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New Richland Care Center

312 Northeast 1st Street, New Richland, MN 56072 · Government - City · 45 certified beds · (507) 465-3292 Medicare & Medicaid certified

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Abuse-prevention, restraint, or reporting citations — no harm found (F0607, F0609, F0610) — most recent Sep 20241 immediate-jeopardy citation$79,694 in federal fines1 Medicare payment denial
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • 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 (F0607, F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • inspectors cited 1 immediate-jeopardy problem — the most serious level
  • a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $79,694 in federal fines (most recent 2024-11-18)
  • its independent health-inspection rating is low (2/5)
  • its payroll-based staffing rating is low (1/5)
  • nursing-staff turnover (79%) runs well above the national median (45%)

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.

1/5
CMS overall
1 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 1 of 5
Quality measuresSelf-reported by the facility 3 of 5

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
204 2nd St NW · (507) 835-7064 · Call to confirm hours
Pharmacy
223 State St N · (507) 835-1610 · Call to confirm hours
Grocery
120 S Broadway Ave · (507) 463-3717 · Call to confirm hours
Park
17500 240th Ave · 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 2 of 5
Short-stay residentsrehab / post-hospital 4 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 2 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 rating2★
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 increased16.1%18.2%15.4%typical
Long-stay residents who lose too much weight2.1%4.1%5.4%better
Long-stay residents with a catheter left in their bladder4.1%1.9%0.9%worse than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection6.8%2.6%2.0%worse
Long-stay residents with depressive symptoms0.0%4.1%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury3.4%4.0%3.3%typical
Long-stay residents whose ability to walk worsened36.3%20.5%16.1%worse
Long-stay residents on antianxiety or hypnotic medication4.2%12.5%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%96.1%95.3%typical
Long-stay residents with pressure ulcers1.4%5.2%4.7%better
Long-stay residents with worsening bladder/bowel control27.3%24.5%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table2.6%17.1%17.1%better
Short-stay residents who newly got an antipsychotic medication0.0%1.9%1.4%better
Short-stay residents given the seasonal flu vaccine91.1%82.7%79.4%better
Short-stay residents rehospitalized after admission20.2%23.5%22.6%better
Short-stay residents with an outpatient ER visit23.6%14.8%12.0%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.

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.

48.8% 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 45 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

48.8%U.S. median 51.5%
Got home and stayed home
10.0%U.S. median 10.7%
Went back to hospital
60.7%U.S. median 56.6%
Met the expected recovery
0.31U.S. median 0.31
Therapy hours / resident / day
0.17hours / resident / day
Physical therapy
0.13hours / resident / day
Occupational therapy
0.01hours / resident / day
Speech therapy

Met the expected recovery: 60.7% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 28 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.31 therapist hours per resident per day in 2026Q1 — more than 51% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 7% 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 SNF48.8%CMS range 35.5–63.551.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.0%CMS range 7.2–15.810.7%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 discharge60.7%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge42.9%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge60.7%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified94.7%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 worsened0.0%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 hospitalization6.3%CMS range 3.5–12.97.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.731.02Oct 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

RN hours/ resident / day
LPN hours/ resident / day
Aide hours/ resident / day
Total nurse hours/ resident / day
RN hoursweekends
79.3%
Total nursing turnover
88.9%
RN turnover

How full it usually is: this home is certified for 45 beds and averages 35.2 residents a day — about 78% occupied, or roughly 10 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.

Weekend coverage: total nurse staffing is 4.01 hrs/resident/day on weekends vs 5.09 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 0.96 to 0.65 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 79% is well above 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

0
deficiencies at the latest standard inspection (2026-03-31)
4
at the previous standard inspection (2025-02-19)

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.

21 citations, most serious first. The 11 most serious are shown; the remaining 10 are one tap away and print in full.

  • Immediate jeopardy · K2024-11-18 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — pattern
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    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 have a system in place for pressure ulcer prevention and management that included comprehensive assessments, monitoring, physician involvement, and individualized wound treatments and interventions for 4 of 4 residents (R1, R2, R3, R4) who had ongoing, recurrent, and deteriorating pressure wounds. As a result of the facility's systemic failure, R1 developed a stage 4 pressure ulcer that resulted in sepsis, osteomyelitis, and death resulting in immediate jeopardy. The IJ began on [DATE], when the facility failed to monitor, assess, and immediately notify the physician when R1's wound had increased drainage and pain which resulted in delay of care for four days followed by hospitalization and death. The Director of Nursing (DON) was notified of the IJ on [DATE] at 5:30 p.m. The IJ was removed on [DATE] at 4:39 p.m., but noncompliance remained at the lower scope and severity level E, which indicated no actual harm with potential for more…

    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 before2025-06-05 · 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 observation, interview, and document review, the facility failed to provide physician ordered dressing changes and assess wounds during those dressing changes, monitor for signs and symptoms of a worsening known infection, notify the physician of a change of condition and the need to acquire antibiotics from the E-Kit, acquire needed dressing change supplies, follow professional standards of practice by dating wound dressings and educate staff on identifying early signs and symptoms of sepsis (life-threatening infection) for 3 of 3 resident (R1, R2, and R3) reviewed. Findings include: Review of the current, National Library of Medicine, Sepsis: Early recognition and Optimized Treatment article, located at https://pmc.ncbi.nlm.nih.gov/articles/PMC6304323/, identified sepsis is a life-threatening condition caused by infection and represents a substantial global health burden. Systemic inflammatory response syndrome (SIRS) criteria is defined as having a patient with a suspicious or known infection 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2025-02-19 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to develop a Quality Assurance and Performance Improvement (QAPI) plan to guide facility efforts in assuring care and services were maintained at acceptable levels of performance and continually improved. This had the potential to affect all 38 residents residing in the facility. Findings include: During entrance conference on 2/18/25 at 11:25 a.m., with the administrator and director of nursing (DON), the facility QAPI plan was requested. During an interview on 2/19/25 at 3:00 p.m., the QAPI plan was requested again. The administrator stated the facility did not have a written QAPI plan. The administrator presented a template from TMF Quality Innovation Network, titled Quality Improvement Initiative Plan, which he intended to use to develop the facility QAPI plan but had not done so yet. During an interview on 2/19/25 at 3:20 p.m., the administrator and director of nursing (DON) stated they were both responsible for QAPI program at the facility. The DON…

    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 before2025-02-19 · 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

    Based on observation, interview, and record review the facility failed to ensure Centers for Disease Control (CDC) guidance was followed for fit testing for N95 filtering facepiece respirators prior to use and annually. Findings include: During observation on 2/18/25 at 11:49 a.m., the facility had signs posted on the front entrance door indicating mask use required due to respiratory outbreak. During observation and interview on 2/18/25 at 12:35 p.m., housekeeping assistant (H-A) was observed putting an N95 mask over a regular surgical mask prior to entering a resident room requiring N95 use due to Covid isolation. H-A stated he was not aware of having fit testing for the N95 mask. During observation and interview on 2/18/24 at 5:40 p.m., nursing assistant (NA)-A was observed putting on an N95 mask to enter a resident room requiring N95 use due to Covid isolation. NA-A stated she could not recall if she had completed fit testing for the N95 respirator. During interview on 2/19/25 at 1:12 p.m., licensed practical nurse (LPN)-A stated she had been fit tested in the past, but did not…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-02-19 · 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 record review the facility failed to assess the ability to safely operate power lift reclining chair and develop and implement policies and procedures related to the operation/use of power lift chairs for 1 of 1 (R137) resident reviewed for accidents. R137's admission Minimum Data Set (MDS) dated [DATE], indicated R137 was admitted to the facility on [DATE], no cognitive impairment, utilized a wheelchair, dependent on staff for toileting, lower body dressing, toilet transfer, sit to stand, chair transfer; required substantial/maximal assistance with personal hygiene, roll left to right, sit to lying and diagnoses included need for assistance with personal care, obesity, and surgery on the digestive system. R137's care plan dated 2/5/25, indicated history of falling, unsteady on feet, difficulty walking and interventions dated 2/19/25, indicated lift chair assessment completed; care plan revision on 1/31/25, bed in lowest position, call light within reach at all times, fall…

    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 before2025-01-08 · 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 comprehensively assess and monitor for signs/ symptoms of fluid overload and evaluate the effectiveness of physician prescribed treatments for 1 of 3 residents (R1) who had diagnosis of congestive heart failure. Findings include R1's face sheet dated 1/8/25, identified R1 had diagnosis that included chronic right heart failure. R1's comprehensive minimum data set (MDS) dated [DATE], identified R1 was cognitively intact. R1 had no rejection of cares, and had no shortness of breath. R1's care plan focus created 11/6/23, identified R1 had atrial fibrillation (a-fib), chronic right heart failure, and tachycardia. Interventions included providing a-fib medication as ordered, educate R1 on the importance of taking medications, and monitor/document/report to provider signs and symptoms of a-fib. The care plan did not address individualized interventions or goals for the management of fluid overload. R1's physician order dated 11/21/24, included daily weights…

    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 · F2024-11-18 · tag F0865 — failed to run a quality-improvement (QAPI) program — widespread
    Have a plan that describes the process for conducting QAPI and QAA activities.
    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 a Quality Assurance Performance Improvement/Quality Assurance Activity (QAPI/QAA) that was effective in identifying, assessing, performing, developing, and implementing appropriate plans of action related to impaired skin integrity and/or pressure injuries. This deficient practice had the potential to affect all 34 residents currently residing in the facility. Findings include On 11/15/24, the director of nursing (DON) provided the facility's Quality Assurance Performance Improvement/Quality Assurance Activity (QAPI/QAA) project documents and plans. Documents were reviewed from January through October 2024 which indicated QA meetings were held in January, June, and October which identified the following: January 2024: QA files did not include meeting agenda and minutes. Further did not include documentation that demonstrated identification and development of corrective actions for opportunities for performance improvement nor was there documentation that identified a comprehensive evaluation 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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-11-18 · tag F0580 — failed to tell family and doctor about changes — pattern
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    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 notify the physician and family/resident representative of new/existing wounds for 4 of 4 residents (R1, R2, R3, R4) reviewed for pressure injuries. Findings include: R1's quarterly Minimum Data Set (MDS) dated [DATE], identified R1 was cognitively intact. R1 was dependent on staff for lower body dressing, transferring, toileting, and toilet hygiene. R1's assessment identified R1 was at risk of developing pressure ulcers/injuries and had moisture associated skin damage (MASD). R1's medical provider note dated 7/29/24, identified no issues with R1's skin. R1's record reviewed between 8/7/24 through 8/26/24 included wound assessments and wound treatment orders however, there was no indication the physician was notified and nor evident the physician prescribed treatment orders at the time R1's impaired skin integrity was identified by facility nursing. The record identified the following: R1's Wound Assessment and corresponding wound picture…

    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 · E2024-11-18 · tag F0726 — failed to have competent, trained nursing staff — pattern
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    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 ensure 1 of 1 licensed nursing staff were trained and competent in pressure ulcer assessment and management. This had the potential to affect all residents who were at risk for pressure ulcers and/or residents with existing pressure ulcers. Findings include The Facility Wide assessment dated [DATE], included a section Staff competency and care area requirements as identified in the Resident Population Assessment to include The section included Pressure ulcer prevention and treatment. During an interview on 11/8/24, infection preventionist/wound nurse (IPWN)-A, identifed herself as a licensed practical nurse (LPN). IPWN-A stated she had never been trained on wound care. During an interview on 11/13/24 at 3:28 p.m., licensed practical nurse (LPN)-D stated she had not had wound training at the facility. During an interview on 11/15/24 at 2:05 p.m., LPN-B stated she received training on wounds from IPWN-A when she started. LPN-B stated a pressure injury…

    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 · Ecited before2024-11-18 · tag F0880 — failed to prevent and control infections — pattern
    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 observations, interview, and document review the facility failed to ensure enhanced barrier precautions (EBP) was used for 3 of 3 (R2, R3, R5) residents. In addition, the facility failed to ensure proper cleaning of vital sign equipment for 2 of 2 (R5, R6) residents and failed to ensure handwashing/hand hygiene was implemented for 5 of 7 (R2, R3, R5, R7, R8) residents observed for handwashing/hand hygiene. Findings include: R5's face sheet dated 11/19/24, identified diagnoses of osteomyelitis (infection of the bone), pressure ulcer of left buttocks and left ankle (bedsores). During an observation and interview on 11/7/24 at 12:52 p.m., R5 was put on EBP for pressure ulcer care. R5's door to room had signage to use EBP-gown, gloves for close contact cares . Licensed practical nurse (LPN-A) entered room for R5 with vital sign equipment. Hand hygiene was not performed prior to entering room nor did LPN-A put on the required EBP. LPN-A obtained R5's vital signs, touched R5's skin and adjusted R5's clothing. LPN-A did not perform hand hygiene prior to leaving R5's room. Vital…

    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 · Dcited before2024-09-16 · 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 allegations of abuse/neglect were reported to the State Agency (SA), in accordance with established policies and procedures, for 2 of 3 residents (R2 and R5) reviewed for allegations of abuse. Findings include: R2's face sheet printed 9/16/24, indicated diagnoses of mild cognitive impairment, unspecified intracranial injury (brain injury), unspecified intellectual disabilities, and need for assistance with personal care. R2's quarterly Minimum Data Set (MDS) dated [DATE], indicated Brief Interview for Mental Status (BIMS) score of 15, which indicated intact cognition. R2's care plan focus area for ADLs dated 6/16/23, included the need for staff assistance related to traumatic brain injury (TBI) and muscle weakness. R2 care plan for focus area elimination dated 11/14/19, included need for staff assistance due to incontinence of bladder and bowel. Review of a vulnerable adult (VA) report submitted to the SA on 4/5/24 at 8:18 p.m., indicated a…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
Show the remaining 10 citations
  • Potential for harm · D2024-09-16 · 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 thoroughly investigate following an allegation of staff to resident abuse for 1 of 3 residents (R5) reviewed for allegation of abuse. Findings include: R5's face sheet printed 9/16/24, indicated diagnoses of end stage renal disease, post-traumatic stress disorder, panic disorder, depression, and generalized anxiety disorder. R5's quarterly Minimum Data Set (MDS) dated [DATE], indicated the resident's Brief Interview for Mental Status (BIMS) score of 15, which indicated intact cognition. R5's care plan focus area for elimination dated 5/24/23, indicated R5 was incontinent of bowel and bladder and required assistance of one staff for toileting hygiene and R5 was not aware of when he was incontinent. Review of a document titled Grievance Response Form dated 4/4/24, and filled out by social services director (SSD), indicated R5 reported the night shift staff, nursing assistant (NA)-A, yelled at him due to having loose stools and that made him upset 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-24 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and document review the facility failed to ensure 1 of 3 residents (R1) was treated with respect, dignity, and provided with self-determination in choosing bedtime. Findings include: R1's significant change Minimum Data Set (MDS) dated [DATE], indicated R1 was cognitively intact and had diagnoses that included Parkinson's disease, anxiety disorder and depression. R1 was substantial to max assist with chair to bed transfers, and was partial to moderate assist with sit to stand from chair, wheelchair and/or bed. Facility provided a written and signed statement by registered nurse (RN)-A that was not dated. The statement indicated during the evening shift of 1/14/24 at approximately 6:20 p.m., nursing assistant (NA)-A and NA-B reported a complaint involving licensed practical nurse (LPN)-A. The NA's report to RN-A included: R1 had requested to go to bed at approximately 6:00 p.m. and LPN-A told her she was not allowed to go to bed yet. The two argued back and forth and eventually R1 called LPN-A…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-01-24 · 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 allegations of abuse were reported immediately, within two hours, to the State Agency (SA) for 1 of 3 residents (R1) reviewed for allegations of abuse. Findings include R1's significant change Minimum Data Set (MDS) dated [DATE] indicated R1 was cognitively intact, and exhibited verbal behavioral symptoms directed towards others on 1 to 3 days reviewed that did not significantly interfered with R1's care. On 1/15/24 at 9:05 a.m. a Facility Reported Incident (FRI) submitted to the stated agency (SA) indicated at approximately 6:00 p.m. on 1/14/24, R1's licensed practical nurse (LPN) refused to allow R1 to go to bed and argued with her, resulting in R1 swearing at LPN and LPN giving R1 the middle finger on both hands. LPN was heard saying, R1 was not allowed to go to bed, and had had it with her. During an interview on 1/23/24, at 1:05 p.m., R1 stated she remembered an incident recently when she had requested to go to bed and her nurse told her…

    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 · F2023-11-15 · 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 that in the absence of a full-time registered dietician (RD), the dietary manager (DM) was certified to oversee nutrition and food services. This had potential to affect all 36 residents who resided in the facility. Findings include: During an interview on 11/13/23 at 1:32 p.m., (DM)-C, who had worked in the dietary manager position for six years, stated he was not a certified dietary manager (CDM) but had planned on taking the course. DM-C stated the facility contracted with a RD who came to the facility once per month. During document review, the title of DM-C's job description was Certified Dietary Manager, and the educational requirement for the position indicated an individual must possess certification through the Association of Nutrition and Foodservice Professionals and be a Certified Dietary Manager. During a telephone interview on 11/15/23 at 8:56 a.m., (RD)-D stated she went to the facility once a month and had been aware DM-C had not been a CDM. RD-D stated she had encouraged DM-C to take the course…

    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 · F2023-11-15 · 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 ensure condiments were used or discarded in a timely manager to maintain freshness and quality. In addition, the facility failed to monitor and ensure water temperature in the 3-compartment sink met regulatory requirements. This had the potential to affect all 36 residents who were served food from the kitchen. Findings include: During an observation and interview on 11/13/23 at 1:32 p.m., with dietary manager (DM)-C in the walk-in refrigerator, observed a one gallon jar of sliced green olives with approximately half remaining in the jar. The upper portion of the jar had a cloudy film on the inside. On the lid in black marker had been written 4/6 (the year was not indicated). DM-C stated that was the date opened - April 6, this year. Also in the walk-in refrigerator had been a one gallon jar of pickle relish with approximately half left, with 2/22 written in black marker on the lid. DM-C stated that date was February 22, this year, not February 2022. DM-C stated he did not know how long condiments could be…

    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 · Fcited before2023-11-15 · 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 observation, interview and document review, the facility failed to have evidence of a Performance Improvement Project (PIP) which focused on high risk or problem-prone areas, identified thorough and appropriate data collection, analysis and evaluation of the identified concern(s) during Quality Assurance and Performance Improvement (QAPI). This had the potential to affect all 36 residents. Findings include: On 11/15/23 at 2:50 p.m., during an interview the facility administrator stated the facility QAA (Quality Assessment and Assurance) and QAPI group met on a regular basis with the Medical Director to review areas identified as needing improvement within the facility. The administrator stated he could not recall the facility PIP project. During a follow up interview at 3:35 p.m., the administrator stated he reviewed the facility QAA and QAPI minutes for the last year and verified there was no documentation to support a PIP was identified or performed. On 11/15/23 at 3:00 p.m., an observation of the facility identified there was no information posted about any PIP project…

    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 before2023-11-15 · 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 follow Centers for Medicare and Medicaid Services (CMS) and Centers for Disease Control (CDC) guidelines to prevent the spread of Covid-19 when during a Covid-19 outbreak, failed to ensure appropriate use of personal protective equipment (PPE) when staff were observed not wearing PPE or not wearing appropriate PPE, in rooms of 8 of 8 residents (R1, R6, R9, R21, R25, R27, R28, R87) in transmission based precautions (TBP) for Covid-19; failed to remove masks after caring for residents in TBP for 5 of 5 residents (R6, R21, R27, R28, R87) on TBP; failed to ensure residents on TBP had a PPE cart outside of their room for 2 of 2 residents (R8, R25); failed to ensure PPE carts had antimicrobial's such as hand sanitizer and disinfectant wipes readily available outside the rooms of residents for 7 of 7 residents (R6, R9, R10, R11, R21, R26, R28); failed to ensure residents in TBP for Covid-19 remained in TBP for the required duration for 1 of 1…

    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 · D2023-11-15 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and document review, the facility failed to ensure restorative services to maintain and/or improve mobility was received for 1 of 2 residents (R27) reviewed for mobility. Findings include: R27's quarterly Minimum Data Set (MDS) assessment dated [DATE], indicated R27 had intact cognition, no rejection of care, required one person physical assist with bed mobility, transfer, walking in room and corridor, locomotion on and off unit, dressing, toilet use, and personal hygiene, utilized a walker and wheelchair, diagnoses included fractured femur, dementia, and edema. R27's care plan dated 6/30/23, indicated R27 required staff assistance with some ADL's (activities of daily living) d/t (due/to) compression fx (fracture) L (lumbar) 1, L2, L4, and weakness; interventions included: ambulation assist, extensive staff assistance: of one, wbat (weight bearing as tolerated) device used: fww and gait belt, notes: another staff to follow behind with wheelchair, walk 75-100 ft, on the daily CNA…

    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 · C2025-02-19 · tag F0577 — widespread
    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
    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 most recent survey results were readily accessible for residents or visitors to view. This had the potential to affect all residents who resided in the facility and visitors. Findings include: During observation on 2/18/25 at 1:42 p.m., a black three-ring binder labeled Survey Results was observed in a hanging bin on a wall near the front entrance of the facility. The survey results in the binder were dated 9/14/2022. The results of the most recent federal recertification survey were not included. There was no posted information indicating any other results were available. During interview on 2/18/25 at 2:24 p.m., social services director (SS-A) verified the most current survey results were not in the binder and stated she would have to find them and put them in the binder. SS-A further stated she was unsure why the results were not in the binder and they were not posted anywhere else in the facility for residents or visitors to access. During interview on 2/19/25 at 1:40 p.m., administrator stated he…

    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
  • No harm found · C2024-01-24 · tag F0607 — failed to have anti-abuse policies — widespread
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    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 written policy and procedure for the time frame in which allegations of abuse and neglect must be reported to the State Agency (SA). Finding include: Review of the facility's Reporting Abuse to State Agencies and Other Entities/Individuals: revised 11/3/2023, was not consistent with the federal regulation. The facility policy included, 2. Verbal/written notices to agencies will be made immediately or within 2 hours if there is serious bodily injury and within twenty-four (24) hours of the occurrence of such incident if there is not serious bodily injury. Such notice may be submitted via special carrier, fax, e-mail, or by telephone. During interview 1/25/23, at 11:44 a.m. administrator stated, he was not aware that the policy was not up to date and would expect that the facility policy would be within regulation. Administrator indicated he would need to review the facility policy to insure it was accurate and update accordingly. State Operations Manual Appendix PP - (Rev. 211, 02-03-23) included §483.12(c)(1)…

    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

“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

$79,694 in federal fines across 1 penalty. 1 Medicare payment denial on record.

  • $79,694 — penalty dated 2024-11-18
  • Medicare payment denial — starting 2024-12-20 for 11 days

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
STUDNICKA, MARNIEIndividualW-2 MANAGING EMPLOYEEsince 05/21/2015
ALEXANDER, DONALDIndividualCORPORATE DIRECTORsince 08/01/2014
NEW RICHLAND CARE CENTEROrganizationOPERATIONAL/MANAGERIAL CONTROLsince 11/15/1975

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$5.5M
Net patient revenuemost recent cost report
+2.9%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 62%Medicare 6%Other / private 32%

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

$412per resident / day
operating cost
$12,537per month
≈ monthly operating cost
$425per 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 245316. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-03-31, 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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