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 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 48th out of 67 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.
| 49m per day | ▼ 23% 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.
| 37m per day | ■ Avg 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 59m per day | ▼ 21% State avg: 2h 30m per day · National avg: 2h 20m 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 0m per day | ▼ 18% State avg: 3h 40m per day · National avg: 3h 27m 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.
| 12m per day | ▲ 152% State avg: 5m 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.
| 33m per day | ▼ 22% State avg: 41m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Key information about the people who lead and staff this community.
State average 6
Last Health inspection on Jul 2025
State average 23.2
State 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).
43% worse than State averageState average: 0.7
100% worse than State averageState average: 0.5
Corrected
Corrected
Corrected
Corrected
Summary of court-record activity tied to this facility, compiled from publicly available case dockets.
Source: State court e-filing records
Every lawsuit on record involving this facility since the earliest filing. Long-term volume signals overall legal exposure.
10
Total lawsuits on record, broken down by case type. Distinguishes lawsuits from other court filings such as probate documents.
1
Conciliation (1)
Lawsuits still moving through the courts. Active claims can affect day-to-day operations, settlement risk, and insurance posture.
0
Cases that have been disposed of — dismissed, settled, or decided. Shows how the facility has historically resolved disputes.
1
Most recent filing on record. Recent activity means legal disputes are still being raised against this facility.
03/02/2018Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
49% 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.
18 total: 8 full-time employees and 10 contractors.
18
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursAssists with medical care and medications.
20 total: 13 full-time employees and 7 contractors.
20
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursHelps with daily care and mobility.
81 total: 29 full-time employees and 52 contractors.
81
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,301 contractor hours this quarter
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 |
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)
64% lower than Minnesota averageMinnesota average: $44K
50% fewer fines than Minnesota averageMinnesota 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 Minnesota averageMinnesota average: 0.4
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Aug 22, 2023 · $16K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 22, 2023Last updated: Jan 2026
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.
14.3
28% worse than Minnesota averageMinnesota average: 11.1
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
Percent of long-stay residents whose need for help with daily activities has increased
29.0%
53% worse than Minnesota averageMinnesota average: 18.9%
Percent of long-stay residents whose ability to move independently worsened
32.9%
38% worse than Minnesota averageMinnesota average: 23.8%
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%
Percent of long-stay residents experiencing one or more falls with major injury
1.2%
67% better than Minnesota averageMinnesota average: 3.7%
Percent of long-stay high risk residents with pressure ulcers
5.6%
In line with Minnesota averageMinnesota average: 5.4%
Percent of long-stay residents with a urinary tract infection
4.9%
82% worse than Minnesota averageMinnesota average: 2.7%
Percent of long-stay residents who lose too much weight
2.7%
35% better than Minnesota averageMinnesota average: 4.1%
Percent of long-stay residents who have depressive symptoms
2.1%
52% better than Minnesota averageMinnesota average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
5.1%
70% better than Minnesota averageMinnesota average: 17.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
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%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.2%
9% better than Minnesota averageMinnesota average: 88.9%
Percent of short-stay residents who newly received an antipsychotic medication
3.3%
72% worse than Minnesota averageMinnesota average: 1.9%
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.
26% of new residents, usually for short-term rehab.
57% of new residents, often for short stays.
17% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
53Residents meet regularly to discuss policies, care quality, and activities
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 Sugar Loaf Senior Living from 2015–2024, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 06/2024.
Based on CMS SNF Cost Report for fiscal year ending in 06/2024.
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 #49 / 67Payroll — State benchmarkedThis home is ranked 49th out of 67 homes in Minnesota for payroll. 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.Facilities with the same value for a metric share the same rank. 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 #67 / 67Payroll % — State benchmarkedThis home is ranked 67th out of 67 homes in Minnesota for payroll %. Shows payroll as a percentage of revenue versus the Minnesota average. Well-run Minnesota facilities typically land around 62–67% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. 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).
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 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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.
Add your location
Info below is compiled from CMS reports & the MN Dept. of Health, senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Pelican Valley Senior Living | NH AL HOS MC RC SNF | Pelican Rapids (East Mill Avenue) | 28
Facility
28
MN AVG
61
Rank
#344 / 528 |
91.1%
Facility
91.1%
MN AVG
72.9
Rank
#63 / 282 | +25% | 5.36
Facility
5.36
MN AVG
4.77
Rank
#13 / 67 | -10% | +12% | $0
Facility
$0
MN AVG
$47.9k
Rank
#1 / 67 | 9
Facility
9
MN AVG
23.2
Rank
#8 / 67 | 3.0
Facility
3.0
MN AVG
3.8
Rank
#14 / 67 | - | 26 | - |
58
Facility
58
MN AVG
43
Rank
#191 / 632 | Pelican Valley Health Center | $4.2MFiscal year ending 09/2023
Facility
$4.2MFiscal year ending 09/2023
MN AVG
$9.9M
Rank
#50 / 67 | $4.6MFiscal year ending 09/2023
Facility
$4.6MFiscal year ending 09/2023
MN AVG
$4.9M
Rank
#48 / 67 | 110.5%Fiscal year ending 09/2023
Facility
110.5%Fiscal year ending 09/2023
MN AVG
50.7%
Rank
#38 / 67 | 245373 | ||||
| Folkestone | NH AL IL MC SNF | Wayzata (South Wayzata Boulevard) | 90
Facility
90
MN AVG
61
Rank
#142 / 528 |
32.2%
Facility
32.2%
MN AVG
72.9
Rank
#266 / 282 | -56% | 5.60
Facility
5.60
MN AVG
4.77
Rank
#10 / 67 | -24% | +18% | $0
Facility
$0
MN AVG
$47.9k
Rank
#1 / 67 | 9
Facility
9
MN AVG
23.2
Rank
#8 / 67 | 3.0
Facility
3.0
MN AVG
3.8
Rank
#14 / 67 | - | 29 | - |
53
Facility
53
MN AVG
43
Rank
#233 / 632 | Mark Specht | $4.1MFiscal year ending 09/2023
Facility
$4.1MFiscal year ending 09/2023
MN AVG
$9.9M
Rank
#23 / 67 | $7.7MFiscal year ending 09/2023
Facility
$7.7MFiscal year ending 09/2023
MN AVG
$4.9M
Rank
#27 / 67 | 185.2%Fiscal year ending 09/2023
Facility
185.2%Fiscal year ending 09/2023
MN AVG
50.7%
Rank
#60 / 67 | 245621 | ||||
| Lifecare Medical Center | NH AL HOS PC SNF | Se Roseau | 45
Facility
45
MN AVG
61
Rank
#270 / 528 | - | - | 5.95
Facility
5.95
MN AVG
4.77
Rank
#8 / 67 | +1% | +25% | $0
Facility
$0
MN AVG
$47.9k
Rank
#1 / 67 | 6
Facility
6
MN AVG
23.2
Rank
#5 / 67 | 2.0
Facility
2.0
MN AVG
3.8
Rank
#3 / 67 | - | 33 | - |
58
Facility
58
MN AVG
43
Rank
#191 / 632 | Megan Comstock | - | - | - | 245616 | ||||
| Sugar Loaf Senior Living | NH AL HOS MC | Winona | 92
Facility
92
MN AVG
61
Rank
#138 / 528 | - | - | 4.11
Facility
4.11
MN AVG
4.77
Rank
#48 / 67 | -26% | -14% | $15.9k
Facility
$15.9k
MN AVG
$47.9k
Rank
#42 / 67 | 28
Facility
28
MN AVG
23.2
Rank
#35 / 67 | 4.7
Facility
4.7
MN AVG
3.8
Rank
#43 / 67 | 2 | 52 | A+ |
51
Facility
51
MN AVG
43
Rank
#243 / 632 | Jennifer Bruhn | $7.6MFiscal year ending 06/2024
Facility
$7.6MFiscal year ending 06/2024
MN AVG
$9.9M
Rank
#26 / 67 | $3.9MFiscal year ending 06/2024
Facility
$3.9MFiscal year ending 06/2024
MN AVG
$4.9M
Rank
#49 / 67 | 51.5%Fiscal year ending 06/2024
Facility
51.5%Fiscal year ending 06/2024
MN AVG
50.7%
Rank
#67 / 67 | 245254 |
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.
Sugar Loaf Senior Living's occupancy is 88.7%.
Sugar Loaf Senior Living has been operating for approximately 18 years, based on available licensing and registration records.
No, Sugar Loaf Senior Living has a no-pet policy.
Sugar Loaf Senior Living is registered as a non-profit in MN.
Sugar Loaf Senior Living has 92 beds.
Yes — there are 11 photos of Sugar Loaf Senior Living in the photo gallery on this page.
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