Essentia Health Homestead
Deer River, Minnesota · CCN 245428
22 surveys since 2010, 10 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
- 125
- Surveys
- 22
- Harm or worse
- 10
- Immediate jeopardy
- 3
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 32
- Ownership
- Non profit - Corporation
- Chain
- ESSENTIA HEALTH
- County
- Itasca · rural
- Medicare-certified since
- 1987
CMS ratings
- Overall
- 2
- Health inspection
- 1
- Staffing
- 5
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 123 not-for-profit facilities with fewer than 66 beds in Minnesota.
Last survey on record
May 18, 2026
175 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 | 4.97 | 4.22 |
| Registered-nurse hours per resident day | 1.71 | — |
| Annual nurse turnover | 50.0% | 42.1% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $67,727 across 2 penalties
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K16.7% | L— |
| Actual harm | G213.3% | H— | I— |
| No harm, potential for more than minimal | D746.7% | E16.7% | F213.3% |
| No harm, potential for minimal | A— | B— | C213.3% |
Most frequently cited here
In CMS’s current monthly file.
- F6893×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 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.
- F8802×
Provide and implement an infection prevention and control program.
- F5761×
Ensure residents have reasonable access to and privacy in their use of communication methods.
- 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.
In the surveyor’s words
From the most serious findings on record at Essentia Health Homestead, in the surveyor’s own words.
- Immediate jeopardy, widespreadF880Aug 31, 2021
Based on observation, interview and document review, the facility failed to ensure residents displaying signs and symptoms of COVID-19 were quarantined to their rooms; transmission based precautions initiated and tested per The Centers for Disease Control and Prevention's (CDC) guidance to prevent the spread of COVID-19 for 8 of 21 residents (R17, R5, R1, R2, R4, R6, R9, R10). In addition, the facility failed to ensure staff who displayed signs and symptoms of COVID-19 were removed from the schedule per the the CDC's guidance. […]
- Immediate jeopardy, widespreadF886Aug 31, 2021
Based on observation, interview and document review, the facility failed to ensure all staff completing self testing were trained and competency tested to ensure COVID-19 outbreak and routine testing was completed according to manufacturers testing instructions. This deficient practice resulted in an immediate jeopardy (IJ) situation which had the high likelihood to cause serious illness and/or death to all residents residing in the facility during the COVID-19 Focused Infection Control Survey; including 17 of 21 residents (R17, R5, R1, R2, R3, R4, R6, R15, R9, R10, R7, R11, R12, R14, R8, R16) residents who contracted COVID-19. This resulted in actual harm to R2, R3 and R5 who expired with COVID-19 and R4 and R15 who were hospitalized with COVID-19. […]
- Immediate jeopardy, patternF726Dec 17, 2025
Based on observation, interview and document review, the facility failed to ensure an un-licensed nursing student (NS) was supervised during resident medication administration, including significant medication such as insulin, liquid morphine and other controlled substances. In addition, NS did not possess a nursing license, competencies, or skills set to provide necessary resident nursing services nor other certification required for medication administration. This had the likelihood for a serious adverse outcome and placed 4 of 4 residents (R2, R3, R6, R7) in immediate Jeopardy (IJ). The IJ began on 12/12/25, when the NS was observed administering insulin to a resident without direct supervision by a licensed nurse. The administrator was notified of the immediate jeopardy at 5:05 p.m. […]
- Actual harm, isolatedF689May 18, 2026
Based on observation, interview and document review, the facility failed to ensure the care plan was followed for 1 of 3 residents (R1) reviewed for falls. This resulted in actual harm to R1 when she fell out of bed and sustained a femur (the longest, heaviest, and strongest bone in the human body, located in the upper leg) fracture. Findings include: R1's Resident Face Sheet indicated she was admitted to the facility 3/28/23. Diagnoses included Parkinson's disease, dementia, anxiety and repeated falls. R1's comprehensive Minimum data set (MDS) dated [DATE], identified severely impaired cognition. The MDS indicated R1 was dependent on staff for bed mobility and transfers. R1's John Hopkins Fall Risk Assessment Tool dated 4/30/26, indicated a low risk for falls. […]
- Actual harm, isolatedF689Mar 31, 2026
Based on observation, interview and document review the facility failed to ensure care planned interventions were implemented to reduce the risk for falls for 1 of 3 residents (R1) reviewed for falls. This resulted in actual harm to R1 who fell from her wheelchair and sustained a fracture, head injury and lacerations to her hand. Findings include:R1's Continuity of Care Document created 4/1/26, indicated she admitted to the facility 1/5/22. R1's diagnosis included aphasia (communication disorder- may affect written and spoken language as well as ability to understand), dysphagia (difficulty swallowing) muscle weakness and dependence on enabling machines and devices for transfers.R1's John Hopkins Fall Risk Assessment Tool dated 1/5/26, indicated a high risk for falls.R1's quarterly Minimum… […]
Read 27 findings in full →The most serious and the most recent: 27 of 125 on record.
Every survey on record
FindingsAt actual harm or above
- May 18, 2026Complaint1 finding · 1 harm
- Apr 22, 2026Standard1 finding
- Mar 31, 2026Complaint1 finding · 1 harm
- Dec 17, 2025Complaint3 findings · 1 harm
- Jul 30, 2025Complaint2 findings
- Mar 12, 2025Standard5 findings
- May 16, 2024Standard2 findings
- Aug 3, 2022Standard7 findings
Show the 14 earlier surveys
- Aug 31, 2021Infection control2 findings · 2 harm
- Mar 10, 2021Standard2 findings
- Oct 20, 2020Complaint1 finding
- Oct 1, 2019Complaint1 finding
- May 16, 2019Standard13 findings · 1 harm
- Apr 13, 2018Standard4 findings · 1 harm
- Feb 15, 2017Standard4 findings
- Jan 28, 2016Standard5 findings
- Dec 11, 2014Standard2 findings
- Oct 3, 2014Standard14 findings · 1 harm
- Nov 7, 2013Standard22 findings
- Oct 18, 2012—4 findings
- Jan 9, 2012—20 findings · 2 harm
- Nov 18, 2010—9 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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