Deficiency Index

Cornerstone Villa

Buhl, Minnesota · CCN 245612

17 surveys since 2011. The first finding at harm level was recorded in 2016.

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

Citations on record
130
Surveys
17
Harm or worse
4
Immediate jeopardyall corrected before survey
2
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy2

Findings at the most serious level CMS records. All were recorded as past non-compliance — corrected before the survey.

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
43
Ownership
Non profit - Corporation
Chain
Independent
County
St. Louis
Medicare-certified since
2004

CMS ratings

Overall
3
Health inspection
3
Staffing
4
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

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

Weighted by harm level, against 123 not-for-profit facilities with fewer than 66 beds in Minnesota.

Last survey on record

Dec 4, 2025

340 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 day4.014.22
Registered-nurse hours per resident day0.65—
Annual nurse turnover44.4%42.1%

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

Enforcement

Fines
$8,420 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ15.0%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1260.0%E210.0%F525.0%
No harm, potential for minimalA—B—C—
CMS’s current file: 20 of the 130 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6982×

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

  • F7582×

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5541×

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

In the surveyor’s words

From the most serious findings on record at Cornerstone Villa, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF689Jan 7, 2025

    Based on interview and document review, the facility failed to provide adequate supervision for 1 of 3 residents (R1) who was at risk for elopement. This resulted in an immediate jeopardy (IJ) for R1 when she eloped from the facility and was found in the facility parking lot by a passersby. The IJ began on [DATE] at 8:44 p.m., when R1 wandered out of the facility. The administrator and director of nursing (DON) were informed of the IJ on [DATE] at 3:22 p.m. The facility had implemented corrective action on [DATE], prior to the start of the survey, and was therefore past noncompliance. Findings include: R1's Face Sheet dated [DATE], indicated R1 had vascular dementia. […]

  • No harm, potential for more than minimal, widespreadF812Dec 4, 2025

    Based on observation, interview, and document review the facility failed to dispose of expired food items. The facility also failed to label food items with the open date and expiration date. This had the ability to affect all 35 residents in the facility.Findings include: During the initial tour of the kitchen on 12/01/2025 at 1:30 p.m., a Yoplait yogurt container with an expiration date of 11/28/25, was observed in the walk-in refrigerator. There was also a clear plastic container with a green lid containing several hard-boiled eggs in the walk-in refrigerator. The container lacked a label with the items in the container, the date the hard- boiled eggs were prepared, and when the hard-boiled eggs needed to be disposed of. […]

  • No harm, potential for more than minimal, widespreadF851Oct 31, 2024

    Based on interview and document review the facility failed to resolve technical issues timely to ensure staffing data was submitted, for 2 of 4 quarters reviewed (quarter 2 and 3), to the centers for Medicare and Medicaid Services (CMS) according to specifications established by CMS. Findings Include: Review of the Payroll Based Journal Report (PBJ) [NAME] Report 1705D for quarter 2 2024 (January 1 - March 31) and quarter 3 2024 (April 1st through June 30th), identified no data had been submitted. As a result, the metric for Registered Nurse (RN) hours and licensed nursing coverage was suppressed for those quarters. On 10/30/24 at 11:00 a.m., the human resources director (HR) stated it was her responsibility to gather the staffing data each quarter. […]

  • No harm, potential for more than minimal, widespreadF880Oct 31, 2024

    Based on observation, interview and document review, the facility failed to develop and implement a comprehensive water management program to reduce the risk of Legionella (a bacterial infection which can be found within man-made reservoirs) and associated infectious outbreak. These findings had the potential to affect all 38 residents within the facility. In addition, the facility failed to ensure enhanced barrier precautions (EBP) were implemented in a timely manner for 1 of 1 resident (R190) who had a peripherally inserted central line (PICC). […]

  • No harm, potential for more than minimal, widespreadF727Nov 17, 2023

    Based on interview and document review, the facility failed to ensure a registered nurse (RN) was scheduled for a minimum of eight consecutive hours a day. This had the potential to affect all residents who resided at the facility. Findings Include: The PBJ Staffing Data Report, [NAME] Report 1705D, Quarter 2 2023, (January 1 - March 30) triggered for no RN [registered nurse] hours, which meant the facility did not have an RN on site for a minimum of 8 hours for one or more days during the reporting period. The report showed no RN hours for 1/14/23, 1/15/23, 2/25/23, and 3/11/23. On 11/17/23 at 10:34 a.m., the administrator reviewed payroll hours worked for the following dates and confirmed there was not an RN in the building on 1/14/23, 1/15/23, 2/25/23, and 3/11/23. […]

Read 23 findings in full →The most serious and the most recent: 23 of 130 on record.

Every survey on record

FindingsAt actual harm or above

  • Dec 4, 2025Standard4 findings
  • Jan 7, 2025Complaint1 finding · 1 harm
  • Oct 31, 2024Standard6 findings
  • Nov 17, 2023Standard and complaint9 findings
  • Dec 15, 2022Standard and complaint9 findings
  • Oct 1, 2021Standard12 findings
  • Dec 19, 2019Standard14 findings · 1 harm
  • Feb 14, 2019Standard and complaint15 findings
Show the 9 earlier surveys
  • Dec 1, 2017Standard5 findings
  • Feb 2, 2017Standard11 findings · 1 harm
  • Aug 23, 2016Complaint1 finding · 1 harm
  • May 12, 2016Standard7 findings
  • Jun 2, 2015Standard6 findings
  • Sep 25, 2014Standard5 findings
  • Aug 29, 2013—10 findings
  • Jun 1, 2012—8 findings
  • Apr 22, 2011—7 findings

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.

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