LB Broen Home
Fergus Falls, Minnesota · CCN 245453
20 surveys since 2011, 4 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
- 84
- Surveys
- 20
- Harm or worse
- 4
- Immediate jeopardy
- 2
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
- 74
- Ownership
- Non profit - Corporation
- Chain
- Independent
- County
- Otter Tail · rural
- Medicare-certified since
- 1987
CMS ratings
- Overall
- 2
- Health inspection
- 2
- Staffing
- 3
- Quality measures
- 2
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 52 not-for-profit facilities of 66–99 beds in Minnesota.
Last survey on record
Jun 4, 2026
158 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 | 3.89 | 4.39 |
| Registered-nurse hours per resident day | 0.69 | — |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $168,540 across 1 penalty
- Payment denials
- 1
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 | J19.1% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D872.7% | E218.2% | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F8802×
Provide and implement an infection prevention and control program.
- F5501×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F5801×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F6091×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F6101×
Respond appropriately to all alleged violations.
In the surveyor’s words
From the most serious findings on record at LB Broen Home, in the surveyor’s own words.
- Immediate jeopardy, isolatedF689Jun 4, 2026
Based on interview and record review the facility failed to provide adequate supervision to prevent a hazard over which the facility has control for 1 of 1 resident (R1) while outside in extreme temperatures without protection which resulted in serious, life-threatening harm when R1 was found slumped over in a chair and unresponsive. R1 was transferred to a hospital for evaluation and treatment for extreme hyperthermia.The immediate jeopardy began on [DATE] at 4:00 p.m., when the facility failed to provide adequate supervision to R1 who notified staff he was going to sit outside at approximately 2:30 p.m. R1 required assistance from staff for ambulation, was allowed to independently ambulate out of the facility, to the pond area. […]
- Immediate jeopardy, isolatedF803Sep 7, 2022
Based on interview and document review, the facility failed to ensure the appropriate diet was served for 1 of 3 residents (R1) and failed to adequately supervise R1 who was at risk for choking. This resulted in immediate jeopardy (IJ) for R1 who was served the incorrect diet and left unsupervised during a meal resulting in R1 choking and requiring the [MEDICATION(S)] maneuver. The facility had implemented corrective action prior to the start of the survey, therefore the deficient practice is being issued at past non-compliance. The IJ began on 8/31/22, at 12:39 p.m. when facility staff observed R1 choking in a common area of the facility while eating unsupervised. The administrator and director of nursing were notified of the IJ on 8/7/22, at 3:00 p.m. […]
- No harm, potential for more than minimal, widespreadF812Mar 3, 2022
Based on observation, interview and document review, the facility failed to maintain clean and sanitary ceiling fans to prevent contamination of foods and dishware in the main kitchen of the facility. This deficient practice had the potential to affect all 52 residents who currently resided in the facility. Findings include: During the initial kitchen tour on 2/28/22, at 11:48 a.m. with the dietary manager (DM) the ceiling fan located to the left of the main entrance door of the kitchen had a moderate to heavy amount of dark gray to black fuzzy substance present on it. The ceiling fan blew air down from the ceiling towards the main kitchen cooking area, prepping area, entries of the refrigerator and freezer and over the clean dishes that were drying and stored. […]
- No harm, potential for more than minimal, widespreadF886Mar 3, 2022
Based on observation, interview and document review, the facility failed to test staff for COVID-19 according to Centers for Medicare and Medicaid (CMS) guidance for routine testing requirements. This deficient practice had the potential to affect all 52 vaccinated and unvaccinated residents residing in the facility. Findings include: The CMS QSO-20-38-NH memo revised 9/10/21 directed, a new COVID-19 infection in any staff triggers an outbreak investigation. In an outbreak investigation, rapid identification and isolation of new cases is critical in stopping further [CONDITION(S)] transmission. Upon identification of a single new case of COVID-19 infection in any staff, testing should begin immediately. […]
- No harm, potential for more than minimal, patternF880Jul 9, 2025
Based on observation, interview and document review, the facility failed to ensure staff were using personal protective equipment (PPE) according to the Centers for Disease Control for 2 of 2 residents R35, R13 who tested positive for COVID -19.Findings include:The CDC Interim Infection Prevention and Control Recommendations for Healthcare Personal During the Coronavirus Disease 2019 (COVID-19) Pandemic, dated May 8, 2023, identified when using a NIOSH approved respirator or facemask is indicated for personal protective equipment (PPE) (e.g., NIOSH Approved particulate respirators with N95 filters or higher during the care of a patient with SARS-CoV-2 infection, facemask during a surgical procedure or during care of a patient on droplet precautions), they should be removed and disgarded… […]
Read 22 findings in full →The most serious and the most recent: 22 of 84 on record.
Every survey on record
FindingsAt actual harm or above
- Jun 4, 2026Complaint1 finding · 1 harm
- May 19, 2026Standard1 finding
- Jul 9, 2025Standard6 findings
- Aug 28, 2024Standard1 finding
- Sep 20, 2023Standard5 findings
- Sep 5, 2023Complaint2 findings
- Jun 14, 2023Complaint2 findings
- Sep 7, 2022Complaint1 finding · 1 harm
Show the 12 earlier surveys
- Mar 3, 2022Standard6 findings
- Nov 17, 2021Complaint2 findings
- Dec 12, 2019Standard4 findings
- Jan 17, 2019Standard8 findings
- Apr 26, 2018Standard6 findings
- Mar 9, 2017Standard2 findings
- Apr 7, 2016Standard1 finding
- May 21, 2015Standard7 findings · 1 harm
- Apr 24, 2014Standard3 findings
- May 9, 2013—8 findings
- Aug 9, 2012—8 findings · 1 harm
- Sep 23, 2011—10 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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