5/5
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.
5/5
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.
Boundary Waters Care Center (BWCC) is a vibrant nonprofit, 503(c)(3), skilled care and rehabilitative community in Ely, Minnesota where values-driven team members are focused on upholding the well-being, dignity, and individual capabilities of each resident. The community serves older adults and their families with short-term rehabilitation services and long-term care designed to ensure residents may safely lead a lifestyle with as much independence as
possible.
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.
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 16m per day | ▲ 18% 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.
|
24m per day | ▼ 35% 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.
|
2h 41m per day | ▲ 5% 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 47m per day | ▲ 3% 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.
|
3m per day | ▼ 27% 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.
|
44m per day | ▲ 7% State avg: 41m per day · National avg: 29m per day |
Key information about the people who lead and staff this community.
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.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Minnesota state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
|
This Facility | MN Average | vs. MN Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
|
11 | 10 | This facility has 10% more total deficiencies than a typical Minnesota assisted living residence (11 vs. MN avg 10).↑ 10% worse |
|
Deficiencies per year
Average deficiencies per year since 2024.
|
5.5 | 5 | This facility has 10% more deficiencies per year than a typical Minnesota assisted living residence (5.5 vs. MN avg 5).↑ 10% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
State average N/A
Last Health inspection on Oct 2024
State average N/A
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 21 citations resulted from standard inspections.
In line with State average
State average: N/A
In line with State average
State average: N/A
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with State average
State average ratio: 0 : 0
0% compared with State average
State average: 0 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
8 total: 7 full-time employees and 1 contractor.
8
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hours
Assists with medical care and medications.
All 2 LPN Staff are full-time employees. No contractors work on this role.
2
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.6 hours
Helps with daily care and mobility.
19 total: 17 full-time employees and 2 contractors.
19
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,679 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 17 | 2 | 19 | 6,113 | 92 | 100% | 8.8 |
| Registered Nurse | 7 | 1 | 8 | 2,025 | 90 | 98% | 10.2 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,423 | 92 | 100% | 8.1 |
| Licensed Practical Nurse | 2 | 0 | 2 | 1,074 | 76 | 83% | 11.6 |
| Medication Aide/Technician | 2 | 0 | 2 | 963 | 75 | 82% | 9.9 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 846 | 61 | 66% | 7.2 |
| Nurse Practitioner | 1 | 0 | 1 | 519 | 64 | 70% | 8.1 |
| Physical Therapy Aide | 1 | 0 | 1 | 474 | 61 | 66% | 7.8 |
| Dental Services Staff | 1 | 0 | 1 | 421 | 52 | 57% | 8.1 |
| Administrator | 1 | 0 | 1 | 392 | 49 | 53% | 8 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 132 | 38 | 41% | 2.9 |
| Nurse Aide in Training | 2 | 0 | 2 | 111 | 15 | 16% | 7.4 |
| Speech Language Pathologist | 1 | 0 | 1 | 87 | 15 | 16% | 5.8 |
| Physical Therapy Assistant | 0 | 2 | 2 | 35 | 10 | 11% | 3.5 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 20 | 14 | 15% | 1.5 |
| Occupational Therapy Aide | 0 | 1 | 1 | 17 | 4 | 4% | 4.1 |
| Medical Director | 0 | 1 | 1 | 2 | 1 | 1% | 1.5 |
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 (Data as of Jan 2026)
77% lower than State average
State average: $44K
50% fewer fines than State average
State average: 2.0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than State average
State average: 0.4
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.
6.9
38% better than State average
State average: 11.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.7
26% better than State average
State 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
8.5%
55% better than State average
State average: 18.9%
Percent of long-stay residents whose ability to move independently worsened
13.1%
45% better than State average
State average: 23.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.4%
14% worse than State average
State average: 25.0%
Percent of long-stay residents experiencing one or more falls with major injury
2.6%
31% better than State average
State average: 3.7%
Percent of long-stay high risk residents with pressure ulcers
2.3%
59% better than State average
State average: 5.4%
Percent of long-stay residents with a urinary tract infection
0.9%
68% better than State average
State average: 2.7%
Percent of long-stay residents who lose too much weight
8.1%
95% worse than State average
State average: 4.1%
Percent of long-stay residents who have depressive symptoms
0.9%
79% better than State average
State average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
14.3%
17% better than State average
State average: 17.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with State average
State average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with State average
State average: 96.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
12% better than State average
State average: 88.9%
Percent of short-stay residents who newly received an antipsychotic medication
5.0%
161% worse than State average
State average: 1.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.7%
16% better than State average
State average: 82.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
31% of new residents, usually for short-term rehab.
61% 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
32
Residents 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 Boundary Waters Care Center from 2012–2023, 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 #76 / 89Payroll — State benchmarkedThis home is ranked 76th 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 #7 / 89Payroll % — State benchmarkedThis home is ranked 7th 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).
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (61% of admissions), and a typical private pay stay runs around 6 - 7 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.3 miles from city center
Estimated distance in miles from Ely's city center to Boundary Waters Care Center's address, calculated via Google Maps.
— 0.05 miles to nearest hospital (Ely-Bloomenson Community Hospital)
Add your location
The information below is reported by the Minnesota Department of Health, Health Regulation Division.
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|---|---|---|---|---|---|---|---|
| Boundary Waters Care Center |
NH
HC
RC
|
Ely | - | 42 | - | 61 | - |
| Friendship Village of Bloomington |
NH
AL
IL
MC
|
Bloomington (West Bloomington) | - | 85 | - | 16 | 1 Bed / 2 Bed |
| Walker Methodist – Westwood Ridge |
NH
AL
IL
MC
RC
|
West St Paul (West Saint Paul) | - | 140 | - | 63 | 1 Bed / 2 Bed |
| Jones-Harrison Senior Living |
NH
AL
MC
NC
|
Minneapolis (Calhoun Isles) | - | 53 | - | 56 | Studio / 1 Bed / 2 Bed |
| Trillium Woods |
NH
AL
IL
MC
|
Plymouth (Glacier Vista) | - | 44 | A+ | 4 | - |
Boundary Waters Care Center has a walk score of 61. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Boundary Waters Care Center's occupancy is 77.0%.
Boundary Waters Care Center is registered as a non-profit in MN.
Yes — there are 2 photos of Boundary Waters Care Center in the photo gallery on this page.
Boundary Waters Care Center is located at 200 W Conan St, Ely, MN 55731.
(218) 365-8705 will put you in contact with the team at Boundary Waters Care Center.
Yes — Boundary Waters Care Center is a CMS-certified provider of Medicare and Medicaid.
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