Federal inspection record · CMS data as of October 1, 2026
St Marks Living
400 15th Avenue Southwest, Austin, MN · (507) 437-4594
- Certified beds
- 45
- Residents per day
- 30
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 1, 1986
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Minnesota.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Minnesota homes
St Marks Living carries 179.25 inspection points. That is fewer than 5% of Minnesota's 335 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Minnesota: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–30 pts
- 3★ 30–54 pts
- 2★ 54–92 pts
- 1★ over 92 pts
Bars show every rated home in Minnesota by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
30 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (4)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Ensure that residents are free from significant medication errors.
-
G
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Everything else, by area of care
Quality of Life and Care7D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
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.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide care or services that was trauma informed and/or culturally competent.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control6F
- F
Provide and implement an infection prevention and control program.
- F
Implement a program that monitors antibiotic use.
- E
Implement a program that monitors antibiotic use.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Resident Assessment and Care Planning4D
- D
Ensure each resident receives an accurate assessment.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Rights4D
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
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.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration2F
- F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Environmental1E
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspection history
2026-06-16
12 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2025-04-03
15 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2023-12-21
3 health deficiencies · 10 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 58 min of nursing staff time a day, 46 min of it from a registered nurse.
This home
4 h 58 min
Minnesota average
4 h 16 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 47% of nursing staff and 50% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$127,000 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-03-02 | Fine | $127,000 |
| 2026-03-02 | Payment Denial · 35 day denial | $0 |
| 2025-02-21 | Payment Denial · 1 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.2 pts worse | 96.1% | 97.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.8 pts worse | 92.6% | 96.4% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury9.5 pts worse | 13.6% | 4.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1 pts worse | 5.1% | 4.1% | 13.5% |
| Percentage of long-stay residents who lose too much weight5.3 pts worse | 9.2% | 3.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.2 pts better | 4.5% | 12.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication17.2 pts better | 0.0% | 17.2% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened13.2 pts worse | 32.0% | 18.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.8 pts worse | 20.0% | 18.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder3.8 pts worse | 5.5% | 1.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.3 pts worse | 3.9% | 2.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.2 pts worse | 25.9% | 23.7% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.6 pts better | 4.5% | 5.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.1 pts better | 90.2% | 88.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.7 pts worse | 19.3% | 14.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts better | 1.3% | 1.9% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine8.4 pts better | 91.7% | 83.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.6 pts worse | 27.6% | 23.0% | 23.4% |
·
Who owns and runs it
24 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Alvarado, Megan | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Alvarado, Megan | Adp Of The SNF · Individual | 0% | 4 facilities |
| Braaten, James | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Brandenburg, Emily | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Dahlback, Duane | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Donahue, Nancy | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Ellefson, Crystal | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Ellefson, Crystal | Adp Of The SNF · Individual | 0% | 1 facilities |
| Gray, John Jr. | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Gullickson, Gayle | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Johnson, Bradley | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Johnson, Bradley | Corporate Officer · Individual | 0% | 2 facilities |
| Langbehn, Jennifer | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Langbehn, Jennifer | Adp Of The SNF · Individual | 0% | 4 facilities |
| Nelson, Harlan | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Nelson, Harlan | Corporate Director · Individual | 0% | 1 facilities |
| Partners Senior Living Options LLC | Operational/Managerial Control · Organization | 0% | 4 facilities |
| Ritter, Craig | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Ritter, Craig | Adp Of The SNF · Individual | 0% | 3 facilities |
| Rocheleau, Kimberly | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Rocheleau, Kimberly | Adp Of The SNF · Individual | 0% | 4 facilities |
| Rocheleau, Paula | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Rocheleau, Paula | Adp Of The SNF · Individual | 0% | 4 facilities |
| Simonson, Connie | Managing Control - Governing Body · Individual | 0% | 1 facilities |
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Fire safety
27 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems9F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have proper medical gas storage and administration areas.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have proper medical gas storage and administration areas.
- D
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Smoke8F
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Provide properly protected cooking facilities.
- C
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Provide properly protected cooking facilities.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
Miscellaneous4F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
- C
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Emergency Preparedness2F
- F
Develop and maintain an Emergency Preparedness Program (EP).
- C
Implement emergency and standby power systems.
Egress2F
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Install emergency lighting that can last at least 1 1/2 hours.
Services2F
- F
Have properly installed electrical wiring and gas equipment.
- F
Install properly constructed and protected linen or trash chutes.
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Other homes nearby
-
Sacred Heart Care Center
Austin, MN
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 34 min
- Fines
- $0
-
Good Samaritan Society - Comforcare
Austin, MN · Good Samaritan Society
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 8 min
- Fines
- $21,645
-
Prairie Manor Care Center
Blooming Prairie, MN
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 34 min
- Fines
- $43,300