Minnesota Senior Living: A Data Portrait of 338 Facilities

338 Facilities, Above Average

Minnesota has 338 Medicare and Medicaid-certified nursing facilities with an average CMS rating of 3.17 stars, notably above the national average of 2.98. The average Minnesota facility has 72 beds, smaller than the national average of 107. Total fines across the state: $6.3 million.

Rating Distribution

Minnesota skews toward the top of the scale:

Rating	MN Facilities	% of State
5 stars	86	25.4%
4 stars	69	20.4%
3 stars	62	18.3%
2 stars	55	16.3%
1 star	64	18.9%

One in four Minnesota facilities has a 5-star rating, compared to 20% nationally. However, the state still has 64 facilities at 1 star, nearly one in five.

The Nonprofit Advantage

The most striking pattern in the Minnesota data is the ownership divide:

Ownership Type	Facilities	Avg Rating
Non profit - Corporation	164	3.53
Non profit - Church related	30	3.50
Government - Hospital district	6	4.50
For profit - Corporation	68	2.33
For profit - LLC	21	2.43
For profit - Partnership	8	2.25

Nonprofit facilities in Minnesota average a full star higher than for-profit facilities (3.53 vs 2.33). This is one of the largest ownership-type gaps we have seen in any state.

Chain Performance

The chain data tells a similar story:

• Cassia (11 facilities): 4.7 average rating - the highest-rated chain in the state
• Presbyterian Homes (13 facilities): 4.6 average
• Good Samaritan Society (22 facilities): 3.4 average
• Monarch Healthcare Management (45 facilities): 2.3 average - the largest chain in MN and the lowest rated
• Eden Senior Care (5 facilities): 2.0 average

The Extremes

Top 5-star facilities include Minnesota Masonic Home in Bloomington (194 beds), Apple Valley Village Health Care Center (162 beds), and Good Shepherd Lutheran Home in Sauk Rapids (146 beds). Many of the largest 5-star facilities in the state are nonprofit or faith-based organizations.

At the other end, Warroad Care Center leads in fines at $359,330 with 11 penalties. The Villas at New Brighton has accumulated 26 total penalties. These facilities represent the operational challenges that concentrated enforcement is targeting.

What This Means

Minnesota is a strong market for senior living. The state's above-average ratings, smaller facility sizes, and strong nonprofit presence create an environment where quality-focused operators can differentiate themselves. The data suggests that in Minnesota, ownership model and organizational mission correlate meaningfully with the care experience residents receive.

Source: SilverOcean analysis of CMS Provider Data for Minnesota, March 2026. 338 Medicare and Medicaid-certified facilities.