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Cornerstone Villa

1000 Forest Street, Buhl, MN 55713 · Non profit - Corporation · 43 certified beds · (218) 258-3253 Medicare & Medicaid certified

Call the home — (218) 258-3253 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Behavioral-health or dementia-care citation — no harm found (F0758)1 immediate-jeopardy citation CMS recorded as corrected before the inspection ended (past non-compliance)$11,243 in federal fines
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • a high payroll-based staffing rating (4/5)
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • 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 (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $11,243 in federal fines (most recent 2025-01-07)

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.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 3 of 5

Location & what’s nearby

Hospital
★★★★ 4/5 CMS
Urgent care / clinic
25 street · (218) 312-3015 · Call to confirm hours
Pharmacy
121 W Lake St · (218) 254-3318 · Call to confirm hours
Grocery
130 1st St SW · (218) 254-4961 · Call to confirm hours
Park
Typically dawn to dusk
Place of worship
118 Pennsylvania Ave · (218) 254-5703

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 3 of 5
Long-stay residentspeople who live here 3 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 improved from 1 to 3 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.

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased14.2%18.2%15.4%typical
Long-stay residents who lose too much weight5.2%4.1%5.4%typical
Long-stay residents with a catheter left in their bladder2.8%1.9%0.9%worse than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection4.5%2.6%2.0%worse
Long-stay residents with depressive symptoms1.2%4.1%6.5%better
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury11.1%4.0%3.3%worse
Long-stay residents whose ability to walk worsened11.9%20.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication11.9%12.5%18.9%better
Long-stay residents given the seasonal flu vaccine97.3%96.1%95.3%typical
Long-stay residents with pressure ulcers1.9%5.2%4.7%better
Long-stay residents with worsening bladder/bowel control13.3%24.5%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table17.8%17.1%17.1%typical
Short-stay residents who newly got an antipsychotic medication2.4%1.9%1.4%worse
Short-stay residents given the seasonal flu vaccine58.6%82.7%79.4%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.

0.37U.S. median 0.31
Therapy hours / resident / day
0.08hours / resident / day
Physical therapy
0.30hours / resident / day
Occupational therapy

Therapy staffing: this home’s payroll records show 0.37 therapist hours per resident per day in 2026Q1 — more than 64% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 2% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified96.8%98.7%Oct 2024–Sep 2025CMS 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 settingnot 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 dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened3.2%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFsnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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

0.65
RN hours/ resident / day
0.75
LPN hours/ resident / day
2.61
Aide hours/ resident / day
4.01
Total nurse hours/ resident / day
0.26
RN hoursweekends
44.4%
Total nursing turnover
60.0%
RN turnover

How full it usually is: this home is certified for 43 beds and averages 37.5 residents a day — about 87% 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 4.01 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.65 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.61 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 3.54 hrs/resident/day on weekends vs 4.20 on weekdays — 16% thinner on weekends. RN hours go from 0.81 to 0.26 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 44% is about the same as the national median of 45%. 1 administrator has left in the past year.

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

4
deficiencies at the latest standard inspection (2025-12-04)
6
at the previous standard inspection (2024-10-31)

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.

ABCDEFGHIJKL

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.

20 citations, most serious first. The 11 most serious are shown; the remaining 9 are one tap away and print in full.

  • Immediate jeopardy · J2025-01-07 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure 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 provide adequate supervision for 1 of 3 residents (R1) who was at risk for elopement. This resulted in an immediate jeopardy (IJ) for R1 when she eloped from the facility and was found in the facility parking lot by a passersby. The IJ began on [DATE] at 8:44 p.m., when R1 wandered out of the facility. The administrator and director of nursing (DON) were informed of the IJ on [DATE] at 3:22 p.m. The facility had implemented corrective action on [DATE], prior to the start of the survey, and was therefore past noncompliance. Findings include: R1's Face Sheet dated [DATE], indicated R1 had vascular dementia. R1's care plan dated [DATE], indicated R1 was at risk for elopement, utilized a WanderGuard system (used to trigger alarms to alert staff when the resident is near an exit door). Interventions included monitor WanderGuard placement on walker every shift, and monitor function. Monitor and document any elopement attempts and wandering. R1's Provider…

    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.

    Quality of Life and Care Deficiencies · Past Non-Compliance
  • Potential for harm · Fcited before2025-12-04 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    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 dispose of expired food items. The facility also failed to label food items with the open date and expiration date. This had the ability to affect all 35 residents in the facility.Findings include: During the initial tour of the kitchen on 12/01/2025 at 1:30 p.m., a Yoplait yogurt container with an expiration date of 11/28/25, was observed in the walk-in refrigerator. There was also a clear plastic container with a green lid containing several hard-boiled eggs in the walk-in refrigerator. The container lacked a label with the items in the container, the date the hard- boiled eggs were prepared, and when the hard-boiled eggs needed to be disposed of. During an interview on 12/01/2025 at 1:44 p.m., culinary aide (CA)-A stated hard boil eggs are made on Saturdays and on Wednesdays. They would be prepared, peeled and then placed into a clear container with the lid. A label needed to be placed on the container with the item name, date prepared, and expiration date. All staff were responsible to make sure food…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-12-04 · tag F0554 — isolated
    Allow residents to self-administer drugs if determined clinically appropriate.
    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 a resident did not self-administer medications (SAM) as assessed and according to the care plan for 1 of 6 residents (R22) reviewed for medication administration.Findings include: R22's quarterly Minimum Data Set (MDS) dated [DATE], identified R22 had diagnoses which included unspecified open-angle glaucoma, severe stage. R22's care plan dated 11/17/25, identified R22 did not wish to self-administer medications. Interventions included nursing was to store, document, and administer all medications and treatments per the physician orders. R22's Order Summary Report identified the following orders:9/4/19, atorvastatin calcium 40 milligrams (mg) by mouth for hyperlipidemia 10/17/25, Eliquis 5 mg by mouth one tablet twice daily for atrial fibrillation 7/21/23, folic acid 1 mg by mouth one time daily10/31/25, furosemide 40 mg by mouth in the morning daily related to heart failure10/31/24, iron 325 mg by mouth one tablet daily 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-12-04 · tag F0698 — failed to provide proper dialysis care — isolated
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    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 post-dialysis access site monitoring was completed and documented to provide continuity of care and reduce the risk of complication (i.e., bleeding, clotting) for 1 of 1 resident (R1) reviewed for dialysis care and services.Findings include:R1's significant change Minimum Data Set (MDS) dated [DATE], identified R1 had a diagnosis of dependence on renal dialysis (a life-sustaining treatment for kidney failure that filters waste and excess fluid from the blood). R1's care plan dated 7/28/25, identified he went to dialysis Monday, Wednesday, and Friday. R1's dressing was to be changed daily with a site check, no blood draws or blood pressures on the right arm with the dialysis graft. In addition, staff were to monitor the site for signs and symptoms of infection and bleeding. (The care plan did not identify which site).R1's Order Summary Report dated 11/25/25, identified staff were to monitor the right arm bruit (a consistent whooshing sound…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-12-04 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure 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 document review the facility failed to ensure medications including a narcotic were labeled and stored properly in 1 of 3 medication carts reviewed for medication storage. Findings include: During a medication cart inspection on 12/3/25 at 11:09 a.m., with the director of nursing (DON) a syringe with a pink fluid in it and a paper medication cup with one white pill were both in a plastic drink cup in the cubicle for R24. There were no labels on the syringe, paper cup, or plastic drinking cup. The DON verified this as well. During an interview on 12/3/25 at 11:17 a.m., the DON verified it was not appropriate to find any unlabeled medications in the medication cart. The DON stated she thought the pink liquid was morphine (a potent, opiate analgesic used to treat moderate to severe pain. It is a controlled substance). The DON stated morphine should not be prepared until the medication was ready to be given. In addition, the DON stated the morphine was no longer double locked. The DON verified the cubicle in the drawer was for R24. A review of R24's…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2024-10-31 · tag F0851 — widespread
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and document review the facility failed to resolve technical issues timely to ensure staffing data was submitted, for 2 of 4 quarters reviewed (quarter 2 and 3), to the centers for Medicare and Medicaid Services (CMS) according to specifications established by CMS. Findings Include: Review of the Payroll Based Journal Report (PBJ) [NAME] Report 1705D for quarter 2 2024 (January 1 - March 31) and quarter 3 2024 (April 1st through June 30th), identified no data had been submitted. As a result, the metric for Registered Nurse (RN) hours and licensed nursing coverage was suppressed for those quarters. On 10/30/24 at 11:00 a.m., the human resources director (HR) stated it was her responsibility to gather the staffing data each quarter. She sends the data to the administrator who submits to CMS. HR indicated the facility was made aware of the submission errors in March of 2024 following an internal audit. HR explained the root cause of the submission errors was related their time and labor software program being switched to the cloud. They have been assigned a software…

    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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2024-10-31 · tag F0880 — failed to prevent and control infections — widespread
    Provide 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 develop and implement a comprehensive water management program to reduce the risk of Legionella (a bacterial infection which can be found within man-made reservoirs) and associated infectious outbreak. These findings had the potential to affect all 38 residents within the facility. In addition, the facility failed to ensure enhanced barrier precautions (EBP) were implemented in a timely manner for 1 of 1 resident (R190) who had a peripherally inserted central line (PICC). Findings include: Water Management: During the recertification survey, from 10/28/24 to 10/31/24, the facility's water management program was requested, and a series of policies were provided which included the following: Water Management Plan dated 2/2021, identified the individuals responsible for the program were the environmental service director (EVS), maintenance assistant and the administrator. The plan identified EVS would be responsible for oversight of 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-10-31 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to monitor the temperature for 3 of 3 unit kitchenette refrigerators. In addition, the facility failed to ensure the use of hair restraints during food service. This practice had the potential to affect 37 of the 38 residents at the facility who take in sustenance orally. Findings include: Unit Kitchenette Refrigerators On 10/28/24 at 1:12 p.m., dietary manager (DM) stated the facility has 3 unit kitchenette refrigerators. The refrigerator's store resident snacks, beverages, and personal food. Items commonly stored in the refrigerators include milk, cheese sticks, and yogurt. DM stated the unit kitchenette refrigerators are cleaned daily by kitchen staff, but the temperatures were not monitored or recorded by kitchen or any other staff. Furthermore, the temperatures of the unit kitchenette refrigerators have not been monitored or recorded since he was hired approximately one year ago. DM immediately recognized the lack of temperature monitoring was a food safety issue. During observation on 10/28/24 at 1:20 p.m., DM located an…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-31 · tag F0641 — isolated
    Ensure 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) was completed for all sections for 1 of 1 residents (R15) reviewed for MDS accuracy. Findings include: The Centers for Medicare and Medicaid Services (CMS) Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual, dated 10/2019, identified the purpose of the RAI process was to help ensure holistic care was provided. Findings include: R15's admission MDS dated [DATE], identified sections C and D were marked as not assessed. A section of the RAI labeled, SECTION C: COGNITIVE PATTERNS Intent: The items in this section are intended to determine the resident ' s attention, orientation and ability to register and recall new information. These items are crucial factors in many care planning decisions. A section of the RAI labeled, SECTION D: MOOD Intent: The items in this section address mood distress, a serious condition that is underdiagnosed and undertreated in the nursing home and is associated with…

    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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-31 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide 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 perform nurse assessments, and resident monitoring to ensure timely recognition of clinical decline, provider notification and prompt transfer to a higher level of care occurred for 1 of 1 resident (R29) reviewed for hospitalization. Findings include: R29's significant change Minimum Data Assessment (MDS) dated [DATE], indicated R29 was cognitively intact with the diagnosis of orthostatic hypotension, diabetes, hypopituitarism, and epilepsy. Section N indicated R29 received insulin daily. The report Order Summary, Active Orders as of 9/12/24, listed the following orders: -Blood sugars (BS) 5 times daily update diabetic center with severe hypoglycemia BS less than 60. -Contact MD if BS less than 70 or greater than 400 per protocol in chart under physician orders tab every shift. -Please document any additional low bs noted that need correction with snack -Glucagon kit 1 mg inject 1 mg as needed for low BS per protocol. BS 50-69, 15 G carb (4 glucose…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-10-31 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    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 provide non- pharmacological interventions prior to administration of an as needed (PRN) antipsychotic medication for 1 of 1 resident (R11) reviewed for PRN psychotropic medication use. Findings include: R11's quarterly Minimum Data Set (MDS) dated [DATE], identified R11 had diagnoses which included dementia and pseudobulbar affect (inappropriate involuntary laughing and crying due to a nervous system disorder). In addition, R11 was severely cognitively impaired with no hallucinations, delusions, behaviors, or rejection of cares. R11's MDS identified she had unclear speech but could usually understand and be understood. R11's care plan dated 11/17/22, identified R11 had as needed lorazepam (a medication used to treat anxiety, a benzodiazepines which are medications that slow down the nervous system) for agitation/anxiety, dyspnea (shortness of breath), and uncontrolled pain. Interventions included to administer lorazepam as ordered and monitor 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
Show the remaining 9 citations
  • Potential for harm · F2023-11-17 · tag F0727 — failed to provide required RN coverage — widespread
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and document review, the facility failed to ensure a registered nurse (RN) was scheduled for a minimum of eight consecutive hours a day. This had the potential to affect all residents who resided at the facility. Findings Include: The PBJ Staffing Data Report, [NAME] Report 1705D, Quarter 2 2023, (January 1 - March 30) triggered for no RN [registered nurse] hours, which meant the facility did not have an RN on site for a minimum of 8 hours for one or more days during the reporting period. The report showed no RN hours for 1/14/23, 1/15/23, 2/25/23, and 3/11/23. On 11/17/23 at 10:34 a.m., the administrator reviewed payroll hours worked for the following dates and confirmed there was not an RN in the building on 1/14/23, 1/15/23, 2/25/23, and 3/11/23. During that time period staffing levels were low and licensed staff and unlicensed staff worked many extra hours to ensure residents were cared for. On the days there was not an RN in the building, there was one on call. Staffing levels have improved, however despite recruitment efforts, the rural location of 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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2023-11-17 · tag F0801 — widespread
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and document review the facility failed to ensure there was a certified and credentialed dietary manager, or a full time registered dietician, to oversee food services. This had potential to affect all 39 residents, staff, and visitors who consumed food from the kitchen. Findings include: During interview on 11/15/23 at 10:53 a.m., cook (CK)-A stated there was no certified dietary manager (CDM) at that time and the facility had not had one for a couple of years. The registered dietician (RD) was the acting CDM but she was only in the facility two days a week. During interview on 11/16/23 at 12:26 p.m., the RD stated she did not work for the facility but was contracted to work two days a week as the RD and also completed the duties of the CDM on the two days she was at the facility. The RD confirmed there was no full time CDM in the facility for at least the last two years. During interview on 11/16/23 at 2:32 p.m., administrator confirmed the facility did not have a CDM or a full time RD to oversee food services. There was a RD that was contracted with 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-11-17 · tag F0625 — pattern
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    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 provide the resident or their representative a written bed hold notice for 4 of 4 residents (R87, R27, R33, R35) reviewed for hospitalization. Findings include: R87: R87's significant change Minimum Data Set (MDS) dated [DATE], identified R87's diagnoses included anemia, hypertension, hypothyroidism, and chronic obstructive pulmonary disease (a group of lung diseases that block airflow and make it difficult to breathe). In addition, R87's MDS identified R87 was cognitively intact. R87's progress note dated 10/22/22 at 6:45 p.m., indicated R87 was transferred to the emergency room. The facility was unable to provide a Bed Hold Policy Notification for R87. R27: R27's quarterly MDS dated [DATE], identified R27's diagnoses included hypertension, hyperlipidemia, dementia, Parkinson's disease (a disorder of the central nervous system that affects movement, often including tremors), and anxiety. In addition, R27's MDS identified R27 was moderately…

    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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-11-17 · tag F0637 — isolated
    Assess the resident when there is a significant change in condition
    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 complete a significant change in status assessment (SCSA) when two or more areas of change in resident status were noted on the Minimum Data Set (MDS) for 1 of 1 resident (R23) reviewed for activities of daily living (ADLs). Findings include: R23's quarterly MDS dated [DATE], identified severe cognitive impairment and diagnoses which included dementia, hypertension, anxiety and Chronic obstructive pulmonary disease. The MDS also indicated R23 was not on oxygen, was not using opiods, was set up only for baths, and independent with all other ADLs. R23's provider orders dated 10/5/23, identified oxygen 2 liters per minute as needed to keep sats greater than 90% was started. R23's provider orders dated 11/3/23, identified liquid morphine 20 milligrams (mg) per milliliter , give 5 mg by mouth every 4 hours as needed for shortness of breath (SOB) was started. R23's medical records identified the following: -10/24/23, pharmacist met with interdisciplinary…

    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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-11-17 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    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 a baseline care plan was provided in writing for 1 of 1 resident (R33) reviewed for care plans. Findings include: R33's admission Minimum Data Set (MDS) dated [DATE], identified R33 had diagnoses which included bipolar disorder, diabetes, hyperlipidemia, and hypertension. In addition, R33's MDS identified R33 was moderately cognitively intact. R33's Initial Care Plan dated 10/9/23, had signature areas for the resident/resident representative and staff signatures. All the signatures and the date at the bottom of the care plan were blank. During an interview on 11/14/23 at 12:55 p.m., R33 stated he had not had a care conference meeting since admission. During an interview on 11/17/23 at 8:48 a.m., the director of nursing (DON) stated residents should have and be provided with a written copy of their 48 hour care plan within five days of admission. The DON stated the assistant director of nursing (ADON) had a meeting with R33 but the ADON, 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-11-17 · tag F0698 — failed to provide proper dialysis care — isolated
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    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 consistently monitor dialysis access site for 1 of 1 resident (R32) reviewed for dialysis care. Findings include: R32's significant change Minimum Data Set (MDS) dated [DATE], included diagnoses of dependence on renal dialysis and end stage renal disease. R32 received dialysis while at the facility. The significant change MDS did not include a documented cognitive assessment, however R32's admission MDS completed on 9/15/23, identified R32 had moderate cognitive impairment. R32's care plan dated 9/15/23, identified the following hemodialysis interventions. No blood draw left arm, monitor/document/report to MD [doctor] any s/sx [signs or symptoms] of infection to access site such as redness, swelling, warmth or drainage. Monitor/document/report to MD for s/sx of bleeding, hemorrhage, bacteremia, and/or septic shock. R32's current order list dated 9/15/23, identified the following orders. Check dialysis fistula left arm for bruit (swishing sound to…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-11-17 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    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 that as needed (PRN) psychotropic medication orders were limited to 14 days for 2 of 5 residents (R12, R28) reviewed for unnecessary medications. Findings include: R12: R12's quarterly Minimum Data Set (MDS) dated [DATE], identified R12's diagnoses included dementia, anxiety, and pseudobulbar affect (inappropriate involuntary laughing and crying due to a nervous system disorder). In addition, R12 was severely cognitively impaired. R12's care plan dated 11/17/22, identified R12 was taking Ativan (lorazepam) as needed for agitation, discomfort, dyspnea (shortness of breath), and end of life care. Interventions included to administer as needed medications, monitor for medication side effects, and pharmacist to review medications. R12's Order Summary Report dated 2/16/23, identified lorazepam oral tablet 0.5 milligrams (mg) by mouth every six hours as needed for pain. The order lacked a duration and/or a stop date. During an…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-11-17 · tag F0759 — failed to keep medication error rate low — isolated
    Ensure medication error rates are not 5 percent or greater.
    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 medications were administered in accordance with established standards of care for 1 of 3 residents (R25) observed to receive medication during the survey. A total of two errors from 28 opportunities were identified resulting in a medication error rate of 7.14% (percent). Findings include: R25's quarterly Minimum Data Set (MDS) dated [DATE], indicated R25 was cognitively intact, and diagnoses included diabetes and stroke. The facility provided Sanfori manufacturer insert Glargine (Lantus) Single use Insulin pen dated 2020, instructed users to cleanse the hub, apply needle, and prime the pen with 2 units of insulin. Administration instructions included slowly counting to 10 before withdrawing the needle from injection site. The facility provided Novo Nordisk manufacturer instructions Insulin Aspart (Novolog) Flex Pen dated 2019, directed users to cleanse the hub, apply needle, and prime the pen with 2 units of insulin.…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-11-17 · tag F0880 — failed to prevent and control infections — isolated
    Provide 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 staff followed proper hand hygiene with glove use during dining service. This had the potential to affect all residents who dined in the Tamarack and Birch units. In addition, the facility failed to ensure staff followed standards of practice during insulin administration for 2 of 2 (R25, R33) residents observed during medication administration. Furthermore, the facility failed to ensure laundry was handled properly while transporting dirty linen. This had the potential to affect all residents who resided in the facility. Findings include: Medication Administration R25: R25's quarterly Minimum Data Set (MDS) dated [DATE], indicated R25 was cognitively intact. Diagnoses included diabetes and a previous stroke. The facility provided Sanfori manufacturer insert Glargine (Lantus) Single Use Insulin Pen dated 2020, instructed users to cleanse the hub of the pen prior to attaching a needle to the pen. The facility provided Novo…

    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.

    Infection Control Deficiencies · Deficient, Provider has date of correction

“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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • 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.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

$11,243 in federal fines across 2 penalties.

  • $8,420 — penalty dated 2025-01-07
  • $2,823 — penalty dated 2023-08-28

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

Owner / managerTypeRoleSince
EDSTROM, RINAIndividualMANAGING CONTROL - GOVERNING BODY; CORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 07/01/2023
CARLSON, DONALDIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2010
CHAMBERLIN, KETTIIndividualCORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/14/2022
KUNKEL, CASSIDIEIndividualCORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 07/25/2022
DOBSON, JEFFIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 07/01/2004
FOX, DEANIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 07/01/2022
SAUTER, LEAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/01/2022

CMS files one row per role, so the 21 rows in the source record cover these 7 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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.

$5.1M
Net patient revenuemost recent cost report
-1.6%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 67%Medicare 5%Other / private 28%

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. 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

$398per resident / day
operating cost
$12,109per month
≈ monthly operating cost
$392per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2024). 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

Paying with Medicaid

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.

Typical monthly cost in Minnesota
$10,646/mo
Nursing home (semi-private)
$13,870/mo
Nursing home (private)
$6,573/mo
Assisted living

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 245612. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-12-04, 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.

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