Nursing homeActive
The Estates At Rush City LLC
650 Bremer Avenue South, Rush City, MN 55069320358476541 certified beds · 29 residentsFor profit - PartnershipMedicare and Medicaid
Surveys on file
5
since 2023
Deficiencies
21
● 0● 20● 1
Penalties · 3 yrs
—
none on file
Last survey
2026-01-29
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 3
Staffing 4
Quality 1
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Minnesota Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-01-29 | Standard | 070 | CMS-2567 (Care Compare) | — |
| 2024-12-05 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2024-09-06 | Complaint | 021 | CMS-2567 (Care Compare) | — |
| 2024-07-25 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-10-26 | Standard | 050 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Minnesota Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-04Record 245348-20260129-F605
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-04Record 245348-20260129-F628
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-04Record 245348-20260129-F641
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-04Record 245348-20260129-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-04Record 245348-20260129-F689
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-03-04Record 245348-20260129-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-04Record 245348-20260129-F880
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-27Record 245348-20241205-F684
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-27Record 245348-20241205-F686
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-27Record 245348-20241205-F726
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-27Record 245348-20241205-F759
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-27Record 245348-20241205-F880
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-10-01Record 245348-20240906-F689
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-01Record 245348-20240906-F686
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-01Record 245348-20240906-F692
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-10Record 245348-20240725-F689
F576Ensure residents have reasonable access to and privacy in their use of communication methods.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-21Record 245348-20231026-F576
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-21Record 245348-20231026-F641
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-21Record 245348-20231026-F684
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-21Record 245348-20231026-F695
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-21Record 245348-20231026-F812
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.38
Facility
Minnesota
National
Minnesota 1.06 · National 0.69
Total nurse hours per resident day3.78
Facility
Minnesota
National
Minnesota 4.19 · National 3.86
Weekend total nurse hours3.39
Facility
Minnesota
National
Minnesota 3.71 · National 3.42
Total nursing staff turnover72%
Facility
Minnesota
National
Minnesota 42% · National 46%
Registered nurse turnover75%
Facility
Minnesota
National
Minnesota 39% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Minnesota | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 20.8% | 5.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 12.4% | 4.0% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 10.7% | 17.1% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.3% | 2.6% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 28.0% | 18.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.1% | 4.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 20.0% | 12.5% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Arem, Jeffrey Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 7% | — | — |
| Nij LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 7% | — | — |
| Spartan Healthcare LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 30% | — | — |
| Stern, William Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | — | — |
| Yazoma Holdings, LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 30% | — | — |
| Halpert, Marc Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 30% | — | — |
| Jaffa, Noam Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7% | — | — |
| Legum, Joshua Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 30% | — | — |
| Monarch Healthcare Operating IV LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Stern, William Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Halpert, Marc Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Legum, Joshua Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Stern, William Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Part of a chain
Monarch Healthcare Management — 45 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Minnesota.
No county cost figures on file for Chisago.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Ecumen North Branch North Branch | 12.4 mi | 2025-07-24 | 1130 |
| Burnett Medical Center Grantsburg | 14.7 mi | 2026-06-29 | 0260 |
| Gracepointe Crossing Gables Cambridge | 15.5 mi | 2025-09-04 | 042 |
| Parmly On The Lake LLC Chisago City | 22.8 mi | 2026-06-15 | 0141 |
| Meadows On Fairview Wyoming | 25.1 mi | 2026-06-02 | 030 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |