Springfield, MN

St John Lutheran Home

4-star overall rating with 3-star inspections with 6 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

201 South County Road 5, Springfield, MN

(507) 723-3200

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 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

65

Certified beds

Average residents

46

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1988-11-01

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

0.85

Registered nurse staffing · state 1.06 · national 0.68

LPN hours / resident day

0.52

Licensed practical nurse staffing · state 0.62 · national 0.87

Aide hours / resident day

2.94

Nurse aide staffing · state 2.56 · national 2.35

Total nurse hours

4.31

All reported nurse hours · state 4.23 · national 3.89

Licensed hours

1.37

RN + LPN hours · state 1.68 · national 1.54

Weekend hours

3.85

Weekend nurse staffing · state 3.68 · national 3.43

Weekend RN hours

0.49

Weekend registered nurse coverage · state 0.68 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

1.06

CMS adjusted RN staffing hours

Adjusted total hours

5.38

CMS adjusted total nurse staffing hours

Case-mix index

1.09

Higher values indicate more complex resident acuity

RN turnover

20%

Annual RN turnover · state 39% · national 45%

Total nurse turnover

44%

Annual nurse turnover · state 42% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,576

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

Performance score

55.55

Composite VBP score used to determine payment impact.

Payment multiplier

1.0106

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.10

Baseline 19.63% · Performance 19.53% · Measure score 4.10 · Achievement 4.10 · Improvement 0

Healthcare-associated infections

5.58

Performance 6.17% · Measure score 5.58 · Achievement 5.58 · This facility did not have sufficient data to calculate a baseline period measure result.

Total nurse turnover

7.09

Baseline 42.37% · Performance 34.69% · Measure score 7.09 · Achievement 7.09 · Improvement 3.88

Adjusted total nurse staffing

5.45

Baseline 4.74 hours · Performance 4.63 hours · Measure score 5.45 · Achievement 5.45 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.72%	10.72% 1 pts better	No Different than the National Rate · Eligible stays 50 · Observed rate 4% · Lower 95% interval 6.07%
Discharge to community	55.42%	50.57% 4.9 pts better	No Different than the National Rate · Eligible stays 47 · Observed rate 55.32% · Lower 95% interval 43.45%
Medicare spending per beneficiary	0.9	1.02 0.1 pts better
Drug regimen review with follow-up	97.92%	95.27% 2.7 pts better	Numerator 47 · Denominator 48
Falls with major injury	2.08%	0.77% 1.3 pts worse	Numerator 1 · Denominator 48
Discharge self-care score	57.14%	53.69% 3.5 pts better	Numerator 24 · Denominator 42
Discharge mobility score	59.52%	50.94% 8.6 pts better	Numerator 25 · Denominator 42
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 48 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.17%	7.12% 1 pts better	No Different than the National Rate · Eligible stays 36 · Observed rate 0% · Lower 95% interval 3.79%
Staff COVID-19 vaccination coverage	11.32%	8.2% 3.1 pts better	Numerator 12 · Denominator 106
Staff flu vaccination coverage	35.25%	42% 6.8 pts worse	Numerator 43 · Denominator 122
Discharge function score	61.9%	56.45% 5.4 pts better	Numerator 26 · Denominator 42
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 24 · Denominator 24
Resident COVID-19 vaccinations up to date	41.67%	25.2% 16.5 pts better	Numerator 10 · Denominator 24

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.5	1.7 0.2 pts better	1.9 0.4 pts better	Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.3 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.7	2.0 0.3 pts better	1.8 0.1 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.5 · Expected 1.5 · Used in QM five-star
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	100.0%	96.1% 3.9 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	4.0%	3.9% 0.1 pts worse	3.3% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 4.4% · Q3 4.8% · Q4 4.7% · 4Q avg 4.0% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	5.3%	4.1% 1.2 pts worse	5.4% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 7.5% · Q3 2.6% · Q4 5.3% · 4Q avg 5.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	5.8%	12.4% 6.6 pts better	19.6% 13.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 4.9% · Q3 5.1% · Q4 5.3% · 4Q avg 5.8%
Percentage of long-stay residents who received an antipsychotic medication	11.9%	17.5% 5.6 pts better	16.7% 4.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 11.8% · Q3 12.1% · Q4 13.3% · 4Q avg 11.9% · 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	17.3%	22.5% 5.2 pts better	16.3% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q3 11.6% · Q4 26.3% · 4Q avg 17.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	17.1%	18.6% 1.5 pts better	14.9% 2.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 15.0% · Q3 15.8% · Q4 22.2% · 4Q avg 17.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	6.2%	2.3% 3.9 pts worse	1.0% 5.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 7.5% · Q3 2.5% · Q4 6.6% · 4Q avg 6.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.5%	2.6% 0.9 pts worse	1.7% 1.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.3% · Q3 7.3% · Q4 4.7% · 4Q avg 3.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	19.7%	24.8% 5.1 pts better	19.8% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 23.7% · Q2 13.7% · Q3 10.7% · Q4 30.1% · 4Q avg 19.7%
Percentage of long-stay residents with pressure ulcers	3.3%	5.4% 2.1 pts better	5.1% 1.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 2.7% · Q3 3.2% · Q4 2.6% · 4Q avg 3.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	88.6% 11.4 pts better	81.7% 18.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of short-stay residents who had an outpatient emergency department visit	11.4%	14.0% 2.6 pts better	12.0% 0.6 pts better	Short Stay · 20240701-20250630 · Adjusted 11.4% · Observed 10.0% · Expected 9.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.8%	1.9% 0.9 pts worse	1.6% 1.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q3 0.0% · 4Q avg 2.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	100.0%	82.7% 17.3 pts better	79.7% 20.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	17.4%	23.1% 5.7 pts better	23.9% 6.5 pts better	Short Stay · 20240701-20250630 · Adjusted 17.4% · Observed 12.5% · Expected 17.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-14 · Fire 2025-05-14

6 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2024-04-17 · Fire 2024-04-17

4 health deficiencies

Top issue: Resident Rights (2 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2023-03-08 · Fire 2023-03-08

3 health deficiencies

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

8 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-05-14

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-06-06

F · Potential for more than minimal harm 2025-05-14

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-05-15

F · Potential for more than minimal harm 2025-05-14

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-06-06

F · Potential for more than minimal harm 2025-05-14

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-06-13

F · Potential for more than minimal harm 2025-05-14

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2025-06-04

E · Potential for more than minimal harm 2025-05-14

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-05-30

E · Potential for more than minimal harm 2024-04-17

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-04-17

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-04-17

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-04-17

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-06-07

F · Potential for more than minimal harm 2023-03-08

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2023-03-10

F · Potential for more than minimal harm 2023-03-08

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2023-04-04

F · Potential for more than minimal harm 2023-03-08

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-04-04

F · Potential for more than minimal harm 2023-03-08

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-04-28

F · Potential for more than minimal harm 2023-03-08

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-03-10

F · Potential for more than minimal harm 2023-03-08

K926 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Corrected 2023-04-30

D · Potential for more than minimal harm 2023-03-08

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-04-28

D · Potential for more than minimal harm 2023-03-08

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-04-28

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-05-14

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-07-03

E · Potential for more than minimal harm 2025-05-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-07-03

D · Potential for more than minimal harm 2025-05-14

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 2025-07-03

D · Potential for more than minimal harm 2025-05-14

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-07-03

D · Potential for more than minimal harm 2025-05-14

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-07-03

D · Potential for more than minimal harm 2025-05-14

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2025-07-03

F · Potential for more than minimal harm 2024-04-17

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 2024-06-07

D · Potential for more than minimal harm 2024-04-17

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-06-07

B · Minimal harm 2024-04-17

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 2024-06-07

B · Minimal harm 2024-04-17

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2024-06-07

D · Potential for more than minimal harm 2023-03-08

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-05-03

D · Potential for more than minimal harm 2023-03-08

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2023-05-03

D · Potential for more than minimal harm 2023-03-08

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2023-05-03

Penalties and ownership