6 health deficiencies
Top issue: Resident Rights (3 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Pine Island, MN
3-star overall rating with 3-star inspections with $14,898 in total fines with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
210 Northwest 3rd Street, Pine Island, MN
(507) 356-8304
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
70
Certified beds
Average residents
53
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1986-11-01
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
1.45
Registered nurse staffing · state 1.06 · national 0.68
LPN hours / resident day
0.72
Licensed practical nurse staffing · state 0.62 · national 0.87
Aide hours / resident day
2.69
Nurse aide staffing · state 2.56 · national 2.35
Total nurse hours
4.87
All reported nurse hours · state 4.23 · national 3.89
Licensed hours
2.17
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
4.24
Weekend nurse staffing · state 3.68 · national 3.43
Weekend RN hours
0.95
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
1.65
CMS adjusted RN staffing hours
Adjusted total hours
5.52
CMS adjusted total nurse staffing hours
Case-mix index
1.21
Higher values indicate more complex resident acuity
RN turnover
65%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
65%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Program rank
5,446
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
36.16
Composite VBP score used to determine payment impact.
Payment multiplier
0.9896
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.75
Baseline 19.37% · Performance 18.77% · Measure score 5.75 · Achievement 5.75 · Improvement 2.07
Healthcare-associated infections
2.84
Baseline 5.59% · Performance 6.99% · Measure score 2.84 · Achievement 2.84 · Improvement 0
Total nurse turnover
0.44
Baseline 73.56% · Performance 68.97% · Measure score 0.44 · Achievement 0 · Improvement 0.44
Adjusted total nurse staffing
5.43
Baseline 3.97 hours · Performance 4.62 hours · Measure score 5.43 · Achievement 5.43 · Improvement 3.11
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.7% |
10.72%
About the same
|
No Different than the National Rate · Eligible stays 63 · Observed rate 12.7% · Lower 95% interval 6.97% |
| Discharge to community | 47.46% |
50.57%
3.1 pts worse
|
No Different than the National Rate · Eligible stays 65 · Observed rate 35.38% · Lower 95% interval 35.76% |
| Medicare spending per beneficiary | 0.84 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 98.63% |
95.27%
3.4 pts better
|
Numerator 72 · Denominator 73 |
| Falls with major injury | 1.37% |
0.77%
0.6 pts worse
|
Numerator 1 · Denominator 73 |
| Discharge self-care score | 36.73% |
53.69%
17 pts worse
|
Numerator 18 · Denominator 49 |
| Discharge mobility score | 40.82% |
50.94%
10.1 pts worse
|
Numerator 20 · Denominator 49 |
| Pressure ulcers or injuries, new or worsened | 2.74% |
2.29%
0.5 pts worse
|
Numerator 2 · Denominator 73 · Adjusted rate 2.41% |
| Healthcare-associated infections requiring hospitalization | 6.99% |
7.12%
0.1 pts better
|
No Different than the National Rate · Eligible stays 58 · Observed rate 8.62% · Lower 95% interval 4.33% |
| Staff COVID-19 vaccination coverage | 9.4% |
8.2%
1.2 pts better
|
Numerator 11 · Denominator 117 |
| Staff flu vaccination coverage | 33.33% |
42%
8.7 pts worse
|
Numerator 40 · Denominator 120 |
| Discharge function score | 42.86% |
56.45%
13.6 pts worse
|
Numerator 21 · Denominator 49 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 96.3% |
96.28%
About the same
|
Numerator 26 · Denominator 27 |
| Resident COVID-19 vaccinations up to date | 45.71% |
25.2%
20.5 pts better
|
Numerator 16 · Denominator 35 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
1.7
0.1 pts worse
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 2.0 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.4 |
2.0
1.6 pts better
|
1.8
1.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.3 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 60.6% |
97.3%
36.7 pts worse
|
93.4%
32.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 63.3% · Q2 58.3% · Q3 57.7% · Q4 63.6% · 4Q avg 60.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.4% |
96.1%
1.7 pts worse
|
95.5%
1.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.7% |
3.9%
0.8 pts worse
|
3.3%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 4.2% · Q3 3.8% · Q4 6.8% · 4Q avg 4.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.1% |
4.3%
3.2 pts better
|
11.4%
10.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.2% · Q4 2.3% · 4Q avg 1.1% |
| Percentage of long-stay residents who lose too much weight | 6.8% |
4.1%
2.7 pts worse
|
5.4%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 5.6% · Q3 10.3% · Q4 8.3% · 4Q avg 6.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.2% |
12.4%
5.2 pts better
|
19.6%
12.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 5.3% · Q3 7.7% · Q4 10.8% · 4Q avg 7.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.4% |
17.5%
2.1 pts better
|
16.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 14.3% · Q3 18.8% · Q4 18.8% · 4Q avg 15.4% · 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 | 23.1% |
22.5%
0.6 pts worse
|
16.3%
6.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 23.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.8% |
18.6%
0.8 pts better
|
14.9%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.6% · Q2 23.7% · Q3 15.8% · Q4 13.9% · 4Q avg 17.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.7% |
2.3%
1.4 pts worse
|
1.0%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 1.8% · Q3 6.9% · Q4 3.4% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.6% |
2.6%
1 pts better
|
1.7%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.8% · Q4 2.3% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 32.4% |
24.8%
7.6 pts worse
|
19.8%
12.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.6% · Q2 24.4% · Q3 27.4% · Q4 42.9% · 4Q avg 32.4% |
| Percentage of long-stay residents with pressure ulcers | 6.0% |
5.4%
0.6 pts worse
|
5.1%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 3.4% · Q3 7.3% · Q4 8.4% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 84.8% |
88.6%
3.8 pts worse
|
81.7%
3.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 81.0% · Q2 78.0% · Q3 90.4% · Q4 90.7% · 4Q avg 84.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.4% |
14.0%
7.6 pts better
|
12.0%
5.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.4% · Observed 7.0% · Expected 12.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.4% |
1.9%
2.5 pts worse
|
1.6%
2.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 5.9% · Q3 9.5% · Q4 0.0% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 87.7% |
82.7%
5 pts better
|
79.7%
8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 87.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.2% |
23.1%
4.1 pts worse
|
23.9%
3.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.2% · Observed 30.2% · Expected 26.5% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (3 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (6 deficiencies)
13 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (5 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-10-15
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-10-15
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-10-15
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-10-15
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-08-26
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-26
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-08-26
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-08-26
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2024-08-26
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-08-26
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-08-26
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-08-26
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-08-26
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2024-08-26
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-08-26
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-08-26
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2024-08-26
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-10-04
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-10-04
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-10-04
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2023-10-04
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-10-04
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-10-04
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-10-04
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-10-04
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-10-04
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2023-10-04
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-10-13
Inspection history
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2025-10-15
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2025-10-15
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-10-15
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-10-15
Health
Provide and implement an infection prevention and control program.
Corrected 2025-10-15
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-10-15
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-01-31
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-31
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-11-08
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-08
Health
Provide and implement an infection prevention and control program.
Corrected 2024-08-26
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-08-26
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-08-26
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-08-26
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-26
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-08-26
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-08-26
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-08-26
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-08-26
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-08-26
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-08-26
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-01-17
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-02-16
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-09-22
Health
Provide and implement an infection prevention and control program.
Corrected 2023-10-03
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2023-10-04
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 2023-10-04
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-10-04
Penalties and ownership
Fine · fine $14,898
Fine
Nearby options
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Rochester, MN
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