Mahnomen, MN

Mahnomen Health Center

4-star overall rating with 4-star inspections with $12,534 in total fines with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

414 West Jefferson Avenue, Mahnomen, MN

(218) 935-2511

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

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

32

Certified beds

Average residents

27

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1981-08-04

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.41

Registered nurse staffing

LPN hours / resident day

0.63

Licensed practical nurse staffing

Aide hours / resident day

3.58

Nurse aide staffing

Weekend hours

4.95

Weekend nurse staffing

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

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 99.1%
97.3%
1.8 pts better
93.4%
5.7 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 3.6%
3.9%
0.3 pts better
3.3%
0.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.0%
4.3%
4.3 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 2.1%
4.1%
2 pts better
5.4%
3.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 22.1%
12.4%
9.7 pts worse
19.6%
2.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 11.2%
17.5%
6.3 pts better
16.7%
5.5 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 13.0%
22.5%
9.5 pts better
16.3%
3.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 22.9%
18.6%
4.3 pts worse
14.9%
8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.0%
2.3%
0.3 pts better
1.0%
1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.9%
2.6%
1.7 pts better
1.7%
0.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 26.1%
24.8%
1.3 pts worse
19.8%
6.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 1.0%
5.4%
4.4 pts better
5.1%
4.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 39.4%
88.6%
49.2 pts worse
81.7%
42.3 pts worse
Short Stay · 2024Q4-2025Q3

Survey summary

Recent inspection cycles

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

3 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

2 fire-safety deficiencies

Top issue: Electrical (1 deficiency)

Cycle 2 Health 2024-03-14 · Fire 2024-03-14

6 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

1 fire-safety deficiencies

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

Cycle 3 Health 2023-05-03 · Fire 2023-05-03

2 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

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

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-06-04

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

K901 · Electrical Deficiencies

Fire Safety

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

Corrected 2025-06-10

F · Potential for more than minimal harm 2024-03-14

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-05-01

Inspection history

Recent health citations

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

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-06-26

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

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 2025-06-26

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

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 2025-06-26

D · Potential for more than minimal harm 2024-05-24

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 2024-06-27

E · Potential for more than minimal harm 2024-03-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-03-28

E · Potential for more than minimal harm 2024-03-14

F883 · Infection Control Deficiencies

Health

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

Corrected 2024-04-02

D · Potential for more than minimal harm 2024-03-14

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-03-28

D · Potential for more than minimal harm 2024-03-14

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 2024-04-05

D · Potential for more than minimal harm 2024-03-14

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-04-02

D · Potential for more than minimal harm 2023-05-03

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-05-19

D · Potential for more than minimal harm 2023-05-03

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 2023-05-19

Penalties and ownership

What sits behind the stars

$12,534 2024-02-06

Fine

Fine · fine $12,534

Fine

Ownership

Mahnomen County

5% Or Greater Direct Ownership Interest · Organization

78% 1 facilities 2006-07-01
City Of Mahnomen

5% Or Greater Direct Ownership Interest · Organization

22% 1 facilities 2006-07-01
Guenther, Lori

W-2 Managing Employee · Individual

0% 1 facilities 2015-10-01
Kruger, Dale

Corporate Officer · Individual

0% 1 facilities 2015-09-08

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Health
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Staffing
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Fines
$88,726

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