Loading facility…
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D8 | E4 | F4 |
| 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 | |
|---|---|---|---|---|---|---|
| Apr 22, 2026 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Apr 22, 2026 | Health | Health Standard | 0 | No citations | — | Open → |
| Feb 20, 2025 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Feb 20, 2025 | Health | Health Complaint, Health Standard | 8 | Potential harm | — | Open → |
| Jan 22, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Apr 10, 2024 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Apr 10, 2024 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D8 | E4 | F4 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Apr 22, 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 Apr 23, 2026 | |
| Apr 22, 2026 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 23, 2026 | |
| Feb 20, 2025 | K-0211 |
“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.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Johnson Memorial Health Services | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jun 6, 1972 |
| Jacob Redepenning | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 18, 2024 |
| Erik Shelstad | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2021 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Johnson Memorial Health Services | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jun 6, 1972 |
| Jacob Redepenning | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 18, 2024 |
| Erik Shelstad | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2021 |
| Crystal Bothun | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Aug 4, 2024 |
| Crystal Bothun |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Madison Healthcare Services 900 Second Avenue, Madison, MN 56256 CCN 245382 | 13.6 km | 51 | Jan 27, 2026 | 251 IJ | $10k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 245485 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 245485 | 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
| Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety |
| D · Potential harm Isolated |
| Corrected Feb 20, 2025 |
| Feb 20, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 20, 2025 |
| Feb 20, 2025 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 20, 2025 |
| Feb 20, 2025 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 28, 2025 | Complaint |
| Feb 20, 2025 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Apr 28, 2025 | Complaint |
| Feb 20, 2025 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 28, 2025 | Complaint |
| Feb 20, 2025 | 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 Apr 28, 2025 |
| Feb 20, 2025 | F-0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Apr 28, 2025 |
| Feb 20, 2025 | 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 Apr 28, 2025 |
| Feb 20, 2025 | F-0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Apr 28, 2025 |
| Jan 22, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Past non-compliance Jan 16, 2025 | Complaint |
| Apr 10, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 8, 2024 |
| Apr 10, 2024 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 8, 2024 |
| Apr 10, 2024 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 8, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 6.14 (case-mix index 1.06).
| Individual |
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Aug 4, 2024 |
| Jacob Redepenning | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 18, 2024 |
| Erik Shelstad | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2021 |
| Crystal Bothun | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 7, 2024 |
| Jacob Redepenning | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Nov 18, 2024 |
| Crystal Bothun | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 7, 2024 |
| Jacob Redepenning | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 18, 2024 |
| Erik Shelstad | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2021 |