8 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
7 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Hastings, MN
5-star overall rating with 3-star inspections with 8 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
930 West 16th Street, Hastings, MN
(651) 437-6176
Overall
5 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
72
Certified beds
Average residents
64
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Cassia
Operator or chain grouping
Approved since
1978-11-06
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
16 facilities
Chain averages 5 overall / 4 health / 5 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
1.30
Registered nurse staffing · state 1.06 · national 0.68
LPN hours / resident day
0.76
Licensed practical nurse staffing · state 0.62 · national 0.87
Aide hours / resident day
2.74
Nurse aide staffing · state 2.56 · national 2.35
Total nurse hours
4.80
All reported nurse hours · state 4.23 · national 3.89
Licensed hours
2.06
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
4.25
Weekend nurse staffing · state 3.68 · national 3.43
Weekend RN hours
0.80
Weekend registered nurse coverage · state 0.68 · national 0.47
Physical therapist
0.12
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
1.44
CMS adjusted RN staffing hours
Adjusted total hours
5.32
CMS adjusted total nurse staffing hours
Case-mix index
1.23
Higher values indicate more complex resident acuity
RN turnover
14%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
37%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Program rank
1,053
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
60.47
Composite VBP score used to determine payment impact.
Payment multiplier
1.0156
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.83
Baseline 17.24% · Performance 18.73% · Measure score 5.83 · Achievement 5.83 · Improvement 0
Healthcare-associated infections
6.37
Baseline 5.02% · Performance 5.93% · Measure score 6.37 · Achievement 6.37 · Improvement 0
Total nurse turnover
5.34
Performance 41.86% · Measure score 5.34 · Achievement 5.34 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
6.65
Baseline 4.82 hours · Performance 4.97 hours · Measure score 6.65 · Achievement 6.65 · Improvement 1.01
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.42% |
10.72%
0.3 pts better
|
No Different than the National Rate · Eligible stays 166 · Observed rate 9.04% · Lower 95% interval 7.92% |
| Discharge to community | 67.26% |
50.57%
16.7 pts better
|
Better than the National Rate · Eligible stays 151 · Observed rate 67.55% · Lower 95% interval 60.85% |
| Medicare spending per beneficiary | 0.76 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 98.66% |
95.27%
3.4 pts better
|
Numerator 147 · Denominator 149 |
| Falls with major injury | 0.67% |
0.77%
0.1 pts better
|
Numerator 1 · Denominator 149 |
| Discharge self-care score | 48.03% |
53.69%
5.7 pts worse
|
Numerator 61 · Denominator 127 |
| Discharge mobility score | 55.91% |
50.94%
5 pts better
|
Numerator 71 · Denominator 127 |
| Pressure ulcers or injuries, new or worsened | 0.67% |
2.29%
1.6 pts better
|
Numerator 1 · Denominator 149 · Adjusted rate 0.79% |
| Healthcare-associated infections requiring hospitalization | 5.93% |
7.12%
1.2 pts better
|
No Different than the National Rate · Eligible stays 84 · Observed rate 2.38% · Lower 95% interval 3.18% |
| Staff COVID-19 vaccination coverage | 11.33% |
8.2%
3.1 pts better
|
Numerator 17 · Denominator 150 |
| Staff flu vaccination coverage | 14.86% |
42%
27.1 pts worse
|
Numerator 33 · Denominator 222 |
| Discharge function score | 58.27% |
56.45%
1.8 pts better
|
Numerator 74 · Denominator 127 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 99 · Denominator 99 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 29 · Denominator 29 |
| Resident COVID-19 vaccinations up to date | 41.98% |
25.2%
16.8 pts better
|
Numerator 34 · Denominator 81 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.1% |
97.3%
0.8 pts better
|
93.4%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.6% · Q2 97.4% · Q3 100.0% · Q4 97.5% · 4Q avg 98.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
96.1%
3.9 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.6% |
3.9%
3.3 pts better
|
3.3%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.4% |
4.3%
2.9 pts better
|
11.4%
10 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.7% · Q3 0.0% · Q4 0.0% · 4Q avg 1.4% |
| Percentage of long-stay residents who lose too much weight | 1.7% |
4.1%
2.4 pts better
|
5.4%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.1% · Q3 0.0% · Q4 3.6% · 4Q avg 1.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.3% |
12.4%
1.9 pts worse
|
19.6%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.7% · Q2 18.8% · Q3 12.0% · Q4 10.7% · 4Q avg 14.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.2% |
17.5%
1.3 pts better
|
16.7%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.0% · Q2 14.3% · Q3 17.9% · Q4 16.7% · 4Q avg 16.2% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 9.9% |
22.5%
12.6 pts better
|
16.3%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 9.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.0% |
18.6%
11.6 pts better
|
14.9%
7.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 9.7% · Q3 0.0% · Q4 3.7% · 4Q avg 7.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
2.3%
2.3 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.3% |
2.6%
1.3 pts better
|
1.7%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.6% · Q3 0.0% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.9% |
24.8%
5.9 pts better
|
19.8%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.5% · Q2 11.5% · Q3 25.0% · Q4 22.0% · 4Q avg 18.9% |
| Percentage of long-stay residents with pressure ulcers | 5.5% |
5.4%
0.1 pts worse
|
5.1%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.0% · Q2 5.3% · Q3 5.0% · Q4 2.5% · 4Q avg 5.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.8% |
88.6%
10.2 pts better
|
81.7%
17.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.3% · Q2 99.4% · Q3 97.9% · Q4 99.5% · 4Q avg 98.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.6% |
14.0%
2.6 pts worse
|
12.0%
4.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.6% · Observed 16.1% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% |
1.9%
0.4 pts better
|
1.6%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.0% · Q3 1.7% · Q4 2.2% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.7% |
82.7%
14 pts better
|
79.7%
17 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 12.6% |
23.1%
10.5 pts better
|
23.9%
11.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 12.6% · Observed 10.8% · Expected 20.4% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
7 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Infection Control (3 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire Safety
Meet other general requirements.
Corrected 2025-07-14
Fire Safety
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.
Corrected 2025-07-14
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-07-14
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-07-14
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-07-14
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-07-14
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-07-14
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-05-06
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-06
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-05-06
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-05-06
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-05-06
Fire Safety
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.
Corrected 2023-08-24
Inspection history
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-12-16
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-07-07
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-07
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-07-07
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-07
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-07-07
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-07-07
Health
Provide or obtain dental services for each resident.
Corrected 2025-07-07
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-03
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-05-03
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-05-03
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-05-03
Health
Provide activities to meet all resident's needs.
Corrected 2024-05-03
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-03
Health
Implement a program that monitors antibiotic use.
Corrected 2024-05-03
Health
Post nurse staffing information every day.
Corrected 2024-05-03
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-05-03
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Nearby options
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