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Nursing home

Harmony Gardens

Maplewood, Minnesota · Ramsey County

  • 1438 County Road C East, Maplewood, MN 55109 · Directions
  • (651) 488‑6658
  • Medicare overall rating: 4 of 5 starsMedicare overall rating
  • Ownership: Non-profit – corporation
  • 23 health citations in its last 3 inspection cycles (most serious: level G). See the inspection record

Summary

Harmony Gardens is a Medicare-certified nursing home in Maplewood, Minnesota, with 64 certified beds. Medicare overall rating: 4 of 5 stars. Most recent standard health inspection: 2026-03-26, with 4 health deficiencies. Ownership: non-profit – corporation. Source: Medicare (CMS) Provider Information, data updated 2026-10-01.

What is a nursing home?

A nursing home (skilled nursing facility) gives 24-hour nursing care and help with daily activities. Some people stay for a short time to recover after a hospital stay (rehabilitation); others live there long term. The homes listed here are certified by Medicare and/or Medicaid and inspected by the state.

Official Medicare data

Everything on this page comes from Medicare (CMS) data updated 2026-10-01. It is information, not a recommendation. Call the nursing home and visit before you decide, and talk with your doctor.

In a medical emergency, call 911.

At a glance

Medicare overall rating: 4 of 5 starsMedicare overall rating
64Certified beds
Health inspections: 3 of 5 starsHealth inspections

Quick answers

Where is Harmony Gardens?
1438 County Road C East, Maplewood, MN 55109, in Ramsey County, Minnesota.
What is the phone number of Harmony Gardens?
(651) 488-6658, as listed by Medicare (CMS).
What is the Medicare star rating of Harmony Gardens?
Medicare overall rating: 4 out of 5 stars (CMS data updated 2026-10-01).
Has Harmony Gardens been fined?
Medicare lists no fines for Harmony Gardens.
What did inspectors find at Harmony Gardens?
In its last three inspection cycles (November 9, 2023 to March 26, 2026), Medicare lists 23 health citations; the most serious was level G. 1 was level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).

Medicare ratings, explained

Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.

Overall rating
Overall rating: 4 of 5 stars
Medicare’s summary of the three ratings below, from 1 star (much below average) to 5 stars (much above average).
Health inspections
Health inspections: 3 of 5 stars
Based on state health inspections and complaint investigations of about the last three years, compared with other nursing homes in the same state.
Staffing
Staffing: 5 of 5 stars
Based on how many hours nurses and aides spend with each resident per day (from payroll records) and how often staff leave.
Quality of resident care
Quality of resident care: 4 of 5 stars
Based on how residents do on measures such as falls with injury, pressure sores, getting better at moving around and going back to the hospital.
Short-stay residents (rehab)
Short-stay residents (rehab): 4 of 5 stars
Quality rating for people who stay a short time, usually to recover after a hospital stay.
Long-stay residents
Long-stay residents: 4 of 5 stars
Quality rating for people who live in the nursing home.

Inspections, fines and staffing

In its last three inspection cycles (November 9, 2023 to March 26, 2026), Harmony Gardens had 23 health citations; the most serious was level G (actual harm to residents). 1 of them was level G or higher (actual harm or immediate jeopardy). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 4.66 hours per resident per day; the Minnesota average is 4.27 and the national average is 3.90.

Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.

Inspection history: last three cycles

State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.

What the letters A to L mean
Scope and severity letters
SeriousnessIsolated (a few residents)Pattern (some)Widespread (many)
No actual harm, potential for minimal harmABC
No actual harm, potential for more than minimal harmDEF
Actual harm to residentsGHI
Immediate jeopardy to resident health or safetyJKL

Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.

Most recent cycle: March 26, 2026 — 4 health citations

Inspections in this cycle: March 26, 2026 (standard health inspection).

Show 4 citations (levels A to F, no actual harm)
  • F0812 Level F March 26, 2026 · corrected April 27, 2026

    “Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”

  • F0604 Level D March 26, 2026 · corrected April 27, 2026

    “Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.”

  • F0640 Level D March 26, 2026 · corrected April 27, 2026

    “Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.”

  • F0690 Level D March 26, 2026 · corrected April 27, 2026

    “Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”

Previous cycle: January 9, 2025 — 14 health citations

Inspections in this cycle: January 9, 2025 (standard health inspection); April 4, 2025 (complaint investigation).

Show 14 citations (levels A to F, no actual harm)
  • F0880 Level F January 9, 2025 · corrected February 17, 2025

    “Provide and implement an infection prevention and control program.”

  • F0641 Level E April 4, 2025 · from a complaint · corrected May 6, 2025

    “Ensure each resident receives an accurate assessment.”

  • F0700 Level E April 4, 2025 · from a complaint · corrected May 6, 2025

    “Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.”

  • F0609 Level D April 4, 2025 · from a complaint · corrected May 6, 2025

    “Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”

  • F0610 Level D April 4, 2025 · from a complaint · corrected May 6, 2025

    “Respond appropriately to all alleged violations.”

  • F0550 Level D January 9, 2025 · corrected February 17, 2025

    “Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”

  • F0554 Level D January 9, 2025 · corrected February 17, 2025

    “Allow residents to self-administer drugs if determined clinically appropriate.”

  • F0676 Level D January 9, 2025 · corrected February 17, 2025

    “Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.”

  • F0686 Level D January 9, 2025 · corrected February 17, 2025

    “Provide appropriate pressure ulcer care and prevent new ulcers from developing.”

  • F0688 Level D January 9, 2025 · corrected February 17, 2025

    “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.”

  • F0690 Level D January 9, 2025 · corrected February 17, 2025

    “Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”

  • F0692 Level D January 9, 2025 · corrected February 17, 2025

    “Provide enough food/fluids to maintain a resident's health.”

  • F0698 Level D January 9, 2025 · corrected February 17, 2025

    “Provide safe, appropriate dialysis care/services for a resident who requires such services.”

  • F0800 Level D January 9, 2025 · corrected February 17, 2025

    “Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.”

Earlier cycle: November 9, 2023 — 5 health citations

Inspections in this cycle: November 9, 2023 (complaint investigation); November 9, 2023 (standard health inspection); January 5, 2024 (complaint investigation); September 19, 2024 (complaint investigation).

  • F0689 Level G September 19, 2024 · from a complaint · past non-compliance (already fixed before the inspection) (September 18, 2024)

    “Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”

    actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies

Show 4 less serious citations (levels A to F)
  • F0678 Level D January 5, 2024 · from a complaint · corrected February 14, 2024

    “Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.”

  • F0553 Level D November 9, 2023 · corrected December 19, 2023

    “Allow resident to participate in the development and implementation of his or her person-centered plan of care.”

  • F0584 Level D November 9, 2023 · from a complaint · corrected December 19, 2023

    “Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.”

  • F0758 Level D November 9, 2023 · corrected December 19, 2023

    “Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.”

Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.

Full inspection reports on Medicare Care Compare →

Fire safety citations (3)
  • K0345 Level F March 26, 2026 · corrected April 27, 2026

    “Have approved installation, maintenance and testing program for fire alarm systems.”

  • K0521 Level F March 26, 2026 · corrected April 27, 2026

    “Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”

  • K0321 Level E March 26, 2026 · corrected April 27, 2026

    “Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”

Staffing

Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.

MeasureThis homeMinnesotaNational
Registered nurse (RN) hours per resident per day1.281.080.69
Licensed practical nurse (LPN) hours per resident per day0.870.610.86
Nurse aide hours per resident per day2.512.582.35
Total nurse staff hours per resident per day4.664.273.90
Total nurse staff hours per resident per day on the weekend4.203.733.43
RN hours per resident per day on the weekend0.920.710.48
Nursing staff turnover (per year)28.2%42.1%45.3%
RN turnover (per year)25.0%39.3%42.5%
Administrators who left in the last year1.00.50.5

Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.

Owners and operator

Part of a group of 16 nursing homes: Cassia.

Legal business name: New Harmony Care Center, Inc..

Owners and managers Medicare lists (3)
NameRoleShareSince
Elim Care IncDirect owner100%October 25, 1995
CassiaIndirect owner100%January 1, 2020
CassiaManagement company (operational or managerial control)NOT APPLICABLEJanuary 1, 2018

Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.

Compare with other nursing homes

Key facts

TypeNursing home
Certified beds64
Average residents per day58.8
Takes part inMedicare and Medicaid
OwnershipNon-profit – corporation
Group or chain (affiliated entity)Cassia
Legal business nameNew Harmony Care Center, Inc.
First approved by Medicare/Medicaid1986-12-01
Part of a continuing care retirement communityYes
Resident and family councilsResident council
Sprinklers in all required areasYes
Changed ownership in the last 12 monthsNo
Address1438 County Road C East, Maplewood, MN 55109
CountyRamsey County
StateMinnesota
Phone(651) 488‑6658
CMS Certification Number245381
Name in Medicare recordsHARMONY GARDENS
CorrectionsReport an error or suggest an update →

What to ask when you call or visit

A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.

  • Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
  • Can you see the latest state inspection report? Ask how any problems found were fixed.
  • How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
  • Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
  • What therapy (physical, occupational, speech) is offered, and how many days a week?
  • Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
  • What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
  • Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
  • Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
  • Visit more than once, including at a mealtime or in the evening, without an appointment.

Other nursing homes nearby

By straight-line distance (not driving distance).

Nearest hospital emergency rooms

Sources

  1. Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this provider
  3. Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  4. Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  5. Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
  6. Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
  7. State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
  8. Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
  9. Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
  10. Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13