Hendricks Community Hospital
Hendricks, Minnesota · CCN 245467
19 surveys since 2011, and no finding has been recorded at harm level.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 102
- Surveys
- 19
- Harm or worse
- 0
- Immediate jeopardy
- 0
No finding on record has been cited at harm level or above.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 52
- Ownership
- Non profit - Corporation
- Chain
- Independent
- County
- Lincoln · rural
- Medicare-certified since
- 1987
CMS ratings
- Overall
- 1
- Health inspection
- 3
- Staffing
- 1
- Quality measures
- 1
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
Jun 25, 2026
137 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 | 3.53 | 4.22 |
| Registered-nurse hours per resident day | 0.70 | — |
| Annual nurse turnover | 56.9% | 42.1% |
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 | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1961.3% | E26.5% | F1032.3% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F7273×
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.
- F7613×
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.
- F6562×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F8672×
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- F8682×
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
In the surveyor’s words
From the most serious findings on record at Hendricks Community Hospital, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF727Apr 30, 2025
The facility's request for a waiver was accepted and approved by the State Agency following the survey dated 7/17/23. The tag was re-issued however, NO plan of correction was required. This will remain in effect until such time as the registered nurse (RN) coverage can be filled and the facility achieves compliance. F727: CFR 483.35 (b)(1), RN coverage 8 consecutive hours a day, 7 days a week. Findings include: Review of the facility nursing staff schedules for February 2025, March 2025 and April 2025 identified in: 1) March 2025, No 8-hour consecutive RN coverage for 2 of 31 days: 3/8 and 3/9/2025. 2) April 2025, No 8-hour consecutive RN coverage for 1 of 30 days: for 4/12/2025. Interview on 4/30/25, 2:30 p.m. […]
- No harm, potential for more than minimal, widespreadF865Apr 30, 2025
Based on interview and document review, the facility failed to ensure data submitted to 1 of 1 Quality Assurance Performance Improvement (QAPI) committee was analyzed and documented to ensure areas identified had oversight for their perspective outcomes brought forth. This had the potential to affect all 47 residents. Findings include: Review of QAPI meeting minutes provided from 4/16/2024 through March 31, 2025 identified in: 1.) April 16, 2024- agenda items identified problem with falls, but no identified goal, action plan, data collection or analysis of the information identified. […]
- No harm, potential for more than minimal, widespreadF867Apr 30, 2025
Based on interview and document review, the facility failed to have evidence of a Performance Improvement Project (PIP) which focused on high risk or problem-prone areas were identified with appropriate data collection, analysis, and evaluation of the identified concern(s) during Quality Assurance Program Improvement (QAPI). This had the potential to affect all 47 residents residing in the facility. Findings include: Review of QAPI meeting minutes provided from 4/16/2024 through 3/31/25, identified no PIP projects identified with Goals, Action Plans, Data collection, and Analysis for identified areas/issues of concern for improvement within the facility. […]
- No harm, potential for more than minimal, widespreadF868Apr 30, 2025
Based on interview, and document review the Quality Assurance and Performance Improvement (QAPI) committee failed to document attendance, ensure they received regular reports from the infection preventionist (IP) on the infection control program, and review State Agency (SA) and incident reports for 4 of 4 quarters reviewed. Findings include: Review of provided QAPI meeting minutes of March 31, 2024, April 16, 2024, June 25, 2024, July 30, 2024, October 23, 2024, January 28, 2025, February 25, 2025, and March 31, 2025, identified no data was correlated and presented by the IP on facility process, outcome surveillance, outbreaks, and implementation of any control measures, staff illness,and the Antibiotic Stewardship Program (ASP) related to antibiotic use and resistance data. […]
- No harm, potential for more than minimal, widespreadF727May 30, 2024
The facility's request for a waiver was accepted and approved by the State Agency following the survey dated 7/17/23. The tag was re-issued however, NO plan of correction is required. This will remain in effect until such time as the registered nurse (RN) coverage can be filled and the facility achieves compliance. F727: CFR 483.35 (b)(1), RN coverage 8 consecutive hours a day, 7 days a week. Findings include: Review of the facility nursing staff schedules for February 2024, March 2024 and April 2024 identified in: 1) February 2024, there no 8-hour consecutive RN coverage for 6 of 29 days: 2/3; 2/4; 2/10, 2/11; 2/18, and 2/25/24 2) March 2024, there was no 8-hour consecutive RN coverage for 2 of 31 days: 3/3 and 3/17/24. […]
Read 20 findings in full →The most serious and the most recent: 20 of 102 on record.
Every survey on record
FindingsAt actual harm or above
- Jun 25, 2026Standard9 findings
- Apr 30, 2025Standard8 findings
- May 30, 2024Standard and complaint9 findings
- Apr 19, 2023Standard5 findings
- Oct 25, 2022Complaint1 finding
- Jan 13, 2022Complaint1 finding
- Sep 30, 2021Standard3 findings
- Jun 28, 2021Complaint1 finding
Show the 11 earlier surveys
- May 17, 2021Complaint1 finding
- May 12, 2020Infection control1 finding
- Sep 19, 2019Standard and complaint4 findings
- Jun 21, 2018Standard5 findings
- Aug 24, 2017Standard9 findings
- Jul 14, 2016Standard5 findings
- Aug 6, 2015Standard14 findings
- Jun 5, 2014Standard7 findings
- Jul 18, 2013—7 findings
- Sep 13, 2012—5 findings
- Jun 28, 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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