Monarch Healthcare Management

PBJ Takeaway: Monarch Healthcare Management

45 Facilities1 States96% For-ProfitAvg. Overall Rating: 2.2Avg. Staffing Rating: 3.3Staffing Rating: 3.3

Monarch Healthcare Management operates 45 nursing homes across 1 state, with 96% classified as for-profit. Its average CMS overall rating is 2.2 stars.

Across the portfolio, facilities report an average of 3.50 total nurse HPRD, including 0.80 RN hours, below the national ratio of 3.77 HPRD.

33% of Monarch Healthcare Management facilities meet PBJ320 high-risk criteria (e.g. special focus facility, one-star overall, abuse icon). CMS reports a total of 86 fines ($1.2 million) for the chain's nursing homes.

320 Consulting

Monarch Healthcare Management Key Metrics

Providers

States

Avg. Rating

2.2

Total Fines

$1.2 million

– Monarch Healthcare Management

Special Focus Facilities (SFFs)

SFF Candidates

1-Star Overall

Cited for Abuse

Avg. CMS 5-Star Rating – Monarch Healthcare Management

Overall

2.2

Health Inspection

2.2

Staffing

3.3

Quality Measures

3.0

Monarch Healthcare Management Facilities

Nursing homes affiliated with this entity. Latest quarter staffing from CMS PBJ data. Click column headers to sort.

State	Provider	City	Total HPRD	RN HPRD	Overall Rating	Staffing Rating
MN	The Emeralds at Faribault Llc ⚠	Faribault	3.25	0.62	1	2
MN	The Estates at Delano Llc	Delano	3.31	0.97	3	1
MN	The Villas at St Paul	Saint Paul	3.21	0.63	3	4
MN	The Estates at Greeley Llc	Stillwater	3.42	0.72	3	3
MN	The Green Prairie Rehabilitation Center	Plainview	3.42	1.12	4	4
MN	The Estates at Rush City Llc	Rush City	3.81	1.42	3	3
MN	Meeker Manor Rehabilitation Center, Llc ⚠	Litchfield	3.59	0.51	1	1
MN	Lakeshore Rehabilitation Center Llc	Waseca	3.54	1.07	4	4
MN	The Estates at Lynnhurst Llc	Saint Paul	3.18	0.88	2	4
MN	The Villas at Robbinsdale	Robbinsdale	3.47	0.74	2	4
MN	Bethany on the Lake Llc	Alexandria	3.92	0.99	5	5
MN	The Gardens at Winsted Llc	Winsted	3.61	1.22	2	3
MN	The Waterview Shores Llc	Two Harbors	3.14	0.50	3	2
MN	Bayside Manor Llc ⚠	Gaylord	3.68	0.92	1	3
MN	The North Shore Estates Llc	Duluth	3.25	0.68	3	4
MN	The Villas at Richfield	Richfield	3.25	0.76	3	4
MN	The Emeralds at Grand Rapids Llc ⚠	Grand Rapids	3.10	0.65	1	3
MN	Hillcrest Care & Rehabilitation Center	Mankato	3.62	0.89	2	3
MN	Mala Strana Care & Rehabilitation Center	New Prague	3.82	1.13	4	4
MN	Laurels Peak Care & Rehabilitation Center	Mankato	4.10	1.20	2	4
MN	Oaklawn Care & Rehabilitation Center	Mankato	3.93	1.10	2	4
MN	The Estates at Linden Llc	Stillwater	3.26	1.01	4	4
MN	The Estates at Excelsior Llc ⚠	Excelsior	3.44	1.29	1	4
MN	The Villas at the Park	Saint Louis Park	3.23	0.69	2	3
MN	Parmly on the Lake Llc	Chisago City	3.63	0.89	3	4
MN	The Estates at Roseville Llc	Roseville	3.65	0.63	2	3
MN	The Estates at St Louis Park Llc	Saint Louis Park	3.48	1.04	2	5
MN	The Villas at New Brighton ⚠	New Brighton	3.54	0.66	1	3
MN	The Villas at St Louis Park	Saint Louis Park	3.44	0.65	2	3
MN	The Villas at Brookview	Golden Valley	3.50	0.63	3	2
MN	The Villas at the Cedars ⚠	Saint Louis Park	3.51	0.74	1	3
MN	The Estates at Fridley Llc ⚠	Fridley	3.51	0.82	3	5
MN	The Villas at Bryn Mawr Llc ⚠	Minneapolis	2.69	0.66	1	4
MN	The Estates at Chateau Llc ⚠	Minneapolis	3.00	0.71	2	4
MN	Sleepy Eye Rehabilitati Center	Sleepy Eye	3.88	0.82	4	4
MN	River Valley Health and Rehabilitation Center Llc	Redwood Falls	3.49	1.09	2	4
MN	Maplewood Rehabilitation Center ⚠	Maplewood	3.42	0.90	1	4
MN	The Waterview Woods Llc ⚠	Eveleth	2.74	0.30	1	1
MN	The Waterview Pines Llc ⚠	Virginia	3.15	0.57	1	2
MN	The Emeralds at St Paul Llc ⚠	Saint Paul	4.61	1.68	1	4
MN	The Estates at Twin Rivers Llc ⚠	Anoka	3.47	0.41	1	1
MN	The Estates at Bloomington Llc	Bloomington	3.43	1.12	3	4
MN	The Gardens at Foley Llc	Foley	3.43	0.70	3	3
MN	The Villas at Roseville	Roseville	3.28	0.72	3	3
MN	The Villas at Osseo Llc	Osseo	3.55	0.87	2	3

1–20 of 45

Methodology

This dashboard uses CMS Payroll-Based Journal (PBJ) data (2017–2025), along with other public datasets (Provider Information, Affiliated Entity). State staffing standards via MACPAC (2022).

Metrics

Hours Per Resident Day (HPRD): Total staff hours ÷ average residents. Example: 350 hours for 100 residents = 3.5 HPRD.
Direct Care (excl. Admin, DON): Hours per resident day for direct care staff only (RN, LPN, CNA, NAtrn, MedAide), excluding administrative and supervisory roles.
Contract Staff %: Share of hours provided by contract staff.
Census: Average number of residents during the period.

Note: Some states set minimums (e.g., NJ, CA, NY at 3.5 HPRD); a federal 3.48 minimum was recently overturned (2025). A 2001 federal study linked 4.1 HPRD to better outcomes in that study. Staffing needs vary by resident acuity (case-mix), day, and shift. Estimates on PBJ Takeaway assume roughly 60% of staff are CNAs.

Data transparency

The PBJ Dashboard pulls directly from CMS data and is carefully vetted for accuracy. Still, sometimes a bug sneaks into the jelly. That could mean: a systemic CMS data reporting issue (e.g., Q2 2017 contract staffing, missing data in 2020 due to COVID) or there could be a coding error on our part. If you spot something that looks off, please let me know via the contact form so I can set things right.

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