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Bywood East Health Care

Open-data reference.

Bywood East Health Care is a for profit - corporation facility in MINNEAPOLIS, MN with 96 certified beds and a 1-star overall CMS rating. The facility has 50 deficiency records on file.

3427 CENTRAL AVENUE NORTHEAST, MINNEAPOLIS, MN 55418

Phone: 6127889757

Overall Rating

1/5

Health Inspection

1/5

Staffing

3/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
24E185
Ownership
For profit - Corporation
Provider Type
Medicaid
Beds
96
Residents
75
In Hospital
No
County
Hennepin
Last Inspection
Apr 17, 2025
Special Focus
SFF Candidate
Abuse citation on record

Staffing Data

RN Hours
0.45 (nat'l avg: 0.68)
LPN Hours
0.51
CNA Hours
1.07
Total Nursing Hours
2.03 (nat'l avg: 3.89)
PT Hours
0.00
Nursing Turnover
33.3%
RN Turnover
30.0%

What the CMS Record Reveals About Bywood East Health Care

Bywood East Health Care operates 96 certified beds in MINNEAPOLIS, MN with approximately 75 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (3★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 50 deficiency records from recent surveys, of which 7 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 2.03 total nursing hours per resident day (national average 3.89), with RN coverage at 0.45 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature. This facility is currently designated "SFF Candidate" under the CMS Special Focus Facility program, reserved for providers with a persistent pattern of serious quality problems.

Classified as "For profit - Corporation" ownership and operating as a "Medicaid" provider, Bywood East Health Care falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 33.3%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

D — Isolated - Minimal harm Dec 19, 2025 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 23, 2026

G — Isolated - Actual harm Dec 19, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 23, 2026

J — Isolated - Jeopardy Dec 15, 2025 Tag: 0805

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 4, 2025

G — Isolated - Actual harm Nov 21, 2025 Tag: 0699

Provide care or services that was trauma informed and/or culturally competent.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 7, 2025

D — Isolated - Minimal harm Nov 21, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 7, 2025

D — Isolated - Minimal harm Nov 20, 2025 Tag: 0636

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 7, 2025

J — Isolated - Jeopardy Aug 27, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 30, 2025

D — Isolated - Minimal harm Aug 27, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 30, 2025

D — Isolated - Minimal harm Aug 27, 2025 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 30, 2025

D — Isolated - Minimal harm Aug 27, 2025 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 30, 2025

J — Isolated - Jeopardy Aug 27, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 30, 2025

D — Isolated - Minimal harm Apr 17, 2025 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 6, 2025

B — Pattern - No harm Apr 17, 2025 Tag: 0912

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Category: Environmental Deficiencies

D — Isolated - Minimal harm Apr 17, 2025 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Jun 6, 2025

F — Widespread - Minimal harm Apr 17, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 6, 2025

E — Pattern - Minimal harm Apr 17, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 6, 2025

D — Isolated - Minimal harm Apr 17, 2025 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Jun 6, 2025

D — Isolated - Minimal harm Apr 17, 2025 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Jun 6, 2025

D — Isolated - Minimal harm Apr 17, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Jun 6, 2025

D — Isolated - Minimal harm Apr 17, 2025 Tag: 0712

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Category: Nursing and Physician Services Deficiencies

Corrected: Jun 6, 2025

D — Isolated - Minimal harm Apr 17, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 6, 2025

D — Isolated - Minimal harm Apr 17, 2025 Tag: 0685

Assist a resident in gaining access to vision and hearing services.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 6, 2025

D — Isolated - Minimal harm Apr 17, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 6, 2025

D — Isolated - Minimal harm Apr 17, 2025 Tag: 0676

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 6, 2025

D — Isolated - Minimal harm Apr 17, 2025 Tag: 0660

Plan the resident's discharge to meet the resident's goals and needs.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 6, 2025

D — Isolated - Minimal harm Apr 17, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 6, 2025

D — Isolated - Minimal harm Apr 17, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 6, 2025

B — Pattern - No harm Apr 17, 2025 Tag: 0640

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 6, 2025

D — Isolated - Minimal harm Apr 17, 2025 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 6, 2025

C — Widespread - No harm Apr 17, 2025 Tag: 0577

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Category: Resident Rights Deficiencies

Corrected: Jun 6, 2025

D — Isolated - Minimal harm Mar 31, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 18, 2025

F — Widespread - Minimal harm Oct 16, 2024 Tag: 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category: Environmental Deficiencies

Corrected: Nov 22, 2024

F — Widespread - Minimal harm Oct 16, 2024 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Nov 22, 2024

J — Isolated - Jeopardy Oct 16, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 1, 2024

D — Isolated - Minimal harm Oct 16, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 22, 2024

D — Isolated - Minimal harm Oct 16, 2024 Tag: 0584

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Category: Resident Rights Deficiencies

Corrected: Nov 22, 2024

D — Isolated - Minimal harm Oct 16, 2024 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Nov 22, 2024

C — Widespread - No harm Sep 6, 2024 Tag: 0844

Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.

Category: Administration Deficiencies

Corrected: Oct 25, 2024

C — Widespread - No harm Sep 6, 2024 Tag: 0841

Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 25, 2024

C — Widespread - No harm Sep 6, 2024 Tag: 0837

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

Category: Administration Deficiencies

Corrected: Oct 25, 2024

C — Widespread - No harm Sep 6, 2024 Tag: 0715

Ensure the physician properly assigns and delegates tasks to a qualified dietitian (or other qualified nutrition professional); or to a qualified therapist.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 25, 2024

C — Widespread - No harm Sep 6, 2024 Tag: 0714

Ensure the physician properly assigns and delegates tasks to a physician assistant, nurse practitioner or clinical nurse specialist.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 25, 2024

B — Pattern - No harm Sep 6, 2024 Tag: 0712

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 25, 2024

J — Isolated - Jeopardy Sep 6, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 25, 2024

D — Isolated - Minimal harm Sep 6, 2024 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Oct 25, 2024

D — Isolated - Minimal harm Jun 26, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 17, 2024

E — Pattern - Minimal harm Apr 11, 2024 Tag: 0568

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Category: Resident Rights Deficiencies

Corrected: May 10, 2024

E — Pattern - Minimal harm Apr 11, 2024 Tag: 0567

Honor the resident's right to manage his or her financial affairs.

Category: Resident Rights Deficiencies

Corrected: May 10, 2024

F — Widespread - Minimal harm Mar 7, 2024 Tag: 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category: Environmental Deficiencies

Corrected: Mar 14, 2024

B — Pattern - No harm Mar 7, 2024 Tag: 0912

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Category: Environmental Deficiencies

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 3.1% Yes
Percentage of long-stay residents who lose too much weight Long Stay 5.3% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.2% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 3.7% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.9% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 91.4% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 53.2% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 3.4% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 10.2% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 98.6% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 1.1% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 10.3% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 37.5% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for Bywood East Health Care?
Bywood East Health Care has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (3★), and quality measures (4★).
What are the staffing levels at Bywood East Health Care?
Bywood East Health Care reports 2.03 total nursing hours per resident day (national average: 3.89). RN hours are 0.45 per resident day (national average: 0.68). Nursing staff turnover is 33.3%.
How many beds does Bywood East Health Care have?
Bywood East Health Care has 96 certified beds with approximately 75 residents. The facility is located at 3427 CENTRAL AVENUE NORTHEAST, MINNEAPOLIS, MN 55418.
Does Bywood East Health Care have any deficiencies on record?
Yes, Bywood East Health Care has 50 deficiencies on record from recent inspections. Of these, 7 are classified as causing actual harm or jeopardy.
Has Bywood East Health Care received any fines or penalties?
No, Bywood East Health Care has no fines or penalties on record.
Who owns Bywood East Health Care?
Bywood East Health Care is classified as "For profit - Corporation" ownership. The facility type is "Medicaid".
When was Bywood East Health Care last inspected?
The most recent health inspection for Bywood East Health Care was on Apr 17, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Bywood East Health Care?
Bywood East Health Care is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial