5 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Dodge Center, MN
3-star overall rating with 3-star inspections with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
702 10th Avenue Northwest, Dodge Center, MN
(507) 374-2578
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
46
Certified beds
Average residents
43
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1986-10-01
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
0.00
Registered nurse staffing
LPN hours / resident day
0.00
Licensed practical nurse staffing
Aide hours / resident day
0.00
Nurse aide staffing
Total nurse hours
0.00
All reported nurse hours
Licensed hours
0.00
RN + LPN hours
Weekend hours
0.00
Weekend nurse staffing
Weekend RN hours
0.00
Weekend registered nurse coverage
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.00
CMS adjusted RN staffing hours
Adjusted total hours
0.00
CMS adjusted total nurse staffing hours
Case-mix index
0.00
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Program rank
4,273
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
40.63
Composite VBP score used to determine payment impact.
Payment multiplier
0.9935
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 18.63% · Performance 22.18% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
3.31
Baseline 6.12% · Performance 6.84% · Measure score 3.31 · Achievement 3.31 · Improvement 0
Total nurse turnover
4.46
Baseline 27.45% · Performance 45.45% · Measure score 4.46 · Achievement 4.46 · Improvement 0
Adjusted total nurse staffing
8.48
Baseline 4.64 hours · Performance 5.49 hours · Measure score 8.48 · Achievement 8.48 · Improvement 6.95
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.77% |
10.72%
1 pts better
|
No Different than the National Rate · Eligible stays 51 · Observed rate 5.88% · Lower 95% interval 6.7% |
| Discharge to community | 54.94% |
50.57%
4.4 pts better
|
No Different than the National Rate · Eligible stays 63 · Observed rate 47.62% · Lower 95% interval 43.84% |
| Medicare spending per beneficiary | 1.28 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 42 · Denominator 42 |
| Falls with major injury | 2.38% |
0.77%
1.6 pts worse
|
Numerator 1 · Denominator 42 |
| Discharge self-care score | 50% |
53.69%
3.7 pts worse
|
Numerator 13 · Denominator 26 |
| Discharge mobility score | 53.85% |
50.94%
2.9 pts better
|
Numerator 14 · Denominator 26 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 42 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.84% |
7.12%
0.3 pts better
|
No Different than the National Rate · Eligible stays 38 · Observed rate 5.26% · Lower 95% interval 3.64% |
| Staff COVID-19 vaccination coverage | 20.59% |
8.2%
12.4 pts better
|
Numerator 21 · Denominator 102 |
| Staff flu vaccination coverage | 39.58% |
42%
2.4 pts worse
|
Numerator 38 · Denominator 96 |
| Discharge function score | 69.23% |
56.45%
12.8 pts better
|
Numerator 18 · Denominator 26 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 50% |
25.2%
24.8 pts better
|
Numerator 10 · Denominator 20 |
Quality measures
| 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% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.3% |
96.1%
1.2 pts better
|
95.5%
1.8 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.0% |
3.9%
0.9 pts better
|
3.3%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 0.0% · Q3 3.0% · Q4 2.9% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.4% |
4.3%
1.9 pts better
|
11.4%
9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 0.0% · Q3 3.2% · Q4 3.1% · 4Q avg 2.4% |
| Percentage of long-stay residents who lose too much weight | 5.9% |
4.1%
1.8 pts worse
|
5.4%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 6.7% · Q3 6.5% · Q4 3.6% · 4Q avg 5.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 0.8% |
12.4%
11.6 pts better
|
19.6%
18.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.6% · 4Q avg 0.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.1% |
17.5%
6.4 pts better
|
16.7%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 11.1% · Q3 12.5% · Q4 12.5% · 4Q avg 11.1% · 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 | 15.7% |
22.5%
6.8 pts better
|
16.3%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 15.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.4% |
18.6%
3.2 pts better
|
14.9%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.0% · Q2 6.9% · Q3 17.9% · Q4 13.6% · 4Q avg 15.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.4% |
2.3%
2.1 pts worse
|
1.0%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 2.9% · Q3 3.2% · Q4 5.2% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 9.0% |
2.6%
6.4 pts worse
|
1.7%
7.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 6.2% · Q3 6.1% · Q4 14.7% · 4Q avg 9.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.0% |
24.8%
2.8 pts better
|
19.8%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 33.9% · Q3 14.9% · Q4 27.3% · 4Q avg 22.0% |
| Percentage of long-stay residents with pressure ulcers | 2.0% |
5.4%
3.4 pts better
|
5.1%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 4.8% · Q3 0.0% · Q4 0.0% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.5% |
88.6%
5.9 pts better
|
81.7%
12.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 88.6% · Q2 94.0% · Q3 96.3% · Q4 98.1% · 4Q avg 94.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.9% |
14.0%
1.9 pts worse
|
12.0%
3.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.9% · Observed 15.1% · Expected 10.6% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 78.8% |
82.7%
3.9 pts worse
|
79.7%
0.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 78.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.6% |
23.1%
6.5 pts better
|
23.9%
7.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.6% · Observed 15.1% · Expected 21.7% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Pharmacy Service (3 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-03-13
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2026-04-15
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2026-04-15
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-02-21
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-02-24
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-02-14
Fire Safety
Have exits that are accessible at all times.
Corrected 2025-02-14
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-11-03
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-12-27
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-11-30
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-11-06
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-12-08
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-11-22
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-11-21
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2023-11-03
Inspection history
Health
Give the resident's representative the ability to exercise the resident's rights.
Not marked corrected
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Not marked corrected
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Not marked corrected
Health
Provide and implement an infection prevention and control program.
Not marked corrected
Health
Provide care by qualified persons according to each resident's written plan of care.
Corrected 2025-08-19
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-01-23
Health
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.
Corrected 2025-02-14
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-02-14
Health
Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.
Corrected 2025-02-21
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 2025-01-27
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-27
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-01-27
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-10-15
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 2024-10-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-01-19
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-01-15
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-01-15
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2023-12-04
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-12-04
Health
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.
Corrected 2023-12-04
Health
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.
Corrected 2023-12-04
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-12-04
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-10-09
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 2023-10-09
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-07-27
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-07-27
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
W-2 Managing Employee · Individual
Nearby options
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