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Complaint Investigation

The Estates At Rush City Llc

January 29, 2026 · Rush City, MN · 650 Bremer Avenue South
Citations 7
CMS Rating 3/5
Beds 41
Provider ID 245348
Healthcare Facility
The Estates At Rush City Llc
Rush City, MN  ·  View full profile →
Inspection Summary

The Estates at Rush City LLC in RUSH CITY, MN — inspection on January 29, 2026.

Found 7 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0605
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Potential for More Than Minimal Harm

Federal health inspectors cited The Estates at Rush City LLC in RUSH CITY, MN for a deficiency under regulatory tag F-F0605 during a standard health inspection conducted on 2026-01-29.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 7 deficiencies cited during this inspection of The Estates at Rush City LLC.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited The Estates at Rush City LLC in RUSH CITY, MN for a deficiency under regulatory tag F-F0628 during a standard health inspection conducted on 2026-01-29.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 7 deficiencies cited during this inspection of The Estates at Rush City LLC.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited The Estates at Rush City LLC in RUSH CITY, MN for a deficiency under regulatory tag F-F0641 during a standard health inspection conducted on 2026-01-29.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Ensure each resident receives an accurate assessment.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 7 deficiencies cited during this inspection of The Estates at Rush City LLC.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited The Estates at Rush City LLC in RUSH CITY, MN for a deficiency under regulatory tag F-F0684 during a standard health inspection conducted on 2026-01-29.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 7 deficiencies cited during this inspection of The Estates at Rush City LLC.

Correction Status: Deficient, Provider has no plan of correction.

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Federal health inspectors cited The Estates at Rush City LLC in RUSH CITY, MN for a deficiency under regulatory tag F-F0689 during a standard health inspection conducted on 2026-01-29.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 7 deficiencies cited during this inspection of The Estates at Rush City LLC.

Correction Status: Deficient, Provider has no plan of correction.

Based on observation, interview, and document review the facility failed to ensure dishes were properly dried and stored to prevent the growth of bacteria. In addition, the facility failed to ensure safe storage of resident personal food item occurred at the facility.

These deficient practices had the potential to impact all residents who dined at the facility and or stored food in the designated resident fridge.

Findings include:During an observation on 1/28/26 at 9:40 a.m., the dietary aide (DA-A) was washing dishes in the kitchen. DA-A removed plates from the washing rack, stacked the plates, and then put them in the plate cart.

The plates had visible droplets of water on them. DA-A removed wet plate holders and lids from wash racks, stacked them, and then placed them on storage carts.

Upon interview, DA-A confirmed the plates, lids and plate holders had been put away wet. DA-A explained the dishwasher had a drying agent that dried dishes fast, so they waited until things were mostly dry before they put them away.

They had not been told it was not okay to stack and put things away if they were not all the way dry.

During an interview on 1/28/26 at 10:09 a.m., the culinary director (CD) inspected the plate holders, lids, and plates and confirmed they were not dry.

The CD stated all dishes should be completely dry before being stacked.

The primary concern with putting dishes away wet was infection prevention.

Trapped stale moisture or water sitting could lead to mold, mildew, or bacteria growth.During a resident fridge review on 1/28/26 at 11:43 a.m., the CD stated the mini fridge/freezer in the dining room was designated for resident storage of personal food items.

The CD opened the fridge and then the freezer compartment.

The CD found a large, folded icepack under frozen meals in the freezer.

The CD removed the ice pack from the freezer, put it in the garbage, and stated only food should be stored in the fridge.

There should never be therapeutic ice packs or non-food items stored in the fridge as it was unsanitary and created risk for cross contamination of food items.

The icepack was approximately 8.5 by 14 inches long with the wording equate therapy combo hot or cold packs with illustrations of the ice pack applied to different body parts.

During an interview on 1/29/26 at 1:50 p.m., the director of nursing (DON) stated their expectation was that only food would be stored in the resident fridge.

For food safety, there should never be personal use packs or other non-food items stored in the fridge.On 1/29/26, a request for dishwashing and storage policies was made.

The facility response indicated the facility did not have policies specific to dish washing and storage.The resident policy for personal food items did not address the storage of non-food items within the fridge.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

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Federal health inspectors cited The Estates at Rush City LLC in RUSH CITY, MN for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2026-01-29.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 7 deficiencies cited during this inspection of The Estates at Rush City LLC.

Correction Status: Deficient, Provider has no plan of correction.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in RUSH CITY, MN, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from The Estates at Rush City LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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