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B
Good

Boundary Waters Care Center

200 WEST CONAN STREET · ELY, MN 55731

2183658705 · Non profit - Corporation

42 beds30 residents49 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
A+
Excellent
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Boundary Waters Care Center receives an overall staffing grade of B (Good). With 4.0366 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.14 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 19.95% compared to weekdays. The facility relies heavily on temporary agency staff (15.62% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

⚠️Had 1 day with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
⚠️15.62% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
Total Nurse HPRD
4.0366hrs/resident/day▲ 0.14
CMS benchmark: 3.48
RN HPRD
1.2329hrs/resident/day▲ 0.55
Recommended: 0.75
Weekend Drop-off
19.95%
4.2778 weekday → 3.4245 weekend
Agency Staff
15.62%
0% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
1days this quarter
4+ days = auto 1-star
CNA HPRD
2.0522hrs/resident/day
Direct care aides
LPN HPRD
0.3416hrs/resident/day
Licensed practical nurses
Consistency
0.5454std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. St. Louis County Average+0.13 HPRD
3.91
04.04 HPRD
vs. Minnesota State Average-0.20 HPRD
4.24
04.04 HPRD
vs. National Average+0.14 HPRD
3.90
04.04 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Boundary Waters Care Center ★
ELY · This facility
—
B
4.03661.2329★★★★★
Cook Community Hospital C&NC
COOK
37.6 mi
A+
5.49331.9372★★★★☆
The Waterview Pines LLC
VIRGINIA
41.2 mi
C
3.1570.5667★☆☆☆☆
The Waterview Woods LLC
EVELETH
43.2 mi
D
2.73990.3018★☆☆☆☆
Heritage Manor
CHISHOLM
54.1 mi
B
3.48760.8935★☆☆☆☆
Guardian Angels Health & Rehab Center
HIBBING
59 mi
B
3.76020.7059★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

2
Inspections
11
Total Deficiencies
$10,059
Fines Assessed
Oct 16, 2024Health
5 deficiencies cited
▼
Jan 25, 2024Health
6 deficiencies cited
▼

Penalty History

Apr 20, 2023Fine
$10,059
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.