Halstad, MN

Halstad Living Center

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

133 Fourth Avenue East, Halstad, MN

(218) 456-2105

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

44

Certified beds

Average residents

43

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1991-07-01

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

0.93

Registered nurse staffing · state 1.06 · national 0.68

LPN hours / resident day

0.51

Licensed practical nurse staffing · state 0.62 · national 0.87

Aide hours / resident day

2.55

Nurse aide staffing · state 2.56 · national 2.35

Total nurse hours

3.99

All reported nurse hours · state 4.23 · national 3.89

Licensed hours

1.44

RN + LPN hours · state 1.68 · national 1.54

Weekend hours

3.12

Weekend nurse staffing · state 3.68 · national 3.43

Weekend RN hours

0.48

Weekend registered nurse coverage · state 0.68 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

1.20

CMS adjusted RN staffing hours

Adjusted total hours

5.14

CMS adjusted total nurse staffing hours

Case-mix index

1.06

Higher values indicate more complex resident acuity

RN turnover

88%

Annual RN turnover · state 39% · national 45%

Total nurse turnover

98%

Annual nurse turnover · state 42% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,660

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

39.06

Composite VBP score used to determine payment impact.

Payment multiplier

0.9921

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

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

0

Baseline 41.46% · Performance 97.62% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

7.81

Baseline 4.79 hours · Performance 5.30 hours · Measure score 7.81 · Achievement 7.81 · Improvement 4.64

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 8 · 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 7 · 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 3 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 3 · 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 Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 78
Staff flu vaccination coverage	12.2%	42% 29.8 pts worse	Numerator 10 · Denominator 82
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.4%	97.3% 2.1 pts better	93.4% 6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 97.6% · Q3 100.0% · Q4 100.0% · 4Q avg 99.4%
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	2.4%	3.9% 1.5 pts better	3.3% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 2.4% · Q3 2.3% · Q4 2.3% · 4Q avg 2.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	4.3%	4.3% About the same	11.4% 7.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 6.1% · Q3 2.8% · Q4 5.6% · 4Q avg 4.3%
Percentage of long-stay residents who lose too much weight	3.4%	4.1% 0.7 pts better	5.4% 2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 2.8% · Q3 2.7% · Q4 0.0% · 4Q avg 3.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	13.7%	12.4% 1.3 pts worse	19.6% 5.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.5% · Q2 13.9% · Q3 13.5% · Q4 13.9% · 4Q avg 13.7%
Percentage of long-stay residents who received an antipsychotic medication	27.5%	17.5% 10 pts worse	16.7% 10.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.0% · Q2 22.2% · Q3 27.3% · Q4 30.0% · 4Q avg 27.5% · 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	14.4%	22.5% 8.1 pts better	16.3% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · Q3 13.9% · 4Q avg 14.4% · 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 20.0% · Q2 21.2% · Q3 11.8% · Q4 8.8% · 4Q avg 15.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	13.1%	2.3% 10.8 pts worse	1.0% 12.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.6% · Q2 13.5% · Q3 7.5% · Q4 14.1% · 4Q avg 13.1% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.8%	2.6% 0.8 pts better	1.7% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 2.4% · Q3 2.3% · Q4 0.0% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	16.4%	24.8% 8.4 pts better	19.8% 3.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.6% · Q2 11.6% · Q3 20.5% · Q4 18.0% · 4Q avg 16.4%
Percentage of long-stay residents with pressure ulcers	2.2%	5.4% 3.2 pts better	5.1% 2.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.8% · Q4 5.7% · 4Q avg 2.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	74.1%	88.6% 14.5 pts worse	81.7% 7.6 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 74.1%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-04 · Fire 2025-06-04

2 health deficiencies

Top issue: Administration (1 deficiency)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-04-17 · Fire 2024-04-17

3 health deficiencies

Top issue: Infection Control (2 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2023-08-23 · Fire 2023-08-23

0 health deficiencies

No concentrated health issue counts in this cycle.

6 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-06-04

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-06-12

F · Potential for more than minimal harm 2025-06-04

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-06-12

E · Potential for more than minimal harm 2025-06-04

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-06-12

D · Potential for more than minimal harm 2025-06-04

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-06-12

D · Potential for more than minimal harm 2025-06-04

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-06-12

F · Potential for more than minimal harm 2024-04-17

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-05-06

D · Potential for more than minimal harm 2024-04-17

K346 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-05-06

D · Potential for more than minimal harm 2024-04-17

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-06

D · Potential for more than minimal harm 2024-04-17

K354 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-05-06

F · Potential for more than minimal harm 2023-08-23

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-08-24

F · Potential for more than minimal harm 2023-08-23

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-08-23

D · Potential for more than minimal harm 2023-08-23

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 2023-08-23

D · Potential for more than minimal harm 2023-08-23

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-09-05

D · Potential for more than minimal harm 2023-08-23

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-09-18

D · Potential for more than minimal harm 2023-08-23

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-08-23

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-06-04

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2025-06-12

C · Minimal harm 2025-06-04

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2025-06-12

E · Potential for more than minimal harm 2024-04-17

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-05-10

E · Potential for more than minimal harm 2024-04-17

F883 · Infection Control Deficiencies

Health

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

Corrected 2024-05-10

D · Potential for more than minimal harm 2024-04-17

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-05-10

Penalties and ownership