Waverly Gardens
North Oaks, Ramsey County, Minnesota · CCN 245613 · Non-profit (Corporation) · part of Presbyterian Homes & Services (21 facilities, chain average 4.3 stars)
CMS rates Waverly Gardens 3 of 5 overall as of August 2026. 60 certified beds, 57 residents a day on average. 11 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $113,312.
On record
- Abuse icon. CMS marks this facility for a citation of abuse that led to harm, or a repeated potential for it, within the recent inspection cycles.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★★★★★ 5 of 5 |
| Quality measures | ★★☆☆☆ 2 of 5 |
| Quality: long-stay / short-stay | 3 / 1 of 5 |
Staffing
| Total nurse staffing | 4.50015 hours per resident per day |
|---|---|
| Registered nurses | 0.84434 hours per resident per day |
| Weekend total | 4.15968 hours per resident per day |
| Nursing staff turnover | 35.5% (registered nurses 50%) |
| Administrators who left | 1 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-05-29 complaint survey |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2026-07-02 |
| 2026-05-29 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-07-02 |
| 2026-05-29 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Quality of Life and Care Deficiencies · tag F0688 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Pharmacy Service Deficiencies · tag F0756 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Resident Rights Deficiencies · tag F0575 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2024-11-13 |
| 2024-02-07 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-03-05 |
| 2022-05-25 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-06-28 |
| 2022-05-25 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-06-28 |
| 2022-05-25 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-06-28 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2026-05-29 | Fine | $113,312 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Presbyterian Homes And Services Organization | 5% or greater direct ownership interest | 100% | 2020-03-17 |
| Computershare Corporate Trust Company, Na Organization | 5% or greater mortgage interest | — | 2024-07-01 |
| Computershare Corporate Trust Company, Na Organization | 5% or greater security interest | — | 2024-07-01 |
| Phs Management, LLC Organization | adp of the snf | — | 2026-02-17 |
| Phs Management, LLC Organization | operational/managerial control | — | 2011-03-11 |
| Fletcher, Jonathan Individual | adp of the snf | — | 2025-02-01 |
| Meyer, Mark Individual | adp of the snf | — | 2011-03-11 |
| Pederson, Jane Individual | adp of the snf | — | 2021-04-01 |
| Peterson, Heidi Individual | adp of the snf | — | 2023-01-01 |
| Sammon, Katherine Individual | adp of the snf | — | 2022-11-21 |
| Fletcher, Jonathan Individual | corporate director | — | 2025-02-01 |
| Pederson, Mark Individual | corporate director | — | 2023-01-01 |
| Peterson, Heidi Individual | corporate director | — | 2023-01-01 |
| Fletcher, Jonathan Individual | corporate officer | — | 2025-02-01 |
| Meyer, Mark Individual | corporate officer | — | 2001-03-30 |
| Fletcher, Jonathan Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2026-03-26 |
| Fletcher, Jonathan Individual | operational/managerial control | — | 2025-02-01 |
| Meyer, Mark Individual | operational/managerial control | — | 2011-03-11 |
| Pederson, Jane Individual | operational/managerial control | — | 2021-04-01 |
| Peterson, Heidi Individual | operational/managerial control | — | 2023-01-01 |
| Sammon, Katherine Individual | operational/managerial control | — | 2022-11-21 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Waverly Gardens.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Ramsey County.