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

ST THERESE OF WOODBURY LLC

WOODBURY, MN · 56 certified beds · Last Life Safety survey May 29, 2026

CMS Certification Number 245632 · first certified September 2016

Ownership

Operated by SAINT THERESE SENIOR COMMUNITIES · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

15
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
6
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

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

The latest survey found 6 citations; the earlier surveys in the window averaged 4.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens May 2027 — about 7 months from now. This facility’s last Life Safety survey was May 2026. 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

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)

5 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-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
  • 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
72024-0522025-0362026-05
Citations at each Life Safety survey
Survey dateCitations
May 23, 20247
March 20, 20252
May 29, 20266

Most-cited tags

Most-cited tags at this facility
K-03451K-05411K-03111E-00261K-03241K-09231K-09301E-00321
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12024-05-23
K-0541Install properly constructed and protected linen or trash chutes.12024-05-23
K-0311Have an enclosure around a vertical opening shaft.12026-05-29
E-0026Establish roles under a Waiver declared by secretary.12024-05-23
K-0324Provide properly protected cooking facilities.12026-05-29
K-0923Have proper medical gas storage and administration areas.12026-05-29
K-0930Ensure proper storage of liquid oxygen.12025-03-20
E-0032Provide primary/alternate means for communication.12024-05-23

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 5
  • Emergency Preparedness Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Services Deficiencies 2
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies5
Emergency Preparedness Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies3
Services Deficiencies2
Egress Deficiencies1

Every citation on file

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

May 29, 2026 — 6 citations

Citations issued on May 29, 2026
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (June 26, 2026)
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (July 2, 2026)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (July 2, 2026)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (July 2, 2026)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (July 2, 2026)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (July 2, 2026)

March 20, 2025 — 2 citations

Citations issued on March 20, 2025
TagWhat the surveyor checksStatus
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (April 24, 2025)
K-0930Ensure proper storage of liquid oxygen.Deficient, Provider has date of correction (April 24, 2025)

May 23, 2024 — 7 citations

Citations issued on May 23, 2024
TagWhat the surveyor checksStatus
E-0018Establish procedures for tracking staff and patients during an emergency.Deficient, Provider has date of correction (June 25, 2024)
E-0026Establish roles under a Waiver declared by secretary.Deficient, Provider has date of correction (June 25, 2024)
E-0032Provide primary/alternate means for communication.Deficient, Provider has date of correction (June 25, 2024)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (June 25, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (June 25, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (June 25, 2024)
K-0541Install properly constructed and protected linen or trash chutes.Deficient, Provider has date of correction (June 25, 2024)

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