Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

SHAKOPEE FRIENDSHIP MANOR

SHAKOPEE, MN · 60 certified beds · Last Life Safety survey July 23, 2025

CMS Certification Number 245445 · first certified March 1987

Ownership

Independently operated (no chain recorded by CMS) · For profit - Corporation

  • New ownershipOwnership changed December 1, 2024 (change of ownership)from QUALITY LIFE STYLES INC
15
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
9
Inspection & testing records
Of the citations on file

Position within MN

15 citations — more than 64% of the 338 certified nursing homes in MN. Compared within MN rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 6. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (June 2026 to September 2026). Most MN facilities have been surveyed by October 2026. This facility’s last Life Safety survey was July 2025. Facilities in MN are typically surveyed 11–14 months after the last one (median 13), measured over 613 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

4 of the 15 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 15 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in MN, and nationally. Surveyors differ markedly between states, so the MN figure is the meaningful one.

This facility15MN median12National median11
Citations on file over three years, compared
MeasureCitations
This facility15
Median facility in MN12
Median facility nationally11

Survey history

Citations at each Life Safety survey
82023-0542024-0632025-07
Citations at each Life Safety survey
Survey dateCitations
May 18, 20238
June 5, 20244
July 23, 20253

Most-cited tags

Most-cited tags at this facility
K-09182K-03532K-09232E-00061E-00411K-03741K-03451K-03241
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0918Have generator or other power source capable of supplying service within 10 seconds.22024-06-05
K-0353Inspect, test, and maintain automatic sprinkler systems.22024-06-05
K-0923Have proper medical gas storage and administration areas.22025-07-23
E-0006Conduct risk assessment and an All-Hazards approach.12023-05-18
E-0041Implement emergency and standby power systems.12023-05-18
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.12023-05-18
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12025-07-23
K-0324Provide properly protected cooking facilities.12024-06-05

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 6
  • Gas, Vacuum, and Electrical Systems Deficiencies 5
  • Emergency Preparedness Deficiencies 4
Citations by CMS category
CategoryCitations
Smoke Deficiencies6
Gas, Vacuum, and Electrical Systems Deficiencies5
Emergency Preparedness Deficiencies4

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

July 23, 2025 — 3 citations

Citations issued on July 23, 2025
TagWhat the surveyor checksStatus
E-0026Establish roles under a Waiver declared by secretary.Deficient, Provider has date of correction (August 22, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (July 23, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (July 28, 2025)

June 5, 2024 — 4 citations

Citations issued on June 5, 2024
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (June 17, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 6, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (July 31, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (June 6, 2024)

May 18, 2023 — 8 citations

Citations issued on May 18, 2023
TagWhat the surveyor checksStatus
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (July 6, 2023)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (June 15, 2023)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (July 17, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 6, 2023)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (May 19, 2023)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (July 6, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (July 17, 2023)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (July 6, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.