Nursing homes › Minnesota › Waverly Gardens
5919 Centerville Road, North Oaks, MN 55127 · (651) 765-4063 · 60 certified beds
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Open your comparisonCMS overall star rating: this provider 3/5; median among 336 providers with a published value in the same state and provider category: 3/5.
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Per CMS filings, this facility is affiliated with Presbyterian Homes & Services, a group operating 21 facilities in 3 states. Group record: average rating 4.3/5, 1 abuse citation icon, 0 facilities on the Special Focus list, $221,114 in federal fines. This facility rates below its group average (4.3/5).
Total nurse staffing: 4.50 (Minnesota median: 4.16). RN hours: 0.84. Weekend total: 4.16. Nursing staff turnover: 36%.
In the downloaded CMS dataset: 11 deficiency citations, including 1 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-29 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | complaint | corrected 2026-07-02 |
| 2026-05-29 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2026-07-02 |
| 2026-05-29 | Respond appropriately to all alleged violations. | D | complaint | corrected 2026-07-02 |
| 2024-09-26 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2024-11-13 |
| 2024-09-26 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Health | corrected 2024-11-13 |
| 2024-09-26 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2024-11-13 |
| 2024-09-26 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | C | Health | corrected 2024-11-13 |
| 2024-02-07 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2024-03-05 |
| Date | Type | Amount |
|---|---|---|
| 2026-05-29 | Fine | $113,312 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| PRESBYTERIAN HOMES AND SERVICES | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 03/17/2020 |
| FLETCHER, JONATHAN | Corporate Director | Individual | NOT APPLICABLE | since 02/01/2025 |
| PEDERSON, MARK | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2023 |
| PETERSON, HEIDI | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2023 |
| FLETCHER, JONATHAN | Corporate Officer | Individual | NOT APPLICABLE | since 02/01/2025 |
| MEYER, MARK | Corporate Officer | Individual | NOT APPLICABLE | since 03/30/2001 |
| PHS MANAGEMENT, LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 03/11/2011 |
| FLETCHER, JONATHAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2025 |
| MEYER, MARK | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/11/2011 |
| PEDERSON, JANE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2021 |
| PETERSON, HEIDI | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2023 |
| SAMMON, KATHERINE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/21/2022 |
How to cite this page: CareRecords, “Waverly Gardens — compliance, penalty and ownership record” (CCN 245613), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/waverly-gardens-north-oaks-mn/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 245613. Corrections: data@carerecords.org.