2 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
3 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Le Center, MN
3-star overall rating with 2-star inspections with $21,048 in total fines with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
444 North Cordova, Le Center, MN
(507) 357-2275
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
40
Certified beds
Average residents
24
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1986-12-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.89
Registered nurse staffing · state 1.06 · national 0.68
LPN hours / resident day
0.93
Licensed practical nurse staffing · state 0.62 · national 0.87
Aide hours / resident day
2.38
Nurse aide staffing · state 2.56 · national 2.35
Total nurse hours
4.19
All reported nurse hours · state 4.23 · national 3.89
Licensed hours
1.82
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
3.75
Weekend nurse staffing · state 3.68 · national 3.43
Weekend RN hours
0.54
Weekend registered nurse coverage · state 0.68 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
1.02
CMS adjusted RN staffing hours
Adjusted total hours
4.84
CMS adjusted total nurse staffing hours
Case-mix index
1.19
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
29%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Program rank
8,502
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
26.54
Composite VBP score used to determine payment impact.
Payment multiplier
0.9842
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
3.35
Baseline 46.88% · Performance 50.00% · Measure score 3.35 · Achievement 3.35 · Improvement 0
Adjusted total nurse staffing
1.96
Baseline 4.23 hours · Performance 3.64 hours · Measure score 1.96 · Achievement 1.96 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 12 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 9 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | Not Available |
1.02
|
Too few residents or stays to report publicly. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 13 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 6 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 16.18% |
8.2%
8 pts better
|
Numerator 11 · Denominator 68 |
| Staff flu vaccination coverage | 37.18% |
42%
4.8 pts worse
|
Numerator 29 · Denominator 78 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 61.8% |
97.3%
35.5 pts worse
|
93.4%
31.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 63.6% · Q2 52.2% · Q3 66.7% · Q4 65.2% · 4Q avg 61.8% |
| 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 | 4.5% |
3.9%
0.6 pts worse
|
3.3%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 4.3% · Q3 4.8% · Q4 4.3% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.4% |
4.3%
0.9 pts better
|
11.4%
8 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.4% |
| 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 · 4Q avg 1.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.1% |
12.4%
3.7 pts worse
|
19.6%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 16.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 23.3% |
17.5%
5.8 pts worse
|
16.7%
6.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 23.3% · 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 need for help with daily activities has increased | 6.5% |
18.6%
12.1 pts better
|
14.9%
8.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 6.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 7.3% |
2.3%
5 pts worse
|
1.0%
6.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 10.0% · Q4 5.0% · 4Q avg 7.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
2.6%
2.6 pts better
|
1.7%
1.7 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 new or worsened bowel or bladder incontinence | 17.3% |
24.8%
7.5 pts better
|
19.8%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 17.3% |
| Percentage of long-stay residents with pressure ulcers | 8.6% |
5.4%
3.2 pts worse
|
5.1%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 8.7% · Q3 10.3% · Q4 15.1% · 4Q avg 8.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 73.2% |
88.6%
15.4 pts worse
|
81.7%
8.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 73.2% |
| Percentage of short-stay residents who newly received an antipsychotic medication | 7.9% |
1.9%
6 pts worse
|
1.6%
6.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 7.9% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (1 deficiency)
3 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Top issue: Infection Control (1 deficiency)
14 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (5 deficiencies)
Top issue: Administration (4 deficiencies)
10 fire-safety deficiencies
Top issue: Emergency Preparedness (7 deficiencies)
Fire safety
Fire Safety
Have simulated fire drills held at unexpected times.
Not marked corrected
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Not marked corrected
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Not marked corrected
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-04-10
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-03-31
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-03-31
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-03-31
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-31
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-03-31
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-03-31
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-03-31
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2025-03-31
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-03-31
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-03-31
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-03-31
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-03-31
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-03-31
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-03-02
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-03-02
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-01-05
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-03-02
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-01-26
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-01-26
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-01-26
Fire Safety
Establish staff and initial training requirements.
Corrected 2023-05-12
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-05-12
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-05-12
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-06
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-08-06
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-31
Health
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.
Corrected 2025-03-31
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-03-31
Health
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.
Corrected 2024-01-18
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-01-18
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-01-18
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-08-18
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2023-08-10
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-08-28
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2023-08-28
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-08-03
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-05-12
Penalties and ownership
Fine · fine $21,048
Fine
Payment Denial · denial start 2023-08-18 · 10 days
10 day denial
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
W-2 Managing Employee · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
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