St Charles, MN
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
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
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
Chain footprint
58 facilities
Chain averages 3 overall / 3 health / 4 staffing / 3 quality stars
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
RN hours / resident day
1.11
Registered nurse staffing · state 1.06 · national 0.68
LPN hours / resident day
0.61
Licensed practical nurse staffing · state 0.62 · national 0.87
Aide hours / resident day
2.09
Nurse aide staffing · state 2.56 · national 2.35
Total nurse hours
3.82
All reported nurse hours · state 4.23 · national 3.89
Licensed hours
1.73
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
3.36
Weekend nurse staffing · state 3.68 · national 3.43
Weekend RN hours
0.58
Weekend registered nurse coverage · state 0.68 · national 0.47
Physical therapist
0.12
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
1.19
CMS adjusted RN staffing hours
Adjusted total hours
4.10
CMS adjusted total nurse staffing hours
Case-mix index
1.27
Higher values indicate more complex resident acuity
RN turnover
57%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
33%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Program rank
9,280
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
24.19
Composite VBP score used to determine payment impact.
Payment multiplier
0.9834
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
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
2.53
Baseline 58.06% · Performance 53.33% · Measure score 2.53 · Achievement 2.53 · Improvement 0.92
Adjusted total nurse staffing
2.31
Baseline 3.70 hours · Performance 3.73 hours · Measure score 2.31 · Achievement 2.31 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.59% |
10.72%
0.1 pts better
|
No Different than the National Rate · Eligible stays 40 · Observed rate 12.5% · Lower 95% interval 6.96% |
| Discharge to community | 57.79% |
50.57%
7.2 pts better
|
No Different than the National Rate · Eligible stays 38 · Observed rate 47.37% · Lower 95% interval 43.67% |
| Medicare spending per beneficiary | 0.82 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 19 · 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 21 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 22.41% |
8.2%
14.2 pts better
|
Numerator 13 · Denominator 58 |
| Staff flu vaccination coverage | 11.67% |
42%
30.3 pts worse
|
Numerator 7 · Denominator 60 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
Quality measures
| 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 · Q4 85.0% · 4Q avg 91.9% |
| 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 · Q4 5.0% · 4Q avg 2.7% · Used in QM five-star |
| 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 · 4Q avg 7.5% |
| 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 · 4Q avg 0.0% |
| 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 · 4Q avg 15.3% |
| 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 · 4Q avg 20.0% · 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 · Q4 0.0% · 4Q avg 0.0% |
| 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 · 4Q avg 20.4% · Used in QM five-star |
| 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 · 4Q avg 14.2% · Used in QM five-star |
| 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 · Q4 5.0% · 4Q avg 2.8% · Used in QM five-star |
| 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 · 4Q avg 22.6% |
| 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 · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| 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 · Q2 40.0% · Q4 57.1% · 4Q avg 48.8% |
| 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 · 4Q avg 3.6% · Used in QM five-star |
| 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 · 4Q avg 61.9% |
Survey summary
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)
Top issue: Infection Control (1 deficiency)
8 fire-safety deficiencies
Top issue: Smoke (4 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
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-06-13
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-06-02
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-05-31
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-06-09
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
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-05-31
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-06-05
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2025-06-12
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-06-02
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2025-07-07
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2025-07-07
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2025-07-07
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-05-09
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-05-09
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
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-05-09
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-05-09
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-09
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2024-05-09
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-05-09
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-09-06
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-09-06
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-09-06
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-09-06
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-09-06
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-09-06
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-09-06
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2023-09-06
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
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-07-23
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-07-23
Health
Respond appropriately to all alleged violations.
Corrected 2025-07-23
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
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-06-12
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
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-06-12
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-12
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2025-06-12
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-27
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-08
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
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
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
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
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-09-06
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2023-09-06
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
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-09-06
Penalties and ownership
Fine · fine $16,452
Fine
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
5% Or Greater Security Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Nearby options
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Rushford, MN
5-star overall rating with 5-star inspections with 3 fire-safety deficiencies in the latest cycle
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