Thief River Care Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

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.

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.

41.4% 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 42 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.14 therapist hours per resident per day in 2026Q1 — more than 11% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 24% 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.

Staffing

How full it usually is: this home is certified for 70 beds and averages 66.6 residents a day — about 95% occupied, or roughly 3 beds typically open. It runs essentially full — expect a waiting list. 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 3.71 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.90 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.31 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 3.36 hrs/resident/day on weekends vs 3.85 on weekdays — 13% thinner on weekends. RN hours go from 1.12 to 0.36 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 41% 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

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

29 citations, most serious first. The 15 most serious are shown; the remaining 14 are one tap away and print in full.

• Immediate jeopardy · Jcited before2025-12-30 · 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 provide adequate supervision for 1 of 1 resident (R1) had a history of exit seeking behavior, communicated a desire to leave the facility and was able to elope. This resulted in an immediate jeopardy (IJ) for R1 when R1 was found outside in a wheelchair during hazardous weather conditions. The IJ began on 12/18/25 at 10:25 a.m., a visitor reported to the director of social services a resident in a wheelchair was stuck in the snow outside by the sidewalk. R1 was last seen by staff at 9:30 a.m. The weather was blizzard-like conditions, temperature approximately 0 to 5 degrees with wind from 38 to 44 miles per hour. R1 wore light weight material sweatpants, long sleeved t-shirt (waffle like material), tan colored gripper socks on his feet, with no coat/gloves/hat. The administrator and assistant director of nursing (ADON), were notified of the IJ on 12/30/25 at 5:45 p.m. The facility implemented corrective action by 12/18/25 prior to 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.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Immediate jeopardy · J2024-04-19 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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 adequate supervision to prevent resident to resident sexual abuse when 1 of 2 resident (R1) who had a recent incident of resident-to-resident sexual abuse was found in the dining room rubbing a second female resident's (R2) genitals. This was an immediate jeopardy for R2 because this type of inappropriate and unwanted sexual contact would reasonably cause anyone to have psychosocial harm. It can be determined that the reasonable person in the resident's position would have experienced severe psychosocial harm including dehumanization and humiliation as a result of the sexual abuse. The immediate jeopardy (IJ) began on 4/13/24, at approximately 1:15 p.m. when R1 was left in the dining room unsupervised and found rubbing the genitals of a female resident (R2) who was unable to leave the area on her own. The IJ was identified on 4/19/24, and the director of nursing (DON) was notified of the IJ on 4/19/24, at 2:00 p.m. The immediate…

  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 · Past Non-Compliance
• Immediate jeopardy · Jcited before2024-01-03 · 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 ensure safe transfer using a mechanical lift during provision of care for 3 of 3 residents (R1, R2, R3) and failed to ensure staff competency following two separate falls from a mechanical lift (R1, R2). This resulted in an Immediate Jeopardy (IJ) for R1, R2, R3. The IJ began on 12/22/23, when R1 fell from the Hoyer lift during provision of care and the facility failed to thoroughly investigate and identify if staff were correctly using the lift per manufacturer's guidelines when the incident occurred. Then, a second fall from a lift occurred on 12/25/23, involving R2 with the same failed response from the facility. The IJ was identified on 1/2/24. The director of nursing (DON) was notified of the immediate jeopardy at 5:55 p.m. on 1/2/24. The IJ was removed on 1/3/24, but non-compliance remained at the lower scope and severity level 2, which indicated no actual harm with potential for more than minimal harm that is not immediate jeopardy…

  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
• Immediate jeopardy · J2023-11-01 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  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 resident advance directives were accurately documented in the clinical record to reflect the residents' current wishes which affected 3 of 28 residents (R57, R32, R25) reviewed for advanced directives. This deficient practice resulted in an immediate jeopardy (IJ) for R57, R32, and R25 who would have received cardiopulmonary resuscitation (CPR), contrary to their wishes, in the absence of a pulse or respirations. The IJ began on [DATE], when R57's, R32's, and R25's electronic health record (EHR) main screen banner identified they were Full Code (administer CPR) however, their updated Physician Orders For Life Sustaining Treatment (POLST) all identified wishes of do not resuscitate (DNR). The administrator, director of nursing (DON), and nurse consultant (NC)-A were notified of the IJ on [DATE], at 4:54 p.m. The IJ was removed on [DATE], at 3:41 p.m. when the facility had implemented corrective action, however non-compliance remained 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-01-16 · 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 dependent resident was toileted per request for 1 of 2 residents (R32) reviewed for accidents. This resulted in actual harm for R32 who fell when self transferring to the toilet and fractured their hip. Findings include: R32's significant change Minimum Data Set (MDS) dated [DATE], identified R32 had severe cognitive impairment. R32 was dependent on staff for toileting transfer and required maximal assistance with toileting hygiene. R32 had no falls prior to admission, however had two or more falls, without injury, since admission. Diagnoses included dementia, kidney failure, diabetes and history of urinary tract infections (UTI). R32's History and Physical dated 1/7/25, identified R32 was being seen for a left intertrochanteric hip fracture following a fall in the nursing home. R32 was forgetful and tried to go to the bathroom on her own which caused her to fall. R32 was to be admitted to the hospital for orthopedic surgery. A Nursing Home…

  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 · E2026-04-01 · tag F0641 — pattern
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and document review, the facility failed to ensure medications were coded correctly on the Minimum Data Set (MDS) for 4 of 7 residents (R22, R62, R29, R46) reviewed for MDS discrepancies. Findings include: R22 R22's significant change MDS dated [DATE], identified R22 had a diagnosis of hyperlipidemia. The MDS identified R22 was taking an anticoagulant, antibiotic, diuretic, and hypoglycemic medications. R22's MDS did not identify they received an antiplatelet medication. R22's March 2026, Medication Administration Record (MAR), identified R22 was receiving the following medications: Aspirin (an antiplatelet medication) 81 mg one a day for hyperlipidemia (high cholesterol or triglycerides). R22 was not receiving an anticoagulant medication during this time, as identified on the MDS. R62 R62's quarterly MDS dated [DATE], identified R62 had a diagnosis of hyperlipidemia. The MDS identified R62 was taking an antipsychotic, antidepressant, anticoagulant, and diuretic medications. R62's MDS 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-01 · 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 follow the care plan for check and change for 1 of 2 residents (R10) observed for activities of daily living (ADLs).Findings include:R10's annual Minimum Data Set (MDS) dated [DATE], identified R10 had severe cognitive impairment with a diagnosis that included cerebral palsy spastic quadriplegia (the most severe form of spastic cerebral palsy, resulting from brain injury before, during, or shortly after birth). R10 was dependent on staff for all care areas.R10's Urinary Incontinence and Indwelling Catheter Care Area assessment dated [DATE], identified R10 had an indwelling urinary catheter in place for chronic urinary retention secondary to cerebral palsy. R10's catheter remained patent with clear yellow urine noted. No signs of obstruction, leakage, or malfunction observed. R10's peri care provided by protocol. R10 had bowel incontinence and was checked every 2 hours and as needed.R10's care plan revised 3/20/25, identified R10 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 · Dcited before2026-04-01 · 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 turning and repositioning was timely for 1 of 1 resident (R10) reviewed who was at risk for the development of pressure ulcers.Findings include:R10's annual Minimum Data Set (MDS) dated [DATE], identified R10 had severe cognitive impairment and included a diagnosis of cerebral palsy spastic quadriplegia (the most severe form of spastic cerebral palsy, resulting from brain injury before, during, or shortly after birth). R10 was dependent on staff in all care areas.R10's Pressure Ulcer/Injury Care Area Assessment (CAA) dated 3/3/26, identified R10 was unable to reliably express needs or discomfort. Braden score indicated moderate risk for skin breakdown. R10's head of bed was typically elevated approximately 30 degrees for positioning and comfort. R10 required pressure-reducing devices for bed and chair and followed a turning/repositioning program. Foot deformity present. R10 had a history of recurrent redness under bilateral…

  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 before2026-04-01 · 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 staff were comprehensively assessing falls and implementing appropriate interventions for 1 of 3 (R50) residents reviewed for falls.Findings include:R50's quarterly Minimum Data Set (MDS) dated [DATE], identified R50 was cognitively intact and was dependent on two staff for activities of daily living (ADL's) including toileting and transfers in/out of wheelchair and on/off the toilet. R50 was non-ambulatory and had contractures of both lower extremities. R50's diagnoses included cerebral palsy, epilepsy, schizophrenia and mild intellectual disability.R50's care plan dated 11/25/24, identified R50 was totally dependent on two staff and required a total mechanical lift (hoyer) for transfers to/from the bed/wheelchair/toilet. R50 was at risk for seizures related to epilepsy. Interventions included monitoring for seizure activity and staying with and ensuring the resident was safe during a seizure. R50 was at risk for falls related to impaired…

  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 · D2026-04-01 · tag F0693 — failed to provide proper feeding-tube care — isolated
  Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
  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 maintained the proper positioning for gastrostomy tube care for 1 of 1 resident (R10) reviewed for tube feedings.Findings include: R10's annual Minimum Data Set (MDS) dated [DATE], identified R10 had severe cognitive impairment and included a diagnosis of cerebral palsy spastic quadriplegia (the most severe form of spastic cerebral palsy, resulting from brain injury before, during, or shortly after birth). R10 had an enteral feeding tube (delivers nutrition directly to the stomach or small intestine for individuals unable to take in adequate calories by mouth) and was dependent on staff for all care areas.R10's care plan revised 3/20/26, identified R10 had an ADL self-care performance deficit related to CP. Staff were directed to ensure R10's head of bed was elevated above 30 degrees when R10 was hooked up to her feeding. However, the care plan failed to identify to pause the feeding during turning and repositioning.R10'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 · Fcited before2025-01-16 · 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 the final rinse on the dishwasher reached 180 degrees Fahrenheit (F) to sanitize dishes. This had the potential to affect 61 of 62 residents who consumed food from the main production kitchen. Findings include: On 1/13/25, at 11:58 a.m., an initial kitchen tour was completed with dietary aide (DA)-A. A single commercial dishwasher was observed along the wall with several hard plastic racks on the conveyor belt in front of machine. DA-A loaded several plate covers onto a hard plastic rack and placed them into the dishwasher. Two gauges were located on the top front of the dishwasher. One gauge was labeled wash and on the gauge next to the 150 F degrees there was black marker identifying the temperature. A second gauge was labeled rinse, and the black marker was marked at 180 F next to the gauge. DA-A identified the temperatures were the minimum required for the dishwasher to reach when monitoring the temperatures. DA-A ran the rack with plate covers through the dishwasher machine three times. On the…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-01-16 · 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 expand COVID-19 testing/ and or contact tracing of staff and residents on other units after residents tested positive for COVID19 per Centers for Disease Control (CDC) guidelines. In addition, the facility failed to implement enhanced barrier precautions (EBP) for 1 of 3 residents (R53) reviewed for activities of daily living (ADLs). This had the potential to affect all 60 residents residing in the facility. Findings include: COVID-19 Testing: The current CDC guidance on COVID-19 in the Nursing Home dated June 2024 included : Perform testing for all residents and HCP identified as close contacts or on the affected unit(s) if using a broad-based approach, regardless of vaccination status. Testing is recommended immediately (but not earlier than 24 hours after the exposure) and, if negative, again 48 hours after the first negative test and, if negative, again 48 hours after the second negative test. This will typically be at day 1 (where…

  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 · E2025-01-16 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  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 food was served at warm, palatable temperatures for 5 of 5 residents (R30, R4, R32, R11,R18) who received meal trays out of temperature range. Findings include: R30's significant change MDS dated [DATE], identified R30 had intact cognition and was independent with eating. On 1/14/25, at 2:00 p.m. R30 stated he ate his meals in his room and the meal trays served were almost always cold. R30 stated this occurred with all the meals served in his room and it did not matter if was breakfast, lunch or supper. On 1/14/25, at 4:56 p.m. the supper meal services were observed on the Blueberry unit where several residents were seated in the dining area waiting for the supper meal. Residents were served a meal of hot dogs and tater tots in the dining room. The supper trays were on an open metal cart with three shelves. Each tray was covered with a dish cover over the plate of food. At 5:18 p.m. nursing assistant (NA)-O began delivering supper…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-16 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
  Reasonably accommodate the needs and preferences of each 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 ensure an assessment was completed for an electric scooter to increase mobility for 1 of 1 residents (R57) reviewed for accomadation of needs. Findings include: R57's significant change Minimum Data Set (MDS) dated [DATE], identified R57 was cognitively intact, was independent with bed mobility, no functional limitation in range of motion of upper or lower extremities, and used a walker and wheelchair for mobility. R57 participated in physical and occupational therapy during the assessment period. R57's care plan revised on 11/14/24, identified R57 was independent with bed mobility, required assistance of one staff and gait belt to transfer between surfaces, and required stand-by assistance while walking with a walker. The plan failed to identify use of an electric scooter. On 1/13/25 at 6:20 p.m., R57 stated she had an electric scooter at home and talked to staff about it. R57's son brought the scooter to the facility; however, R57…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-16 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and document review, the facility failed to update the care plan with a new transfer status for 1 of 2 residents (R32) reviewed for falls; and the facility failed to update the care plan with a new turning and repositioning schedule for 1 of 2 residents (R8) reviewed for pressure ulcers. Findings include: R32's significant change Minimum Data Set (MDS) dated [DATE], identified R32 had severe cognitive impairment. R32 was dependent on staff for toileting transfer. R32's History and Physical dated 1/7/25, identified R32 was seen for a left intertrochanteric hip fracture following a fall in the nursing home. R32 was to be admitted to the hospital for orthopedic surgery. R32's care plan dated 1/14/25, identified R32 required assistance with activities of daily living (ADLs) and was weight bearing as tolerated. Staff were to assist R32 with assist of one and gait belt to transfer. R32 had a recent left hip fracture related to a fall with surgical intervention. Staff were directed to anticipate 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

“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.

Fines & penalties

$245,902 in federal fines across 5 penalties. 2 Medicare payment denials on record.

• $26,685 — penalty dated 2025-12-30
• $124,800 — penalty dated 2025-01-16
• $19,800 — penalty dated 2024-04-12
• $65,302 — penalty dated 2024-01-03
• $9,315 — penalty dated 2023-11-01
• Medicare payment denial — starting 2025-02-19 for 23 days
• Medicare payment denial — starting 2023-11-29 for 2 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.

Part of a chain

This home belongs to ST. FRANCIS HEALTH SERVICES — 14 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 →

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

CMS files one row per role, so the 114 rows in the source record cover these 42 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

3 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.

This home reported $215K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in MN