Federal inspection record · CMS data as of October 1, 2026

Gundersen St Elizabeth's Care Center

1200 Fifth Grant Boulevard West, Wabasha, MN · (651) 565-4581

  • CMS high-performer trophy

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
100
Residents per day
76
Ownership
Non-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
February 14, 1986

1

How this home got 5 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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Minnesota.

  2. Staffing

    no change (already 5)

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Minnesota homes

Gundersen St Elizabeth's Care Center carries 9 inspection points. That is fewer than 88% of Minnesota's 335 rated homes.

5★4★3★2★1★+11 homes above 194.7505102550100inspection points → fewer is better on the leftThis home · 9 pts · 5★

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

8 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 4 4 pts
E 2 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 2 0 pts

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.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Quality of Life and Care2E
  1. E

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    May 21, 2025 · Standard · F700 · Corrected July 31, 2025

  2. D

    Provide care or services that was trauma informed and/or culturally competent.

    May 21, 2025 · Complaint · F699 · Corrected August 13, 2025

Resident Rights2D
  1. D

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    April 4, 2024 · Standard · F623 · Corrected April 26, 2024

  2. C

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    April 4, 2024 · Standard · F625 · Corrected April 26, 2024

Infection Control1D
  1. D

    Provide and implement an infection prevention and control program.

    June 10, 2026 · Standard · F880 · Corrected July 10, 2026

Freedom from Abuse, Neglect, and Exploitation1E
  1. E

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    May 21, 2025 · Complaint · F605 · Corrected July 31, 2025

Nursing and Physician Services1D
  1. D

    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.

    May 21, 2025 · Standard · F726 · Corrected July 31, 2025

Environmental1C
  1. C

    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

    May 21, 2025 · Standard · F909 · Corrected July 31, 2025

Inspection history

  1. 2026-06-10

    1 health deficiencies · 1 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

  2. 2025-05-21

    5 health deficiencies · 6 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

  3. 2024-04-04

    2 health deficiencies · 8 fire-safety deficiencies

    Top issue: Resident Rights (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 4 h 13 min of nursing staff time a day, 39 min of it from a registered nurse.

This home

4 h 13 min

Minnesota average

4 h 16 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 34% of nursing staff and 47% 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

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.4 pts worse1.91.51.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better1.21.71.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.3 pts worse92.0%97.3%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.6 pts better100.0%96.4%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1 pts better3.1%4.1%3.2%
Percentage of long-stay residents who have depressive symptoms2.6 pts better1.5%4.1%13.5%
Percentage of long-stay residents who lose too much weight0.7 pts worse4.6%3.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication6.4 pts better6.3%12.7%19.5%
Percentage of long-stay residents who received an antipsychotic medication6.2 pts better11.0%17.2%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened3.5 pts better15.3%18.8%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased6.8 pts worse25.0%18.2%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts worse2.4%1.7%0.7%
Percentage of long-stay residents with a urinary tract infection1.6 pts better1.0%2.6%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.9 pts worse26.6%23.7%18.3%
Percentage of long-stay residents with pressure ulcers1 pts better4.1%5.1%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.2 pts worse76.9%88.1%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication1.9 pts better0.0%1.9%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine13.1 pts better96.4%83.3%80.1%

·

Who owns and runs it

19 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Bellin Gundersen Health System Inc5% Or Greater Indirect Ownership Interest · Organization100%3 facilities
Gundersen Lutheran Health System Inc5% Or Greater Direct Ownership Interest · Organization100%3 facilities
Bellin Gundersen Health System IncOperational/Managerial Control · Organization0%3 facilities
Coenen, DanielCorporate Director · Individual0%1 facilities
Denk, CindyCorporate Director · Individual0%1 facilities
Durand, EmilyCorporate Director · Individual0%1 facilities
Ebersold, MichaelCorporate Director · Individual0%1 facilities
Fisch, PaulCorporate Director · Individual0%1 facilities
Gundersen Lutheran Health System IncOperational/Managerial Control · Organization0%3 facilities
Haas, LloydCorporate Director · Individual0%1 facilities
Mclellan, PaulCorporate Director · Individual0%1 facilities
Petersen, KristiCorporate Officer · Individual0%1 facilities
Petersen, KristiAdp Of The SNF · Individual0%1 facilities
Root, JamesCorporate Officer · Individual0%1 facilities
Spano, DennisOperational/Managerial Control · Individual0%1 facilities
Spano, DennisAdp Of The SNF · Individual0%1 facilities
Vaplon, RichardCorporate Director · Individual0%1 facilities
Wolfe, JohnCorporate Officer · Individual0%1 facilities
Youngbauer, BeverlyCorporate Director · Individual0%1 facilities

·

Fire safety

15 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke10F
  1. D

    Inspect, test, and maintain automatic sprinkler systems.

    June 10, 2026 · K353 · Corrected July 10, 2026

  2. F

    Provide properly protected cooking facilities.

    May 21, 2025 · K324 · Corrected July 11, 2025

  3. F

    Inspect, test, and maintain automatic sprinkler systems.

    May 21, 2025 · K353 · Corrected July 31, 2025

  4. E

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    May 21, 2025 · K374 · Corrected June 10, 2025

  5. F

    Provide properly protected cooking facilities.

    April 4, 2024 · K324 · Corrected May 31, 2024

  6. F

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

    April 4, 2024 · K345 · Corrected May 31, 2024

  7. F

    Inspect, test, and maintain automatic sprinkler systems.

    April 4, 2024 · K353 · Corrected April 20, 2024

  8. F

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    April 4, 2024 · K374 · Corrected May 1, 2024

  9. C

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    April 4, 2024 · K346 · Corrected April 20, 2024

  10. C

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    April 4, 2024 · K354 · Corrected April 20, 2024

Gas, Vacuum, and Electrical Systems2F
  1. F

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

    May 21, 2025 · K918 · Corrected June 13, 2025

  2. F

    Have proper medical gas storage and administration areas.

    April 4, 2024 · K923 · Corrected April 3, 2024

Emergency Preparedness1C
  1. C

    Provide family notifications of emergency plan.

    May 21, 2025 · E35 · Corrected July 31, 2025

Miscellaneous1C
  1. C

    Have simulated fire drills held at unexpected times.

    May 21, 2025 · K712 · Corrected June 30, 2025

Egress1F
  1. F

    Have exits that are accessible at all times.

    April 4, 2024 · K271 · Corrected May 31, 2024

·

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