Total health inspections
6
Minnesota average 6
Last Health inspection on Jul 2025
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Sugar Loaf Senior Living
Nursing Home · Minnesota, MN
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
Sugar Loaf Senior Living
Nursing Home · Minnesota, MN
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
Sugar Loaf Senior Living accepts Medicare, Medicaid, and private pay.
Sugar Loaf Senior Living is a senior living community located in Winona, MN. It offers Assisted Living and Memory Care options for seniors with special needs. The community focuses on providing a comfortable atmosphere and engaging lifestyle for its residents.
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 62nd out of 85 homes in Minnesota. 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.
This home is ranked 62nd out of 85 homes in Minnesota. 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.
4h 7m per day
Rank #62 / 85Nurse hours — State benchmarkedThis home is ranked 62nd out of 85 homes in Minnesota. Shows adjusted nurse hours per resident per day benchmarked to the Minnesota average, with a ranking across 85 Minnesota SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Minnesota avg
-20%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
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 10m per day |
Capacity and availability
This home usually has limited availability
Occupancy between 85% and 95% suggests balanced demand.
Occupancy rate
88.7%
Rank #83 / 328Occupancy rate — State benchmarkedThis home is ranked 83rd out of 328 homes in Minnesota. Shows this facility's occupancy rate versus the Minnesota average, with its Statewide rank out of 328. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
72 days
Occupancy rate
88.7%
Rank #83 / 328Occupancy rate — State benchmarkedThis home is ranked 83rd out of 328 homes in Minnesota. Shows this facility's occupancy rate versus the Minnesota average, with its Statewide rank out of 328. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
72 days
92-bed community Rank #143 / 536Bed count — State benchmarkedThis home is ranked 143rd out of 536 homes in Minnesota. Shows this facility's certified or reported bed count compared to other Minnesota SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
13 years in operation Rank #80 / 136Years in operation — State benchmarkedThis home is ranked 80th out of 136 homes in Minnesota. Shows how long this facility has been in operation compared to other Minnesota SNFs. Longer operating histories may benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A community with a solid operating history and experience delivering ongoing care.
Walk Score: 51 / 100 Rank #243 / 633Walk Score — State benchmarkedThis home is ranked 243rd out of 633 homes in Minnesota. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Minnesota SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
About this community
Facility TypeAssisted Living
StatusApproved For Dementia Care
CountyWinona
Staffing
Key information about the people who lead and staff this community.
ContactMaggie Modjeski
24-Hour Staffing
Specific ProgramsCareers & Volunteering, Independent Living – Bluff View (Sister Community), Services & Amenities, Monthly Activity Calendar, Memory Care Activity Calendar, Additional Information, Our Location, Make a Payment
Operating HoursMonday-Friday: 9 AM – 5 PM, Saturday: By appointment, Sunday: By appointment
Inspection History
In Minnesota, 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.
Inspection oversight
- Latest inspection: October 17, 2025
Health Inspection History
Inspections
Total health citations
28
Rank #48 / 86Health citations — State benchmarkedThis home is ranked 48th out of 86 homes in Minnesota. Shows this facility's total health deficiency citations benchmarked to the Minnesota State average, with a ranking across all 86 MN SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Minnesota average 23.2
Citations per inspection
4.67
Rank #60 / 86Citations per inspection — State benchmarkedThis home is ranked 60th out of 86 homes in Minnesota. Shows average deficiency citations per CMS inspection for this facility versus the Minnesota mean across 86 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Minnesota average 3.76
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
19 of 28 citations resulted from standard inspections; 8 of 28 resulted from complaint investigations; and 1 of 28 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 4 years)
Critical Health citations
1
43% worse than Minnesota averageMinnesota average: 0.7
Serious Health citations
1
Rank #1 / 38Serious citations (G–I) — State benchmarkedThis home is ranked 1st out of 38 homes in Minnesota. Shows G–I scope serious health citations for this facility versus other Minnesota SNFs. Lower counts rank better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
100% worse than Minnesota averageMinnesota average: 0.5
Citations history (last 4 years)
Quality of Care serious citation
Jul 15, 2025
Corrected
Quality of Care moderate citation
Jul 15, 2025
Corrected
Care Planning moderate citation
Jul 15, 2025
Corrected
Resident Rights moderate citation
Jul 15, 2025
Corrected
Lawsuit overview for Sugar Loaf Senior Living
Summary of court-record activity tied to this facility, compiled from publicly available case dockets.
Source: State court e-filing records
Total Cases
Every lawsuit on record involving this facility since the earliest filing. Long-term volume signals overall legal exposure.
10
Every lawsuit on record involving this facility since the earliest filing. Long-term volume signals overall legal exposure.
10
Lawsuits
Total lawsuits on record, broken down by case type. Distinguishes lawsuits from other court filings such as probate documents.
1
Conciliation (1)
Total lawsuits on record, broken down by case type. Distinguishes lawsuits from other court filings such as probate documents.
1
Conciliation (1)
Active Cases
Lawsuits still moving through the courts. Active claims can affect day-to-day operations, settlement risk, and insurance posture.
0
Currently active
Lawsuits still moving through the courts. Active claims can affect day-to-day operations, settlement risk, and insurance posture.
0
Currently active
Closed
Cases that have been disposed of — dismissed, settled, or decided. Shows how the facility has historically resolved disputes.
1
Resolved / disposed
Cases that have been disposed of — dismissed, settled, or decided. Shows how the facility has historically resolved disputes.
1
Resolved / disposed
Most Recent
Most recent filing on record. Recent activity means legal disputes are still being raised against this facility.
03/02/2018
Most recent filing on record. Recent activity means legal disputes are still being raised against this facility.
03/02/2018Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
172
Employees
97
Contractors
75
Staff to resident ratio
3.25:1
49% better than Minnesota average
Avg staff/day
33
Average shift
7.3 hours
0% compared with Minnesota average
Total staff hours (quarter)
22,061
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
18
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.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
20
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 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
81
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 hoursThis role is partially covered by contractors.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
10.4%
2,301 contractor hours this quarter
Certified Nursing Assistant: 52
Registered Nurse: 10
Licensed Practical Nurse: 7
Occupational Therapy Aide: 3
Administrator: 1
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 29 | 52 | 81 | 9,138 | 92 | 100% | 7.7 |
| Registered Nurse | 8 | 10 | 18 | 3,029 | 92 | 100% | 8 |
| Licensed Practical Nurse | 13 | 7 | 20 | 2,921 | 92 | 100% | 7.4 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,037 | 72 | 78% | 7 |
| Respiratory Therapy Technician | 8 | 0 | 8 | 942 | 73 | 79% | 6.4 |
| Speech Language Pathologist | 7 | 0 | 7 | 840 | 74 | 80% | 5.5 |
| Physical Therapy Aide | 9 | 0 | 9 | 745 | 74 | 80% | 6.2 |
| Physical Therapy Assistant | 7 | 0 | 7 | 498 | 68 | 74% | 5.1 |
| Dental Services Staff | 2 | 0 | 2 | 489 | 59 | 64% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Administrator | 0 | 1 | 1 | 472 | 59 | 64% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 432 | 54 | 59% | 8 |
| Medication Aide/Technician | 2 | 0 | 2 | 350 | 47 | 51% | 7.4 |
| Dietitian | 1 | 0 | 1 | 252 | 63 | 68% | 4 |
| Qualified Social Worker | 4 | 0 | 4 | 252 | 62 | 67% | 3.8 |
| Occupational Therapy Aide | 1 | 3 | 4 | 145 | 19 | 21% | 6 |
| Medical Director | 0 | 1 | 1 | 20 | 8 | 9% | 2.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 15 | 3 | 3% | 5 |
81 Certified Nursing Assistant
% of Days
100%
18 Registered Nurse
% of Days
100%
20 Licensed Practical Nurse
% of Days
100%
4 Other Dietary Services Staff
% of Days
78%
8 Respiratory Therapy Technician
% of Days
79%
7 Speech Language Pathologist
% of Days
80%
9 Physical Therapy Aide
% of Days
80%
7 Physical Therapy Assistant
% of Days
74%
2 Dental Services Staff
% of Days
64%
1 Nurse Practitioner
% of Days
66%
1 Administrator
% of Days
64%
1 Clinical Nurse Specialist
% of Days
59%
2 Medication Aide/Technician
% of Days
51%
1 Dietitian
% of Days
68%
4 Qualified Social Worker
% of Days
67%
4 Occupational Therapy Aide
% of Days
21%
1 Medical Director
% of Days
9%
1 Occupational Therapy Assistant
% of Days
3%
Penalties and fines
Includes penalties issued in 2023
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 (Data as of Jan 2026)
Total fines amount
$16K Rank #52 / 86Federal fines — State benchmarkedThis home is ranked 52nd out of 86 homes in Minnesota. Shows this facility's cumulative CMS federal fine dollars versus the Minnesota average among facilities with fines, and where it ranks among 86 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
64% lower than Minnesota averageMinnesota average: $44K
Number of fines
1
50% fewer fines than Minnesota averageMinnesota average: 2.0
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Minnesota averageMinnesota average: 0.4
Fines amount comparison
Fines amount comparison
This facility
$16K
Minnesota average
$44K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Aug 22, 2023 · $16K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 22, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 22, 2023
$16K
Last updated: Jan 2026
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.
14.3
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.3
28% worse than Minnesota averageMinnesota average: 11.1
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.4
26% worse than Minnesota averageMinnesota 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
29.0%
Percent of long-stay residents whose need for help with daily activities has increased
29.0%
53% worse than Minnesota averageMinnesota average: 18.9%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
32.9%
Percent of long-stay residents whose ability to move independently worsened
32.9%
38% worse than Minnesota averageMinnesota 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
23.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.3%
7% better than Minnesota averageMinnesota average: 25.0%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.2%
Percent of long-stay residents experiencing one or more falls with major injury
1.2%
67% better than Minnesota averageMinnesota average: 3.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.6%
Percent of long-stay high risk residents with pressure ulcers
5.6%
In line with Minnesota averageMinnesota average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
4.9%
Percent of long-stay residents with a urinary tract infection
4.9%
82% worse than Minnesota averageMinnesota average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
2.7%
Percent of long-stay residents who lose too much weight
2.7%
35% better than Minnesota averageMinnesota average: 4.1%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
2.1%
Percent of long-stay residents who have depressive symptoms
2.1%
52% better than Minnesota averageMinnesota average: 4.4%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
5.1%
Percent of long-stay residents who received an antipsychotic medication
5.1%
70% better than Minnesota averageMinnesota 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 Minnesota averageMinnesota 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 Minnesota averageMinnesota average: 96.0%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.2%
9% better than Minnesota averageMinnesota average: 88.9%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
3.3%
Percent of short-stay residents who newly received an antipsychotic medication
3.3%
72% worse than Minnesota averageMinnesota average: 1.9%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.8%
18% better than Minnesota averageMinnesota average: 82.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
26% of new residents, usually for short-term rehab.
Typical stay
17 days
Private pay
57% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
17% of new residents, often for long-term daily care.
Typical stay
4 - 5 months
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
53
Medicare
8
15.1% of residents
Medicaid
24
45.3% of residents
Private pay or other
21
39.6% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, 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.
Financial Trends
Historical financial and operational data for Sugar Loaf Senior Living based on CMS SNF Cost Reports.
Occupancy Rate
88.7%
↑ 0.9pp vs 2023
Net Income
$241.7K
↑ ~$174.6K vs 2023
Total Payroll
$4.6M
↑ ~$252.9K vs 2023
Profit Margin
2.8%
↑ 2.3pp vs 2023
Finances and operations
Voluntary non-profit community
Home revenue
$16.0M
Surplus of revenue
$241.7K
Voluntary non-profit community
Home revenue
$16.0M Rank #32 / 85Revenue — State benchmarkedThis home is ranked 32nd out of 85 homes in Minnesota. Shows this facility's annual revenue compared to the Minnesota SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Surplus of revenue
$241.7K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #62 / 85Payroll — State benchmarkedThis home is ranked 62nd out of 85 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$4.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #62 / 85Payroll — State benchmarkedThis home is ranked 62nd out of 85 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$11.2M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$15.7M
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Sugar Loaf Senior Living
0.0 miles from city center
Estimated distance in miles from Winona's city center to Sugar Loaf Senior Living's address, calculated via Google Maps.
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Financial Assistance for
Nursing Home in Minnesota
Sugar Loaf Senior Living is located in Winona, Minnesota.
Here are the financial assistance programs available to residents in Minnesota.
Frequently Asked Questions about Sugar Loaf Senior Living
Is Sugar Loaf Senior Living in a walkable area?
Sugar Loaf Senior Living has a walk score of 51. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
How many beds does Sugar Loaf Senior Living have?
Sugar Loaf Senior Living has 92 beds.
Are there photos of Sugar Loaf Senior Living?
Yes — there are 14 photos of Sugar Loaf Senior Living in the photo gallery on this page.
What is the address of Sugar Loaf Senior Living?
Sugar Loaf Senior Living is located at 765 Menard Road.
What is the phone number of Sugar Loaf Senior Living?
(507) 452-1277 will put you in contact with the team at Sugar Loaf Senior Living.
What county is Sugar Loaf Senior Living located in?
Sugar Loaf Senior Living is in Winona County.
Is Sugar Loaf Senior Living Medicare or Medicaid certified?
Yes — Sugar Loaf Senior Living is a CMS-certified provider of Medicare and Medicaid.
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
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