Fergus Falls, MN

Mn Veterans Home Fergus Falls

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

1821 North Park, Fergus Falls, MN

(218) 736-0400

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

85

Certified beds

Average residents

79

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2018-07-06

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

1.82

Registered nurse staffing · state 1.06 · national 0.68

LPN hours / resident day

0.50

Licensed practical nurse staffing · state 0.62 · national 0.87

Aide hours / resident day

2.76

Nurse aide staffing · state 2.56 · national 2.35

Total nurse hours

5.08

All reported nurse hours · state 4.23 · national 3.89

Licensed hours

2.33

RN + LPN hours · state 1.68 · national 1.54

Weekend hours

4.52

Weekend nurse staffing · state 3.68 · national 3.43

Weekend RN hours

1.31

Weekend registered nurse coverage · state 0.68 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

2.33

CMS adjusted RN staffing hours

Adjusted total hours

6.49

CMS adjusted total nurse staffing hours

Case-mix index

1.07

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

1

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

100

Composite VBP score used to determine payment impact.

Payment multiplier

1.0278

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

10

Baseline 27.27% · Performance 23.85% · Measure score 10 · Achievement 10 · Improvement 9

Adjusted total nurse staffing

10

Baseline 5.89 hours · Performance 6.24 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 3 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
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
Too few residents or stays to report publicly.
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 2 · 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 1 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 6.32%
8.2%
1.9 pts worse
Numerator 12 · Denominator 190
Staff flu vaccination coverage 6.25%
42%
35.8 pts worse
Numerator 12 · Denominator 192
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 2 · 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 Not Available · Newly certified or not enough cases to report.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.7
1.7
1 pts better
1.9
1.2 pts better
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.5 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.3
2.0
0.7 pts better
1.8
0.5 pts better
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.1 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.0%
97.3%
1.7 pts better
93.4%
5.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 97.4% · Q2 100.0% · Q3 98.7% · Q4 100.0% · 4Q avg 99.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.5%
96.1%
1.4 pts better
95.5%
2 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.5%
Percentage of long-stay residents experiencing one or more falls with major injury 1.0%
3.9%
2.9 pts better
3.3%
2.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 0.0% · Q3 0.0% · Q4 1.3% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 1.1%
4.3%
3.2 pts better
11.4%
10.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.4% · Q3 1.4% · Q4 1.3% · 4Q avg 1.1%
Percentage of long-stay residents who lose too much weight 1.9%
4.1%
2.2 pts better
5.4%
3.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 0.0% · Q3 2.9% · Q4 1.5% · 4Q avg 1.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 11.4%
12.4%
1 pts better
19.6%
8.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 10.1% · Q2 11.8% · Q3 11.8% · Q4 11.9% · 4Q avg 11.4%
Percentage of long-stay residents who received an antipsychotic medication 36.9%
17.5%
19.4 pts worse
16.7%
20.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 39.5% · Q2 36.8% · Q3 38.1% · Q4 33.3% · 4Q avg 36.9% · 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 23.9%
22.5%
1.4 pts worse
16.3%
7.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 31.5% · Q2 20.8% · Q3 16.3% · Q4 26.4% · 4Q avg 23.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 21.5%
18.6%
2.9 pts worse
14.9%
6.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 25.9% · Q2 26.3% · Q3 20.0% · Q4 13.8% · 4Q avg 21.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
2.3%
2.3 pts better
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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 3.3%
2.6%
0.7 pts worse
1.7%
1.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 1.3% · Q3 1.3% · Q4 5.1% · 4Q avg 3.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 23.1%
24.8%
1.7 pts better
19.8%
3.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 22.4% · Q2 24.7% · Q3 22.0% · Q4 23.1% · 4Q avg 23.1%
Percentage of long-stay residents with pressure ulcers 1.1%
5.4%
4.3 pts better
5.1%
4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 85.4%
88.6%
3.2 pts worse
81.7%
3.7 pts better
Short Stay · 2024Q4-2025Q3 · 4Q avg 85.4%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-05 · Fire 2025-02-05

4 health deficiencies

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

1 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 2 Health 2024-04-03 · Fire 2024-04-03

0 health deficiencies

No concentrated health issue counts in this cycle.

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2023-02-14 · Fire 2023-02-14

0 health deficiencies

No concentrated health issue counts in this cycle.

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-02-05

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2025-02-20

F · Potential for more than minimal harm 2024-04-03

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-07-23

E · Potential for more than minimal harm 2024-04-03

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-06-03

D · Potential for more than minimal harm 2024-04-03

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2024-04-04

D · Potential for more than minimal harm 2024-04-03

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-06-03

Inspection history

Recent health citations

G · Actual harm 2025-12-04

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 2026-01-30

E · Potential for more than minimal harm 2025-12-04

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2026-01-30

D · Potential for more than minimal harm 2025-02-05

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 2025-03-18

D · Potential for more than minimal harm 2025-02-05

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-03-18

Penalties and ownership

What sits behind the stars

$0 2024-04-03

Payment Denial

Payment Denial · denial start 2024-07-03 · 20 days

20 day denial

Ownership

Curtis, Nancy

W-2 Managing Employee · Individual

0% 4 facilities 2018-12-24
Hughes, Douglas

Operational/Managerial Control · Individual

0% 4 facilities 1997-08-01
Hughes, Douglas

Corporate Director · Individual

0% 4 facilities 2016-07-05
Hughes, Douglas

W-2 Managing Employee · Individual

0% 4 facilities 2019-07-05
Melby, Geoffrey

Operational/Managerial Control · Individual

0% 1 facilities 1997-08-01
Stone, Jonathan

W-2 Managing Employee · Individual

0% 1 facilities 2021-03-15

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Staffing
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