Cycle 1
Health 2025-04-09 · Fire 2025-04-09
3 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Roseau, MN
Lifecare Roseau Manor
4-star overall rating with 4-star inspections with $17,345 in total fines with 3 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
715 Delmore Drive, Roseau, MN
(218) 463-2500
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
40
Certified beds
Average residents
38
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1987-04-01
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
1.01
Registered nurse staffing · state 1.06 · national 0.68
LPN hours / resident day
0.65
Licensed practical nurse staffing · state 0.62 · national 0.87
Aide hours / resident day
3.40
Nurse aide staffing · state 2.56 · national 2.35
Total nurse hours
5.06
All reported nurse hours · state 4.23 · national 3.89
Licensed hours
1.67
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
4.42
Weekend nurse staffing · state 3.68 · national 3.43
Weekend RN hours
0.81
Weekend registered nurse coverage · state 0.68 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
1.21
CMS adjusted RN staffing hours
Adjusted total hours
6.08
CMS adjusted total nurse staffing hours
Case-mix index
1.14
Higher values indicate more complex resident acuity
RN turnover
20%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
29%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
83
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
87.64
Composite VBP score used to determine payment impact.
Payment multiplier
1.0270
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
7.53
Baseline 95.45% · Performance 38.78% · Measure score 7.53 · Achievement 6.09 · Improvement 7.53
Adjusted total nurse staffing
10
Baseline 5.12 hours · Performance 5.80 hours · Measure score 10 · Achievement 10 · Improvement 9
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure. |
| Medicare spending per beneficiary | Not Available |
1.02
|
No data were submitted for this measure. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 1 · 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 | 22.48% |
8.2%
14.3 pts better
|
Numerator 29 · Denominator 129 |
| Staff flu vaccination coverage | 82.58% |
42%
40.6 pts better
|
Numerator 109 · Denominator 132 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| 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 | 100.0% |
97.3%
2.7 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.2% |
96.1%
1.1 pts better
|
95.5%
1.7 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.7% |
3.9%
3.8 pts worse
|
3.3%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 8.8% · Q3 8.1% · Q4 5.7% · 4Q avg 7.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.2% |
4.3%
1.1 pts better
|
11.4%
8.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 3.3% · Q3 3.0% · Q4 0.0% · 4Q avg 3.2% |
| Percentage of long-stay residents who lose too much weight | 0.7% |
4.1%
3.4 pts better
|
5.4%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.9% · 4Q avg 0.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.9% |
12.4%
13.5 pts worse
|
19.6%
6.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.5% · Q2 30.3% · Q3 21.6% · Q4 25.7% · 4Q avg 25.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 22.2% |
17.5%
4.7 pts worse
|
16.7%
5.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 20.7% · Q3 23.5% · Q4 25.0% · 4Q avg 22.2% · 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 | 22.4% |
22.5%
0.1 pts better
|
16.3%
6.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 29.4% · 4Q avg 22.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 33.9% |
18.6%
15.3 pts worse
|
14.9%
19 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.7% · Q2 40.0% · Q3 47.1% · Q4 25.0% · 4Q avg 33.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
2.3%
1.6 pts better
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.8% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.2% |
2.6%
1.6 pts worse
|
1.7%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 2.9% · Q3 8.1% · Q4 2.9% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 33.2% |
24.8%
8.4 pts worse
|
19.8%
13.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 47.1% · Q2 17.3% · Q3 36.9% · Q4 31.4% · 4Q avg 33.2% |
| 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 · Q1 0.0% · Q2 8.3% · Q3 0.0% · Q4 0.0% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 82.1% |
88.6%
6.5 pts worse
|
81.7%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 82.1% |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-02-14 · Fire 2024-02-14
1 health deficiencies
Top issue: Infection Control (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2022-11-09 · Fire 2022-11-09
0 health deficiencies
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-04-09
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-04-14
E · Potential for more than minimal harm
2025-04-09
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-08
E · Potential for more than minimal harm
2025-04-09
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-04-30
D · Potential for more than minimal harm
2025-04-09
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-04-14
D · Potential for more than minimal harm
2025-04-09
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-04-08
D · Potential for more than minimal harm
2025-04-09
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-04-14
D · Potential for more than minimal harm
2025-04-09
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-04-08
F · Potential for more than minimal harm
2024-02-14
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-02-27
F · Potential for more than minimal harm
2022-11-09
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-11-08
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-04-09
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-04-30
D · Potential for more than minimal harm
2025-04-09
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-30
J · Immediate jeopardy
2025-03-21
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 2025-03-17
D · Potential for more than minimal harm
2024-02-14
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-03-01
Penalties and ownership
What sits behind the stars
$17,345
2025-03-21
Fine
Fine · fine $17,345
Fine
Ownership
Brummer, Ronald
Corporate Director · Individual
Foss, Jessica
Corporate Director · Individual
Huss, Catherine
Corporate Officer · Individual
Huss, Catherine
W-2 Managing Employee · Individual
Isane, Shayne
Corporate Director · Individual
Johnson, Beth
Corporate Director · Individual
Karl, Mark
Corporate Director · Individual
Lifecare Medical Center
5% Or Greater Direct Ownership Interest · Organization
Lindner, Chuck
Corporate Director · Individual
Mcbride, Therese
Corporate Director · Individual
Okeson, Keith
Corporate Officer · Individual
Okeson, Keith
W-2 Managing Employee · Individual
Sather, Brenda
Corporate Director · Individual
Ulwelling, Matthew
Corporate Director · Individual
Urness, Dan
Corporate Director · Individual
Vatnsdal, Corwin
Corporate Director · Individual
Wilson, Mark
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Warroad Care Center
Warroad, MN
1-star overall rating with 1-star inspections with abuse icon flag with $359,330 in total fines with 8 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
Lifecare Greenbush Manor
Greenbush, MN
5-star overall rating with 5-star inspections with 2 recent health deficiencies
#3
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
Jump out