Evansville, MN

Evansville Care Center

5-star overall rating with 4-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

649 State Street Northwest, Evansville, MN

(218) 948-2219

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

27

Certified beds

Average residents

22

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1988-01-01

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

1.39

Registered nurse staffing · state 1.06 · national 0.68

LPN hours / resident day

0.36

Licensed practical nurse staffing · state 0.62 · national 0.87

Aide hours / resident day

2.46

Nurse aide staffing · state 2.56 · national 2.35

Total nurse hours

4.21

All reported nurse hours · state 4.23 · national 3.89

Licensed hours

1.75

RN + LPN hours · state 1.68 · national 1.54

Weekend hours

3.42

Weekend nurse staffing · state 3.68 · national 3.43

Weekend RN hours

0.78

Weekend registered nurse coverage · state 0.68 · national 0.47

Physical therapist

0.09

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

1.57

CMS adjusted RN staffing hours

Adjusted total hours

4.75

CMS adjusted total nurse staffing hours

Case-mix index

1.21

Higher values indicate more complex resident acuity

RN turnover

17%

Annual RN turnover · state 39% · national 45%

Total nurse turnover

13%

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 19 · 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 17 · 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 12 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 12 · 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 10 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	13.95%	8.2% 5.8 pts better	Numerator 6 · Denominator 43
Staff flu vaccination coverage	53.66%	42% 11.7 pts better	Numerator 22 · Denominator 41
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 8 · 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 · Q1 100.0% · 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	3.7%	3.9% 0.2 pts better	3.3% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 4.5% · 4Q avg 3.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.3%	4.3% 3 pts better	11.4% 10.1 pts better	Long Stay · 2024Q4-2025Q3 · Q2 0.0% · 4Q avg 1.3%
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	15.3%	12.4% 2.9 pts worse	19.6% 4.3 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 15.3%
Percentage of long-stay residents who received an antipsychotic medication	8.2%	17.5% 9.3 pts better	16.7% 8.5 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 8.2% · 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% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	29.3%	22.5% 6.8 pts worse	16.3% 13 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 29.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	24.3%	18.6% 5.7 pts worse	14.9% 9.4 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 24.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.4%	2.3% 0.9 pts better	1.0% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q2 0.0% · 4Q avg 1.4% · 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 · Q1 0.0% · Q2 0.0% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	24.8%	24.8% About the same	19.8% 5 pts worse	Long Stay · 2024Q4-2025Q3 · Q2 25.8% · 4Q avg 24.8%
Percentage of long-stay residents with pressure ulcers	6.6%	5.4% 1.2 pts worse	5.1% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 4.5% · 4Q avg 6.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	98.9%	88.6% 10.3 pts better	81.7% 17.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 95.2% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 98.9%
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 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	95.2%	82.7% 12.5 pts better	79.7% 15.5 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 95.2%

Survey summary

Recent inspection cycles

Cycle 1 Health 2026-01-21 · Fire 2026-01-21

2 health deficiencies

Top issue: Administration (1 deficiency)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-11-20 · Fire 2024-11-20

3 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2023-12-19 · Fire 2023-12-19

3 health deficiencies

Top issue: Infection Control (2 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2026-01-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-01-22

D · Potential for more than minimal harm 2026-01-21

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2026-01-22

D · Potential for more than minimal harm 2026-01-21

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2026-01-22

E · Potential for more than minimal harm 2024-11-20

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-12-16

D · Potential for more than minimal harm 2024-11-20

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-11-25

F · Potential for more than minimal harm 2023-12-19

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-12-28

F · Potential for more than minimal harm 2023-12-19

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-01-31

E · Potential for more than minimal harm 2023-12-19

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 2024-01-12

D · Potential for more than minimal harm 2023-12-19

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2024-01-31

D · Potential for more than minimal harm 2023-12-19

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-12-20

C · Minimal harm 2023-12-19

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2024-01-31

Inspection history

Recent health citations

F · Potential for more than minimal harm 2026-01-21

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2026-02-20

D · Potential for more than minimal harm 2026-01-21

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 2026-02-20

D · Potential for more than minimal harm 2024-11-20

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2024-12-17

D · Potential for more than minimal harm 2024-11-20

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-12-17

D · Potential for more than minimal harm 2024-11-20

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 2024-12-17

D · Potential for more than minimal harm 2023-12-19

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 2024-01-31

D · Potential for more than minimal harm 2023-12-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-01-31

D · Potential for more than minimal harm 2023-12-19

F883 · Infection Control Deficiencies

Health

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

Corrected 2024-01-31

Penalties and ownership

What sits behind the stars

Ownership

Johnson, Arlynn

5% Or Greater Direct Ownership Interest · Individual

100% 1 facilities 2009-09-25

Borgstrom, Brandon