Staples, MN

Lakewood Health System

5-star overall rating with 4-star inspections with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

401 Prairie Avenue Northeast, Staples, MN

(218) 894-1515

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

87

Certified beds

Average residents

81

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1987-02-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.89

Registered nurse staffing

LPN hours / resident day

0.53

Licensed practical nurse staffing

Aide hours / resident day

2.80

Nurse aide staffing

Weekend hours

3.34

Weekend nurse staffing

RN turnover

25%

Annual RN turnover

Total nurse turnover

39%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.8	1.7 0.9 pts better	1.9 1.1 pts better	Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days	1.5	2.0 0.5 pts better	1.8 0.3 pts better	Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.3%	97.3% 2 pts better	93.4% 5.9 pts better	Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents experiencing one or more falls with major injury	4.3%	3.9% 0.4 pts worse	3.3% 1 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms	0.4%	4.3% 3.9 pts better	11.4% 11 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight	2.9%	4.1% 1.2 pts better	5.4% 2.5 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication	10.1%	12.4% 2.3 pts better	19.6% 9.5 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication	17.8%	17.5% 0.3 pts worse	16.7% 1.1 pts worse	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	17.1%	22.5% 5.4 pts better	16.3% 0.8 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased	13.8%	18.6% 4.8 pts better	14.9% 1.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder	2.4%	2.3% 0.1 pts worse	1.0% 1.4 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection	0.7%	2.6% 1.9 pts better	1.7% 1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	24.1%	24.8% 0.7 pts better	19.8% 4.3 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers	0.8%	5.4% 4.6 pts better	5.1% 4.3 pts better	Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	96.7%	88.6% 8.1 pts better	81.7% 15 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit	18.1%	14.0% 4.1 pts worse	12.0% 6.1 pts worse	Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication	1.5%	1.9% 0.4 pts better	1.6% 0.1 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	86.8%	82.7% 4.1 pts better	79.7% 7.1 pts better	Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission	12.6%	23.1% 10.5 pts better	23.9% 11.3 pts better	Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2026-02-19 · Fire 2026-02-19

2 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2024-12-04 · Fire 2024-12-04

1 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2023-11-08 · Fire 2023-11-08

5 health deficiencies

Top issue: Resident Rights (3 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2026-02-19

K345 · Smoke Deficiencies

Fire Safety

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

Not marked corrected

F · Potential for more than minimal harm 2024-12-04

K521 · Services Deficiencies

Fire Safety

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

Corrected 2024-12-12

E · Potential for more than minimal harm 2024-12-04

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2024-12-12

D · Potential for more than minimal harm 2024-12-04

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-12-12

E · Potential for more than minimal harm 2023-11-08

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-11-20

D · Potential for more than minimal harm 2023-11-08

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-11-20

D · Potential for more than minimal harm 2023-11-08

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-11-20

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-02-19

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Not marked corrected

D · Potential for more than minimal harm 2026-02-19

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Not marked corrected

G · Actual harm 2024-07-17

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-07-05

E · Potential for more than minimal harm 2023-11-08

F576 · Resident Rights Deficiencies

Health

Ensure residents have reasonable access to and privacy in their use of communication methods.

Corrected 2023-11-20

E · Potential for more than minimal harm 2023-11-08

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2023-11-20

D · Potential for more than minimal harm 2023-11-08

F623 · Resident Rights Deficiencies

Health

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

Corrected 2023-11-20

C · Minimal harm 2023-11-08

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2023-11-20

D · Potential for more than minimal harm 2023-08-11

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-09-09

Penalties and ownership

What sits behind the stars

Ownership

Albrecht, Christine

Operational/Managerial Control · Individual

0% 1 facilities 2020-06-01

Anderson, Brad

Operational/Managerial Control · Individual

0% 1 facilities 2014-08-13

Bauman, Alicia

Operational/Managerial Control · Individual

0% 1 facilities 2022-10-09

Bjerga, Judith

Corporate Director · Individual

0% 1 facilities 2007-01-01

Bjerga, Lisa

Operational/Managerial Control · Individual

0% 1 facilities 2016-03-07

Bjerga, Lisa

Corporate Officer · Individual

0% 1 facilities 2016-03-07

Brichacek, Amy

Corporate Director · Individual

0% 1 facilities 2021-01-01

Cichos, Jef

Corporate Director · Individual

0% 1 facilities 2016-07-01

Daniels, Melissa

W-2 Managing Employee · Individual

0% 1 facilities 2016-09-15

Dietrich, Linda

Corporate Director · Individual

0% 1 facilities 2013-01-01

Dobson, Kathleen

Operational/Managerial Control · Individual

0% 1 facilities 2014-12-01

Grove, Sara

Corporate Director · Individual

0% 1 facilities 2014-04-24

Haehnel, Billy

Corporate Director · Individual

0% 1 facilities 2015-11-01

Hansen, Lana

Corporate Director · Individual

0% 1 facilities 2008-01-01

Hoemberg, Beverly

Corporate Director · Individual

0% 1 facilities 2011-01-01

Jordahl, Stephanie

Corporate Director · Individual

0% 1 facilities 2021-07-01

Krause, Norman

Corporate Director · Individual

0% 1 facilities 2018-07-01

Kray, Ryan

Corporate Director · Individual

0% 1 facilities 2021-10-01

Leveille, Lindsay

Corporate Director · Individual

0% 1 facilities 2023-07-01

Lindow, Melissa

Operational/Managerial Control · Individual

0% 1 facilities 2023-08-27

Mcilravy, Curtis

Corporate Officer · Individual

0% 1 facilities 2014-07-01

Mueller, Robert

Corporate Director · Individual

0% 1 facilities 2015-06-25

Neisess, Corrine

Operational/Managerial Control · Individual

0% 1 facilities 2018-09-01

Nelson, Kevin

Corporate Director · Individual

0% 1 facilities 2018-04-01

Newton Rice, Lynn

Operational/Managerial Control · Individual

0% 1 facilities 1980-06-30

Peet, Susan

Corporate Director · Individual

0% 1 facilities 2021-01-01

Pottratz, Elizabeth

Corporate Director · Individual

0% 1 facilities 2023-01-01

Reycraft, Joseph

Operational/Managerial Control · Individual

0% 1 facilities 2022-08-28

Reycraft, Joseph

Corporate Officer · Individual

0% 1 facilities 2022-08-28

Roeder, James

Operational/Managerial Control · Individual

0% 1 facilities 2017-10-15

Schoeck, Kaitlyn

Corporate Director · Individual

0% 1 facilities 2017-08-07

Storbakken, Ronald

Corporate Director · Individual

0% 1 facilities 2000-01-01

Swenson, Wade

Corporate Director · Individual

0% 1 facilities 2023-01-01

Theurer, Mary

Corporate Officer · Individual

0% 1 facilities 2010-01-01

Wicht, Emil

Corporate Director · Individual

0% 1 facilities 1973-01-01

Wolhowe, Craig

Operational/Managerial Control · Individual

0% 1 facilities 1997-06-11

Wolhowe, Craig

Corporate Officer · Individual

0% 1 facilities 1997-06-11

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1-star overall rating with 1-star inspections with $10,062 in total fines with 18 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

Overall: 1 / 5
Health: 1 / 5
Staffing: 4 / 5
Fines: $10,062

#2