Total health inspections
3
Minnesota average 6
Last Health inspection on Oct 2024
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Nursing Home
Boundary Waters Care Center
Overview of Boundary Waters Care Center
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.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
42
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
77%
Residents per day (avg)
29
Occupancy rate
77%
Residents per day (avg)
29
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
31% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
61% of new residents, often for short stays.
Typical stay
6 - 7 months
Medicaid
8% of new residents, often for long-term daily care.
Typical stay
4 years
Finances and operations
Voluntary non-profit community
Home revenue
$4.9M
Operating deficit
-$223.8K
Voluntary non-profit community
Home revenue
$4,865,923.00
Operating deficit
$-223,769.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.7M
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.
$2.4M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.1M
Walk Score: 61 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
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
Additional licensing details
CMS Certification Number:
245138
Accreditations:
Bronze – Commitment to Quality Award
Safety & Compliance
Emergency Systems:
Yes
Staffing
Key information about the people who lead and staff this community.
Leadership
Contact:
Adam Masloski, Admissions Director
Care Services
Accepts Medicaid
Accepts Medicare
Doctor on Staff
Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Independent Living
Skilled Nursing
24-Hour Staffing
Amenities & Lifestyle
Programs & Activities
Specific Programs
Skilled Nursing, Rehabilitation, Housekeeping, Laundry Service, Barber/Beauty Salon, Scheduled Transportation, Short-term Respite Stays, Compassionate Hospice Care, Daily Activities.
Dining & Nutrition
Food Description
Three delicious and nutritious meals daily.
Meals Included
Yes
Meals Per Day
3
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Medicare Accepted
This facility is certified for eligible Medicare services.
Health Inspection History
Inspections
Total health citations
21
Citations per inspection
7
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 21 citations resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Minnesota averageMinnesota average: 0.7
Serious Health citations
1
1
100% worse than Minnesota averageMinnesota average: 0.5
0 critical citations
1 serious citation
19 moderate citations
1 minor citation
Citations history (last 3 years)
Nutrition moderate citation
Oct 16, 2024
Corrected
Quality of Care moderate citation
Oct 16, 2024
Corrected
Quality of Care moderate citation
Oct 16, 2024
Corrected
Quality of Care moderate citation
Oct 16, 2024
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 Minnesota
The information below is reported by the Minnesota Department of Health, Health Regulation Division.
Boundary Waters Care Center
+11%
-6%
-3%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Ely
42
A+
61
FORSMAN, MICHAEL
77.0%
$4,231,781.00
$2,716,325.00
64.2%
29
4.4984
1
21
1
+11%-6%-3%
Little Sisters of the Poor Holy Family Residence
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
St. Paul (West Seventh - Fort Road)
-
A+
77
-
-
-
-
-
-
-
-
-
-
-
-
Boundary Waters Care Center
Type of care:
SNF
AL
Community:
Ely
Bed Count:
42
Operator:
FORSMAN, MICHAEL
CCN:
245138
Occupancy:
77.0%
Home Revenue:
$4,231,781.00
Payroll Costs:
$2,716,325.00
Payroll %:
64.2%
Avg Residents/Day:
29
Overall Rating:
Adj Nurse Hours:
4.4984
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
21
Severe Citations:
1
RN share vs State Avg:
+11%
+11%
Staffing vs State Avg:
-6%
-6%
Occupancy vs State Avg:
-3%
-3%
Places of interest near Boundary Waters Care Center
0.3 miles from city center — 0.05 miles to nearest hospital (Ely-Bloomenson Community Hospital)
200 W Conan St, Ely, MN 55731
Calculate Travel Distance to Boundary Waters Care Center
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
53
Total Staff
40
Employees
13
Contractors
13,037
Total Hours (Quarter)
17
Avg Staff/Day
8.4
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 8 | 9.7 | Yes |
| Licensed Practical Nurse | 1 | 11.5 | No |
| Certified Nursing Assistant | 16 | 9.3 | Yes |
Staff by Category
Administration ⓘ
2 staff
7.8hs shift avg
Nursing Staff ⓘ
32 staff
9.5hs shift avg
Physicians & Practitioners ⓘ
5 staff
7.6hs shift avg
Therapy Services ⓘ
10 staff
5.5hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
0 staff
0hs shift avg
Dietary Services ⓘ
3 staff
7.7hs shift avg
Other Services ⓘ
1 staff
8hs shift avg
Contractor Analysis
16.8%
of total hours from contractors
2,192 contractor hours this quarter
Certified Nursing Assistant: 3
Registered Nurse: 1
Physical Therapy Assistant: 2
Respiratory Therapy Technician: 4
Occupational Therapy Assistant: 1
Occupational Therapy Aide: 1
Medical Director: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 13 | 3 | 16 | 5,543 | 91 | 100% | 9.3 |
| Registered Nurse | 7 | 1 | 8 | 1,766 | 85 | 93% | 9.7 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,012 | 63 | 69% | 7 |
| Medication Aide/Technician | 2 | 0 | 2 | 958 | 78 | 86% | 10.1 |
| Licensed Practical Nurse | 1 | 0 | 1 | 676 | 59 | 65% | 11.5 |
| Other Dietary Services Staff | 3 | 0 | 3 | 565 | 62 | 68% | 7.7 |
| Nurse Practitioner | 1 | 0 | 1 | 548 | 60 | 66% | 9.1 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 464 | 58 | 64% | 8 |
| Physical Therapy Aide | 1 | 0 | 1 | 446 | 60 | 66% | 7.4 |
| Speech Language Pathologist | 1 | 0 | 1 | 288 | 53 | 58% | 5.4 |
| Nurse Aide in Training | 5 | 0 | 5 | 185 | 13 | 14% | 7.1 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 39 | 14 | 15% | 2.8 |
| Physical Therapy Assistant | 0 | 2 | 2 | 33 | 10 | 11% | 3.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 19 | 12 | 13% | 1.6 |
| Occupational Therapy Aide | 0 | 1 | 1 | 15 | 3 | 3% | 4.8 |
| Medical Director | 0 | 1 | 1 | 2 | 2 | 2% | 0.9 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
32 residents
Residents by payment source
Medicare
2 residents (6.3%)
Medicaid
22 residents (68.8%)
Private pay or other
8 residents (25%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
6.9
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 Minnesota averageMinnesota average: 11.1
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.7
26% better than Minnesota averageMinnesota average: 22.6
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
8.5%
Percent of long-stay residents whose need for help with daily activities has increased
8.5%
55% better than Minnesota averageMinnesota average: 18.9%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
13.1%
Percent of long-stay residents whose ability to move independently worsened
13.1%
45% better 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
28.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.4%
14% worse than Minnesota averageMinnesota average: 25.0%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.6%
Percent of long-stay residents experiencing one or more falls with major injury
2.6%
31% better than Minnesota averageMinnesota average: 3.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.3%
Percent of long-stay high risk residents with pressure ulcers
2.3%
59% better than Minnesota averageMinnesota average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.9%
Percent of long-stay residents with a urinary tract infection
0.9%
68% better than Minnesota averageMinnesota average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
8.1%
Percent of long-stay residents who lose too much weight
8.1%
95% worse than Minnesota averageMinnesota average: 4.1%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.9%
Percent of long-stay residents who have depressive symptoms
0.9%
79% better than Minnesota averageMinnesota average: 4.4%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
14.3%
Percent of long-stay residents who received an antipsychotic medication
14.3%
17% 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
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
12% better than Minnesota averageMinnesota average: 88.9%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
5.0%
Percent of short-stay residents who newly received an antipsychotic medication
5.0%
161% worse than Minnesota averageMinnesota average: 1.9%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.7%
16% 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.
Penalties and fines
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
$10K
77% 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
$10K
Minnesota average
$44K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 20, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 20, 2023
$10K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Boundary Waters Care Center based on CMS SNF Cost Reports.
Occupancy Rate
77.0%
↑ 3.2pp vs 2022
Net Income
-$223,769
↑ ~$511K vs 2022
Total Payroll
$3,372,950
↑ ~$197K vs 2022
Profit Margin
-5.3%
↑ 14.5pp vs 2022
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