The Estates at Excelsior LLC
Excelsior · 5.3 mi · 45 beds
Citations0Substantiated0
Lake Minnetonka Shores
4527 SHORELINE DRIVE, Spring Park, MN, 55384
Nursing home60 licensed beds0 citations on record
1 more within 6 milesOpen in Maps
Has this facility been cited?
No. Federal inspectors recorded no deficiencies against Lake Minnetonka Shores in Spring Park, Minnesota at its most recent standard inspection on 2025-04-03. 1 finding has been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 1 time, totalling $8,827. Medicare rates it 5 out of 5 overall.
5 / 5Medicare overall rating
60certified beds
0deficiencies at the last inspection
1immediate-jeopardy findings on record
0actual-harm findings on record
1federal fines, $8,827
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.1
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.7
Potential for minimal harmThe least serious band.1
Most recentJFDDDCDDD
The last 9 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · F0578 · 2024-04-25 · standard survey · Immediate jeopardy to resident health or safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2024-04-25 · standard survey · No actual harm, potential for more than minimal harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · F0761 · 2024-04-25 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2024-04-25 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · F0883 · 2024-04-25 · standard survey · No actual harm, potential for more than minimal harm
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · F0732 · 2024-04-25 · standard survey · No actual harm, potential for minimal harm
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · F0583 · 2023-08-24 · standard survey · No actual harm, potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · F0657 · 2023-08-24 · standard survey · No actual harm, potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2023-08-24 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below5 of 5
Health inspectionBased on the last three inspection cycles4 of 5
StaffingNurse hours per resident, adjusted for how sick residents are5 of 5
Quality measuresResident outcomes reported by the home2 of 5
Nurse hours per resident per dayReported by the home to CMS4.26209
Nursing staff turnoverShare of nursing staff who left in a year29.1%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS1
Total fined$8,827
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one1
Ownership
Who owns Lake Minnetonka Shores
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| PRESBYTERIAN HOMES HOUSING AND ASSISTED LIVING, INC. | Organization | 100% | since 04/14/2010 |
| NORTHEAST BANK | Organization | NOT APPLICABLE | since 06/03/2014 |
| NORTHEAST BANK | Organization | NOT APPLICABLE | since 06/03/2014 |
| FLETCHER, JONATHAN | Individual | NOT APPLICABLE | since 02/01/2025 |
| MEYER, MARK | Individual | NOT APPLICABLE | since 04/14/2010 |
| PEDERSON, MARK | Individual | NOT APPLICABLE | since 01/01/2023 |
| FLETCHER, JONATHAN | Individual | NOT APPLICABLE | since 02/01/2025 |
| MEYER, MARK | Individual | NOT APPLICABLE | since 04/14/2010 |
| PHS MANAGEMENT, LLC | Organization | NOT APPLICABLE | since 03/11/2011 |
| PRESBYTERIAN HOMES HOUSING AND ASSISTED LIVING, INC. | Organization | NOT APPLICABLE | since 04/14/2010 |
| MIELKE, JOHN | Individual | NOT APPLICABLE | since 08/29/2019 |
| SOKOLOSKI, SHAYLEE | Individual | NOT APPLICABLE | since 07/11/2019 |
Part of the PRESBYTERIAN HOMES & SERVICES group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Contact
Ask Lake Minnetonka Shores a question
This page has not been claimed, so messages sent here would reach nobody. Call them instead — we take no commission either way, so we have no reason to steer you anywhere.
Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 245210.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction