Hallock, MN

Kittson Healthcare

3-star overall rating with 2-star inspections with $21,587 in total fines with 6 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

1010 South Birch Ave, Hallock, MN

(218) 843-3612

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

40

Certified beds

Average residents

33

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1982-07-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.28

Registered nurse staffing

LPN hours / resident day

0.27

Licensed practical nurse staffing

Aide hours / resident day

2.37

Nurse aide staffing

Weekend hours

3.24

Weekend nurse staffing

RN turnover

53%

Annual RN turnover

Total nurse turnover

65%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

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
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
96.1%
3.9 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 8.7%
3.9%
4.8 pts worse
3.3%
5.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 6.7%
4.3%
2.4 pts worse
11.4%
4.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 5.8%
4.1%
1.7 pts worse
5.4%
0.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 16.5%
12.4%
4.1 pts worse
19.6%
3.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 9.3%
17.5%
8.2 pts better
16.7%
7.4 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 13.9%
22.5%
8.6 pts better
16.3%
2.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 18.2%
18.6%
0.4 pts better
14.9%
3.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.0%
2.3%
1.3 pts better
1.0%
About the same
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 1.6%
2.6%
1 pts better
1.7%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 25.5%
24.8%
0.7 pts worse
19.8%
5.7 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
88.6%
11.4 pts better
81.7%
18.3 pts better
Short Stay · 2024Q4-2025Q3

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-11 · Fire 2025-06-11

6 health deficiencies

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

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-05-22 · Fire 2024-05-22

13 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2023-07-13 · Fire 2023-07-13

7 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

9 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-06-11

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-08-13

D · Potential for more than minimal harm 2025-06-11

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2025-08-13

D · Potential for more than minimal harm 2025-06-11

K354 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-08-13

D · Potential for more than minimal harm 2025-06-11

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-08-13

D · Potential for more than minimal harm 2025-06-11

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-08-13

F · Potential for more than minimal harm 2024-05-22

K346 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-06-07

F · Potential for more than minimal harm 2024-05-22

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-29

F · Potential for more than minimal harm 2024-05-22

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-07-07

E · Potential for more than minimal harm 2024-05-22

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-05-21

D · Potential for more than minimal harm 2024-05-22

K354 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-06-07

F · Potential for more than minimal harm 2023-07-13

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2023-08-31

F · Potential for more than minimal harm 2023-07-13

K346 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-08-24

F · Potential for more than minimal harm 2023-07-13

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-08-24

F · Potential for more than minimal harm 2023-07-13

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-08-24

F · Potential for more than minimal harm 2023-07-13

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-08-24

F · Potential for more than minimal harm 2023-07-13

K901 · Electrical Deficiencies

Fire Safety

Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

Corrected 2023-08-24

F · Potential for more than minimal harm 2023-07-13

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-08-24

D · Potential for more than minimal harm 2023-07-13

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 2023-08-24

D · Potential for more than minimal harm 2023-07-13

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2023-08-24

Inspection history

Recent health citations

G · Actual harm 2025-06-11

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-06-05

D · Potential for more than minimal harm 2025-06-11

F578 · Resident Rights Deficiencies

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 2025-07-09

D · Potential for more than minimal harm 2025-06-11

F700 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2025-08-23

D · Potential for more than minimal harm 2025-06-11

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-06-18

D · Potential for more than minimal harm 2025-06-11

F883 · Infection Control Deficiencies

Health

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

Corrected 2025-08-15

C · Minimal harm 2025-06-11

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2025-06-11

F · Potential for more than minimal harm 2024-05-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-06-26

E · Potential for more than minimal harm 2024-05-22

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-06-12

E · Potential for more than minimal harm 2024-05-22

F761 · Pharmacy Service Deficiencies

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 2024-06-26

E · Potential for more than minimal harm 2024-05-22

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2024-06-26

D · Potential for more than minimal harm 2024-05-22

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2024-06-19

D · Potential for more than minimal harm 2024-05-22

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2024-06-19

D · Potential for more than minimal harm 2024-05-22

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-06-19

D · Potential for more than minimal harm 2024-05-22

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-06-19

D · Potential for more than minimal harm 2024-05-22

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-06-26

D · Potential for more than minimal harm 2024-05-22

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-06-26

D · Potential for more than minimal harm 2024-05-22

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-06-26

D · Potential for more than minimal harm 2024-05-22

F744 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2024-06-26

D · Potential for more than minimal harm 2024-03-18

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-04-24

G · Actual harm 2023-09-29

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 2023-10-20

D · Potential for more than minimal harm 2023-09-29

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2023-10-20

D · Potential for more than minimal harm 2023-09-29

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2023-10-20

F · Potential for more than minimal harm 2023-07-13

F727 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2023-08-31

E · Potential for more than minimal harm 2023-07-13

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2023-08-31

D · Potential for more than minimal harm 2023-07-13

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-08-31

J · Immediate jeopardy 2023-04-20

F678 · Quality of Life and Care Deficiencies

Health

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2023-04-01

Penalties and ownership

What sits behind the stars

$8,190 2023-09-29

Fine

Fine · fine $8,190

Fine

$13,397 2023-04-20

Fine

Fine · fine $13,397

Fine

Ownership

Cole, Carlene

Operational/Managerial Control · Individual

0% 1 facilities 1990-04-23
Hanson, Laura

Operational/Managerial Control · Individual

0% 1 facilities 2023-11-13
Surdy, James

Operational/Managerial Control · Individual

0% 2 facilities 2016-11-01
Swenson, Andrea

Operational/Managerial Control · Individual

0% 1 facilities 2023-04-01

Nearby options

Other facilities in reach

#1

Karlstad Healthcare Center Inc

Karlstad, MN

5-star overall rating with 5-star inspections with 2 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

Overall
5 / 5
Health
5 / 5
Staffing
4 / 5
Fines
$0
#2

Wedgewood Manor

Cavalier, ND

2-star overall rating with 1-star inspections with $54,925 in total fines with 3 recent health deficiencies

Overall
2 / 5
Health
1 / 5
Staffing
5 / 5
Fines
$54,925
#3

Lutheran Sunset Home

Grafton, ND

4-star overall rating with 3-star inspections with $11,057 in total fines with 7 recent health deficiencies

Overall
4 / 5
Health
3 / 5
Staffing
5 / 5
Fines
$11,057

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