01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-05-29 | 4 | 2026-05-29 | 6 |
| Cycle 2 | 2025-03-20 | 9 | 2025-03-20 | 2 |
| Cycle 3 | 2024-05-23 | 7 | 2024-05-23 | 7 |
CMS CCN 2456322026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
St Therese Of Woodbury Llc
7555 Bailey Road · Woodbury, MN 55129 · Washington County
Certified beds56CMS provider file
Recent citation rows35current CMS citation release
Penalty rows2current 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
35 rows in the current release
2 rows carry G–L scope/severity codes; 0 carry J–L. 4 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-05-29 · FIREE0039Severity E · pattern; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2026-06-262026-05-29 · 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 · 2026-06-262026-05-29 · 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 · 2026-06-262026-05-29 · HEALTHF0689Severity G · isolated actual harm
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 · 2026-06-26 · complaint2026-05-29 · HEALTHF0919Severity E · pattern; potential for more than minimal harm
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Correction field: Deficient, Provider has date of correction · 2026-06-262026-05-29 · 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 · 2026-07-022026-05-29 · FIREK0324Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2026-07-022026-05-29 · FIREK0511Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2026-07-022026-05-29 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2026-07-022026-05-29 · FIREK0923Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2026-07-022025-03-20 · HEALTHF0578Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-04-222025-03-20 · 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 · 2025-04-222025-03-20 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
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 · 2025-04-222025-03-20 · HEALTHF0803Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Correction field: Deficient, Provider has date of correction · 2025-04-222025-03-20 · 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 · 2025-04-222025-03-20 · HEALTHF0881Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Correction field: Deficient, Provider has date of correction · 2025-04-222025-03-20 · FIREK0321Severity F · widespread; 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 · 2025-04-242025-03-20 · FIREK0930Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper storage of liquid oxygen.
Correction field: Deficient, Provider has date of correction · 2025-04-242024-09-17 · HEALTHF0686Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2024-10-21 · complaint2024-09-17 · 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 · 2024-10-14 · complaint2024-09-17 · HEALTHF0880Severity D · isolated; 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 · 2024-10-14 · complaint2024-05-23 · FIREE0018Severity D · isolated; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish procedures for tracking staff and patients during an emergency.
Correction field: Deficient, Provider has date of correction · 2024-06-252024-05-23 · FIREE0026Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish roles under a Waiver declared by secretary.
Correction field: Deficient, Provider has date of correction · 2024-06-252024-05-23 · FIREE0032Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Provide primary/alternate means for communication.
Correction field: Deficient, Provider has date of correction · 2024-06-2503 / 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 |
|---|---|---|---|
| 2026-05-29 | Payment Denial | $0 | 2 |
| 2024-09-17 | Payment Denial | $0 | 4 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- SAINT THERESE COMMUNITIESOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 06/28/2019
- ABBOTT, CRAIGIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/23/2022
- GILLESPIE, JOSEPHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/02/2011
- HERB, MARYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2023
- HOFFMANN, DAVIDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/01/2000
- HORSTMANN, STEVENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2020
- KRENN, DAVIDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/01/2011
- MCCLUSKEY, PATRICIAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2023
- MCCROSSAN, JANEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/01/2010
- MEADS, STEVENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/01/2015
- PARMAR, MONAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/22/2018
- TAFFE, PATRICKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/01/2013
- WORNSON, KATHRYNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/01/2013
- ABBOTT, CRAIGIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/23/2022
- HOFFMANN, DAVIDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2022
- SHELANGOSKI, CALIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/05/2018
- WORNSON, KATHRYNIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2022
- SAINT THERESEOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/02/2013
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 hours4.70per resident day
RN hours1.73per resident day
Weekend nurse hours4.14per resident day
Staff turnover31.4%CMS reported field
06 / LOCAL RECORDS
Open the Woodbury ledger →