St Therese of Woodbury: Care Order Failures - MN
The citation, issued May 29, 2026, fell under a federal category that covers one of the most basic obligations a nursing facility carries. When a physician writes an order, when a resident or their family articulates what they want, the facility is supposed to deliver it. Inspectors found that St Therese of Woodbury was not doing that, at least not consistently.
The deficiency was classified as an isolated incident, meaning inspectors did not find the problem spreading across the facility's population. But the severity rating they assigned — a level D — means that while no actual harm was documented, the potential for more than minimal harm was real. In the language inspectors use, that is not a minor paperwork problem. That is a gap between what a vulnerable person was supposed to receive and what they got.
St Therese of Woodbury is not a small operation tucked into an obscure corner of the Twin Cities metro. Woodbury is one of the fastest-growing suburbs in Minnesota, and the facility sits inside a community where families make deliberate choices about where to place aging parents and spouses. Those families, when they sign admission paperwork, are trusting that the care plan will be followed.
The May inspection turned up four deficiencies in total. The failure to follow care orders and resident preferences was one of them. The inspection report does not detail the others in the narrative provided, but four citations in a single complaint inspection is not a profile that suggests a facility operating at a high level.
What the inspection report does not say is as significant as what it does. It does not name the resident or residents affected. It does not describe what specific treatment was missed, what order went unfollowed, what preference was ignored. The public record, in this case, stops well short of telling the full story. The gap between "isolated, no actual harm" and the lived experience of a resident who did not get what their doctor ordered — or what they asked for — is not captured in a severity rating.
The facility submitted a plan of correction and reported the deficiency resolved as of June 29, 2026, one month after inspectors walked out the door. A plan of correction is a standard requirement. It does not, on its own, tell families whether the underlying problem has been fixed or whether the fix will hold.
That is the question that lingers after every citation at this level. A D-level deficiency is easy to minimize. No actual harm documented. Isolated. Corrected in thirty days. The regulatory machinery processes it, logs it, moves on. But for the person whose care order was not followed, the isolation was total. There was only one of them — or a small number — and they were the ones who did not get what they were supposed to get.
Nursing home inspections in Minnesota, as in every state, depend on surveyors catching problems during a window of time that facilities know is coming or can anticipate. What inspectors find is a floor, not a ceiling. The deficiency documented on May 29 represents what was visible, what was provable, what rose to the level of a citation. It does not represent everything.
St Therese of Woodbury carries a name that signals religious heritage and a community identity built around trust. Families who choose it are often choosing it for those associations. A finding that residents' own care orders and preferences were not being honored does not fit easily alongside that identity.
The facility now has the citation on its record. The plan of correction has been submitted. Inspectors will return. Whether the resident who did not receive the care they were owed received any acknowledgment of that failure, the inspection report does not say.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for St Therese of Woodbury LLC from 2026-05-29 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 4, 2026 · Our methodology
St Therese Of Woodbury Llc in WOODBURY, MN was cited for violations during a health inspection on May 29, 2026.
The citation, issued May 29, 2026, fell under a federal category that covers one of the most basic obligations a nursing facility carries.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.