# Perham Living

Perham Living is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in Perham, MN, CMS Certification Number 245486, with 96 certified beds and about 90 residents per day. CMS rates it 5/5 overall (health inspections 5/5, staffing 5/5, quality measures 3/5).

## Key facts
- Status: Active CMS certification
- Address: 735 Third Street Southwest, Perham, MN 56573 (Otter Tail County)
- Ownership type: Non profit - Corporation

- Operator (legal business name): [Perham Hospital District](https://carefield.site/operator/op-perham-hospital-district)
- CMS chain: not part of a CMS-reported chain

- Phone: 2183471800
- Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/245486

## Inspection record
6 inspections in the CMS window (latest 2026-03-24); 20 citations (6 health, 14 fire safety); 0 at actual harm and 0 at immediate jeopardy; 0 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history.
- 2026-03-24 — [K-0222](https://carefield.site/deficiency/cms-k0222) Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-03-24 — [K-0271](https://carefield.site/deficiency/cms-k0271) Have exits that are accessible at all times. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-03-24 — [K-0351](https://carefield.site/deficiency/cms-k0351) Install an approved automatic sprinkler system. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-03-24 — [K-0761](https://carefield.site/deficiency/cms-k0761) To conduct inspection, testing and maintenance of fire doors by qualified individuals. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2026-03-24 — [F-0605](https://carefield.site/deficiency/cms-f0605) Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-03-24 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-03-24 — [F-0756](https://carefield.site/deficiency/cms-f0756) Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-04-30 — [K-0321](https://carefield.site/deficiency/cms-k0321) Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-04-30 — [K-0353](https://carefield.site/deficiency/cms-k0353) Inspect, test, and maintain automatic sprinkler systems. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2024-06-12 — [K-0324](https://carefield.site/deficiency/cms-k0324) Provide properly protected cooking facilities. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2024-06-12 — [K-0351](https://carefield.site/deficiency/cms-k0351) Install an approved automatic sprinkler system. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2024-06-12 — [K-0353](https://carefield.site/deficiency/cms-k0353) Inspect, test, and maintain automatic sprinkler systems. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2024-06-12 — [K-0363](https://carefield.site/deficiency/cms-k0363) Install corridor and hallway doors that block smoke. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2024-06-12 — [K-0374](https://carefield.site/deficiency/cms-k0374) Install smoke barrier doors that can resist smoke for at least 20 minutes. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2024-06-12 — [K-0521](https://carefield.site/deficiency/cms-k0521) Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2024-06-12 — [K-0753](https://carefield.site/deficiency/cms-k0753) Have restrictions on the use of highly flammable decorations. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2024-06-12 — [K-0923](https://carefield.site/deficiency/cms-k0923) Have proper medical gas storage and administration areas. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2024-06-12 — [F-0584](https://carefield.site/deficiency/cms-f0584) Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2024-06-12 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2024-06-12 — [F-0880](https://carefield.site/deficiency/cms-f0880) Provide and implement an infection prevention and control program. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected

## Penalties
No fines or payment denials in the CMS penalties file (about the last three years).

## Staffing (PBJ, hours per resident per day)
- Total nurse: 5.15702 (state avg 4.26848, US 3.90085)
- RN: 1.2892
- Nursing staff turnover: 36.3%

## Owners and managers of record (CMS disclosures)
- Erika Altstadt — Operational / managerial control, since 2018-10-24
- Jeffrey Blickenstaff — Operational / managerial control, since 1982-07-01
- Tracy Hendrickx — Operational / managerial control, since 2016-10-31

## Sources
- cms_provider_info: https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=245486&conditions%5B0%5D%5Boperator%5D=%3D
- cms_ownership: https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=245486&conditions%5B0%5D%5Boperator%5D=%3D
- cms_health_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=245486&conditions%5B0%5D%5Boperator%5D=%3D
- cms_fire_safety_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=245486&conditions%5B0%5D%5Boperator%5D=%3D
- cms_penalties: https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=245486&conditions%5B0%5D%5Boperator%5D=%3D
- cms_inspection_dates: https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=245486&conditions%5B0%5D%5Boperator%5D=%3D

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Source page: https://carefield.site/facility/cms-245486 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.
