Federal inspection record · CMS data as of October 1, 2026
Essentia Health Homestead
115 10th Avenue Northeast, Deer River, MN · (218) 246-4336
- Certified beds
- 32
- Residents per day
- 17
- Ownership
- Non-Profit
- Chain
- Essentia Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 1, 1987
1
How this home got 2 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.
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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.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Minnesota homes
Essentia Health Homestead carries 125 inspection points. That is fewer than 10% 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
15 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 (3)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
K
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Everything else, by area of care
Pharmacy Service3D
- D
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.
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
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.
Infection Control2E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Resident Rights2F
- D
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.
- F
Ensure residents have reasonable access to and privacy in their use of communication methods.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- C
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Quality of Life and Care1D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Administration1F
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Nursing and Physician Services1C
- C
Post nurse staffing information every day.
Inspection history
2026-04-22
6 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2025-03-12
7 health deficiencies · 7 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2024-05-16
2 health deficiencies · 2 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 5 h 8 min of nursing staff time a day, 1 h 38 min of it from a registered nurse.
This home
5 h 8 min
Minnesota average
4 h 16 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 43% of nursing staff and 33% 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
$67,727 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-03-31 | Fine | $27,378 |
| 2025-12-17 | Fine | $40,349 |
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 vaccine2.7 pts better | 100.0% | 97.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.6 pts worse | 95.8% | 96.4% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.9 pts better | 1.2% | 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 weight0.7 pts better | 3.2% | 3.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.2 pts worse | 12.9% | 12.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.3 pts better | 16.9% | 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 need for help with daily activities has increased6.7 pts better | 11.5% | 18.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.7 pts better | 0.0% | 1.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.4 pts better | 1.2% | 2.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.8 pts worse | 27.5% | 23.7% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.1 pts worse | 8.2% | 5.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine3.9 pts better | 92.0% | 88.1% | 82.3% |
·
Who owns and runs it
23 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 |
|---|---|---|---|
| Essentia Health | 5% Or Greater Direct Ownership Interest · Organization | 100% | 6 facilities |
| Aronson Norr, Nancy | Corporate Director · Individual | 0% | 3 facilities |
| Bachand, Adam | Corporate Director · Individual | 0% | 3 facilities |
| Bergstrom, Amy | Corporate Director · Individual | 0% | 3 facilities |
| Boren, Kevin | Corporate Officer · Individual | 0% | 5 facilities |
| Boren, Kevin | Adp Of The SNF · Individual | 0% | 5 facilities |
| Duininck, Troy | Corporate Director · Individual | 0% | 3 facilities |
| Essentia Health | Adp Of The SNF · Organization | 0% | 6 facilities |
| Jamar, Thomas | Corporate Director · Individual | 0% | 3 facilities |
| Loban, George | Corporate Director · Individual | 0% | 3 facilities |
| Lund, Jared | Corporate Director · Individual | 0% | 1 facilities |
| Lund, Jared | Adp Of The SNF · Individual | 0% | 1 facilities |
| Meyer, Deborah | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Meyer, Deborah | Adp Of The SNF · Individual | 0% | 2 facilities |
| Sertich, Anthony | Corporate Officer · Individual | 0% | 3 facilities |
| Skorupa, Krista | Corporate Officer · Individual | 0% | 3 facilities |
| Smith, Bruce | Corporate Director · Individual | 0% | 3 facilities |
| St Marys Duluth Clinic Health System | Operational/Managerial Control · Organization | 0% | 3 facilities |
| St Marys Duluth Clinic Health System | Adp Of The SNF · Organization | 0% | 3 facilities |
| Terch, Justin | Corporate Director · Individual | 0% | 2 facilities |
| Urbanski, Rebecca | Corporate Director · Individual | 0% | 3 facilities |
| Watters, Michael | Corporate Director · Individual | 0% | 6 facilities |
| Yung, Anthony | Corporate Director · Individual | 0% | 3 facilities |
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Fire safety
11 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- D
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Provide properly protected cooking facilities.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Egress1E
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Gas, Vacuum, and Electrical Systems1F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
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Other homes nearby
-
Grand Village
Grand Rapids, MN
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 7 min
- Fines
- $0
-
The Emeralds At Grand Rapids LLC
Grand Rapids, MN · Monarch Healthcare Management
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 28 min
- Fines
- $50,635
-
Bigfork Valley Communities
Bigfork, MN · Abuse icon
★★★★★- Worst citation, 3 yrs
- H
- Nursing / resident / day
- 6 h 2 min
- Fines
- $0