01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-05-14 | 18 | 2026-05-14 | 3 |
| Cycle 2 | 2025-02-27 | 14 | 2025-02-27 | 2 |
| Cycle 3 | 2024-04-04 | 19 | 2024-04-04 | 7 |
CMS CCN 2452712026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Providence Place
3720 23Rd Avenue South · Minneapolis, MN 55407 · Hennepin County
Certified beds190CMS provider file
Recent citation rows63current CMS citation release
Penalty rows3current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
63 rows in the current release
4 rows carry G–L scope/severity codes; 2 carry J–L. 14 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-06-29 · HEALTHF0740Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Correction field: Deficient, Provider has no plan of correction · complaint2026-05-14 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2026-07-10 · complaint2026-05-14 · HEALTHF0561Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Correction field: Deficient, Provider has date of correction · 2026-07-102026-05-14 · HEALTHF0576Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
Correction field: Deficient, Provider has date of correction · 2026-07-102026-05-14 · HEALTHF0582Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Deficient, Provider has date of correction · 2026-07-102026-05-14 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2026-07-102026-05-14 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2026-07-102026-05-14 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-07-102026-05-14 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2026-07-102026-05-14 · HEALTHF0740Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Correction field: Deficient, Provider has date of correction · 2026-07-102026-05-14 · HEALTHF0745Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Correction field: Deficient, Provider has date of correction · 2026-07-102026-05-14 · HEALTHF0756Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2026-07-102026-05-14 · HEALTHF0757Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2026-07-102026-05-14 · HEALTHF0804Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction field: Deficient, Provider has date of correction · 2026-07-10 · complaint2026-05-14 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-07-102026-05-14 · HEALTHF0842Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2026-07-102026-05-14 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-07-102026-05-14 · FIREK0311Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Correction field: Deficient, Provider has date of correction · 2026-07-242026-05-14 · FIREK0321Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2026-07-242026-05-14 · FIREK0521Severity F · widespread; potential for more than minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2026-07-242026-01-12 · HEALTHF0757Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2026-02-27 · complaint2025-05-23 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-06-09 · complaint2025-04-30 · HEALTHF0740Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Correction field: Deficient, Provider has date of correction · 2025-05-15 · complaint2025-04-14 · HEALTHF0689Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-05-12 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-04-14 | Fine | $75,459 | 0 |
| 2025-02-27 | Fine | $19,140 | 0 |
| 2023-10-02 | Fine | $21,801 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- SENIOR CARE COMMUNITIESOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/01/2007
- LIFESPARK MANAGEMENT SERVICESOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 06/30/2020
- LIFESPRK HOLDINGS, INC.Organization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 06/30/2020
- MARSHALL, SUSANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/07/2011
- MARTIN, RICHARDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/07/2011
- LIFESPARK MANAGEMENT SERVICESOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/30/2020
- TWSL. LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2015
- FAIRBAIRN, SCOTTIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/28/2019
- KING, RYANIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/01/2025
- LOVAS, NOELIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/01/2021
- SIEBENALER, ELLENIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2024
- TWSL. LLCOrganization · GENERAL PARTNERSHIP INTERESTNOT APPLICABLE · since 06/30/2020
- SENIOR CARE COMMUNITIESOrganization · TRUSTEE OF THE SNFNOT APPLICABLE · since 03/01/2007
- SENIOR CARE COMMUNITIESOrganization · ADP OF THE SNFNOT APPLICABLE · since 03/01/2007
- TWSL. LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 03/17/2026
- FAIRBAIRN, SCOTTIndividual · ADP OF THE SNFNOT APPLICABLE · since 02/28/2019
- KING, RYANIndividual · ADP OF THE SNFNOT APPLICABLE · since 04/01/2025
- LOVAS, NOELIndividual · ADP OF THE SNFNOT APPLICABLE · since 11/01/2021
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.90per resident day
RN hours0.67per resident day
Weekend nurse hours3.63per resident day
Staff turnover78.5%CMS reported field
06 / LOCAL RECORDS
Open the Minneapolis ledger →Other published facilities nearby
Andrew Residence212 beds · CMS overall 2/540 citation rowsBenedictine Health Center Of Minneapolis90 beds · CMS overall 3/532 citation rowsBirchwood Care Home60 beds · CMS overall 5/568 citation rowsBywood East Health Care96 beds · CMS overall 2/5106 citation rowsCatholic Eldercare On Main164 beds · CMS overall 3/551 citation rowsEdenbrook Of Edina80 beds · CMS overall 3/556 citation rowsFairview University Trans Serv28 beds · CMS overall 5/50 citation rowsGrand Avenue Rest Home20 beds · CMS overall 3/556 citation rows