Federal inspection record · CMS data as of October 1, 2026
Avera Granite Falls Care Center
250 Jordan Drive, Granite Falls, MN · (320) 564-3111
- Certified beds
- 48
- Residents per day
- 47
- Ownership
- Non-Profit
- Chain
- Avera Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 6, 1981
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Minnesota.
-
Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Minnesota homes
Avera Granite Falls Care Center carries 37 inspection points. That is fewer than 60% of Minnesota's 335 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Minnesota: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–30 pts
- 3★ 30–54 pts
- 2★ 54–92 pts
- 1★ over 92 pts
Bars show every rated home in Minnesota by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
16 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Everything else, by area of care
Infection Control4F
- F
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Resident Rights3F
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- F
Ensure residents have reasonable access to and privacy in their use of communication methods.
- E
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Pharmacy Service2D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Quality of Life and Care2D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Resident Assessment and Care Planning1D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Administration1D
- D
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Inspection history
2026-09-02
2 health deficiencies · 3 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2025-09-10
5 health deficiencies · 4 fire-safety deficiencies
Top issue: Infection Control (3 deficiencies)
2024-07-17
9 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 52 min of nursing staff time a day, 42 min of it from a registered nurse.
This home
3 h 52 min
Minnesota average
4 h 16 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 26% of nursing staff and 42% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$15,642 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-05-02 | Fine | $15,642 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.6 pts better | 98.9% | 97.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.7 pts better | 98.1% | 96.4% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.3 pts better | 2.8% | 4.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.1 pts better | 0.0% | 4.1% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.3 pts worse | 7.2% | 3.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.6 pts better | 6.1% | 12.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication12.3 pts better | 4.9% | 17.2% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened7.5 pts better | 11.3% | 18.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7 pts better | 11.2% | 18.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 1.2% | 1.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts worse | 3.4% | 2.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.9 pts worse | 25.6% | 23.7% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.6 pts better | 2.5% | 5.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine6.9 pts worse | 81.2% | 88.1% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.9 pts better | 0.0% | 1.9% | 1.5% |
·
Who owns and runs it
17 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Avera Marshall | 5% Or Greater Direct Ownership Interest · Organization | 100% | 2 facilities |
| Avera Health | Indirect Ownership Interest · Organization | 0% | 11 facilities |
| Barber, Daniel | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Carter, Darrell | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Carter, Darrell | Adp Of The SNF · Individual | 0% | 1 facilities |
| Coudron, Christy | Corporate Officer · Individual | 0% | 3 facilities |
| Jensen, Mark | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Koenen, Lavonne | Managing Control - Governing Body · Individual | 0% | 3 facilities |
| Kooiman, Thomas | Corporate Officer · Individual | 0% | 2 facilities |
| Kooiman, Thomas | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Kooiman, Thomas | Adp Of The SNF · Individual | 0% | 2 facilities |
| Lautt, Julie | Corporate Officer · Individual | 0% | 9 facilities |
| Lautt, Julie | Adp Of The SNF · Individual | 0% | 9 facilities |
| Rios Avendano, Rosa | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Streich, Lisa | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Streier, Debra | Corporate Officer · Individual | 0% | 3 facilities |
| Welbig, Lucille | Managing Control - Governing Body · Individual | 0% | 5 facilities |
·
Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4F
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Provide properly protected cooking facilities.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
Egress2D
- D
Have horizontal exits used in accordance with safety requirements.
- D
Install emergency lighting that can last at least 1 1/2 hours.
Gas, Vacuum, and Electrical Systems1D
- D
Have generator or other power source capable of supplying service within 10 seconds.
Services1F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
·
Other homes nearby
-
Parkview Home
Belview, MN
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- —
- Fines
- $14,521
-
Clara City Care Center
Clara City, MN
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 9 min
- Fines
- $13,260
-
Luther Haven
Montevideo, MN
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 13 min
- Fines
- $101,268