Deficiency Index

Benedictine Living Community of St. Peter

St Peter, Minnesota · CCN 245501

17 surveys since 2012, 4 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
81
Surveys
17
Harm or worse
4
Immediate jeopardy
1
The record, 2012–2026
’12’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file13/17

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
79
Ownership
Non profit - Corporation
Chain
BENEDICTINE HEALTH SYSTEM
County
Nicollet
Medicare-certified since
1987

CMS ratings

Overall
4
Health inspection
3
Staffing
5
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 52 not-for-profit facilities of 66–99 beds in Minnesota.

Last survey on record

Jan 13, 2026

300 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.054.39
Registered-nurse hours per resident day0.87—
Annual nurse turnover42.9%37.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1266.7%E211.1%F316.7%
No harm, potential for minimalA—B—C15.6%
CMS’s current file: 18 of the 81 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6842×

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

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5541×

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

  • F5851×

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

  • F6051×

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

In the surveyor’s words

From the most serious findings on record at Benedictine Living Community of St. Peter, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF585Jan 13, 2026

    Based on observation and interview, the facility failed to ensure a process for residents and resident representatives to file grievances anonymously, when R22, R23, R35, R45, R46, and R63 voiced they were not aware of how to submit a grievance or an anonymous process to submit a grievance. This had the potential to affect all 67 residents in the facility. Findings include:R22's quarterly Minimum Data Set (MDS) dated [DATE], indicated R22 was cognitively intact.R23's quarterly MDS dated [DATE], indicated R23 had moderately impaired cognition, R35's quarterly MDS dated [DATE], indicated R35 was cognitively intact.R45's quarterly MDS dated [DATE], indicated R45 was cognitively intact.R46's annual MDS dated [DATE], indicated R46 was cognitively intact.R63's annual MDS dated [DATE], indicated… […]

  • No harm, potential for more than minimal, widespreadF880Jan 13, 2026

    Based on observation, interview and document review, the facility failed to follow Centers for Disease Control (CDC) guidelines for appropriately implementing measures to prevent the spread of infection when the facility failed to ensure signage was posted for visitors and staff regarding visiting when ill, hand hygiene and respiratory management, and failed to follow infection control practices while washing resident personal laundry. This practice had the potential to affect all residents residing in the facility.Findings include:INFECTION CONTROL SIGNAGEDuring observation on 1/12/26 at 9:45 a.m., no signs were posted at facility entrance doors to encourage visitors and staff to follow respiratory hygiene, cover their cough, stay home while sick, or sanitize hands prior to visiting. […]

  • No harm, potential for more than minimal, widespreadF809Dec 20, 2023

    Based on observation, interview and document review, the facility failed to ensure all residents were consistently offered and provided a nutrient and/or calorie substantive snack after the dinner meal and before bedtime for 4 of 4 residents (R29, R43, R45, R51) who voiced a concern. Findings include: During an interview on 12/18/23 at 6:49 p.m., culinary aide (CA)-A who was working on the Angel Unit stated the evening dietary staff did not prepare snacks for residents and stated he had never seen snacks offered to residents in the evening. During observation on 12/18/23 from 6:30 p.m. to 7:25 p.m., no snacks were offered to residents on the Angel Unit. […]

  • No harm, potential for more than minimal, widespreadF812Jan 26, 2023

    Based on observation and interview, the facility failed to sanitize and/or replace resident water mugs on a daily basis to ensure a safe and sanitary vessel from which residents consumed water. This had the potential to affect all 55 residents residing in the facility. Findings include: During observations on 1/23, 1/24, 1/25, and 1/26/23, on the Angel wing, staff were not observed replacing resident thermal water mugs with clean mugs. During an interview on 1/26/23, 9:13 a.m., culinary services director (CSD) stated resident water mugs were not washed in the kitchen, adding they might be washed in dishmachines on unit kitchenettes. […]

  • No harm, potential for more than minimal, widespreadF725Jan 5, 2023

    Based on observation, interview, and document review the facility failed to provide sufficient staffing to ensure residents received care and assistance as needed. These deficient practices had the potential to affect all 56 residents who resided in the facility. Findings include: Refer to F676: Based on interview and record review the facility failed to ensure activities of daily living (ADLs) including weekly baths were provided for 2 of 3 residents (R4 and R5 ) who needed assistance with bathing. On 1/5/23, at 9:55 a.m. during a phone interview nursing assistant (NA)-A indicated she was employed as an agency NA from 12/21/22, through 12/26/22. NA-A indicated she was scheduled 16 hour shifts and was routinely responsible for 20 residents during her shift. […]

Read 24 findings in full →The most serious and the most recent: 24 of 81 on record.

Every survey on record

FindingsAt actual harm or above

  • Jan 13, 2026Standard6 findings
  • Oct 30, 2024Standard and complaint6 findings
  • Feb 7, 2024Complaint2 findings
  • Dec 20, 2023Standard4 findings
  • Jan 26, 2023Standard6 findings
  • Jan 18, 2023Complaint2 findings
  • Jan 5, 2023Complaint2 findings
  • Aug 12, 2021Standard6 findings
Show the 9 earlier surveys
  • Oct 14, 2020Complaint1 finding
  • Jul 18, 2019Standard8 findings
  • Sep 28, 2018Standard and complaint9 findings · 3 harm
  • Aug 31, 2017Standard5 findings
  • Jun 29, 2016Standard5 findings
  • Aug 13, 2015Standard9 findings
  • Jul 31, 2014Standard2 findings
  • Aug 15, 2013—4 findings
  • Aug 23, 2012—4 findings · 1 harm

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction