Minnesota Masonic Home Care Center
11501 MASONIC HOME DRIVE
BLOOMINGTON, MN, 55437
9529487000
CCN: 245343
5
Overall4
Health5
Staffing4
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| HIMMLER, PAUL | CORPORATE OFFICER | NOT APPLICABLE |
| JOHNSON, STEVEN | CORPORATE OFFICER | NOT APPLICABLE |
| KRALL, TONY | CORPORATE OFFICER | NOT APPLICABLE |
| MCCURDY, JOYCE | CORPORATE OFFICER | NOT APPLICABLE |
| MCNEAR, ROGER | CORPORATE OFFICER | NOT APPLICABLE |
| NEETENBEEK, ERIC | CORPORATE OFFICER | NOT APPLICABLE |
| OLSON, DAVID | CORPORATE OFFICER | NOT APPLICABLE |
| PROCTOR, JAMES | CORPORATE OFFICER | NOT APPLICABLE |
| SOLEM, FOSTER | CORPORATE OFFICER | NOT APPLICABLE |
| STUDELL, JOHN | CORPORATE OFFICER | NOT APPLICABLE |
| SULLIVAN, BURNETT | CORPORATE OFFICER | NOT APPLICABLE |
| WILLETTE, PAM | CORPORATE OFFICER | NOT APPLICABLE |
| BERG, DAYTON | CORPORATE OFFICER | NOT APPLICABLE |
| CAMPBELL, DOUGLAS | CORPORATE OFFICER | NOT APPLICABLE |
| COOK, JOHN | CORPORATE OFFICER | NOT APPLICABLE |
| FENDLER, ROBERT | CORPORATE OFFICER | NOT APPLICABLE |
| HANSON, MARY | CORPORATE OFFICER | NOT APPLICABLE |
| ROSENZWEIG, MICHAEL | CORPORATE OFFICER | NOT APPLICABLE |
| SHIRLEY, JAMES | CORPORATE OFFICER | NOT APPLICABLE |
| MN MASONIC ELDER SERVICES | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| PELAVA, PATRICIA | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| SCHROEDER, BETH | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| MORK, SUSAN | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
Penalties (1)
| Date | Type | Amount |
|---|---|---|
| 2023-04-12 | Fine | $13K |
Health Deficiencies (19)
2026-02-12 · Health
E
F921 · Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F804 · Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
F558 · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
2024-12-18 · Health
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2023-10-19 · Health
D
F744 · Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F693 · Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F679 · Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
D
F645 · Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
D
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
B
F565 · Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
2023-04-12 · Health
J
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
4.69
RN Hrs/Resident/Day0.54
1.60
LPN Hrs/Resident/Day0.81
0.64
CNA Hrs/Resident/Day2.33
2.45
PT Hrs/Resident/Day0.12
0.30
Data as of 2026-03-01