No sales calls · nothing personal collected unless you ask us to · no facility pays to be here
Text size
Contrast

Meadow Manor

210 East Grand Avenue, Grand Meadow, MN 55936 · For profit - Corporation · 26 certified beds · (507) 754-5212 Medicare & Medicaid certified

Call the home — (507) 754-5212 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citations — no harm found (F0609, F0610) — most recent Aug 2024Resident-funds citation (F0567)1 actual-harm citation
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has a citation for mishandling residents’ money or property (F0567)
  • it has 1 actual-harm citation
  • 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
  • its payroll-based staffing rating is low (1/5)

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.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 1 of 5
Quality measuresSelf-reported by the facility 3 of 5

Location & what’s nearby

Urgent care / clinic
802 Memorial Dr · (507) 346-7373 · Call to confirm hours
Pharmacy
501 N Park Dr · (507) 346-7273 · Call to confirm hours
Grocery
501 N Park Dr · (507) 346-2804 · Call to confirm hours
Park
243 S Main St · (507) 440-6384 · Typically dawn to dusk
Place of worship

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 increased17.5%18.2%15.4%worse
Long-stay residents who lose too much weight0.0%4.1%5.4%check this — see note marked star below the table
Long-stay residents with a catheter left in their bladder0.8%1.9%0.9%typical
Long-stay residents with a urinary tract infection3.5%2.6%2.0%worse
Long-stay residents with depressive symptoms9.4%4.1%6.5%worse
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury0.0%4.0%3.3%check this — see note marked star below the table
Long-stay residents whose ability to walk worsened17.2%20.5%16.1%typical
Long-stay residents on antianxiety or hypnotic medication17.4%12.5%18.9%typical
Long-stay residents with pressure ulcers1.2%5.2%4.7%better
Long-stay residents with worsening bladder/bowel control21.3%24.5%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table26.9%17.1%17.1%worse
Short-stay residents who newly got an antipsychotic medication2.0%1.9%1.4%worse

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

§ 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.

58.2% 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 39 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

58.2%U.S. median 51.5%
Got home and stayed home
9.5%U.S. median 10.7%
Went back to hospital
0.43U.S. median 0.31
Therapy hours / resident / day
0.17hours / resident / day
Physical therapy
0.17hours / resident / day
Occupational therapy
0.10hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.43 therapist hours per resident per day in 2026Q1 — more than 73% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 16% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. 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 SNF58.2%CMS range 46.5–73.951.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.5%CMS range 5.8–13.710.7%Oct 2022–Sep 2024no 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 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 identifiednot 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 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 staynot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsenednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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 SNFs1.031.02Oct 2022–Sep 2024CMS 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

0.66
RN hours/ resident / day
0.29
LPN hours/ resident / day
1.99
Aide hours/ resident / day
2.94
Total nurse hours/ resident / day
0.33
RN hoursweekends
Total nursing turnover
RN turnover

How full it usually is: this home is certified for 26 beds and averages 18.8 residents a day — about 72% occupied, or roughly 7 beds typically open. It usually has some room. 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 2.94 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.66 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.99 is below 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 2.27 hrs/resident/day on weekends vs 3.21 on weekdays — 29% thinner on weekends — a notable drop. RN hours go from 0.79 to 0.33 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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

1
deficiencies at the latest standard inspection (2026-02-18)
5
at the previous standard inspection (2025-01-23)

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.

  • Actual harm · Gcited before2024-08-22 · 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 observation, interview, and document review the facility failed to compressively assess falls for root cause, implement appropriate interventions and follow the care plan to prevent and/or reduce the risk of falls with major injury for 2 of 2 residents (R3 and R2) with history of falls. This resulted in actual harm for R3 when he sustained a hand fracture and lacerations to his face and foot and R2 when she sustained a laceration above the eye that required sutures as a result of a fall. Findings include: R3's quarterly Minimum Data Set (MDS) dated [DATE], indicated R3 had moderately impaired cognition and required staff assistance with toileting, dressing, and transferring, R3's diagnoses included encephalopathy (brain disease that alters brain function), heart failure, renal disease, diabetes, Alzheimer's disease, Parkinson's disease, depression, and chronic obstructive pulmonary disease. R3's Care Area Assessment (CAA) dated [DATE], indicated R3 triggered for cognitive loss/dementia, self-care and…

    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 · F2026-02-18 · 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 submit completed and accurate direct care staffing information for 1 of 1 quarters reviewed (Quarter 4), July 1-September 30 2025, to the Centers for Medicare and Medicaid Services (CMS) according to specifications established by CMS. This deficient practice had the potential to affect all 18 residents residing in the facility. Findings include: Review of the Payroll Based Journal Report (PBJ) [NAME] Report 1705 D for quarter 4 identified excessively low weekend staffing, one star staffing rating, no RN hours for 11 days in quarter 4 and failed to have licensed nursing coverage 24 Hours/Day for 65 days in quarter 4. During an interview with the administrator and Corporate Regional Director (CRD), on 2/18/26 at 9:03 a.m., the administrator stated the previous administrator was submitting the PBJ information until they ended their employment October 2025. The CRD stated the previous administrator had access to the PBJ submission program however she and the current administrator do not. The CRD stated there is a ticket…

    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 · D2025-01-23 · tag F0583 — failed to protect personal privacy — isolated
    Keep residents' personal and medical records private and confidential.
    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 personal privacy when providing cares for 1 of 1 resident (R17) reviewed for personal privacy. Findings include: R17's significant change Minimum Data Set (MDS) assessment dated [DATE], indicated R17 had mild cognitive impairment, required substantial assistance for activities of daily living (ADL), and was dependent on facility staff for transfers, bathing, and personal hygiene. During an interview on 1/21/25 at 9:30 a.m., R17 stated she has been at the facility for 7 months; the blinds in her room have been broken the entire time. R17 states this bothers her because she has her bed baths in her room, and lacks the privacy she wants. The facility has told her the blinds are coming but it has been 7 months since she initially voiced her concern. During observation on 1/21/25 at 9:30 a.m., R17's vertical blinds were missing slats, and the remaining slats were broken in half. During observation on 1/22/25 at 8:42 a.m., R17'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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-23 · tag F0585 — failed to handle grievances — isolated
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    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 identify a grievance official to oversee, process, and track grievances presented by residents, resident representatives and visitors. The facility failed to provide information on how to file a grievance or complaint. This had the potential to affect all 21 residents, resident representatives, and visitors Findings include: R8's significant change minimum data set (MDS) dated [DATE], indicated mild cognitive impairment. R8 is the resident council president and gave permission to review the last 3 months of resident council meeting minutes. During interview with R8 on 1/22/25 at 2:17 p.m., R8 stated the social services director left in November 2024. R8 stated the social services director was the grievance official and residents knew who they could report any grievances to. R8 stated grievances were followed up on frequently prior to the social services director leaving. R8 stated the facility has not designated a new grievance official and residents do…

    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 · D2025-01-23 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to secure dispensed medications in a manner to prevent diversion and/or consumption by others by leaving dispensed medications on top of medication cart. This has the potential to affect residents, staff, and visitors. Findings include: R20's admission Minimum Data Set (MDS), dated [DATE], indicated intact cognition. R20's diagnoses list included nausea with vomiting and hypomagnesemia (low magnesium level in the blood). R20's physician orders included: -ondasetron (medication used to treat nausea) 4 mg 1 tablet three times a day for nausea and vomiting. -Slo-mag delayed release (magnesium supplement) 71.5-119 mg give 2 tablets by mouth four times a day for hypomagnesemia -Magic cup (high calorie frozen nutritional supplement) three times a day between meals as supplemental snack R172 R172's admission MDS, dated [DATE], indicated severe cognitive impairment, wandering significantly intrudes on the privacy of activities of others, and…

    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 before2025-01-23 · 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 record review, the facility failed to ensure use of proper personal protective equipment (PPE) during catheter care for 1 of 1 residents (R174) reviewed for enhanced barrier precautions (EBP). Findings include: R174's annual Minimum Data Set (MDS) dated [DATE], indicated R174 was cognitively intact and had an indwelling urinary catheter. R174's provider orders included indwelling urinary catheter for urinary retention (a condition that causes difficulty emptying bladder). R174's care plan indicated R174 had an indwelling urinary catheter. During observation and interview on 1/21/25 at 3:04 p.m., R174 confirmed long term catheter use due to history of difficulty with urination. A urinary catheter bag was observed hanging on the left side of R174's recliner. No PPE noted in or around R174's room. A large set of drawers containing disposable PPE gowns was noted down the hall just outside the soiled utility room. During observation and interview on 1/22/25 at 1:37 p.m., nursing…

    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 · F2024-08-22 · tag F0867 — failed to act on quality-improvement findings — widespread
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and document review the facility failed to develop, implement, monitor, and evaluate falls quality improvement project (QIP) that was an identified problem-prone area to improve performance and ensure sustainability. This had the potential to affect all residents residing in the facility. Findings include SEE F689: Based on observation, interview, and document review the facility failed to compressively assess falls for root cause, implement appropriate interventions and follow the care plan to prevent and/or reduce the risk of falls with major injury for 2 of 2 residents (R3 and R2) with history of falls. This resulted in actual harm for R3 when he sustained a hand fracture and lacerations to his face and foot and R2 when she sustained a laceration above the eye that required sutures as a result of a fall. During the facility resident record review on 8/20/24 for resident sample selection revealed from 6/11/24 through 8/20/24, the facility had 29 fall incidents between three residents. R2 had 5 falls in which one fall resulted in a laceration that required…

    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 · D2024-08-22 · tag F0609 — failed to report abuse allegations — isolated
    Timely 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 a fall with serious injury with potential neglect was reported to the State Agency (SA) for 2 of 3 residents (R3 and R2) reviewed for falls. Findings include: R3 A Vulnerable Adult Maltreatment Report submitted to the State Agency on [DATE] at 5:45 p.m., alleged caregiver neglect for an incident that had occurred on [DATE] at approximately 5:00 a.m. The report indicated R3 fell on [DATE] and was sent to the emergency department (ED) for a broken finger and again, fell on [DATE] in the morning and was sent to the ED with injuries and died the next day. Further indicated R3 had COVID and was in his room with the door shut and needed staff assistance to transfer. In review of Facility Reported Incidents (FRI), it was not evident R3's fall was reported to the State Agency. R3's quarterly Minimum Data Set (MDS) dated [DATE], indicated R3 had moderately impaired cognition and required staff assistance with toileting, dressing, and transferring, R3'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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-08-22 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    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 an accurate and thorough investigation of falls to determine the root cause, if the care plan was followed, and if the fall was reportable to the State Agency (SA) for 3 of 3 residents (R2, R3, and R4) reviewed for falls. Finding include R2's admission Minimum Data Set (MDS) dated [DATE], indicated R2 had severe cognitive impairment, no behaviors, required extensive assist of staff with bed mobility, transfers, and toilet use. R2 used a walker and wheelchair for mobility and was frequently incontinent of bowel and bladder. R2 diagnoses included progressive supranuclear ophthalmoplegia (a rare brain disease that affects walking, balance, eye movements, and swallowing), dementia, anxiety disorder, depression, morbid obesity, restless leg syndrome, diabetes, and a history of falling. R2's care plan last revised on [DATE], identified R2 was at risk for falls due to limited physical mobility. Interventions included to ensure appropriate footwear,…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-08-22 · 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 observation, interview and document review the facility failed to revise the care plan for 3 of 3 residents (R2) who were reviewed for falls. Findings include: R2's admission Minimum Data Set (MDS) dated [DATE], indicated R2 had severe cognitive impairment, no behaviors, required extensive assist of staff with bed mobility, transfers, and toilet use. R2 used a walker and wheelchair for mobility and was frequently incontinent of bowel and bladder. R2 diagnoses included progressive supranuclear ophthalmoplegia (a rare brain disease that affects walking, balance, eye movements, and swallowing), dementia, anxiety disorder, depression, morbid obesity, restless leg syndrome, diabetes, and a history of falling. R2's care plan last revised on 6/12/24, identified R2 was at risk for falls due to limited physical mobility. Interventions included to ensure appropriate footwear, ensure reacher is within reach of resident, [NAME] [sic] (Dycem is a non-slip material) placed under wheelchair cushion to prevent it 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-01-22 · 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 proper hand hygiene and glove use practices were maintained for 1 of 3 residents (R3) observed during incontinence cares. Findings include: R3's quarterly Minimum Data Set (MDS) dated [DATE] identified R3's diagnoses included medically complex conditions, dementia, and was currently on hospice. In addition, R3's MDS identified R3 was unable to understand or be understood, and was dependent with activities of daily living (ADLs). R3's care plan revised on 4/17/23 indicated R3 had bladder and bowel incontinence related to advanced dementia, functional decline, and impaired mobility. Staff were to check and change every two hours. During an observation on 1/18/24 at 12:18 p.m., nursing assistant (NA)-A and NA-B entered R3's room NA-A proceeded to wash her hands at the sink in the room. NA-B did not perform hand hygiene upon entering the room, and grabbed gloves and put them in her scrub pocket. NA-A and NA-B put the transfer sling…

    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
Show the remaining 9 citations
  • Potential for harm · E2023-11-30 · tag F0567 — failed to protect residents' money held by the home — pattern
    Honor the resident's right to manage his or her financial affairs.
    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 have the appropriate funds available for Medicare/Medicaid residents on weekends for 3 of 3 residents (R2, R8, R16) reviewed for personal funds. This had the potential to affect 7 residents who had funds held by the facility in a trust account. Findings include: Meadow Manor's funds balance report for 11/28/23, indicated there were 7 residents, including R2, R8, and R16, with personal funds held at the facility. R2's quarterly Minimum Data Set (MDS) dated [DATE], indicated he was cognitively intact. During interview on 11/27/23 at 2:25 p.m., R2 stated she never tried to access her funds in the evening time or on the weekend because she was told by the staff, trust fund money was only available from 8:00 a.m. to 4:30 p.m. when the business office was open. R8's annual MDS dated [DATE], indicated she had mild cognitive impairment. During interview on 11/27/23 at 4:51 p.m., R8 stated she was not able to get money out of her trust fund on the weekends.…

    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 · D2023-11-30 · 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 was appropriately assessed to keep medication at the bedside for 1 of 5 (R5) residents reviewed for unnecessary medications. Finding include: R5's quarterly Minimum Data Set (MDS) assessment dated [DATE], identified R5's diagnoses included chronic obstructive pulmonary disease (a group of lung disease that block airflow and make it difficult to breathe), heart failure (a chronic condition in which the heart does not pump blood as well as it should), and anxiety. R5's Order Summary dated 1/12/23 indicated the following: Ventolin HFA aerosol solution 108 (90 Base) micrograms (mcg)/ACT two puff inhale orally as needed for shortness of breath or wheezing per MD (medical doctor), patient may keep at bedside and self-administer. And fluticasone propionate HFA aerosol 220 mcg/ACT two puff inhale orally two times a day related to COPD. Rinse mouth with water after use do not swallow. R5's Self-administration medication…

    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 · D2023-11-30 · tag F0582 — isolated
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and document the facility failed to provide a Skilled Nursing Facility Advanced Beneficiary Notice of Non-coverage (SNFABN)with an estimated daily cost for 2 of 3 residents who were discharged from Medicare part A coverage with coverage days remaining. Findings include: R21's Medicare part A skilled services last day of covered service was 8/2/23. The SNFABN started on 8/3/23 but lacked an estimated daily rate to stay at the facility. R30's Medicare part A skilled services last day of covered service was 10/12/23. The SNFABN started on 10/13/23 but lacked an estimated daily rate to stay at the facility. During an interview on 11/28/23 at 12:31 p.m. the licensed social worker (LSW)-A stated she gave the SNFABN to the resident at discharge from Medicare part A services but did not enter the estimated daily cost into the form because the business office manager (BOM) did that. During an interview on 11/28/23 at 12:57 p.m., The BOM stated the estimated daily cost would be given to the LSW prior to discharge from Medicare part A services so the LSW could place 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 before2023-11-30 · 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 observation, interview and document review, the facility failed to comprehensively assess for safety during smoking for 2 of 2 residents (R4, R17) who was currently smoking off campus. Findings include: During the facility entrance conference on 11/27/23, at 11:48 a.m. the administrator and director of nursing (DON) stated they were a no smoking facility and had no active smokers. R4's admission Minimum Data Set (MDS) assessment dated [DATE], identified a diagnosis of a stroke and heart disease, and identified R4 was cognitively intact. The MDS identified R4 was independent with mobility but did need stand by assistance and had impaired impairment on both lower extremities. Further, R4 was currently using tobacco products. R4's care plan dated 10/19/23, identified R4 had a negotiated risk for smoking with a goal of R4 staying in the facility and would receive education if he chose to continue to smoke. R4 also had limited physical mobility and activity of daily living impairment due to the stroke. R4'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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-11-30 · 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

    Based on observation, interview and document review the facility failed to use personal protective equipment (PPE) appropriately when going in and out of a COVID-19 positive (+) resident rooms. This had the potential of effecting all residents, staff and visitors in the facility. Findings included, On 11/27/23 the administrator and the director of nursing (DON) stated the facility had seven COVID + residents and were also in PPE supply crisis status and staff were directed to reuse N-95 masks for the COVID + resident they were working with. On 11/28/23 at 8:21 a.m., trained medication aide (TMA)-A was observed getting ready to enter a COVID + resident room. TMA-A placed on a gown and gloves. She obtained an N-95 mask out of a paperback, took off the mask she was already wearing, placed that mask in the brown paper bag and placed the N-95 over her mouth and nose. TMA-A then entered the room, assisted the resident, TMA-A removed the gown and gloves in the room. When she came out of the room she removed the mask from her brown paper bag, removed the N-95 mask she had on in the room…

    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 · D2023-11-30 · tag F0919 — failed to provide a working call system — isolated
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    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, observation, and document review, the facility failed to ensure residents' call lights were functioning for 1 of 1 resident (R76) reviewed for call lights. Findings include: R76's annual Minimum Data Set (MDS) assessment dated [DATE], included diagnosis of fracture of right femur, Parkinson's Disease, traumatic brain injury R76's care plan, dated 11/23/23, indicated R76 had limited physical mobility and was at risk for falls and accidents. During observation on 11/27/23 at 05:39 p.m., R76's bathroom call light was observed to be missing the call light device pull string. During interview on 11/27/23 at 05:42 p.m., R76's stated that she couldn't remember the call light pull string being on the bathroom call light device. During interview and observation on 11/28/23 at 11:23 a.m., registered nurse (RN)-A verified missing call device pull string. RN-A stated it is important to have a properly working and functioning call light device in case of emergency, available for assistance, and even some…

    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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-11-30 · tag F0921 — failed to keep a safe, functional, sanitary building — isolated
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    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 maintain clean and sanitary conditions in the kitchen. This practice had the potential to affect 22 of 24 residents residing in the facility. Findings include: On 11/27/23 at 12:14 p.m., the initial tour of the kitchen was completed with the dietary manager (DM). The following areas of concern were identified: -can opener had a thick layer of black, orange and brown debris on the blade -food processor located on the counter had an orange and black substance on the buttons and the gear post of the unit -metal grate along the back counter had orange, red and black food debris on it and gray fuzz -wall mounted fan had brownish gray fuzz on fan blades and outside guard -window air conditioners had gray and brown fuzz on front with towels stuffed around each unit, The DM verified the towels were used to prevent air from escaping or entering kitchen On 11/27/23 at 4:29 p.m., during an observation of the dining room refrigerators the following observations were made: Kitchen use refrigerator: -freezer had a bin of…

    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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-09-12 · 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 initiate care planned interventions for the refusal of care and provide ongoing assessment and monitoring for 1 of 3 residents (R1) reviewed for change in condition. Findings include: R1's admission Minimum Data Set (MDS) dated [DATE], identified R1 had moderate cognitive impairment and diagnoses of congestive heart failure (CHF), hypertension, chronic obstructive pulmonary disease (COPD), diabetes mellitus, hyperlimidimia (high cholesterol), asthma, respiratory failure and dependence of supplemental oxygen. R1's cognitive loss/dementia Care Area Assessment (CAA) dated [DATE], identified R1 displayed negative mood effects along with behaviors such as hitting and refusal of cares with an analysis of findings listed as potential related to cognition (confusion, mood state and behavioral symptoms). R1's hospital discharge orders dated [DATE], identified an order for continuous oxygen at 4 Liters (L). R1's nurse practitioner (NP) follow up visit dated…

    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
  • No harm found · C2025-01-23 · tag F0577 — widespread
    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
    What the surveyor found here — the official record, unedited, 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 three years of survey results were readily accessible for residents or visitors to view without having to ask. This had the potential to affect all 21 residents who resided in the facility and visitors. Findings include: R8's significant change minimum data set (MDS) dated [DATE], indicated mild cognitive impairment. During an interview on 1/22/25 at 2:17 p.m., R8 who is the resident council president stated the survey binder containing the previous surveys was removed from the common area a long time ago. During observation on 1/22/25 at 3:30 p.m., the survey binder was not present in the common area in the main entrance. During interview on 1/22/25 at 3:31 p.m., the director of nursing (DON) and the activities director (A)-A confirmed the survey binder was removed from all common areas and was only available to residents or visitors if they ask for it. No policy regarding posting of survey results was provided.

    Resident Rights 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

No federal fines in the current CMS record.

Part of a chain

This home belongs to ACCURA HEALTHCARE — 41 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 3 of 52.5+0.5 vs chain
Health inspection 4 of 52.6+1.4 vs chain
Staffing 1 of 53.1-2.1 vs chain
Quality measures 3 of 52.8+0.2 vs chain
The other 40 homes this chain runs (chain average 2.5★, per CMS)
1 of 5Aberdeen Health And RehabAberdeen, SD 1 of 5Accura HealthCare of TekamahTekamah, NE 1 of 5Accura Healthcare of CarrollCarroll, IA 1 of 5Accura Healthcare of MarshalltownMarshalltown, IA 1 of 5Accura Healthcare of Newton East, LLCNewton, IA 1 of 5Accura Healthcare of O'NeillO' Neill, NE 1 of 5Accura Healthcare of Pleasantville, LLCPleasantville, IA 1 of 5Accura Healthcare of ShenandoahShenandoah, IA 1 of 5Green Lea Senior LivingMabel, MN 1 of 5Lake Andes Senior LivingLake Andes, SD 1 of 5Shell Rock Senior LivingShell Rock, IA 2 of 5Accura Healthcare of Cascade LLCCascade, IA 2 of 5Accura Healthcare of CrestonCreston, IA 2 of 5Accura Healthcare of FranklinFranklin, NE 2 of 5Accura Healthcare of Knoxville, LLCKnoxville, IA 2 of 5Accura Healthcare of Lake City, LLCLake City, IA 2 of 5Accura Healthcare of MuscatineMuscatine, IA 2 of 5Accura Healthcare of OnawaOnawa, IA 2 of 5Accura Healthcare of Spirit LakeSpirit Lake, IA 2 of 5Sterling Park Health Care CenterWaite Park, MN 2 of 5Woodlyn Heights Healthcare CenterInver Grove Heights, MN 3 of 5Accura Healthcare of Ames, LLCAmes, IA 3 of 5Accura Healthcare of Aurelia, LLCAurelia, IA 3 of 5Accura Healthcare of Cherokee, LLCCherokee, IA 3 of 5Accura Healthcare of FullertonFullerton, NE 3 of 5Accura Healthcare of Pomeroy, LLCPomeroy, IA 3 of 5Accura Healthcare of StantonStanton, IA 3 of 5Accura Healthcare of ToledoToledo, IA 3 of 5Prairie View Senior LivingTracy, MN 3 of 5Traditions Memory Care of NewtonNewton, IA 4 of 5Accura HealthCare of North PlatteNorth Platte, NE 4 of 5Accura Healthcare of Le MarsLe Mars, IA 4 of 5Accura Healthcare of MilfordMilford, IA 4 of 5Accura Healthcare of New HamptonNew Hampton, IA 4 of 5Accura Healthcare of Ogden, LLCOgden, IA 4 of 5Accura Healthcare of Sioux City, LLCSioux City, IA 4 of 5Faulkton Senior LivingFaulkton, SD 5 of 5Accura HealthCare of HartingtonHartington, NE 5 of 5Accura Healthcare of BancroftBancroft, IA 5 of 5Karlstad Healthcare Center INCKarlstad, MN

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleShareSince
TEALWOOD ENTERPRISE INCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 05/31/2013
GROFF, HOWARDIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST50%since 08/30/1995
SHERIDAN, GAILIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST50%since 08/30/1995
MALONEY, TRENTIndividualW-2 MANAGING EMPLOYEEsince 01/01/2023
MEDINA-BIELSKI, SARAIndividualW-2 MANAGING EMPLOYEEsince 05/01/2024
LENEAVE, TEDIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 10/01/2019
AMERICAN HEALTHCARE MANAGEMENT SERVICES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 10/01/2019

CMS files one row per role, so the 8 rows in the source record cover these 7 parties — each is shown once here with every role it holds. Nothing is omitted.

2 organizational owners 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.

$2.9M
Net patient revenuemost recent cost report
-37.9%
Operating marginrevenue minus expenses
$194K
Related-party expense5% of expenses
Who pays — share of resident-days
Medicaid 32%Medicare 9%Other / private 58%

This home reported $194K 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

$329per resident / day
operating cost
$9,993per month
≈ monthly operating cost
$238per day
avg. revenue, all payers

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

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 245367. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-02-18, 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.

What to do next