18 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Wadena, MN
1-star overall rating with 1-star inspections with $10,062 in total fines with 18 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
201 Shady Lane Drive, Wadena, MN
(218) 631-1391
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
65
Certified beds
Average residents
43
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Eden Senior Care
Operator or chain grouping
Approved since
1991-11-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
18 facilities
Chain averages 3 overall / 3 health / 3 staffing / 3 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
RN hours / resident day
1.07
Registered nurse staffing · state 1.06 · national 0.68
LPN hours / resident day
0.79
Licensed practical nurse staffing · state 0.62 · national 0.87
Aide hours / resident day
2.35
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
1.86
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
3.70
Weekend nurse staffing · state 3.68 · national 3.43
Weekend RN hours
0.70
Weekend registered nurse coverage · state 0.68 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
1.07
CMS adjusted RN staffing hours
Adjusted total hours
4.20
CMS adjusted total nurse staffing hours
Case-mix index
1.37
Higher values indicate more complex resident acuity
RN turnover
46%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
58%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Program rank
7,416
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
29.81
Composite VBP score used to determine payment impact.
Payment multiplier
0.9856
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
2.08
Baseline 63.93% · Performance 55.17% · Measure score 2.08 · Achievement 2.08 · Improvement 1.74
Adjusted total nurse staffing
3.88
Baseline 4.03 hours · Performance 4.18 hours · Measure score 3.88 · Achievement 3.88 · Improvement 0.34
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.27% |
10.72%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 50 · Observed rate 14% · Lower 95% interval 7.84% |
| Discharge to community | 34.38% |
50.57%
16.2 pts worse
|
Worse than the National Rate · Eligible stays 47 · Observed rate 23.4% · Lower 95% interval 22.89% |
| Medicare spending per beneficiary | 0.98 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 86.36% |
95.27%
8.9 pts worse
|
Numerator 19 · Denominator 22 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 22 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 22 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 19 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 110 |
| Staff flu vaccination coverage | 11.57% |
42%
30.4 pts worse
|
Numerator 14 · Denominator 121 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 4 · 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
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.8% |
97.3%
0.5 pts worse
|
93.4%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.2% · Q2 92.7% · Q3 97.6% · Q4 100.0% · 4Q avg 96.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.7% |
96.1%
1.6 pts better
|
95.5%
2.2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.9% |
3.9%
About the same
|
3.3%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 4.9% · Q3 2.4% · Q4 5.6% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 20.3% |
4.3%
16 pts worse
|
11.4%
8.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 35.1% · Q3 20.6% · Q4 8.8% · 4Q avg 20.3% |
| Percentage of long-stay residents who lose too much weight | 7.1% |
4.1%
3 pts worse
|
5.4%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 6.1% · Q3 15.2% · Q4 3.4% · 4Q avg 7.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 29.7% |
12.4%
17.3 pts worse
|
19.6%
10.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.1% · Q2 24.2% · Q3 38.2% · Q4 27.6% · 4Q avg 29.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 33.7% |
17.5%
16.2 pts worse
|
16.7%
17 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q3 35.7% · Q4 37.5% · 4Q avg 33.7% · 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 | 26.8% |
22.5%
4.3 pts worse
|
16.3%
10.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 26.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.8% |
18.6%
5.8 pts better
|
14.9%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 19.4% · Q3 12.9% · Q4 3.8% · 4Q avg 12.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
2.3%
2.3 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.0% |
2.6%
0.6 pts better
|
1.7%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.4% · Q3 2.5% · Q4 2.8% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 32.2% |
24.8%
7.4 pts worse
|
19.8%
12.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.9% · Q2 35.8% · Q3 32.5% · Q4 25.9% · 4Q avg 32.2% |
| Percentage of long-stay residents with pressure ulcers | 7.0% |
5.4%
1.6 pts worse
|
5.1%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 9.1% · Q3 6.8% · Q4 6.5% · 4Q avg 7.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 59.9% |
88.6%
28.7 pts worse
|
81.7%
21.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 49.2% · Q2 48.9% · Q3 63.9% · Q4 79.2% · 4Q avg 59.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 29.1% |
14.0%
15.1 pts worse
|
12.0%
17.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.1% · Observed 31.0% · Expected 11.9% · 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 0.0% · Q2 5.0% · Q4 8.0% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 72.3% |
82.7%
10.4 pts worse
|
79.7%
7.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 72.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.1% |
23.1%
6 pts better
|
23.9%
6.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.1% · Observed 17.2% · Expected 24.0% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (8 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Resident Rights (5 deficiencies)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Fire safety
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-03-13
Fire Safety
Have exits that are accessible at all times.
Corrected 2025-03-13
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-03-13
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-03-13
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-03-13
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-03-13
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-03-13
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-03-13
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 2024-08-01
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-08-01
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-08-01
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-01
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-08-01
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2024-08-01
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-10-20
Fire Safety
Have restrictions on the use of flammable curtains.
Corrected 2023-10-20
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-10-20
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-12
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-21
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-18
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-03-13
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2025-03-13
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2025-03-13
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 2025-03-13
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2025-03-13
Health
Provide and implement an infection prevention and control program.
Corrected 2025-03-13
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-03-13
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2025-03-13
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-03-13
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-03-13
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2025-03-13
Health
Provide activities to meet all resident's needs.
Corrected 2025-03-13
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2025-03-13
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-03-13
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-03-13
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-03-13
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2025-03-13
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-01-29
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-01-29
Health
Respond appropriately to all alleged violations.
Corrected 2025-01-29
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-01-29
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-15
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2024-08-15
Health
Provide and implement an infection prevention and control program.
Corrected 2024-08-15
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-09
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-09
Health
Provide and implement an infection prevention and control program.
Corrected 2024-08-09
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-08-01
Health
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected 2024-08-01
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-08-01
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-08-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-01
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2024-08-01
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-08-01
Health
Provide and implement an infection prevention and control program.
Corrected 2024-08-01
Health
Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
Corrected 2024-08-01
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2024-05-14
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-05
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 2023-10-20
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-10-20
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-10-20
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2023-10-20
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-10-20
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-10-20
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-10-20
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-10-20
Health
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2023-10-20
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-10-20
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-08-28
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-08-28
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 2023-08-28
Health
Provide and implement an infection prevention and control program.
Corrected 2023-08-28
Penalties and ownership
Fine · fine $10,062
Fine
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
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