Johnson Memorial Hospital & Home
Dawson, Minnesota · CCN 245485
22 surveys since 2011. The first finding at harm level was recorded in 2019.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 67
- Surveys
- 22
- Harm or worse
- 5
- 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
- 56
- Ownership
- Government - Hospital district
- Chain
- Independent
- County
- Lac Qui Parle · rural
- Medicare-certified since
- 1987
CMS ratings
- Overall
- 3
- Health inspection
- 4
- Staffing
- 4
- 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 21 government-run facilities with fewer than 66 beds in Minnesota.
Last survey on record
Feb 20, 2025
627 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 | 4.42 | 4.59 |
| Registered-nurse hours per resident day | 0.86 | — |
| Annual nurse turnover | 45.8% | 32.2% |
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 | G19.1% | H— | I— |
| No harm, potential for more than minimal | D545.5% | E19.1% | F436.4% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6572×
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F6441×
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- F6841×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F7261×
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- F7551×
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
In the surveyor’s words
From the most serious findings on record at Johnson Memorial Hospital & Home, in the surveyor’s own words.
- Immediate jeopardy, isolatedF600May 10, 2021
Based on interview, document review, and video review, the facility failed to ensure an environment free of abuse for 1 of 1 resident (R2) who experienced an incident of physical and sexual abuse by staff. The survey resulted in an immediate jeopardy (IJ) that began on 5/3/21, when 2 nursing assistants in the facility lobby NA-A and NA-B made inappropriate sexual gestures, slapped, and kissed R2, and took photos and video of R2 during the incident. The administrator and director of nursing (DON) were notified of the IJ on 5/7/21 at 3:35 p.m. Findings include: Review of the 5/4/21 at 4:29 p.m., report filed to the State Agency (SA) identified the maintenence supervisor (MS) reviewed the 5/3/21 video footage on the facility surveillance camera. […]
- Actual harm, isolatedF684Jan 22, 2025
Based on interview and document review the facility failed to assess and monitor injuries after a fall, provide pain relieving treatment and physician notification for 1 of 1 resident (R1) who had a fall with a hip fracture that required surgical repair. This resulted in harm when R1's pain was not comprehensively assessed for eight hours after R1 reported and displayed severe pain causing delay in pain relief and medical attention. The facility implemented immediate corrective action, so the deficient practice was issued at past non-compliance. […]
- No harm, potential for more than minimal, widespreadF726Feb 20, 2025
Based on observation, interview, and document review, the facility failed to ensure all 9 licensed nurses (registered nurse (RN)-A, RN-C, RN-D, RN-G, RN-I, licensed nurse (LPN)-A, LPN-B, LPN-C, and LPN-D) and all 5 agency licensed nurses (RN-E, RN-J, RN-K, LPN-E, and LPN-F) who administer or had the potential to administer insulin were appropriately trained and deemed competent to facility policy and manufacturer's instructions for insulin administration. This had the potential to affect all residents who recieved insulin. Findings include: Review of the [DATE], report to the facility identified R106 was scheduled to receive 36 units of Basaglar (a long-acting insulin). […]
- No harm, potential for more than minimal, widespreadF838Feb 20, 2025
Based on interview and document review, the facility failed to implement 1 of 1 facility assessment and ensure the identified number of staff deemed required to provide care and services to residents had been scheduled and maintained on the weekends. Findings include: Review of the 8/8/24, Facility Assessment identified resources needed to provide care and competent support to the residents residing in the facility daily included staffing plan of: 1. Days-weekdays registered nurse (RN) 24 hours, licensed practical nurse/trained medication aide (LPN/TMA) 24-hour, nursing assistant (NA) 45-54 hours, director of nursing/assistant director of nursing (DON/ADON) 16 hours. 2. Days-weekends RN 12 hours, LPN/TMA 12 hours, NA 54 hours 3. […]
- No harm, potential for more than minimal, widespreadF851Feb 20, 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 4) 2024 (July 1 - September 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 schedules and staff timecards identified on 7/6/24 registered nurse (RN)-E a contracted nurse had worked a 12-hour shift. RN-E had not clocked in on the facilities system to track hours worked for the PBJ report. […]
Read 24 findings in full →The most serious and the most recent: 24 of 67 on record.
Every survey on record
FindingsAt actual harm or above
- Feb 20, 2025Standard and complaint8 findings
- Jan 22, 2025Complaint1 finding · 1 harm
- Apr 10, 2024Standard2 findings
- Jun 1, 2023Standard and complaint8 findings
- May 2, 2023Complaint1 finding
- Mar 9, 2022Complaint2 findings
- Aug 26, 2021Standard5 findings
- May 10, 2021Complaint3 findings · 1 harm
Show the 14 earlier surveys
- Dec 8, 2020Complaint1 finding
- Oct 12, 2020Complaint2 findings · 2 harm
- Aug 11, 2020Complaint1 finding
- Jun 2, 2020Complaint2 findings
- Apr 17, 2020Infection control1 finding
- Sep 26, 2019Standard5 findings
- Jul 1, 2019Complaint1 finding · 1 harm
- Sep 27, 2018Standard2 findings
- Jun 15, 2017Standard1 finding
- Jul 1, 2015Standard4 findings
- Aug 7, 2014Standard4 findings
- Jul 18, 2013—1 finding
- May 24, 2012—6 findings
- Mar 31, 2011—6 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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