Graceville, MN

Essentia Health Grace Home

4-star overall rating with 3-star inspections with 3 recent health deficiencies

116 West Second Street, Graceville, MN

(701) 671-4105

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

40

Certified beds

Average residents

19

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Essentia Health

Operator or chain grouping

Approved since

1991-07-08

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

5 facilities

Chain averages 4 overall / 3 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

Hours and turnover

RN hours / resident day

1.55

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

2.37

Nurse aide staffing · state 2.56 · national 2.35

Total nurse hours

4.64

All reported nurse hours · state 4.23 · national 3.89

Licensed hours

2.27

RN + LPN hours · state 1.68 · national 1.54

Weekend hours

3.49

Weekend nurse staffing · state 3.68 · national 3.43

Weekend RN hours

1.08

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

1.88

CMS adjusted RN staffing hours

Adjusted total hours

5.63

CMS adjusted total nurse staffing hours

Case-mix index

1.13

Higher values indicate more complex resident acuity

RN turnover

25%

Annual RN turnover · state 39% · national 45%

Total nurse turnover

27%

Annual nurse turnover · state 42% · national 46%

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission Not Available
10.72%
Not Available · Eligible stays 13 · 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 10 · 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 18 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 18 · 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 8%
8.2%
0.2 pts worse
Numerator 6 · Denominator 75
Staff flu vaccination coverage 47.14%
42%
5.1 pts better
Numerator 33 · Denominator 70
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 11 · 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 100.0%
97.3%
2.7 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q2 100.0% · 4Q avg 100.0%
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 18.9%
3.9%
15 pts worse
3.3%
15.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q2 20.0% · 4Q avg 18.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.0%
4.3%
4.3 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight 0.0%
4.1%
4.1 pts better
5.4%
5.4 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 21.4%
12.4%
9 pts worse
19.6%
1.8 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 21.4%
Percentage of long-stay residents who received an antipsychotic medication 14.3%
17.5%
3.2 pts better
16.7%
2.4 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 14.3% · 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 · Q2 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 9.2%
22.5%
13.3 pts better
16.3%
7.1 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 9.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 25.9%
18.6%
7.3 pts worse
14.9%
11 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 25.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.0%
2.3%
0.3 pts better
1.0%
1 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.0% · 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 · Q2 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 20.1%
24.8%
4.7 pts better
19.8%
0.3 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 20.1%
Percentage of long-stay residents with pressure ulcers 11.0%
5.4%
5.6 pts worse
5.1%
5.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q2 11.8% · 4Q avg 11.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
88.6%
11.4 pts better
81.7%
18.3 pts better
Short Stay · 2024Q4-2025Q3 · 4Q avg 100.0%
Percentage of short-stay residents who newly received an antipsychotic medication 6.7%
1.9%
4.8 pts worse
1.6%
5.1 pts worse
Short Stay · 2024Q4-2025Q3 · 4Q avg 6.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-15 · Fire 2025-01-15

3 health deficiencies

Top issue: Infection Control (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-12-06 · Fire 2023-12-06

8 health deficiencies

Top issue: Infection Control (2 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2022-07-07 · Fire 2022-07-07

2 health deficiencies

Top issue: Infection Control (2 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2023-12-06

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-12-07

D · Potential for more than minimal harm 2023-12-06

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Not marked corrected

D · Potential for more than minimal harm 2023-12-06

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-12-22

D · Potential for more than minimal harm 2023-12-06

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-12-05

F · Potential for more than minimal harm 2022-07-07

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2022-08-26

E · Potential for more than minimal harm 2022-07-07

K321 · Smoke Deficiencies

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 2022-08-26

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-07-01

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 2025-07-25

G · Actual harm 2025-02-27

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-02-20

F · Potential for more than minimal harm 2025-01-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-02-28

D · Potential for more than minimal harm 2025-01-15

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-02-28

F · Potential for more than minimal harm 2023-12-06

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-01-25

F · Potential for more than minimal harm 2023-12-06

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2024-01-25

E · Potential for more than minimal harm 2023-12-06

F576 · Resident Rights Deficiencies

Health

Ensure residents have reasonable access to and privacy in their use of communication methods.

Corrected 2023-12-09

E · Potential for more than minimal harm 2023-12-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-01-25

D · Potential for more than minimal harm 2023-12-06

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2024-01-25

D · Potential for more than minimal harm 2023-12-06

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-01-25

D · Potential for more than minimal harm 2023-12-06

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2024-01-25

D · Potential for more than minimal harm 2022-07-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-08-26

D · Potential for more than minimal harm 2022-07-07

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2022-08-26

Penalties and ownership

What sits behind the stars

Ownership

Essentia Health

5% Or Greater Direct Ownership Interest · Organization

100% 5 facilities 2023-07-01
Adams, Marc

Corporate Director · Individual

0% 1 facilities 2026-01-01
Arvin, Douglas

Operational/Managerial Control · Individual

0% 3 facilities 2023-05-18
Arvin, Douglas

Corporate Officer · Individual

0% 3 facilities 2023-05-18
Bortnem, Mark

Corporate Officer · Individual

0% 4 facilities 2025-09-29
Christensen, James

Corporate Director · Individual

0% 3 facilities 2020-01-01
Gefroh Ellison, Stefanie

Corporate Officer · Individual

0% 3 facilities 2024-08-12
Heilman, Tim

Corporate Director · Individual

0% 3 facilities 2020-01-01
Hurley, Alan

Operational/Managerial Control · Individual

0% 3 facilities 2023-05-18
Hurley, Alan

Corporate Officer · Individual

0% 3 facilities 2023-05-18
Innovis Health LLC

Operational/Managerial Control · Organization

0% 3 facilities 2017-01-01
Krejci, Mark

Corporate Director · Individual

0% 1 facilities 2026-01-01
Lewandowski, Laurie

Corporate Director · Individual

0% 3 facilities 2017-01-01
Mertz, Taylor

Corporate Director · Individual

0% 3 facilities 2022-05-17
Pladson, Kimberly

Corporate Director · Individual

0% 2 facilities 2025-01-01
Saint Georges, Anderson

Corporate Director · Individual

0% 2 facilities 2025-01-01
Schmidt, Jay

Operational/Managerial Control · Individual

0% 1 facilities 2024-01-01
Schmidt, Jay

Corporate Director · Individual

0% 1 facilities 2024-01-01
Smith, Benjamin

Corporate Director · Individual

0% 4 facilities 2022-05-17
Stueve, Debra

Operational/Managerial Control · Individual

0% 1 facilities 2024-02-26
Watters, Michael

Corporate Officer · Individual

0% 6 facilities 2023-07-01

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