Federal inspection record · CMS data as of October 1, 2026
Stewartville Care Center
120 Fourth Street Northeast, Stewartville, MN · (507) 533-4288
- Cited for abuse (CMS abuse icon)
- Certified beds
- 50
- Residents per day
- 42
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 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
★★★★★−1 star
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.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Minnesota homes
Stewartville Care Center carries 69 inspection points. That is fewer than 32% 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 2024. 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 (2)
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G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care6D
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
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.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- D
Provide or obtain dental services for each resident.
Resident Rights5D
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Keep residents' personal and medical records private and confidential.
Nutrition and Dietary5F
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Pharmacy Service4E
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
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.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Resident Assessment and Care Planning2D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Environmental1E
- E
Keep all essential equipment working safely.
Nursing and Physician Services1D
- D
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.
Inspection history
2026-06-18
8 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2025-04-03
7 health deficiencies · 3 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2024-01-11
15 health deficiencies · 5 fire-safety deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 22 min of nursing staff time a day, 52 min of it from a registered nurse.
This home
4 h 22 min
Minnesota average
4 h 16 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 67% 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
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 vaccine6.8 pts worse | 90.5% | 97.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine7.3 pts worse | 89.1% | 96.4% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.3 pts better | 3.8% | 4.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.5 pts better | 3.6% | 4.1% | 13.5% |
| Percentage of long-stay residents who lose too much weight3 pts worse | 6.9% | 3.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication9.7 pts better | 3.0% | 12.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.3 pts better | 13.9% | 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 worsened10.9 pts worse | 29.7% | 18.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9.8 pts worse | 28.0% | 18.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder6.1 pts worse | 7.8% | 1.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection3.2 pts worse | 5.8% | 2.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence16.4 pts worse | 40.1% | 23.7% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2 pts worse | 7.1% | 5.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine29.3 pts worse | 58.8% | 88.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.1 pts worse | 15.7% | 14.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts worse | 3.0% | 1.9% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine11.9 pts worse | 71.4% | 83.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3 pts better | 20.0% | 23.0% | 23.4% |
·
Who owns and runs it
27 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 |
|---|---|---|---|
| City Of Stewartville | Adp Of The SNF · Organization | 0% | 1 facilities |
| Evans, Jackie | Corporate Director · Individual | 0% | 1 facilities |
| Feijo, Laurie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Feijo, Laurie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Grisim, Connie | Corporate Director · Individual | 0% | 1 facilities |
| Hoesing, Amanda | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hoesing, Amanda | Adp Of The SNF · Individual | 0% | 1 facilities |
| Honsey, Daniel | Corporate Director · Individual | 0% | 1 facilities |
| Jones, Jarett | Corporate Director · Individual | 0% | 1 facilities |
| Lammers, Lauren | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Lammers, Lauren | Adp Of The SNF · Individual | 0% | 1 facilities |
| Lassig, Sara | Corporate Director · Individual | 0% | 1 facilities |
| Nelson, Margaret | Corporate Director · Individual | 0% | 1 facilities |
| Neuzil, Carol | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Neuzil, Carol | Adp Of The SNF · Individual | 0% | 1 facilities |
| Nogosek, Jennifer | Corporate Director · Individual | 0% | 1 facilities |
| Nogosek, Jennifer | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Nogosek, Jennifer | Adp Of The SNF · Individual | 0% | 1 facilities |
| Swanton, Kristin | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Swanton, Kristin | Adp Of The SNF · Individual | 0% | 1 facilities |
| Williams, Kyle | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Williams, Kyle | Adp Of The SNF · Individual | 0% | 1 facilities |
| Wuerflein, Tammy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Wuerflein, Tammy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Zimmerman, Daniel | Corporate Director · Individual | 0% | 1 facilities |
| Zimmerman, Daniel | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Zimmerman, Daniel | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
15 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- C
Inspect, test, and maintain automatic sprinkler systems.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems5F
- 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
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D
Ensure proper usage of power strips and extension cords.
Miscellaneous3F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- C
Have simulated fire drills held at unexpected times.
- C
Have simulated fire drills held at unexpected times.
Services2F
- F
Install properly constructed and protected linen or trash chutes.
- F
Have properly installed electrical wiring and gas equipment.
·
Other homes nearby
-
Rochester Restorative Care Center
Rochester, MN
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 4 min
- Fines
- $387,209
-
Meadow Manor
Grand Meadow, MN · Accura Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 2 h 38 min
- Fines
- $0
-
Charter House Inc
Rochester, MN
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 11 h 39 min
- Fines
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