Federal inspection record · CMS data as of October 1, 2026
Hendricks Community Hospital-Nh
503 E Lincoln Street, Hendricks, MN · (507) 275-3134
- Certified beds
- 52
- Residents per day
- 48
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 1, 1987
1
How this home got 2 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Minnesota.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★−1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Minnesota homes
Hendricks Community Hospital-Nh carries 50 inspection points. That is fewer than 46% of Minnesota's 335 rated homes.
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
26 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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
Administration7F
- E
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- F
Have a plan that describes the process for conducting QAPI and QAA activities.
- F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- F
Have a Compliance and Ethics Program.
- D
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Resident Rights4E
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Assessment and Care Planning4D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service4D
- D
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.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
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.
- D
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.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Quality of Life and Care2D
- D
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.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Nursing and Physician Services2F
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2026-06-25
9 health deficiencies · 12 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2025-04-30
8 health deficiencies · 5 fire-safety deficiencies
Top issue: Administration (3 deficiencies)
2024-05-30
9 health deficiencies · 1 fire-safety deficiencies
Top issue: Administration (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 29 min of nursing staff time a day, 48 min of it from a registered nurse.
This home
4 h 29 min
Minnesota average
4 h 16 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 59% of nursing staff and 42% 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.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.7 pts better | 100.0% | 97.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.6 pts better | 100.0% | 96.4% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury10.6 pts worse | 14.7% | 4.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.1 pts better | 0.0% | 4.1% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.9 pts worse | 4.8% | 3.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication12 pts worse | 24.7% | 12.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.2 pts worse | 17.4% | 17.2% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.6 pts better | 17.2% | 18.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.8 pts worse | 25.0% | 18.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same | 1.7% | 1.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection5.7 pts worse | 8.3% | 2.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.8 pts worse | 28.5% | 23.7% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.4 pts better | 4.7% | 5.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.9 pts better | 100.0% | 88.1% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.9 pts better | 0.0% | 1.9% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine16.7 pts better | 100.0% | 83.3% | 80.1% |
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Who owns and runs it
23 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Engels, John | Corporate Director · Individual | 0% | 1 facilities |
| Engels, John | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Fier, Amy | Corporate Director · Individual | 0% | 1 facilities |
| Fier, Amy | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Johnson, Brittany | Corporate Director · Individual | 0% | 5 facilities |
| Johnson, Brittany | Trustee Of The SNF · Individual | 0% | 5 facilities |
| Mccluskey, Tabb | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mccluskey, Tabb | Adp Of The SNF · Individual | 0% | 1 facilities |
| Molascon, Allen | Corporate Director · Individual | 0% | 1 facilities |
| Molascon, Allen | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Ness, James | Corporate Director · Individual | 0% | 3 facilities |
| Ness, James | Trustee Of The SNF · Individual | 0% | 3 facilities |
| Olsen, Travis | Corporate Officer · Individual | 0% | 1 facilities |
| Olsen, Travis | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Olsen, Travis | Adp Of The SNF · Individual | 0% | 1 facilities |
| Popowski, Dawn | Corporate Director · Individual | 0% | 1 facilities |
| Popowski, Dawn | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Robinson, Vince | Corporate Director · Individual | 0% | 1 facilities |
| Robinson, Vince | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Shaw, Heather | Corporate Director · Individual | 0% | 1 facilities |
| Shaw, Heather | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Vaneck, Mark | Corporate Director · Individual | 0% | 1 facilities |
| Vaneck, Mark | Trustee Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
18 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Provide properly protected cooking facilities.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems4F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- D
Have proper medical gas storage and administration areas.
Miscellaneous3F
- F
Provide a written emergency evacuation plan.
- C
Have simulated fire drills held at unexpected times.
- F
Provide a written emergency evacuation plan.
Services2F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F
Have properly installed electrical wiring and gas equipment.
Egress2E
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E
Have horizontal exits used in accordance with safety requirements.
Electrical1F
- F
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Construction1F
- F
Meet requirements for sections of health care facilities separated by fire resistive construction.
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Avera Sunrise Manor
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