Litchfield, MN

Meeker Manor Rehabilitation Center, LLC

1-star overall rating with 2-star inspections with $14,696 in total fines with 17 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

600 South Davis Avenue, Litchfield, MN

(320) 693-2472

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

65

Certified beds

Average residents

49

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Monarch Healthcare Management

Operator or chain grouping

Approved since

1986-10-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.51

Registered nurse staffing

LPN hours / resident day

0.99

Licensed practical nurse staffing

Aide hours / resident day

2.08

Nurse aide staffing

Weekend hours

3.14

Weekend nurse staffing

RN turnover

78%

Annual RN turnover

Total nurse turnover

56%

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 98.6%
97.3%
1.3 pts better
93.4%
5.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.4%
96.1%
1.3 pts better
95.5%
1.9 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 3.4%
3.9%
0.5 pts better
3.3%
0.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 5.1%
4.3%
0.8 pts worse
11.4%
6.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 6.2%
4.1%
2.1 pts worse
5.4%
0.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 25.0%
12.4%
12.6 pts worse
19.6%
5.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 31.2%
17.5%
13.7 pts worse
16.7%
14.5 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 31.2%
22.5%
8.7 pts worse
16.3%
14.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 15.8%
18.6%
2.8 pts better
14.9%
0.9 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 1.4%
2.6%
1.2 pts better
1.7%
0.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 26.8%
24.8%
2 pts worse
19.8%
7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 4.6%
5.4%
0.8 pts better
5.1%
0.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 80.3%
88.6%
8.3 pts worse
81.7%
1.4 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 24.2%
14.0%
10.2 pts worse
12.0%
12.2 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 2.9%
1.9%
1 pts worse
1.6%
1.3 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 69.7%
82.7%
13 pts worse
79.7%
10 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 15.8%
23.1%
7.3 pts better
23.9%
8.1 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-06 · Fire 2025-03-06

17 health deficiencies

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

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2024-02-01 · Fire 2024-02-01

6 health deficiencies

Top issue: Infection Control (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2022-12-08 · Fire 2022-12-08

5 health deficiencies

Top issue: Resident Rights (3 deficiencies)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-03-06

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2025-04-20

D · Potential for more than minimal harm 2025-03-06

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-04

D · Potential for more than minimal harm 2024-02-01

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-02-01

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-02-01

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-03-01

E · Potential for more than minimal harm 2022-12-08

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2022-12-13

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-11-21

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-12-03

D · Potential for more than minimal harm 2025-11-21

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 2025-12-03

D · Potential for more than minimal harm 2025-11-20

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-12-02

D · Potential for more than minimal harm 2025-11-03

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-12-02

D · Potential for more than minimal harm 2025-08-28

F553 · Resident Rights Deficiencies

Health

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2025-09-29

D · Potential for more than minimal harm 2025-05-08

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-06-06

D · Potential for more than minimal harm 2025-05-08

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 2025-06-06

D · Potential for more than minimal harm 2025-05-08

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-06-06

D · Potential for more than minimal harm 2025-05-08

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-06-13

D · Potential for more than minimal harm 2025-05-08

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2025-06-13

E · Potential for more than minimal harm 2025-03-06

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-03-28

D · Potential for more than minimal harm 2025-03-06

F554 · Resident Rights Deficiencies

Health

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

Corrected 2025-03-28

D · Potential for more than minimal harm 2025-03-06

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2025-03-28

D · Potential for more than minimal harm 2025-03-06

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2025-03-28

D · Potential for more than minimal harm 2025-03-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-28

D · Potential for more than minimal harm 2025-03-06

F883 · Infection Control Deficiencies

Health

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

Corrected 2025-03-28

C · Minimal harm 2025-03-06

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2025-03-28

J · Immediate jeopardy 2024-03-06

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 2024-03-01

D · Potential for more than minimal harm 2024-02-01

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-02-01

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-02-01

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-02-01

F883 · Infection Control Deficiencies

Health

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

Corrected 2024-03-01

C · Minimal harm 2024-02-01

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-03-01

D · Potential for more than minimal harm 2023-11-03

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-12-26

D · Potential for more than minimal harm 2023-03-17

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-05-04

D · Potential for more than minimal harm 2023-03-17

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 2023-05-04

C · Minimal harm 2022-12-08

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2022-12-29

C · Minimal harm 2022-12-08

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2022-12-29

Penalties and ownership

What sits behind the stars

$14,696 2024-03-06

Fine

Fine · fine $14,696

Fine

Ownership

Halpert, Marc

5% Or Greater Indirect Ownership Interest · Individual

23% 45 facilities 2016-07-01
Legum, Joshua

5% Or Greater Indirect Ownership Interest · Individual

23% 45 facilities 2016-07-01
Spartan Healthcare LLC

5% Or Greater Direct Ownership Interest · Organization

23% 45 facilities 2016-07-01
Yazoma Holdings, LLC

5% Or Greater Direct Ownership Interest · Organization

23% 44 facilities 2016-07-01
Stern, William

5% Or Greater Direct Ownership Interest · Individual

15% 45 facilities 2016-07-01
Arem, Jeffrey

5% Or Greater Direct Ownership Interest · Individual

14% 33 facilities 2016-07-01
Jaffa, Noam

5% Or Greater Indirect Ownership Interest · Individual

14% 45 facilities 2016-07-01
Nij LLC

5% Or Greater Direct Ownership Interest · Organization

14% 44 facilities 2016-07-01
Hml LLC

5% Or Greater Direct Ownership Interest · Organization

12% 8 facilities 2016-07-01
Muencz, Jeffrey

5% Or Greater Indirect Ownership Interest · Individual

12% 7 facilities 2016-07-01
Halpert, Marc

Corporate Director · Individual

0% 45 facilities 2016-07-01
Legum, Joshua

W-2 Managing Employee · Individual

0% 45 facilities 2016-07-01
Monarch Healthcare Operating Iv LLC

Operational/Managerial Control · Organization

0% 15 facilities 2016-07-01
Stern, William

Corporate Officer · Individual

0% 45 facilities 2016-07-01

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