53 | 58% | 5.4 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 240 | 56 | 62% | 3.9 |
| Qualified Social Worker | 0 | 3 | 3 | 188 | 47 | 52% | 3.7 |
| Physical Therapy Aide | 0 | 1 | 1 | 102 | 20 | 22% | 5.1 |
| Medication Aide/Technician | 4 | 0 | 4 | 90 | 13 | 14% | 6.4 |
| Medical Director | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 13 | 24 | 26% | 0.5 |
44 Certified Nursing Assistant
% of Days
100%
21 Registered Nurse
% of Days
100%
11 Licensed Practical Nurse
% of Days
100%
6 Other Dietary Services Staff
% of Days
99%
2 Clinical Nurse Specialist
% of Days
65%
2 Dental Services Staff
% of Days
68%
3 Physical Therapy Assistant
% of Days
74%
2 Speech Language Pathologist
% of Days
76%
1 Administrator
% of Days
70%
1 Nurse Practitioner
% of Days
70%
3 Occupational Therapy Aide
% of Days
58%
3 Respiratory Therapy Technician
% of Days
62%
3 Qualified Social Worker
% of Days
52%
1 Physical Therapy Aide
% of Days
22%
4 Medication Aide/Technician
% of Days
14%
1 Medical Director
% of Days
3%
2 Occupational Therapy Assistant
% of Days
26%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
43
Medicare
7
16.3% of residents
Private pay or other
36
83.7% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Family Member Group
Family members meet regularly to discuss policies, care quality, and activities
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
Active Family Council
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Active Resident Council
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.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.3
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.3
In line with Massachusetts averageMassachusetts average: 11.1
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.7
14% worse than Massachusetts averageMassachusetts average: 22.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
26.8%
Percent of long-stay residents whose need for help with daily activities has increased
26.8%
41% worse than Massachusetts averageMassachusetts average: 18.9%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
18.4%
Percent of long-stay residents whose ability to move independently worsened
18.4%
23% better than Massachusetts averageMassachusetts average: 23.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
32.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
32.0%
28% worse than Massachusetts averageMassachusetts average: 25.0%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
9.5%
Percent of long-stay residents experiencing one or more falls with major injury
9.5%
153% worse than Massachusetts averageMassachusetts average: 3.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
0.0%
Percent of long-stay high risk residents with pressure ulcers
0.0%
100% better than Massachusetts averageMassachusetts average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.1%
Percent of long-stay residents with a urinary tract infection
2.1%
23% better than Massachusetts averageMassachusetts average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
1.8%
Percent of long-stay residents who lose too much weight
1.8%
56% better than Massachusetts averageMassachusetts average: 4.1%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
12.2%
Percent of long-stay residents who have depressive symptoms
12.2%
181% worse than Massachusetts averageMassachusetts average: 4.4%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
25.0%
Percent of long-stay residents who received an antipsychotic medication
25.0%
45% worse than Massachusetts averageMassachusetts average: 17.2%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Massachusetts averageMassachusetts average: 97.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Massachusetts averageMassachusetts average: 96.0%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
12% better than Massachusetts averageMassachusetts average: 88.9%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Massachusetts averageMassachusetts average: 1.9%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
93.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
93.8%
14% better than Massachusetts averageMassachusetts average: 82.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Trillium Woods based on CMS SNF Cost Reports.
Occupancy Rate
87.2%
↑ 9.5pp vs 2022
Net Income
-$7.9M
↓ ~$1.3M vs 2022
Total Payroll
$8.9M
↑ ~$842.1K vs 2022
Profit Margin
-116.0%
↓ 84.9pp vs 2022
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