Cycle 1
Health 2025-03-12 · Fire 2025-03-12
5 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Clarkfield, MN
Clarkfield Care Center
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
805 Fifth Street, Box 458, Clarkfield, MN
(320) 669-7561
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
30
Certified beds
Average residents
28
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1991-01-01
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
Hours and turnover
RN hours / resident day
0.51
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
2.63
Nurse aide staffing · state 2.56 · national 2.35
Total nurse hours
4.07
All reported nurse hours · state 4.23 · national 3.89
Licensed hours
1.44
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
3.67
Weekend nurse staffing · state 3.68 · national 3.43
Weekend RN hours
0.45
Weekend registered nurse coverage · state 0.68 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.55
CMS adjusted RN staffing hours
Adjusted total hours
4.38
CMS adjusted total nurse staffing hours
Case-mix index
1.27
Higher values indicate more complex resident acuity
RN turnover
60%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
48%
Annual nurse turnover · state 42% · national 46%
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.49% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 26 · Observed rate 7.69% · Lower 95% interval 6.18% |
| Discharge to community | 52.73% |
50.57%
2.2 pts better
|
No Different than the National Rate · Eligible stays 25 · Observed rate 52% · Lower 95% interval 37.14% |
| Medicare spending per beneficiary | 0.91 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 33 · Denominator 33 |
| Falls with major injury | 3.03% |
0.77%
2.3 pts worse
|
Numerator 1 · Denominator 33 |
| Discharge self-care score | 40% |
53.69%
13.7 pts worse
|
Numerator 12 · Denominator 30 |
| Discharge mobility score | 30% |
50.94%
20.9 pts worse
|
Numerator 9 · Denominator 30 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 33 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 18 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 8.47% |
8.2%
0.3 pts better
|
Numerator 5 · Denominator 59 |
| Staff flu vaccination coverage | 72.06% |
42%
30.1 pts better
|
Numerator 49 · Denominator 68 |
| Discharge function score | 53.33% |
56.45%
3.1 pts worse
|
Numerator 16 · Denominator 30 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.3% |
97.3%
3 pts worse
|
93.4%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 100.0% · Q3 96.0% · Q4 87.0% · 4Q avg 94.3% |
| 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 | 5.7% |
3.9%
1.8 pts worse
|
3.3%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · Q4 17.4% · 4Q avg 5.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.5% |
4.3%
3.2 pts worse
|
11.4%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 8.3% · Q4 4.3% · 4Q avg 7.5% |
| Percentage of long-stay residents who lose too much weight | 6.5% |
4.1%
2.4 pts worse
|
5.4%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 4.8% · 4Q avg 6.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.7% |
12.4%
5.3 pts worse
|
19.6%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 10.0% · Q3 18.2% · Q4 25.0% · 4Q avg 17.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 24.5% |
17.5%
7 pts worse
|
16.7%
7.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 24.5% · 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 · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 20.5% |
22.5%
2 pts better
|
16.3%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 20.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.2% |
18.6%
5.4 pts better
|
14.9%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 13.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.3% |
2.3%
About the same
|
1.0%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.2% |
2.6%
1.4 pts better
|
1.7%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 4.2% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.9% |
24.8%
5.1 pts worse
|
19.8%
10.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q4 31.9% · 4Q avg 29.9% |
| Percentage of long-stay residents with pressure ulcers | 8.4% |
5.4%
3 pts worse
|
5.1%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 8.5% · Q3 4.9% · Q4 9.7% · 4Q avg 8.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 85.8% |
88.6%
2.8 pts worse
|
81.7%
4.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 91.4% · Q2 78.9% · Q3 81.5% · Q4 92.6% · 4Q avg 85.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.9%
1.9 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 81.6% |
82.7%
1.1 pts worse
|
79.7%
1.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 81.6% |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-15 · Fire 2024-05-15
2 health deficiencies
Top issue: Administration (2 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2023-07-13 · Fire 2023-07-13
6 health deficiencies
Top issue: Administration (3 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-03-12
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-05-01
F · Potential for more than minimal harm
2025-03-12
K346 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2025-03-18
F · Potential for more than minimal harm
2025-03-12
K354 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2025-03-18
D · Potential for more than minimal harm
2025-03-12
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-03-18
D · Potential for more than minimal harm
2024-05-15
K919 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2024-05-31
D · Potential for more than minimal harm
2023-07-13
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-08-24
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-03-12
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-05-01
D · Potential for more than minimal harm
2025-03-12
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-05-01
D · Potential for more than minimal harm
2025-03-12
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-01
D · Potential for more than minimal harm
2025-03-12
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-05-01
D · Potential for more than minimal harm
2025-03-12
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-05-01
F · Potential for more than minimal harm
2024-05-15
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-06-04
F · Potential for more than minimal harm
2024-05-15
F944 · Administration Deficiencies
Health
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected 2024-06-04
F · Potential for more than minimal harm
2023-07-13
F865 · Administration Deficiencies
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2023-08-24
F · Potential for more than minimal harm
2023-07-13
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-08-24
F · Potential for more than minimal harm
2023-07-13
F944 · Administration Deficiencies
Health
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected 2023-08-24
D · Potential for more than minimal harm
2023-07-13
F685 · Quality of Life and Care Deficiencies
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2023-08-24
D · Potential for more than minimal harm
2023-07-13
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-08-24
D · Potential for more than minimal harm
2023-07-13
F791 · Quality of Life and Care Deficiencies
Health
Provide or obtain dental services for each resident.
Corrected 2023-08-24
Penalties and ownership
What sits behind the stars
Ownership
Clarkfield Care Center
5% Or Greater Direct Ownership Interest · Organization
Ehrenberg, Michelle
Operational/Managerial Control · Individual
Ehrenberg, Michelle
Corporate Director · Individual
Ehrenberg, Michelle
W-2 Managing Employee · Individual
Knoll, Christopher
Contracted Managing Employee · Individual
Minnewaska Lutheran Home
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
Luther Haven
Montevideo, MN
2-star overall rating with 1-star inspections with $143,108 in total fines with 4 recent health deficiencies
#2
Parkview Home
Belview, MN
1-star overall rating with 1-star inspections with $14,521 in total fines with 8 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Avera Granite Falls Care Center
Granite Falls, MN
4-star overall rating with 2-star inspections with $15,642 in total fines with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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