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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D11 | E7 | F1 |
| Minimal | A· | B· | C6 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jan 7, 2026 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Jan 7, 2026 | Health | Health Standard | 1 | Potential harm | — | Open → |
| Nov 6, 2024 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Nov 6, 2024 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Feb 13, 2024 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Feb 13, 2024 | Health | Health Complaint, Health Standard | 7 | Potential harm | — | Open → |
| Feb 1, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D11 | E7 | F1 |
| Minimal | A· | B· | C6 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jan 7, 2026 | K-0281 | Install proper backup exit lighting. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 20, 2026 | |
| Jan 7, 2026 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 29, 2026 | |
| Jan 7, 2026 | K-0372 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
10 facilities in 6 states. CMS chain ID 821.
Chain average overall rating (CMS): 3.3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Legacy Senior Services | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jul 23, 2007 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Legacy Senior Services | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jul 23, 2007 |
| Health Dimensions Consulting Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2007 |
| Molly Anderson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2024 |
| Alexis Birky | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Boundary Waters Care Center 200 West Conan Street, Ely, MN 55731 CCN 245138 | 38 | Dec 11, 2025 | 27 | — |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Emmanuel Nursing Home 1415 Madison Avenue, Detroit Lakes, MN 56501 CCN 245489 | 13.4 km | 57 | Apr 3, 2026 | 271 IJ1 harm | $54k | |
| Essentia Health Oak Crossing 1040 Lincoln Avenue, Detroit Lakes, MN 56501 CCN 245212 | 14.3 km | 84 | Dec 3, 2025 | 221 IJ | $7,446 |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 245299 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 245299 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety |
| D · Potential harm Isolated |
| Corrected Jan 20, 2026 |
| Jan 7, 2026 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 23, 2026 |
| Jan 7, 2026 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 20, 2026 |
| Jan 7, 2026 | F-0570 | Assure the security of all personal funds of residents deposited with the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jan 21, 2026 |
| Nov 6, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 2, 2024 |
| Nov 6, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 2, 2024 |
| Nov 6, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 2, 2024 |
| Nov 6, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 2, 2024 |
| Nov 6, 2024 | F-0791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 2, 2024 |
| Nov 6, 2024 | K-0346 | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Dec 2, 2024 |
| Nov 6, 2024 | K-0354 | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Dec 2, 2024 |
| Feb 13, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 4, 2024 |
| Feb 13, 2024 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 4, 2024 |
| Feb 13, 2024 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Mar 4, 2024 | Complaint |
| Feb 13, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 4, 2024 | Complaint |
| Feb 13, 2024 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Mar 4, 2024 |
| Feb 13, 2024 | F-0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Mar 4, 2024 |
| Feb 13, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 4, 2024 |
| Feb 13, 2024 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Feb 22, 2024 |
| Feb 13, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Mar 4, 2024 |
| Feb 13, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Mar 4, 2024 |
| Feb 13, 2024 | F-0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Resident rights & abuse/neglect | C · Minimal Widespread | Corrected Mar 4, 2024 | Complaint |
| Feb 1, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 19, 2024 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.28 (case-mix index 1.46).
| Oct 20, 2013 |
| Patrick Krejci | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2020 |
| Robert Beck | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 8, 2013 |
| Roger Green | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 1, 2007 |
| Joel Jensen | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 7, 2013 |
| Eric Lunde | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Aug 1, 2007 |
| Nadine Paitich | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 19, 2022 |
| Roger Green | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 1, 2007 |
| Eric Lunde | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 1, 2007 |
| First Resource Bank | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Aug 1, 2007 |
| Hdg Real Estate, LLC | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Jan 7, 2020 |
| First Resource Bank | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Aug 1, 2007 |
| Hdg Real Estate, LLC | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Jan 7, 2020 |
| Molly Anderson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2024 |
| Alexis Birky | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 20, 2013 |
| Patrick Krejci | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2024 |
| Kelly Schmidt | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 7, 2019 |