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Good Samaritan Society - Stillwater

1119 Owens Street North, Stillwater, MN 55082 · Non profit - Corporation · 50 certified beds · (651) 439-7180 Medicare & Medicaid certified

Call the home — (651) 439-7180 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
1 actual-harm citation
Insights

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

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
Worth asking about
  • it has 1 actual-harm citation
  • a high number of inspection citations overall (30) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure rating is low (2/5)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 2 of 5

Location & what’s nearby

Hospital
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1500 Curve Crest Blvd W · (651) 439-1234 · Call to confirm hours
Pharmacy
1500 Curve Crest Blvd W · (651) 430-4670 · Call to confirm hours
Grocery
101 Owens St N · (651) 439-3515 · Call to confirm hours
Park
Staples Field, 351 W Wilkins St · (952) 545-6165 · 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 2 of 5
Long-stay residentspeople who live here 1 of 5
Short-stay residentsrehab / post-hospital 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 increased27.3%18.2%15.4%worse
Long-stay residents who lose too much weight6.1%4.1%5.4%worse
Long-stay residents with a catheter left in their bladder2.4%1.9%0.9%worse than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection3.2%2.6%2.0%worse
Long-stay residents with depressive symptoms2.2%4.1%6.5%better
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury6.4%4.0%3.3%worse
Long-stay residents whose ability to walk worsened44.9%20.5%16.1%worse
Long-stay residents on antianxiety or hypnotic medication1.5%12.5%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%96.1%95.3%typical
Long-stay residents with pressure ulcers4.2%5.2%4.7%better
Long-stay residents with worsening bladder/bowel control36.1%24.5%21.2%worse
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 medication2.2%1.9%1.4%worse
Short-stay residents given the seasonal flu vaccine92.9%82.7%79.4%better
Short-stay residents rehospitalized after admission30.3%23.5%22.6%worse
Short-stay residents with an outpatient ER visit22.3%14.8%12.0%worse

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

57.2% 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 82 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

57.2%U.S. median 51.5%
Got home and stayed home
10.7%U.S. median 10.7%
Went back to hospital
57.5%U.S. median 56.6%
Met the expected recovery
0.33U.S. median 0.31
Therapy hours / resident / day
0.11hours / resident / day
Physical therapy
0.22hours / resident / day
Occupational therapy

Met the expected recovery: 57.5% 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 40 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 0.33 therapist hours per resident per day in 2026Q1 — more than 56% of the 13,892 homes that report any therapy hours at all.

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

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF57.2%CMS range 48.6–66.851.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.7%CMS range 6.9–16.210.7%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 discharge57.5%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 discharge50.0%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 discharge45.0%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 identified18.8%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this 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 discharge90.5%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF 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 hospitalization6.5%CMS range 3.9–12.77.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.851.02Oct 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

1.32
RN hours/ resident / day
0.62
LPN hours/ resident / day
2.15
Aide hours/ resident / day
4.09
Total nurse hours/ resident / day
0.78
RN hoursweekends
51.2%
Total nursing turnover
61.5%
RN turnover

How full it usually is: this home is certified for 50 beds and averages 32.6 residents a day — about 65% occupied, or roughly 17 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.09 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.32 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.15 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 3.62 hrs/resident/day on weekends vs 4.28 on weekdays — 16% thinner on weekends. RN hours go from 1.53 to 0.78 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 51% is about the same as the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

7
deficiencies at the latest standard inspection (2026-02-12)
4
at the previous standard inspection (2025-01-30)

Deficiencies are more than at the previous inspection — worsening. 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.

30 citations, most serious first. The 11 most serious are shown; the remaining 19 are one tap away and print in full.

  • Actual harm · Gcited before2024-04-23 · 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 assess for and implement appropriate interventions to decrease the risk for falls for 4 of 4 residents (R189, R7, R29, R24) reviewed for falls. This failure led to actual harm for R189 when R189 obtained a right ankle fracture after a fall. Findings include: R189 R189's admission MDS dated [DATE], indicated R189 was admitted to the facility on [DATE], at risk for falls and had a fall with injury prior to admission. Further indicated, diagnosis of open reduction internal fixation (ORIF) of the left femur. R189's cognitive loss/dementia CAA dated 9/2/23, indicated R189 had confusion, disorientation, and forgetfulness and requires frequent reorientation, reassurance, and reminders to help make sense of things. The CAA lacked any interventions. R189's fall CAA dated 9/2/23, indicated R189 was at risk for falls related to being unable to ambulate without staff assistance due to unsteadiness, fall history within the last month prior to…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-06-04 · 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 record review, the facility failed to assess, monitor, and provide appropriate clinical oversight of a urinary collection device used to manage chronic urinary incontinence for 1 of 1 resident (R1) reviewed for urinary incontinence.Findings include:R1's face sheet printed 6/3/26, identified diagnoses including chronic kidney disease stage 3, lymphedema (swelling caused by a buildup of fluid), chronic combined systolic and diastolic heart failure, chronic right-sided heart failure, benign prostatic hyperplasia (enlarged prostate) with urinary symptoms, localized edema (swelling), acute cystitis with hematuria (bladder infection with blood in the urine), and muscle weakness.R1's care area assessment (CAA) for urinary incontinence dated 2/5/26, identified urinary incontinence as an actual problem. The CAA identified R1 required assistance with toileting and was occasionally incontinent of urine. Contributing factors identified in the assessment included pain, restricted…

    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 · D2026-06-04 · tag F0697 — failed to manage pain — isolated
    Provide safe, appropriate pain management for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to comprehensively assess pain, re-evaluate the effectiveness of the pain regimen, ensure accurate and complete documentation, and notify the physician of break through pain for 1 of 1 resident (R1) reviewed for pain management. Findings include:R1's face sheet printed 6/3/26, identified diagnoses of pain in left elbow, generalized muscle weakness, cervical spinal stenosis (narrowing of the spinal canal in the neck), lumbar spinal stenosis (narrowing of the spinal canal in the lower back), low back pain, anxiety disorder, and major depressive disorder (depression).R1's Care Area Assessment (CAA) dated 2/5/26, identified pain as an actual problem and triggered due to a pain numeric intensity rating of 7/10. The CAA identified multiple diagnoses and conditions that could contribute to pain, including cardiac disease, pneumonia, gastroesophageal reflux disease (GERD), arthritis, and dental problems. The CAA further identified pain could result…

    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 before2026-02-12 · 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 — the official record, unedited, may be distressing

    Based on interview and document review, the facility failed to employ either a full-time registered dietitian (RD) or a qualified dietary manager (DM) to carry out the functions of the food and nutrition service. This had the potential to affect all 34 residents who resided in the facility.Findings include:Dietary manager qualifications were requested however were not received. The registered dietitian worked part time at facility. When interviewed on 2/11/26 at 2:00 p.m., the administrator stated the facility had a part time dietitian who worked between two facilities. The administrator stated dietary manager did not have required qualifications however was signed up for classes. When interviewed on 2/12/26 at 1:08 p.m. stated DM had accepted the role in November as DM. DM verified she was not currently qualified however had re-enrolled in classes.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-02-12 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    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 ensure weekly wound assessments and measurements were completed for 1 of 1 resident (R3) reviewed for pressure ulcers (PU).Findings include:R3's admission Minimum Data Set (MDS) dated [DATE], indicated R3 was cognitively intact, required partial to substantial assistance with most activities of daily living (ADLs), did not display rejection of care behaviors, and has one stage-four pressure ulcer. R3's diagnoses included fracture of left arm, open wound on left elbow, received intravenous (IV) medications and osteomyelitis (a bone infection). R3's care area assessment (CAA) dated 1/19/26, indicated, Pressure injury to left elbow related to fracture, impaired ROM [range of motion], Osteomyelitis/cellulitis [bone/skin infection] infection puts patient at risk of complications like sepsis, increased care needs, further functional or cognitive decline and disability. R3's care plan (CP) dated 1/13/26, indicated R3 had potential and actual…

    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 before2026-02-12 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and document review, the facility failed to ensure a root cause analysis was completed and implement new interventions following a fall for 1 of 3 residents (R11).Findings include: R11's annual Minimum Data Set (MDS) dated [DATE], indicated severely impaired cognition and diagnoses of dementia (decline in cognitive ability), abnormalities of gait and mobility, difficulty in walking, muscle weakness, and repeated falls. It further indicated R11 required partial to moderate assistance with ambulation and had two or more falls since admission, one with injury. R11's progress note dated 10/23/25, indicated R11 was found on the floor in middle of the dining room. Her wheelchair was 10 feet away from the table and the other chairs surrounding her were 5 feet away. R11 was assessed for injuries and lacerations were noted on her head. Neurological checks were initiated with no changes and vital signs were stable. The patient was assisted off the floor by two staff. Patient was able to bend her knees…

    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 · D2026-02-12 · tag F0699 — isolated
    Provide care or services that was trauma informed and/or culturally competent.
    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 identify triggers or attempt to identify triggers to avoid potential re-traumatization and failed to develop a care plan to include individualized trauma-informed approaches for 1 of 1 resident (R1) who had a history of trauma.Findings include:R1's admit Minimum Data Set (MDS) assessment, dated [DATE], indicated R1 had intact cognition with no hallucinations, delusions, behaviors or rejection of care present. R1 was independent for all activities of daily living (ADLs), with occasional incontinence. R1 ambulated around facility with a wheeled walker. R1's diagnoses included post-traumatic stress disorder (PTSD) and bipolar disorder (mood disorder).R1's trauma assessment dated [DATE], indicated the purpose of the assessment was to identify residents who are trauma survivors. R1's trauma assessment indicated R1 did not have past trauma. R1's care plan dated [DATE], indicated R1 had sleep disturbance related to PTSD. Staff directed to monitor for…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-02-12 · tag F0700 — isolated
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    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 identify prior appropriate interventions prior to use of grab bars, assess for risk of entrapment, and obtain consent 1 of 1 resident (R12) reviewed for the use of grab bars. Findings include: R12's quarterly Minimum Data Set (MDS) dated [DATE], indicated intact cognition and diagnoses of muscular sclerosis (disease that causes breakdown of the protective covering of nerves) and chronic kidney disease (condition in which the kidneys gradually lose their ability to function properly). It further indicated bilateral impairment of the lower extremities ([NAME]) and R12 required substantial assistance with bed mobility.During interview and observation on 2/09/2026 at 3:05 p.m., R12 had bilateral grab bars on her bed. R12 stated she didn't use the bars and was able to reposition herself. She further indicated she thinks the facility uses them to keep us in bed.R12's physical device assessment dated [DATE], lacked indication the facility…

    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 before2026-02-12 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and document review the facility failed to ensure staff used appropriate personal protective equipment (PPE) for 2 of 2 residents (R3, R27) observed for enhanced barrier precautions (EBP).Findings include:R3 R3's admission Minimum Data Set (MDS) dated [DATE], indicated R3 was cognitively intact, required partial to substantial assistance with most activities of daily living (ADLs), did not display rejection of care behaviors, and has one stage-four pressure ulcer. R3's diagnoses included fracture of left arm, open wound on left elbow, received intravenous (IV) medications and osteomyelitis (a bone infection). R3's care area assessment (CAA) dated 1/19/26, indicated, Pressure injury to left elbow related to fracture, impaired ROM [range of motion], Osteomyelitis/cellulitis [skin infection] infection puts patient at risk of complications like sepsis, increased care needs, further functional or cognitive decline and disability. R3's care plan dated 1/13/26, indicated R3 required IV…

    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 · D2025-12-10 · tag F0760 — failed to prevent significant medication errors — isolated
    Ensure that residents are free from significant medication errors.
    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 liquid morphine (opioid analgesic used to treat severe pain) was administered per physician orders for 1 of 1 resident (R1) who was administered ten times the ordered dose.Findings include:R1's quarterly Minimum Data Set (MDS) dated [DATE], indicated diagnosis of anemia, heart failure, diabetes mellitus, and seizure disorder. The MDS indicated she was moderate cognitively intact and required assistance with activities of daily living. The MDS indicated R1 received scheduled pain medication and had a condition or chronic disease that may result in life expectancy of less than 6 months and received hospice care.R1's Care Plan dated 10/13/25, indicated R1 had acute and chronic pain/discomfort related to history of cerebral vascular accident and weakness. The care plan indicated nursing to evaluate the effectiveness of pain interventions after administration of pain medication, satisfaction with results, impact on functional ability and impact on…

    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 before2025-01-30 · 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 observation, interview and document review, the facility failed to ensure personal privacy was maintained to promote dignity for 1 of 1 resident (R21) observed with bare skin and undergarments visible from the hallway to other residents, visitors, and staff. Findings include: R21's admission Minimum Data Set (MDS) dated [DATE], identified R21 had severe cognitive impairment, displayed disorganized thinking, had physical behaviors directed towards others (sexual), that interfered with care, or social interactions, did not reject care, and required maximal assistance for activities of daily living (ADLs). Further, the MDS identified R21 was incontinent of both bowel and bladder, had diagnoses of dementia, Parkinson's disease, coronary artery disease (CAD), peripheral vascular disease (PVD), heart failure, and had a history of falls. R21's Care Plan dated 1/28/25, lacked information regarding preserving privacy and dignity. The care plan indicated brief use for incontinence, check upon rising, before 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
Show the remaining 19 citations
  • Potential for harm · Dcited before2025-01-30 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and document review the facility failed to ensure 1 of 1 resident (R25) received assistance with shaving and nail care reviewed for activities of daily living (ADL). Findings include: R25's quarterly Minimum Data Set (MDS) dated [DATE], indicated moderately impaired cognition and a diagnosis of blindness. It further indicated R25 required supervision with personal hygiene. R25's physician's orders dated 1/24/25, indicated weekly skin assessment, please check skin and document findings in the skin observation V-3, chart vital signs, trim nails and obtain weight, offer to shave resident if he wishes, every day shift on Friday. R25's weekly skin observation dated 1/24/25, lacked documentation R25's nails were trimmed, he had been shaved, or that staff offered or he had refused. R25's care plan indicated R25 had an ADL self care performance deficit related to a history of cerebral vascular accident (CVA), blindness evidenced by a shuffling, slow gait, and required more help 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 · Dcited before2025-01-30 · 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 record review the facility failed to ensure bruising was monitored for 1 of 1 residents (R14) reviewed for bruises. The facility further failed to ensure interventions for edema care were implemented for 1 of 1 residents (R17) reviewed for edema. Findings include: R14's quarterly Minimum Data Set (MDS) dated [DATE], indicated R14 had moderate cognitive impairment and diagnoses of dementia and heart disease. Furthermore, R14 received an anticoagulation (AC, medication to thin the blood) daily. R14's provider order summary indicated R14 required the following: - on10/4/23, Eliquis (AC medication) 5 milligrams (mg) daily to prevent blood clots. - on 5/28/24, weekly skin assessment every evening shift on Sundays. -on 5/21/24, required monitoring due to AC use. Instructed staff to report to the provider blood in the urine or stools, severe headache, unusual bruising. R14's care plan revised 5/21/24, indicated R14 was on AC therapy and directed staff to monitor resident based on…

    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 before2025-01-30 · 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 fully assess and implement fall prevention interventions for 2 of 2 residents (R21, R187) reviewed for falls. Findings include: R21: R21's Optional State Assessment (OSA) dated 1/5/25, indicated moderate cognitive impairment, did not have delusions or hallucinations, did not reject care, had other behavioral symptoms not directed toward others 1 to 3 days, required extensive assist with bed mobility, eating, and toileting and was dependent on staff for transfers. R21's admission Minimum Data Set (MDS) dated [DATE], indicated R21 was frequently incontinent of urine and always incontinent of bowels, had fallen in the month prior to admission, had fallen once since admission with no injuries. R21's Medical Diagnosis form undated, indicated the following diagnoses: acute on chronic systolic heart failure, muscle weakness, unspecified dementia, and Parkinson's disease. R21's care area assessment (CAA) dated 1/5/25, indicated R21 had an…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2024-04-23 · 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 record review, the facility failed to employ either a full-time registered dietitian (RD) or a qualified dietary manager (DM) to carry out the functions of the food and nutrition service. This had the potential to affect all 39 residents who resided in the facility. Findings include: The facility's undated list of hires did not include a DM. The interim dietary supervisor (DS)'s qualifications for a dietary manager was requested however was not received. When interviewed on 4/15/24 at 1:08 p.m., the DS stated there was not a DM currently employed at the facility. DS was a DS at a sister facility and was currently working both facilities. DS further stated there had been a lot of turnover in the kitchen staff and the facility was working on hiring. A follow up interview on 4/18/24 at 10:46 a.m., DS stated he had been at the facility for about a month trying to help. DS further stated he had food safety manager certificate, however, was not able to find it. When interviewed on 4/18/24, the RD stated they did not work full time at the facility and were on site…

    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 · F2024-04-23 · tag F0802 — failed to prepare enough nourishing food — widespread
    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
    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 sufficient support staff with the appropriate competencies to carry out the functions of the food and nutrition services. This had the potential to affect all 39 residents who reside in the facility. Findings include: The facility's undated list of hires did not include a dietary manager (DM). An undated facility document titled Annual and New Hire Education Dietary indicated all dietary staff had required training titled Basics of Food Safety in Long Term Care Facilities and IDDSI training for safe swallowing. Dietary aide (DA)-A's new hire education dated 4/18/24, lacked indication DA-A had completed the required training for dietary staff titled Basics of Food Safety in Long Term Care Facilities and IDDSI training for safe swallowing. An observation on 4/16/24 at 8:06 a.m., residents were being served breakfast in the dining room. There was no daily menu posted in the dining room. DA-A was serving up cold cereal, yogurt, and toast. DA-A stated there was no cook this morning due to an ill call. DA-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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2024-04-23 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and document review, the facility failed to ensure frozen and refrigerated food items were properly stored, labeled, and dated and disposed of after expiration date. Furthermore, the facility failed to ensure the ice machine and air vents were clean and sanitary. This deficient practice had the potential to affect all 39 residents who receive food from the kitchen. Findings include: Food Storage During the initial kitchen observation on 4/15/24, at 12:46 p.m., the walk-in freezer contained the following: -a Ziplock bag labeled corn beef hash dated 2/11/24. The contents of the bag were brown meat with crystals of ice that had formed on the meat and the inside of the bag. -a Ziplock bag labeled turkey dated 4/12/24. The contents of the bag were white meat with crystals of ice that had formed on the meat and the inside of the bag. -Two plastic tub containers labeled potato salad with a date of 3/20/24 and 3/12 -a plastic tub that stated seafood salad dated 3/22. -four foil…

    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 before2024-04-23 · 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 standard precautions, contact precautions, droplet precautions, and perform evidence-based hand hygiene for GI symptomatic residents for 4 of 4 (R4, R24, R13, and R91) reviewed for infection control practices. Findings include: R4's annual Minimum Data Set (MDS) dated [DATE], indicated she had intact cognition and had diagnoses of overactive bladder, kidney disease, diabetes, and muscle weakness. R4's Care Area Assessment (CAA) for functional abilities (self-care and mobility) dated 3/21/24, indicated R4 required assistance with activities of daily living (ADLs) and one or two staff assistance. R4's CAA for urinary incontinence and indwelling catheter dated 3/21/24, indicated R4 required assistance with toileting, had incontinence, and was at risk for developing UTIs. R4's care plan dated 4/28/21, indicated she had an ADL self-care deficit related to a history of UTIs and required extensive assistance of one with toilet use.…

    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 · F2024-04-23 · tag F0908 — failed to keep essential equipment working — widespread
    Keep all essential equipment working safely.
    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 the facility's walk-in freezer was maintained to ensure water drippings and ice build up would not impact frozen food storage. This had the potential to impact all 39 residents who reside in the facility. Findings include: During the initial kitchen observation on 4/15/24 at 12:46 p.m., the walk-in freezer was observed. Inside the freezer, near the top, at the far end were two fans. The right one was in motion while the left one was not moving due to a large ice dam inside the fan. In the fan blades and grate the large ice dam extended from the fan down all three shelves to the floor of the freezer. The ice dam appeared to be frozen water that had dripped down and frozen as it went down, as it gotten smaller as it went down. As it extended down the shelves, the ice had frozen on to several unopened boxes located on the back three shelves. When interviewed on 4/15/24 at 1:08 p.m., the dietary supervisor (DS) verified the ice dam and stated it had been there since he started at the facility a few weeks…

    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 · E2024-04-23 · tag F0757 — failed to avoid unnecessary drugs — pattern
    Ensure each resident’s drug regimen must be free from unnecessary 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 interview and record review the facility failed to ensure adequate monitoring was in place for 3 of 3 residents (R24, R91, R31)reviewed for unnecessary medications. Furthermore, the facility failed to ensure duplicative medications were prescribed for 1 of 5 residents (R91) reviewed for unnecessary medications. Findings include: R24 R24's quarterly Minimum Data Set (MDS) dated [DATE], indicated R24 was cognitively intact and had diagnoses of congestive heart failure and atrial fibrillation (rapid heartbeat). Furthermore R24's MDS indicated R24 was on an anticoagulation medication (medication used to thin the blood and prevent blood clots). R24's medication regimen review dated 12/8/24, indicated R24 was on a warfarin and the recommended staff to monitor for signs and symptoms of bleeding and bruising; monitor for thromboembolism (blood clots). R24's nursing and provider orders reviewed on 4/16/24, indicated R24 required warfarin (anticoagulant medication) 3 milligrams (mg) on Mondays and 4mg daily…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-04-23 · tag F0883 — failed to offer flu and pneumonia vaccines — pattern
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and document review, the facility failed to have a method or system to ensure the facility offered or provided updated vaccine per Centers for Disease Control (CDC) vaccination recommendations for 5 of 5 residents (R7, 18, R24, R30, R32) to ensure residents were appropriately vaccinated against pneumonia upon admission. This had the ability to affect all 37 residents. Findings include: Review of the current CDC pneumococcal vaccine guidelines located at https://www.cdc.gov/vaccines/vpd/pneumo/hcp/pneumo-vaccine-timing.html, identified for: 1) Adults 19-[AGE] years old with specified immunocompromising conditions, staff were to offer and/or provide: a) the PCV-20 at least 1 year after prior PCV-13, b) the PPSV-23 (dose 1) at least 8 weeks after prior PCV-13 and PPSV-23 (dose 2) at least 5 years after first dose of PPSV-23. Staff were to review the pneumococcal vaccine recommendations again when the resident turns [AGE] years old. 2) Adults [AGE] years of age or older, staff were to offer and/or…

    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 before2024-04-23 · 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 observation, interview and record review the facility failed to ensure facial hair was removed for 1 of 1 residents (R6) reviewed for dignity. R6's quarterly Minimum Data Set (MDS) dated [DATE], indicated R6 had cognitive impairment and diagnoses of multiple sclerosis and dementia. R6 had no refusals of care and required supervision for personal hygiene (combing hair, shaving, washing/drying face). R6's [NAME] as of 4/16/24, indicated R6 required assist of one for bathing and personal hygiene of washing face and upper body. R6's [NAME] lacked indication of any cares or preferences for chin hairs. R6's care plan revised on 6/21/23, indicated R6 had impaired assistance of daily living (ADL) performance related to multiple sclerosis and impaired mobility. R6 required assistance with personal hygiene and to encourage to wash face and upper body. R6's care plan lacked indication of preference of chin hairs or assistance for removal or shaving. An observation on 4/15/24 at 2:25 p.m., R6 was sitting in 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 · D2024-04-23 · tag F0655 — isolated
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and document review, the facility failed to ensure a baseline careplan had been completed for 2 of 2 residents (R89, R189) reviewed for baseline care plans. Findings include: R89's medical record indicated she was admitted to the facility on [DATE] and had diagnoses of fracture of lower end of right humerus, pain in right arm, and congestive heart failure (CHF). R89's medical record lacked a baseline care plan. During interview on 4/18/24 at 11:32 a.m., licensed practical nurse (LPN)-C stated when there was a new admission the receiving nurse was responsible for completing the nursing admission/readmission assessment ([NAME]) and that assessment would trigger the baseline care plan. LPN-A further stated I don't know what happens after that regarding the comprehensive care plan, adding interventions, and who was responsible for completing it. During interview on 4/18/24 at 11:49 a.m. LPN-B stated when there was a new admission the receiving nurse was responsible for completing the [NAME] 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-04-23 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    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 1 of 1 resident (R13) reviewed for demetia care and 1 of 1 resident (R3) reviewed for accidents. Findings include: R13's quarterly Minimum Data Set (MDS) dated [DATE], indicated severely impaired cognition, and diagnosis of dementia. It further indicated R13 was dependent on staff for activities of daily living (ADL) and mobility. R13's care plan dated 3/28/24, lacked any indication R13 had dementia. During interview on 4/18/24 at 11:32 a.m., licensed practical nurse (LPN)- C stated when there was a new admission the receiving nurse was responsible for completing the nursing admission/readmission assessment ([NAME]) and that assessment would trigger the baseline care plan. LPN-A further stated I don't know what happens after that regarding the comprehenisive careplan, adding interventions, and who was responsible for completing it. During interview on 4/18/24 at 11:49 a.m. LPN-B stated when there was a new admission the…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-04-23 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and document review the facility failed to ensure nail care was completed for 1 of 1 resident (R19) dependent on staff for nail care. Findings include: R19's annual Minimum Data Set (MDS) dated [DATE], indicated R19 had moderately impaired cognition, diagnosis of traumatic brain injury (TBI), rejection of cares 1-3 times per week, and was dependent on staff for personal hygiene. R19's care plan dated 3/31/24, indicated R19 had an activities of daily living (ADL) self care performance deficit related to bradycardia evidenced by activity intolerance and required extensive assist of 1 with personal hygiene. R19's medical record lacked any documentation that nail care had been completed (nails had been cut). During observation and interview on 4/15/24 at 1:57 p.m., R19's nails were observed to be approximately 1/2 inch long with brown matter and chipped and jagged on his right hand. R19 stated he would like his fingernails to be cut short and he didn't like how long they were. During…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-04-23 · 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 record review the facility to ensure weekly skin assessment was completed for 1 of 1 resident (R24) who had fall and sustained bruising and lacerations. Findings include: R24's quarterly Minimum Data Set (MDS) dated [DATE], indicated R24 was cognitively intact and had diagnoses of congestive heart failure, atrial fibrillation, vascular disease, and weakness. Furthermore R24's MDS indicated R24 had a vascular wound and a skin tear. R24's care plan revised on 4/9/24, indicated R24 had actual impairment to skin integrity related to venous stasis ulcers to lower legs and required monitoring location, size, and treatment. Furthermore, R24 required weekly skin observations by licensed nurse. R24 had an actual fall with serious injury and required monitor/document/report as needed for 72 hours to health care provider any signs or symptoms of pain or bruising. R24's care plan lacked indication of any continued monitoring of R24's bruising and facial lacerations after 72 hours. R24's…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-04-23 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    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 record review the facility failed to ensure weekly skin assessments were completed for 1 of 1 residents (R8) reviewed for pressure injury. Findings include: R8's quarterly MDS assessment dated [DATE], indicated R8 was cognitively intact and had diagnoses of chronic lung disease, heart disease and pain. R8's MDS further indicated R8 required oxygen, had no current pressure injury but was at risk of developing skin injury. R8's skin Care Area Assessment (CAA) dated 12/3/23, indicated R8 was at risk of pressure injuries due to recent weight loss, terminal illness and devise use that may cause pressure (oxygen). R8's [NAME] as of 4/18/24, indicated R8 had oxygen therapy and directed staff to notify nurse of any new skin breakdown, redness, blisters or bruising during bath and daily cares. R8's care plan revised 3/6/24, indicated R8 had potential for pressure ulcer development due to decreased mobility. Interventions included to education resident/family on causes of skin…

    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 · D2024-04-23 · tag F0756 — failed to review each resident's drug regimen — isolated
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    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 the consulting pharmacists recommendations were acted upon for 1 of 3 residents (R24) reviewed for taking anticoagulation medication. Findings include: R24's quarterly Minimum Data Set (MDS) dated [DATE], indicated R24 was cognitively intact and had diagnoses of congestive heart failure and atrial fibrillation (rapid heartbeat). Furthermore R24's MDS indicated R24 was on an anticoagulation medication (medication used to thin the blood and prevent blood clots). R24's nursing and provider orders reviewed on 4/16/24, indicated R24 required warfarin (anticoagulant medication) 3 milligrams (mg) on Mondays and 4mg daily Tuesday- Sunday. R24's nursing and provider orders lacked indication R24 required monitoring for bleeding, bruising or other side effects of an anticoagulation medication. R24's care plan revised on 4/9/24, lacked indication R24 had monitoring for bleeding, bruising or other side effects of an anticoagulation medication. R24's monthly…

    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 · D2024-04-23 · tag F0803 — failed to meet residents' dietary needs — isolated
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of 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 document review, the facility failed to serve menu items as listed and planned for 2 of 2 residents (R25, R8) reviewed for nutrition services. Findings include: R25's admission Minimum Data Set (MDS) dated [DATE], indicated intact cognition, diagnoses of chronic obstructive pulmonary disease (COPD), dysphagia, and required set up/clean up assistance with eating. R25's care plan dated 3/1/24, indicated R25 had a nutritional problem related to end stage COPD and to encourage pleasure eating (foods of patient choice) for comfort. During interview on 4/16/24 at 2:31 p.m. R25 stated on Monday (4/15/24) he was supposed to get a Salisbury steak and potatoes for dinner but instead he received a bowl of soup and half a grilled cheese sandwich. During a follow up interview on 4/17/24 at 12:47 p.m., R25 stated a nursing assistant comes to his room before each meal and gives him two choices off the menu to pick from but he often doesn't get the option he picked. Resident #8 R8's quarterly…

    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
  • No harm found · C2026-02-12 · tag F0732 — widespread
    Post nurse staffing information every day.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and document review, the facility failed to ensure the daily staff posting displayed accurate data regarding the resident census, along with the total number and actual hours worked per shift by nursing staff. This had the potential to affect all 34 residents residing in the facility and their visitor who may wish to review the information.Findings include: Actual working staff schedules on daily assignment sheets for 2/1/26 - 2/11/26 indicated the following:2/1: 6 nurses, 8 CNAs2/2: 6 nurses, 7 CNAs2/3: 6 nurses, 8 CNAs2/4: 6 nurses, 9 CNAs2/5: 5 nurses, 10 CNAs2/6: 6 nurses, 8 CNAs2/7: 6 nurses, 7 CNAs2/8: 6 nurses, 10 CNAs2/9: 6 nurses, 9 CNAs2/10: 6 nurses, 8 CNAs2/11: 6 nurse, 8 CNAs Daily staff postings for 2/1/26 - 2/11/26 indicated the following:2/1: 6 nurses, 5 CNAs2/2: 6 nurses, 6 CNAs2/3: 6 nurses, 6 CNAs2/4: 6 nurses, 6 CNAs2/5: 5 nurses, 6 CNAs2/6: not provided2/7: not provided2/8: 5 nurses, 7 CNAs 2/9: 5 nurses, 5 CNAs2/10: 6 nurses, 6 CNAs2/11: 5 nurse, 6 CNAs During observation on 2/11/26 at 8:24 a.m., facility staff posting at the…

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

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction

“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 GOOD SAMARITAN SOCIETY — 92 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 53.0≈ chain avg
Health inspection 3 of 52.8+0.2 vs chain
Staffing 4 of 54.0≈ chain avg
Quality measures 2 of 52.8-0.8 vs chain
The other 91 homes this chain runs (chain average 3.0★, per CMS)
1 of 5Edgebrook Care CenterEdgerton, MN 1 of 5Good Samaritan - IndianolaIndianola, IA 1 of 5Good Samaritan - Red OakRed Oak, IA 1 of 5Good Samaritan Society - AtkinsonAtkinson, NE 1 of 5Good Samaritan Society - BlackduckBlackduck, MN 1 of 5Good Samaritan Society - Grand Island VillageGrand Island, NE 1 of 5Good Samaritan Society - LakotaLakota, ND 1 of 5Good Samaritan Society - Mary Jane BrownLuverne, MN 1 of 5Good Samaritan Society - St Luke's VillageKearney, NE 1 of 5Good Samaritan Society - WindomWindom, MN 1 of 5Good Samaritan Society De SmetDe Smet, SD 1 of 5Good Samaritan Society MillerMiller, SD 1 of 5Salem Lutheran HomeElk Horn, IA 1 of 5Souris Valley Care CenterVelva, ND 1 of 5St Vincent's - A Prospera CommunityBismarck, ND 1 of 5Sunset Drive - a Prospera CommunityMandan, ND 2 of 5Good Samaritan - AtwoodAtwood, KS 2 of 5Good Samaritan - Decatur CountyOberlin, KS 2 of 5Good Samaritan - EsthervilleEstherville, IA 2 of 5Good Samaritan - MansonManson, IA 2 of 5Good Samaritan - OttumwaOttumwa, IA 2 of 5Good Samaritan - WaukonWaukon, IA 2 of 5Good Samaritan Society - BottineauBottineau, ND 2 of 5Good Samaritan Society - Hastings VillageHastings, NE 2 of 5Good Samaritan Society - OakesOakes, ND 2 of 5Good Samaritan Society - Park RiverPark River, ND 2 of 5Good Samaritan Society - Specialty Care CommunityRobbinsdale, MN 2 of 5Good Samaritan Society - St John'sKearney, NE 2 of 5Good Samaritan Society - St Martin VillageRapid City, SD 2 of 5Good Samaritan Society - SuperiorSuperior, NE 2 of 5Good Samaritan Society - Waconia And Westview AcreWaconia, MN 2 of 5Good Samaritan Society CantonCanton, SD 2 of 5Good Samaritan Society Luther ManorSioux Falls, SD 2 of 5Good Samaritan Society New UnderwoodNew Underwood, SD 2 of 5Good Samaritan Society Sioux Falls CenterSioux Falls, SD 2 of 5Good Samaritan Society Sioux Falls VillageSioux Falls, SD 2 of 5Good Samaritan-LiberalLiberal, KS 2 of 5The Good Samaritan Society-Kissimmee VillageKissimmee, FL 3 of 5Good Samaritan - AlgonaAlgona, IA 3 of 5Good Samaritan - DavenportDavenport, IA

Showing 40 of 91; lowest-rated first.

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
SANFORDOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF100%since 01/01/2019
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETYOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF100%since 01/01/2019
BROWN, GEORGEIndividualCORPORATE DIRECTOR; ADP OF THE SNFsince 01/01/2025
DYKHOUSE, DANAIndividualCORPORATE DIRECTOR; ADP OF THE SNFsince 05/30/2024
ENGBRECHT, WESLEYIndividualCORPORATE DIRECTOR; ADP OF THE SNFsince 05/30/2024
GASSEN, WILLIAMIndividualCORPORATE DIRECTOR; CORPORATE OFFICER; ADP OF THE SNFsince 05/30/2024
GULSVIG, NEILIndividualCORPORATE DIRECTOR; ADP OF THE SNFsince 05/30/2024
HERSETH SANDLIN, STEPHANIEIndividualCORPORATE DIRECTOR; ADP OF THE SNFsince 05/30/2024
LUNDEEN, MARKIndividualCORPORATE DIRECTOR; ADP OF THE SNFsince 05/30/2024
MCCAUSLAND, MAUREENIndividualCORPORATE DIRECTOR; ADP OF THE SNFsince 01/01/2025
MOLBERT, LAURISIndividualCORPORATE DIRECTOR; ADP OF THE SNFsince 05/30/2024
NORTH, ANDREWIndividualCORPORATE DIRECTOR; ADP OF THE SNFsince 05/30/2024
SCHIEFFER, KEVINIndividualCORPORATE DIRECTOR; ADP OF THE SNFsince 01/01/2025
SHULKIN, DAVIDIndividualCORPORATE DIRECTOR; ADP OF THE SNFsince 05/30/2024
TEIKEN, BRENTIndividualCORPORATE DIRECTOR; ADP OF THE SNFsince 05/30/2024
VENTLING-HERRMANN, MARNIEIndividualCORPORATE DIRECTOR; ADP OF THE SNFsince 05/30/2024
WENZEL, THOMASIndividualCORPORATE DIRECTOR; ADP OF THE SNFsince 01/01/2025
FLUIT, JOELIndividualCORPORATE OFFICER; INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF; ADP OF THE SNFsince 10/01/2022
MIDDLETON, AIMEEIndividualCORPORATE OFFICER; ADP OF THE SNFsince 01/27/2022
OLSON, NICHOLASIndividualCORPORATE OFFICER; ADP OF THE SNFsince 04/08/2024
SCHEMA, NATHANIndividualCORPORATE OFFICER; ADP OF THE SNFsince 01/01/2022
MORRISON, TONYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2019
PFANNES, LORETTAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/01/2020
SANDGREN, DEEANDRAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 07/16/2023
TRAMMEL, MATTHEWIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/22/2015
DTN STAFFING INCOrganizationADP OF THE SNFsince 08/02/2024
FOCUSONE SOLUTIONSOrganizationADP OF THE SNFsince 03/04/2024
GRAPE TREE MEDICAL STAFFING LLCOrganizationADP OF THE SNFsince 04/13/2018
PHARMERICA CORPORATIONOrganizationADP OF THE SNFsince 02/01/2025

CMS files one row per role, so the 56 rows in the source record cover these 29 parties — each is shown once here with every role it holds. Nothing is omitted.

6 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.

$5.5M
Net patient revenuemost recent cost report
-4.3%
Operating marginrevenue minus expenses
$848K
Related-party expense15% of expenses
Who pays — share of resident-days
Medicaid 44%Medicare 11%Other / private 45%

This home reported $848K paid to related parties — landlords or management companies under common ownership — equal to about 15% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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

$432per resident / day
operating cost
$13,136per month
≈ monthly operating cost
$414per 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 245207. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-02-12, 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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