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Nursing HomeMedicaid Investigative

Olivia Restorative Care Center

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

1003 West Maple Avenue, Olivia, MN 5627760 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.0/5

based on 17 Google reviews

5
4
3
2
1

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8/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Special Focus Facility (under heightened CMS scrutiny)
  • Low overall rating (1/5 stars)
  • Above-median deficiencies (17 vs median 6.5)
  • High staff turnover (65%)
  • High RN turnover (83%)

Bottom 25% in MN · Below recommended RN staffing · No penalties on record · Special Focus Facility (CMS)

Source: Medicare data

What this means for your family

While some families report positive outcomes from the physical therapy team, the recent, severe allegations regarding wound care and hygiene are deeply concerning. We strongly recommend that you conduct an unannounced visit and specifically inspect the cleanliness of the rooms and the responsiveness of the nursing staff before making a decision.

Google Reviews

Google Reviews

17 reviews on Google
Olivia Restorative Care Center receives polarized feedback, with some families praising the compassionate nursing staff and effective physical therapy, while others report severe lapses in medical care and poor communication. Recent reviews highlight significant concerns regarding hygiene, wound care management, and administrative responsiveness. Families should weigh the positive experiences of long-term residents against the critical reports of neglect and unprofessionalism.

Quality Themes

Tap a score for details
Food10.0Staff5.0Clean3.0Activities9.0Meds2.0MemoryN/AComms2.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Effective physical therapy programs
  • Warm and welcoming atmosphere
  • Engaging activities and resident interaction

Concerns

  • Poor communication between staff and family members (mentioned by 3 reviewers)
  • Unprofessional or rude staff behavior (mentioned by 2 reviewers)
  • Inadequate cleanliness and hygiene standards (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2342.72023(7)3.02024(4)3.32025(7)1.02026(1)

Distribution · 19 analyzed

5
8
4
0
3
2
2
0
1
9

How They Respond to Reviews

53%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1Given the recent focus on facility standards, could you walk me through your current daily cleaning protocols and how you ensure high hygiene levels in resident rooms?
  • 2I noticed that communication is a top priority for families; what specific systems or contact points do you have in place to keep us regularly updated on our loved one's care?
  • 3I see that you actively respond to feedback online; how do you incorporate that family input into your day-to-day operations and staff training?
  • 4Since medication management is a critical part of care, could you explain your process for ensuring accuracy and how you handle any adjustments to a resident's prescription needs?
  • 5I've heard great things about your physical therapy programs; how are these sessions integrated into a resident's daily schedule to ensure they stay active and engaged?
  • 6In the event of a medical emergency, what is your specific protocol for notifying family members and coordinating with local healthcare providers?

Personalized based on this facility's data


Key Review Excerpts

My wife and I are retired nurses and frequently visited, unannounced, only to see the kind and consistent quality care of not only Mom, but other residents.

Long-term resident's family · 2023★★★★★

My husband was admitted to a dirty room with a filthy bathroom that was not cleaned for three days, and then never cleaned again. Doctor's orders were completely ignored, including cleaning his wounds.

Spouse of resident · 2025☆☆☆☆

Ive never been talked down to so cruelly for advocating for my mom. It makes me sick to think shes stuck there, an hour away from family, and this is the kind of people in charge of providing her care.

Family member · 2023☆☆☆☆
Source: 17 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.60hrs
80%
Registered nurses for medical care
Total Nursing
3.52hrs
86%
All nurses + aides combined
Staff Turnover
56%
Lower is better (< 30% = good)
RN Turnover
63%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
1/ 5
Better Than Avg

3

measures

Worse Than Avg

12

measures

Mixed Results

2

measures

Long-Stay Residents
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility70.0%
Worse than Avg
Here
70.0%
US
95.5%
MN
96.1%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility36.5%
Worse than Avg
Here
36.5%
US
14.4%
MN
18.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility32.9%
Worse than Avg
Here
32.9%
US
15.3%
MN
21.4%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility24.6%
Worse than Avg
Here
24.6%
US
19.5%
MN
12.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility14.0%
Worse than Avg
Here
14.0%
US
12.1%
MN
4.3%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility87.9%
Worse than Avg
Here
87.9%
US
93.4%
MN
97.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility42.2%
Worse than Avg
Here
42.2%
US
79.8%
MN
82.7%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility71.9%
Worse than Avg
Here
71.9%
US
81.8%
MN
88.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility11.8%
Worse than Avg
Here
11.8%
US
1.6%
MN
1.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
Above state avg (8.0)
18 complaint-triggered

Families have repeatedly reported concerns to authorities about this facility, triggering 18 complaint investigations that revealed serious issues with safety, medication management, and infection control. Problems with accident prevention have persisted across multiple surveys and complaints, indicating ongoing safety risks. While the facility corrects violations after they're identified, the pattern of repeated family complaints about fundamental care areas suggests persistent operational challenges families should carefully consider.

Dec 3, 2025Complaint
1
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Aug 20, 2025Complaint
1
0760Actual harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Jul 10, 2025Routine
10
0725Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0727Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0838Potential for harm · WidespreadCorrected

Administration Deficiencies

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

0851Potential for harm · WidespreadCorrected

Administration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0678Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

May 30, 2025Complaint
3
0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0726Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

May 12, 2025Complaint
3
0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Apr 9, 2025Complaint
2
0880Immediate jeopardy · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Ownership & Operations

Who Operates This Facility

Owner / Operator

Olivia Restorative Care Center

Organization Type

for profit

Ownership & Management

Owners

Rohinsky, Steven

Owner

100%

Key personnel

Sundstrom, JenniferW-2 Managing Employee
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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