The Lutheran Home: Belle Plaine
611 West Main Street, Belle Plaine, MN 56011 · Non profit - Church related · 60 certified beds · (952) 873-2131 Medicare & Medicaid certified
This home’s record is mixed — some reassuring signs, some worth asking about.
- a middle-of-the-pack inspection score (3/5)
- no federal fines or payment denials on record
- a high payroll-based staffing rating (5/5)
- lower-than-typical staff turnover (32% vs 45% nationally) — better care continuity
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- inspectors recorded 1 serious finding as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
- a high number of inspection citations overall (19) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its payroll-based staffing score sits well above its independent inspection score
- its facility-reported quality-measure rating is low (2/5)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 5 of 5 |
| Quality measuresSelf-reported by the facility | 2 of 5 |
Worth a closer look. This home's staffing rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the staffing score rests on the facility's own payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.
Location & what’s nearby
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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 2 of 5 |
| Long-stay residentspeople who live here | 2 of 5 |
| Short-stay residentsrehab / post-hospital | 2 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 5 to 4 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 12.2% | 18.2% | 15.4% | better |
| Long-stay residents who lose too much weight | 2.6% | 4.1% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 2.5% | 1.9% | 0.9% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 4.3% | 2.6% | 2.0% | worse |
| Long-stay residents with depressive symptoms | 5.3% | 4.1% | 6.5% | better |
| Long-stay residents who were physically restrained | 3.7% | 0.1% | 0.1% | worse |
| Long-stay residents with falls causing major injury | 1.6% | 4.0% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 14.0% | 20.5% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 3.4% | 12.5% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 97.8% | 96.1% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 1.4% | 5.2% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 26.0% | 24.5% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 22.0% | 17.1% | 17.1% | worse |
| Short-stay residents who newly got an antipsychotic medication | 0.0% | 1.9% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 100.0% | 82.7% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 25.3% | 23.5% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 15.1% | 14.8% | 12.0% | worse |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
54.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 75 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 24.4% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 41 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.
Therapy staffing: not reported. This home filed no therapist hours at all in its payroll data for this quarter. That is a gap in what it reported, and we do not read it as an absence of therapy — the homes that file nothing here include ones that discharged hundreds of Medicare rehab patients in the very same period, who plainly received therapy from someone. Because we cannot tell a home that under-reports from one that genuinely provides little, this home is left out of the comparison above rather than scored at zero. Ask it directly how many therapist hours a rehab resident gets, and on which days.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 54.0%CMS range 45.2–61.9 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 13.6%CMS range 8.7–18.8 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 24.4% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 24.4% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 29.3% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 0.0% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 6.2%CMS range 3.2–13.4 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.74 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 60 beds and averages 53.8 residents a day — about 90% occupied, or roughly 6 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 5.30 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.95 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.47 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 4.46 hrs/resident/day on weekends vs 5.65 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 1.16 to 0.44 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 32% is below the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
19 citations, most serious first. The 11 most serious are shown; the remaining 8 are one tap away and print in full.
- Actual harm · Gcited before2025-12-30 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and document review, the facility failed to follow care plan interventions related to a resident transfer. Nursing assistant (NA)-A independently transferred 1 of 3 residents (R1) who required assist of 2 staff. This resulted in actual harm when R1 fell during a transfer in a lift, was sent to the emergency department for increased pain to her right arm and was diagnosed with a closed fracture of proximal end of right humerus (fracture of the shoulder joint). The facility took action to correct the deficient practice on [DATE], prior to start of the survey. Therefore, the deficiency was issued at past noncompliance (PNC)Findings include: R1's quarterly Minimum Data Set (MDS) dated [DATE], indicated R1 had mild cognitive impairment and required staff assistance with transfers, toileting, dressing, and bed mobility. R1 used a wheelchair, and diagnoses included vascular dementia, hemiplegia (paralysis on one side of the body), history of transient ischemic attacks ((temporary disruption of blood…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-07-07 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and document review, the facility failed to administer intravenous (IV) medication according to professional standards of practice for 1 of 1 resident (R18) reviewed for IV medication administration. Findings include:R18's face sheet received on 7/7/26, indicated diagnoses of multiple sclerosis (chronic autoimmune disease of the central nervous system), functional quadriplegia (complete inability to move due to severe disability), with recent hospitalization for bacterium (bacteria in the blood stream) and urinary tract infection. R18's quarterly Minimum Data Set (MDS) assessment dated [DATE], indicated intact cognition, clear speech, was understood and could understand. R18 was dependent upon staff for all activities of daily living and had an indwelling urinary catheter. R18 used a motorized wheelchair for mobility.R18's physician orders dated 6/26/26 - 7/31/26, cefazolin (antibiotic) in dextrose solution; 2 gram/100 mL (milter); 2 grams; intravenous for bacteremia, every eight…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-07-07 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and document review, the facility failed to ensure individualized fall prevention interventions were communicated and implemented for 1 of 3 residents (R17) reviewed for falls. Findings Include: R17's admission Minimum Data Set (MDS) assessment dated [DATE], indicated moderately impaired cognition, dependent with toileting, toilet transfer, sit to stand; required substantial assistance with dressing, shower, roll left to right, sit to lying; partial/moderate assistance with personal hygiene, utilized a manual wheelchair, diagnoses included fractures and other multiple trauma, Alzheimer's disease, history of falling; had a fall in the last month, fracture related to a fall in the 6 months prior to admission, and a fall since admission. R17's care plan dated 7/2/26, is at risk for falls R/T (related to) cognitive and physical impairment. Dx (diagnosis) of unspecified fracture of right patella, subsequent encounter for closed fracture with routine healing and dementia, does not…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-07-07 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and document review, the facility failed to ensure staff consistently adhered to enhanced barrier precautions (EBP) in accordance with the Centers for Disease Control and Prevention (CDC) guidelines to reduce the potential spread of infection for 2 of 10 residents (R4 and R5) reviewed infection control practices. Findings include:R4's face sheet received on 7/8/26, included diagnosis of methicillin resistant staphylococcus aureus (a bacteria resistant to many antibiotics) infection to left thigh. R4's quarterly Minimum Data Set (MDS) assessment dated [DATE], indicated intact cognition, clear speech, was understood and could understand. R4 required substantial assistance for activities of daily living (ADLs) and did not get out of bed.R4's physician orders dated 6/8/26, indicated orders for cleaning and dressing left lateral thigh wound, once a day. There were no orders for EBP.R4's care plan dated 3/9/26, indicated R4 had a left thigh and knee wound abscess. Care plan did not…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-11-04 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and document review, the facility failed to comprehensively assess and monitor for signs and symptoms of fluid overload for 1 of 3 residents (R1) who had 16-pound weight gain in 10 days, required hospitalization for diuresis then discharged home on hospice with acute renal (kidney) failure. R1's face sheet dated 10/29/25, identified diagnoses of heart failure (heart does not pump blood as it should), hypertension (elevated blood pressure), and localized edema (swelling caused by fluid trapped in the tissues).R1's hospital Discharge summary dated [DATE], identified R1 was hospitalized for cellulitis (skin infection). The summary identified R1 was discharged to the facility on [DATE] with a new order for torsemide (diuretic medication) 80 milligrams (mg) daily to begin 10/14/25 (changed from previous diuretic of Furosemide 80 mg daily; summary did not include why this medication was changed). R1's first dose of the torsemide 80 mg was administered at the hospital. Diet orders included daily…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-07-09 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to report an allegation of deprivation of good within 2-hours to the State Agency (SA) for 1 of 1 resident (R1), who reported staff refused to transfer her to the toilet when requested and was incontinent of urine. Findings include:R1's nursing home incident report (NHIR) dated 6/16/25 at 3:07 p.m., identified R1 reported from 6/14/25-6/15/25 she put her call light on around midnight to use the toilet and sit in her recliner. Two aides came into the room and rudely told her What do you want to get up for and it is time for bed. The aides turned off the call light and left the room. Staff did not come back to the room until 2:30 a.m. and told R1 they were very busy. R1 reported that she hated it but had to urinate in her brief because they would not help her. R1 stated she waited in the wet brief until the morning when new staff were available to help her. R1 also indicated when she asked staff to transfer her according to her preference, staff responded…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2025-04-30 · tag F0880 — failed to prevent and control infections — patternProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and document review, the facility failed to utilize infection control practices while assisting multiple residents (R19, R33, R34, R35) to eat at once in 1 of 3 dining areas. Also, the facility failed to utilize infection control practices for 1 of 1 resident (R47) reviewed for oxygen use. Findings include: MEAL ASSISTANCE WITHOUT HAND HYGIENE R19's quarterly Minimum Data Set (MDS) assessment dated [DATE], indicated R19 had short and long-term memory problems and severely impaired cognitive skills for daily decision making. R19 was dependent on staff for eating and had diagnoses which included gastro-esophageal reflux disease (stomach acid flows back up into the esophagus and causes heartburn), Alzheimer's disease, and depression. R33's quarterly MDS assessment dated [DATE], indicated R33 had severe cognitive impairment and required substantial and/or maximal staff assistance with eating. R33's diagnoses included hypertension, dementia, and anxiety. R34's annual MDS assessment…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2025-04-30 · tag F0883 — failed to offer flu and pneumonia vaccines — patternDevelop and implement policies and procedures for flu and pneumonia vaccinations.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and document review, the facility failed to ensure the pneumococcal (PCV20) vaccine was offered or administered as recommended by the Centers for Disease Control (CDC) for 4 of 5 residents (R7, R15, R10, R41) reviewed for immunizations. This had the ability to affect all residents residing in the facility who had not been offered the PCV 20 vaccine. Findings include: R7's face sheet printed 4/30/25, indicated diagnoses of chronic kidney disease, malaise, low back pain, and congestive heart failure. R7's discharge Minimum Data Set (MDS) dated [DATE], indicated intact cognition, no rejection of care, and substantial assistance with showering, dressing, and personal hygiene. R7's care plan dated 3/5/25, indicated resident at risk for disease related complications related to diagnoses and resident will be free of serious complications. Interventions included administer medications per provider orders, observe for adverse medication side effects and monitor effectiveness. R15's face sheet printed…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-04-30 · tag F0561 — failed to honor residents' choices — isolatedHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and document review, the facility failed to ensure preferences for bedtime were honored and implemented for 1 of 1 resident (R26) reviewed for choices. Additionally, the facility failed to ensure food preferences were honored for 1 of 2 residents (R45) reviewed for choices related to food. Findings include: R26's quarterly Minimum Data Set (MDS) assessment dated [DATE], indicated R26 had severe cognitive impairment, no behaviors or rejection of care, utilized a wheelchair, dependent on staff for chair/bed to chair transfer, lower body dressing, toileting hygiene, and required substantial/maximal assistance with personal hygiene, diagnoses included seizure disorder and repeated falls. R26's annual MDS dated [DATE], indicated R26 bedtime was very important to choose. R26's care plan dated 2/11/25, indicated encourage to engage in daily and activity preferences and interventions included offer individualized care based on customary routine, R26 has indicated for his daily preferences…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-04-30 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and document review, the facility failed to ensure the Minimum Data Set (MDS) assessment accurately reflected the current status and needs for 1 of 1 resident (R45) reviewed for MDS accuracy related to alarms. Findings include: R45's quarterly Minimum Data Set (MDS) assessment dated [DATE], indicated R45 had severe cognitive impairment, behaviors not directed toward others and wandering which occurred one to three days during the MDS look back period, and no rejection of cares. The MDS indicated R45 used a walker and had diagnoses which included diabetes mellitus, Alzheimer's disease, and anxiety. The MDS, Section P, indicated R45 used a wander/elopement alarm less than daily. R45's care plan dated 4/28/25, indicated R45 was on a locked unit due to elopement risk, with an edited date of 2/4/25, and did not indicate R45 used an alarm. R45's orders printed 4/30/25, indicated okay for locked unit dated 10/2/24 and did not indicate R45 used an alarm. R45's quarterly Supportive Devices assessment…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-04-30 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and document review, the facility failed to provide routine removal of facial hair for 1 of 2 residents (R13) reviewed for activities of daily living (ADLs) who were dependent on staff for cares. Findings include: R13's quarterly Minimum Data Set (MDS) assessment dated [DATE], indicated intact cognition, no rejection of care, utilized a wheelchair, required substantial/maximal assistance with personal hygiene (the ability to maintain personal hygiene, including combing hair, shaving, applying makeup, washing/drying face and hands (excludes baths, showers, and oral hygiene). R13's care plan dated 3/3/25, indicated R13 required one assist with all ADL task, legally blind, staff assist resident with handing her things needed for tasks as well as describe where things are compared to a clock, interventions personal hygiene: extensive assistance from one staff with grooming needs including combing hair, brushing teeth, shaving, washing/drying face/hands. On 4/28/25 at 3:52 p.m., R13…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 8 citations
- Potential for harm · Dcited before2025-04-30 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and document review, the facility failed to implement a bowel movement (BM) protocol for 1 of 1 resident (R7) reviewed for constipation. Findings include: R7's five-day Minimum Data Set (MDS) assessment dated [DATE], indicated R7 had intact cognition, no rejection of care, utilized a walker and wheelchair, dependent on staff for toileting hygiene, required substantial/maximal assistance with toilet transfer, always continent of bowel, and diagnoses included constipation and lower back pain. R7's care plan dated 3/11/25, indicated R7 required assist of one for toileting needs, occasional incontinent episodes, interventions encourage and provide adequate fluid, fiber, and exercise to promote elimination and prevent constipation, bowel meds PRN (as needed) per standing orders/protocol, document BMs (bowel movements) per NH (nursing home) protocol, update MD/NP/family as needed, (medical doctor/nurse practitioner), observe for s/e (side effect) and effectiveness, extensive assist of one staff for…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-08-06 · tag F0623 — isolatedProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and document review, the facility failed to ensure written notice of transfer was provided to the resident and/or resident representative for 1 of 2 residents (R44) reviewed for hospitalization. Findings include: R44's facesheet, included diagnoses of Alzheimer's disease, retention of urine, and urinary tract infection. R44's significant change Minimum Data Set (MDS) assessment dated [DATE], indicated R44's impaired cognition R44 was usually understood and could usually understand. R44 did not walk and was dependent on staff for most activities of daily living (ADL). R44's care plan with revised date of 7/30/24, indicated indwelling catheter related to urinary retention; staff were to manage the catheter to prevent UTI and obstruction in drainage. During an interview on 8/4/24 at 1:33 p.m., family member (FM)-E stated R44 had been hospitalized overnight in April 2024 for a urinary tract infection. FM-E did not recall receiving a written notice of transfer. This document was not seen in the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-08-06 · tag F0688 — failed to keep residents mobile / prevent decline — isolatedProvide 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.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and document review, the facility failed to implement therapy recommendations in a timely manner to maintain strength and mobility for 1 of 1 resident (R41) reviewed for range of motion (ROM). Findings include: R41's face sheet, indicated diagnoses of Parkinson's disease, age-related physical debility, and weakness. R41's admission Minimum Data Set (MDS) assessment dated [DATE], identified no cognitive impairment, the ability to understand and be understood, no rejection of care, limited range of motion on both sides of upper and lower extremities, and physical assist with personal hygiene, bed mobility, dressing, toilet use, and transfers. R41's care plan dated 6/26/2024 and revised 8/5/2024, indicated staff were to assist resident with ROM (range of motion) to bilateral upper and lower extremities as resident tolerates and resident totally dependent on staff for all transfers and mobility. R41's PT (physical therapy) Therapist Evaluation Summary dated 6/11/2024, indicated staff…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-08-06 · tag F0761 — failed to label and store drugs safely — isolatedEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview and record review, the facility failed to ensure doses of a controlled substance were stored in a manner to reduce the risk of theft and/or diversion in 1 of 1 refrigerators observed for medication storage. Findings include: During an observation on 8/6/24 at 7:52 a.m., observed two nurses, licensed practical nurse (LPN)-A and registered nurse (RN)-B perform shift change narcotic reconciliation in a medication cart at the Mainstreet nurses station. At the end of the narcotic count, LPN-A stated they also needed to count the narcotics in the refrigerator. During an observation of the small dorm-size refrigerator in the locked medication room, an opened, multi-dose bottle of lorazepam (a medication to relieve anxiety) concentrate, 2 mg/ml (milligrams per milliliter) was observed on a shelf on the door of the refrigerator - not in a separately locked, permanently affixed compartment in the refrigerator. During an interview on 8/6/24 at 12:38 p.m., the director of nursing (DON) was informed of the observation and stated she was unaware lorazepam, a…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-08-06 · tag F0847 — isolatedInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview, and record review, the facility failed to inform the resident or representative of the right to not sign the arbitration agreement as a condition of admission or as a requirement to continue to receive care at the facility. Findings include: An admission Agreement, undated, included a portion titled Arbitration Agreement Clause that included subsections including contractual and/or property damage disputes, personal injury, wrongful death or medical malpractice, exclusion from arbitration, right to legal counsel, location of arbitration, time limitation for arbitration, limitation on damages and allocation of costs and limited resident right to rescind this binding agreement clause. The next page of the admission agreement included Signatures of Parties to Agreement for the entire document. Two pages behind the signature page is a Notice of Right to Rescind Binding Arbitration Clause informing they have a right to rescind the agreement regarding binding arbitration within 30 days and must send the notice certified mail or hand deliver no later than 30 days from…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-08-06 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, the facility failed to follow proper procedures to prevent the spread of infection when emptying a urinary drainage bag for 1 of 1 resident (R44) observed for infection control practices. Findings include: R44's facesheet, included diagnoses of Alzheimer's disease, retention of urine, and urinary tract infection (UTI). R44's significant change Minimum Data Set (MDS) assessment dated [DATE], indicated R44's was cognitively impaired. R44 was usually understood and could usually understand. R44 did not walk and was dependent on staff for most activities of daily living (ADL). Physician orders dated 11/14/23, included monitoring Foley (a type of indwelling catheter) output each shift. R44's care plan with revised date of 7/30/24, indicated indwelling catheter related to urinary retention; staff were to manage the catheter to prevent UTI. The drainage bag was to be emptied every shift. During an interview on 8/4/24 at 1:28 p.m., family member (FM)-E stated R44 had a urinary…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-05-29 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and document review, the facility failed to ensure allegations of potential abuse were immediately reported to the State Agency (SA) no later than 2 hours after knowledge of the allegation of abuse for 1 of 3 residents (R1) reviewed for abuse. Findings include: R1 quarterly Minimum Data Set (MDS) dated [DATE], identified R1 had moderate cognitive impairment and diagnoses which included: dementia, psychotic disorder, seizure disorder, depression, and hypertension. Indicated R1 required maximum assistance for hygiene and bed mobility. A review of the facility SA report revealed resident indicated to LPN-A she was sexually assaulted on 5/22/24 at 1:35 p.m. SA report identified staff became aware of the incident on 5/22/24 at 4:11 p.m., and was reported to the administrator on 5/22/24 at 4:20 p.m. SA report was submitted on 522/24 at 5:46 p.m. The SA report was made four hours and 11 minutes after resident reported the sexual assault to staff. The report was submitted to the SA two hours and 11…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- No harm found · C2024-08-06 · tag F0732 — widespreadPost nurse staffing information every day.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and document review, the facility failed to ensure nurse staff postings were accurate and up-to-date on a daily basis. This had the potential to affect all 50 residents who resided in the facility and/or any visitors who may have wished to view the information. Findings include: During interview on 8/4/24 at 12:00 p.m., trained medication assistant indicated he was called in to work this morning to assist, as a nurse on the unit had called in for the shift. During observation on 8/4/24, at 7:06 p.m., staff posting dated Friday 8/2/24 was posted on a back wall by the reception desk. The form included date, census, registered nurse (RN), licensed practice nurse (LPN's), trained medication assistant (TMA) and nursing assistant (NA) for each scheduled shift with total hours all listed at 8 hours. Total hours was present for each shift. During observation and interview on 8/5/24 at 8:33 a.m., the receptionist indicated she is not responsible for changing the posted staffing for the day. The staff posting remained dated as Friday 8/2/24. During interview…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| LUTHERAN HOME | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 01/25/1996 |
| BOEDER, JOHN | Individual | MANAGING CONTROL - GOVERNING BODY | — | since 11/17/2020 |
| MAERTZ, JON | Individual | MANAGING CONTROL - GOVERNING BODY | — | since 01/29/2019 |
| MUEHLENHARDT, MICHAEL | Individual | MANAGING CONTROL - GOVERNING BODY | — | since 01/16/2018 |
| NIEMANN, RANDY | Individual | MANAGING CONTROL - GOVERNING BODY | — | since 02/04/2020 |
| RAUH, MATTHEW | Individual | MANAGING CONTROL - GOVERNING BODY | — | since 01/20/1999 |
| SCHUTH, TIM | Individual | MANAGING CONTROL - GOVERNING BODY | — | since 01/20/2015 |
| SCHWARTZ, LANCE | Individual | MANAGING CONTROL - GOVERNING BODY | — | since 01/29/2019 |
| HAYES, MARK | Individual | CORPORATE OFFICER | — | since 05/01/2022 |
| KRANT, RICK | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 02/07/2025 |
CMS files one row per role, so the 11 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted.
1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $722K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in MN
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Minnesota Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 245590. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-07-07, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.