Edgebrook Care Center
Edgerton, Minnesota · CCN 245560
16 surveys since 2012. The first finding at harm level was recorded in 2021.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 75
- Surveys
- 16
- Harm or worse
- 2
- Immediate jeopardyall corrected before survey
- 1
Findings at the most serious level CMS records. All were recorded as past non-compliance — corrected before the survey.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 54
- Ownership
- Non profit - Corporation
- Chain
- GOOD SAMARITAN SOCIETY
- County
- Pipestone · rural
- Medicare-certified since
- 1991
CMS ratings
- Overall
- 1
- Health inspection
- 2
- Staffing
- 1
- 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
Nov 19, 2025
355 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 2.45 | 4.22 |
| Registered-nurse hours per resident day | 0.52 | — |
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
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J16.3% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D956.3% | E212.5% | F425.0% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F7612×
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.
- F8512×
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- F8802×
Provide and implement an infection prevention and control program.
- F6251×
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- F6401×
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
In the surveyor’s words
From the most serious findings on record at Edgebrook Care Center, in the surveyor’s own words.
- Immediate jeopardy, isolatedF803Aug 22, 2025
Based on interview and document review, the facility failed to follow physician orders to provide R1 with a minced and moist diet. This resulted in an immediate jeopardy (IJ) for R1 when she was given her dinner which was not minced and moist. As a result, R1 choked and required the Heimlich maneuver and oxygen.The IJ began on 8/15/25 at 5:50 p.m., when R1 was given cheese cubes. The administrator and director of nursing (DON) were informed of the IJ on 8/22/25 at 10:07 a.m. The facility had implemented corrective action on 8/19/25, prior to the start of the survey, and was therefore past noncompliance.Findings include: R1's Face Sheet undated, identified R1 had active diagnoses including dysphagia (difficulty swallowing) and Parkinson's disease with dyskinesia (abnormal body movements). […]
- Actual harm, isolatedF689Nov 10, 2021
Based on observation, interview and document review, the facility failed to provide adequate supervision for 1 of 1 resident (R5), who was left unsupervised and fell after attempting to stand, resulting in actual harm to R5 when R5 suffered a neck fracture as a result of the fall. Findings include: Review of the 8/24/21 at 9:28 p.m., report to the State Agency (SA) identified R5 was left in the dining room unattended following the supper meal on 8/24/21 at 6:44 p.m. and experienced a fall. A large hematoma was noted on the right side of R5's forehead on assessment. R5 was sent to the local emergency room where it was discovered she had a neck fracture. […]
- No harm, potential for more than minimal, widespreadF851Nov 19, 2025
Based on document review and interview, the facility failed to submit complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data, during 1 of 1 quarter reviewed (Quarter 3) 2025, (April 1 - June 30) 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 identified excessively low weekend staffing had triggered. Review of the nursing schedule from April 1st through June 30th of 2025, identified most weekends had scheduled 7 nursing assistance (NA) and 1 licensed nurse for both the morning shift and the afternoon shift. […]
- No harm, potential for more than minimal, widespreadF880Nov 19, 2025
Based on interview and document review, the facility failed to implement and maintain an infection control program that included thorough data collection, analysis of facility infections, and tracking and trending to reduce the spread of infections within the facility. The facility failed to include in their surveillance viral-like illnesses not treated with an antibiotic for staff or residents. In addition the facility failed to ensure staff utilized Personal Protective Equipment (PPE), during 1 of 3 (R37) insulin administration observations. Findings include: Review of the monthly infection surveillance and staff call-in logs from August through October 2025 identified in: 1.August 2025, the surveillance identified 6 UTI's, 2 skin infections, and 1 fungal infection. […]
- No harm, potential for more than minimal, widespreadF882Nov 19, 2025
Based on interview and document review, the facility failed to ensure appropriate oversight by the infection preventionist (IP) to ensure thorough implementation of the infection control program. Findings include: Review of the monthly infection surveillance and staff call-in logs from August through October 2025 identified in: 1.August 2025, the surveillance included no map that identified location of the infections. The log identified 6 UTI's, 2 skin infections, and 1 fungal infection. The log did not identify medications prescribed or that an antibiotic time out had been completed. No residents on enhanced barrier precautions were included in the surveillance. Resident infection log identified each resident was on standard precautions. No other precaution type was identified. […]
Read 21 findings in full →The most serious and the most recent: 21 of 75 on record.
Every survey on record
FindingsAt actual harm or above
- Nov 19, 2025Standard6 findings
- Aug 22, 2025Complaint1 finding · 1 harm
- Oct 15, 2024Standard4 findings
- Jan 24, 2024Standard4 findings
- Jul 12, 2023Complaint1 finding
- Oct 20, 2022Standard and complaint9 findings
- Nov 10, 2021Complaint1 finding · 1 harm
- Jul 29, 2021Standard and complaint6 findings
Show the 8 earlier surveys
- Apr 7, 2020Infection control1 finding
- Jul 1, 2019Standard6 findings
- Jul 20, 2018Standard6 findings
- May 24, 2017Standard2 findings
- Apr 13, 2016Standard4 findings
- Feb 27, 2015Standard6 findings
- May 2, 2013—13 findings
- Aug 9, 2012—5 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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