| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D28 | E4 | F12 |
| 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 | |
|---|---|---|---|---|---|---|
| Aug 28, 2026 | Health | Health Complaint | 4 | Immediate jeopardy | 3 | Open → |
| Jun 10, 2026 | Fire safety | Fire Safety Standard | 10 | Potential harm | — | Open → |
| Jun 10, 2026 | Health | Health Complaint, Health Standard | 11 | Potential harm | — | Open → |
| Mar 5, 2026 | Health | Health Complaint | 4 | Immediate jeopardy | — | Open → |
| Jan 22, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 25, 2025 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Aug 21, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Apr 9, 2025 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Apr 9, 2025 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Feb 8, 2024 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Feb 8, 2024 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Dec 20, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Mar 5, 2026 | Civil money penalty (fine) | $154,460 | — | 245502|Fine|138637 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D28 | E4 | F12 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 28, 2026 | 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 | J · Immediate jeopardy Isolated | Past non-compliance Aug 19, 2026 | Complaint |
| Aug 28, 2026 | 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 | No plan of correction |
“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.
23 facilities in 4 states. CMS chain ID 75.
Chain average overall rating (CMS): 2.8
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Benedictine Health System | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2008 |
| Gerald Carley | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 3, 2018 |
| Lisa Anderson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Nov 16, 2023 |
| Rachel Beitz | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Nov 7, 2019 |
| Hallie Fischer | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Nov 16, 2023 |
| Taylar Hack | Individual |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Madonna Towers of Rochester 4001 19th Avenue Northwest, Rochester, MN 55901 CCN 245153 | 62 | Jun 4, 2026 | 311 IJ1 harm | $10k | |
| Sainte Anne Extended Healthcare 1347 West Broadway Street, Winona, MN 55987 CCN 245233 |
Coordinates as published by CMS.
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 245502 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 245502 | 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
| Complaint |
| Aug 28, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | No plan of correction | Complaint |
| Aug 28, 2026 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | No plan of correction | Complaint |
| Jun 10, 2026 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 9, 2026 |
| Jun 10, 2026 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 9, 2026 |
| Jun 10, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 9, 2026 |
| Jun 10, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 9, 2026 |
| Jun 10, 2026 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 9, 2026 |
| Jun 10, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 9, 2026 |
| Jun 10, 2026 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 30, 2026 |
| Jun 10, 2026 | K-0781 | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 9, 2026 |
| Jun 10, 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 | Corrected Jul 9, 2026 |
| Jun 10, 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 Jul 9, 2026 |
| Jun 10, 2026 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 8, 2026 | Complaint |
| Jun 10, 2026 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 8, 2026 |
| Jun 10, 2026 | F-0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 8, 2026 |
| Jun 10, 2026 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 8, 2026 |
| Jun 10, 2026 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 8, 2026 |
| Jun 10, 2026 | 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 Jul 8, 2026 | Complaint |
| Jun 10, 2026 | 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 | D · Potential harm Isolated | Corrected Jul 8, 2026 |
| Jun 10, 2026 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Jul 8, 2026 |
| Jun 10, 2026 | 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 Jul 8, 2026 |
| Jun 10, 2026 | 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 Jul 8, 2026 |
| Jun 10, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Jul 8, 2026 |
| Mar 5, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Apr 3, 2026 | Complaint |
| Mar 5, 2026 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 3, 2026 | Complaint |
| Mar 5, 2026 | 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 3, 2026 | Complaint |
| Mar 5, 2026 | F-0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 3, 2026 | Complaint |
| Jan 22, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 6, 2026 | Complaint |
| Sep 25, 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 | Corrected Oct 27, 2025 | Complaint |
| Sep 25, 2025 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 27, 2025 | Complaint |
| Aug 21, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 3, 2025 | Complaint |
| Aug 21, 2025 | F-0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Oct 3, 2025 | Complaint |
| Aug 21, 2025 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Oct 3, 2025 | Complaint |
| Apr 9, 2025 | K-0331 | Construct fire resistant interior walls. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 9, 2025 |
| Apr 9, 2025 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 9, 2025 |
| Apr 9, 2025 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | F · Potential harm Widespread | Corrected May 9, 2025 |
| Apr 9, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 9, 2025 |
| Apr 9, 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 May 9, 2025 |
| Feb 8, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 16, 2024 |
| Feb 8, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 16, 2024 |
| Feb 8, 2024 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 12, 2024 |
| Feb 8, 2024 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 16, 2024 |
| Feb 8, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 16, 2024 |
| Feb 8, 2024 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Feb 16, 2024 |
| Dec 20, 2023 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jan 5, 2024 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.16 (case-mix index 1.14).
| Corporate officer / director |
| CORPORATE DIRECTOR |
| not provided |
| Jul 1, 2022 |
| Tanner Holten | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 1, 2021 |
| Colleen Kappes | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 1, 2021 |
| Kailey Mykleseth | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 1, 2021 |
| Ryan Palm | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Nov 7, 2019 |
| Bruce Ring | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2016 |
| Tricia Bergien | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Nov 16, 2016 |
| Kevin Rymanowski | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2008 |
| Morgan Hviding | Individual | Managing employee | CONTRACTED MANAGING EMPLOYEE | not provided | Jul 25, 2022 |
| Timothy Luithle | Individual | Managing employee | CONTRACTED MANAGING EMPLOYEE | not provided | Jan 1, 2024 |
| 103 |
| May 21, 2026 |
512 harm |
| $23k |
| Benedictine Health Center 935 Kenwood Avenue, Duluth, MN 55811 CCN 245236Abuse icon | 96 | May 27, 2026 | 462 IJ | — |
| Regina Senior Living 1175 Nininger Road, Hastings, MN 55033 CCN 245254 | 57 | Feb 26, 2026 | 441 IJ1 harm | — |
| Benedictine Health Center of Minneapolis 618 East 17th Street, Minneapolis, MN 55404 CCN 245266 | 90 | Jul 6, 2026 | 351 IJ1 harm | $85k |
| Benedictine Health Center Innsbruck 1101 Black Oak Drive, New Brighton, MN 55112 CCN 245310 | 105 | Aug 20, 2026 | 581 IJ1 harm | $16k |
| Benedictine Living Community Mother of Mercy 230 Church Avenue, Box 676, Albany, MN 56307 CCN 245339 | 76 | Jul 15, 2026 | 491 IJ2 harm | $98k |
| Benedictine Living Community Owatonna 2255 30th Street NW, Owatonna, MN 55060 CCN 245426 | 79 | Aug 26, 2026 | 482 IJ2 harm | $37k |