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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D11 | E· | F5 |
| Minimal | A· | B· | C· |
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 | |
|---|---|---|---|---|---|---|
| Jul 16, 2026 | Fire safety | Fire Safety Standard | 5 | Potential harm | 1 | Open → |
| Jul 16, 2026 | Health | Health Standard | 0 | No citations | — | Open → |
| Apr 2, 2025 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Apr 2, 2025 | Health | Health Complaint, Health Standard | 4 | Potential harm | — | Open → |
| Apr 3, 2024 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Apr 3, 2024 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D11 | E· | F5 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 16, 2026 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 20, 2026 | |
| Jul 16, 2026 | 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 Jul 21, 2026 | |
| Jul 16, 2026 | K-0363 |
“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.
13 facilities in 3 states. CMS chain ID 61.
Chain average overall rating (CMS): 4.1
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Avera Health | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Mar 1, 2016 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Avera Health | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Mar 1, 2016 |
| Avera Marshall | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 17, 2016 |
| James Dover | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 23, 2023 |
| Thomas Kooiman | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 29, 2022 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Avera Morningside Heights Care Center 300 South Bruce Street, Marshall, MN 56258 CCN 245228 | 76 | Mar 24, 2026 | 211 IJ2 harm | $17k | |
| Avera Granite Falls Care Center 250 Jordan Drive, Granite Falls, MN 56241 CCN 245243 |
Coordinates as published by CMS.
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 245357 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 245357 | 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
| Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety |
| D · Potential harm Isolated |
| Corrected Aug 4, 2026 |
| Jul 16, 2026 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 20, 2026 |
| Jul 16, 2026 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Plan of correction, not yet verified Sep 24, 2026 |
| Apr 2, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 28, 2025 |
| Apr 2, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 28, 2025 |
| Apr 2, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 28, 2025 |
| Apr 2, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 12, 2025 | Complaint |
| Apr 2, 2025 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 12, 2025 | Complaint |
| Apr 2, 2025 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 12, 2025 |
| Apr 2, 2025 | F-0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 12, 2025 |
| Apr 3, 2024 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 1, 2024 |
| Apr 3, 2024 | F-0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Waiver granted |
| Apr 3, 2024 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 1, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.10 (case-mix index 1.15).
| Christopher Reynolds | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2023 |
| Sharon Hennen | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2023 |
| Lavonne Koenen | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2020 |
| Thomas Lorang | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2024 |
| Curtis Louwagie | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 11, 2017 |
| Karie Novak | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2024 |
| Tim O'leary | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2023 |
| Christopher Reynolds | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2023 |
| Amanda Sieling | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2018 |
| Jill Vroman | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2023 |
| Jodelle Zimmerman | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2017 |
| Christy Coudron | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 1, 2020 |
| Thomas Kooiman | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 29, 2022 |
| Julie Lautt | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 1, 2020 |
| Debra Streier | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 1, 2021 |
| Thomas Kooiman | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 16, 2026 |
| Christopher Reynolds | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 12, 2026 |
| 48 |
| Sep 2, 2026 |
241 IJ1 harm2 open |
| $16k |