CareWitness
Federal record · CMS Care Compare · CCN 245210 · Processed JUN 1 2026
CareWitnessMinnesotaSpring ParkNursing HomesLake Minnetonka Shores

Lake Minnetonka Shores

4527 Shoreline Drive, Spring Park, MN, 55384

Type
Nursing home
Medicare/Medicaid certified · CCN 245210Nonprofit

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Federal Quality Data

Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.

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CMS Star Ratings

Overall5 / 5
Health inspections4 / 5
Staffing5 / 5
Quality measures2 / 5

Facility & Staffing

Ownership
Non profit - Corporation · Chain: Presbyterian Homes & Services
Certified beds
60 · avg 55 residents/day
Total nursing staff turnover
27.1%lower than most Minnesota nursing homesMinnesota avg: 42.5% · National avg: 46.1% · per CMS Care Compare
RN turnover
28.6%lower than most Minnesota nursing homesMinnesota avg: 38.5% · National avg: 43.3% · per CMS Care Compare
Administrators who left
0 departednear the Minnesota averageMinnesota avg: 0.6 · National avg: 0.5 · per CMS Care Compare

Enforcement & Citations

Fines (past 3 years)
1 fine · $8,827 total

Medicare certification

CMS Certification Number
245210
Certified beds
60 beds · avg 55 residents/day
Ownership type
Non profit - Corporation
Continuing-care community
No

CMS Care Compare, processing date June 1, 2026

Ownership & operations

Legal business name
Phs Lake Minnetonka Llc
Chain affiliation
Presbyterian Homes & Services

CMS Care Compare, processing date June 1, 2026

Federal ownership record

Non-profitLlc

Chain affiliation

Part of the Presbyterian Homes & Services chain — 21 facilities across 3 states. Chain-wide average overall rating 4.3 / 5.

Disclosed owners (9 on record)

  • Presbyterian Homes Housing And Assisted Living, Inc.

    Adp of The Snf · since 2025

  • Phs Management, Llc

    Adp of The Snf · since 2025

  • Jonathan David Fletcher

    Corporate Director · 33% · since 2025

  • Heidi a Peterson

    Adp of The Snf · since 2025

  • Mark a Pederson

    Corporate Director · 33% · since 2023

  • John w Mielke

    Adp of The Snf · since 2019

+ 3 additional owners on the federal record.

Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.

Federal inspection record

9 health citations on file1 immediate-jeopardy finding1 federal fine totalling $8,827

Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.

Recent health-deficiency citations (most recent 8 of 9)

  • D0883·Apr 25, 2024

    Infection Control Deficiencies

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

  • D0880·Apr 25, 2024

    Infection Control Deficiencies

    Provide and implement an infection prevention and control program.

  • F0812·Apr 25, 2024

    Nutrition and Dietary Deficiencies

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

  • D0761·Apr 25, 2024

    Pharmacy Service Deficiencies

    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.

  • C0732·Apr 25, 2024

    Nursing and Physician Services Deficiencies

    Post nurse staffing information every day.

  • J0578·Apr 25, 2024

    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.

  • D0677·Aug 24, 2023

    Quality of Life and Care Deficiencies

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • D0657·Aug 24, 2023

    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.

View the full inspection history on CMS Care Compare →

Federal penalties

By year

  • 20241 fine · $8,827

Most recent events

  • Apr 25, 2024Fine · $8,827

Fire-safety citations

6 Life-Safety-Code citations on file. Most recent: Aug 24, 2023. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.

Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.

Facility background report

The entire federal paper trail on this facility, in one report.

We compile everything the government publishes about Lake Minnetonka Shoresinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.

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Where this information comes from

  • Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.

Data comes unaltered from the federal files. See every source we publish from.