St Charles, MN

Whitewater Health Services

2-star overall rating with 2-star inspections with $16,452 in total fines with 9 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle

525 Bluff Avenue, St Charles, MN

(507) 932-3283

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

45

Certified beds

Average residents

23

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

North Shore Healthcare

Operator or chain grouping

Approved since

1985-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.11

Registered nurse staffing

LPN hours / resident day

0.61

Licensed practical nurse staffing

Aide hours / resident day

2.09

Nurse aide staffing

Weekend hours

3.36

Weekend nurse staffing

RN turnover

57%

Annual RN turnover

Total nurse turnover

33%

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 91.9%
97.3%
5.4 pts worse
93.4%
1.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents experiencing one or more falls with major injury 2.7%
3.9%
1.2 pts better
3.3%
0.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 7.5%
4.3%
3.2 pts worse
11.4%
3.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 0.0%
4.1%
4.1 pts better
5.4%
5.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 15.3%
12.4%
2.9 pts worse
19.6%
4.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 20.0%
17.5%
2.5 pts worse
16.7%
3.3 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 need for help with daily activities has increased 20.4%
18.6%
1.8 pts worse
14.9%
5.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 14.2%
2.3%
11.9 pts worse
1.0%
13.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 2.8%
2.6%
0.2 pts worse
1.7%
1.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 22.6%
24.8%
2.2 pts better
19.8%
2.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 1.0%
5.4%
4.4 pts better
5.1%
4.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 48.8%
88.6%
39.8 pts worse
81.7%
32.9 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who newly received an antipsychotic medication 3.6%
1.9%
1.7 pts worse
1.6%
2 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 61.9%
82.7%
20.8 pts worse
79.7%
17.8 pts worse
Short Stay · 2024Q3-2025Q2

Survey summary

Recent inspection cycles

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

9 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

12 fire-safety deficiencies

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

Cycle 2 Health 2024-04-11 · Fire 2024-04-11

2 health deficiencies

Top issue: Infection Control (1 deficiency)

8 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2023-07-20 · Fire 2023-07-20

8 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

9 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Fire safety

Fire-safety citations

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

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-06-02

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

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-05-31

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

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2025-06-09

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

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2025-06-04

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

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-05-31

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

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-06-05

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

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 2025-06-12

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

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-06-02

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

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2025-07-07

C · Minimal harm 2025-05-14

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2025-07-07

C · Minimal harm 2025-05-14

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2025-07-07

F · Potential for more than minimal harm 2024-04-11

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-05-09

F · Potential for more than minimal harm 2024-04-11

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-05-09

F · Potential for more than minimal harm 2024-04-11

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-05-09

F · Potential for more than minimal harm 2024-04-11

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-05-09

F · Potential for more than minimal harm 2024-04-11

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-05-09

D · Potential for more than minimal harm 2024-04-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-09

C · Minimal harm 2024-04-11

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2024-05-09

C · Minimal harm 2024-04-11

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2024-05-09

F · Potential for more than minimal harm 2023-07-20

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-09-06

F · Potential for more than minimal harm 2023-07-20

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-09-06

F · Potential for more than minimal harm 2023-07-20

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-09-06

F · Potential for more than minimal harm 2023-07-20

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-09-06

F · Potential for more than minimal harm 2023-07-20

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-09-06

F · Potential for more than minimal harm 2023-07-20

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-09-06

C · Minimal harm 2023-07-20

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2023-09-06

C · Minimal harm 2023-07-20

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2023-09-06

C · Minimal harm 2023-07-20

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2023-09-06

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-06-16

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2025-07-23

E · Potential for more than minimal harm 2025-06-16

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 2025-07-23

E · Potential for more than minimal harm 2025-06-16

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-07-23

E · Potential for more than minimal harm 2025-06-16

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 2025-07-23

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

F554 · Resident Rights Deficiencies

Health

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

Corrected 2025-06-12

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

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-06-12

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

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-06-12

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

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-06-12

C · Minimal harm 2025-05-14

F577 · Resident Rights Deficiencies

Health

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

Corrected 2025-06-12

J · Immediate jeopardy 2024-08-06

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-08-27

D · Potential for more than minimal harm 2024-06-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-07-08

E · Potential for more than minimal harm 2023-07-20

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2023-09-06

E · Potential for more than minimal harm 2023-07-20

F809 · Nutrition and Dietary Deficiencies

Health

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Corrected 2023-09-06

E · Potential for more than minimal harm 2023-07-20

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 2023-09-06

D · Potential for more than minimal harm 2023-07-20

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 2023-09-06

D · Potential for more than minimal harm 2023-07-20

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-09-06

D · Potential for more than minimal harm 2023-07-20

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2023-09-06

D · Potential for more than minimal harm 2023-07-20

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2023-09-06

D · Potential for more than minimal harm 2023-07-20

F883 · Infection Control Deficiencies

Health

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

Corrected 2023-09-06

Penalties and ownership

What sits behind the stars

$16,452 2024-08-06

Fine

Fine · fine $16,452

Fine

Ownership

Nshc Wisconsin LLC

5% Or Greater Direct Ownership Interest · Organization

100% 16 facilities 2016-12-30
Baumann, Troy

Operational/Managerial Control · Individual

0% 59 facilities 2016-12-30
Baumann, Troy

Corporate Officer · Individual

0% 59 facilities 2016-12-30
Belongia, Christina

Operational/Managerial Control · Individual

0% 16 facilities 2019-11-01
Cibc Bank Usa

Operational/Managerial Control · Organization

0% 121 facilities 2024-12-31
Cibc Bank Usa

5% Or Greater Security Interest · Organization

0% 121 facilities 2024-12-31
Cliftonlarsonallen Llp

Operational/Managerial Control · Organization

0% 23 facilities 2018-05-22
Continuum Therapy Partners

Operational/Managerial Control · Organization

0% 16 facilities 2025-03-01
Gee, Darren

Operational/Managerial Control · Individual

0% 16 facilities 2021-11-30
Gimlin, Lindsay

Operational/Managerial Control · Individual

0% 1 facilities 2025-06-08
Greer, Lauren

Operational/Managerial Control · Individual

0% 16 facilities 2023-11-29
Hoehn, Jeffrey

Operational/Managerial Control · Individual

0% 59 facilities 2016-12-30
Hoehn, Jeffrey

Corporate Officer · Individual

0% 59 facilities 2016-12-30
North Shore Healthcare LLC

Operational/Managerial Control · Organization

0% 56 facilities 2017-02-01
Nsh Rehab LLC

Operational/Managerial Control · Organization

0% 15 facilities 2025-03-01
Patzer, Colleen

Operational/Managerial Control · Individual

0% 16 facilities 2023-02-14
Ponton, Lilia

Operational/Managerial Control · Individual

0% 3 facilities 2025-06-01
Purtell, Brian

Operational/Managerial Control · Individual

0% 16 facilities 2018-06-01
Wipfli Llp

Operational/Managerial Control · Organization

0% 32 facilities 2025-02-01

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