St Crispin Living Community
Red Wing, Minnesota · CCN 245449
22 surveys since 2011. The first finding at harm level was recorded in 2022.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 91
- Surveys
- 22
- 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
- 64
- Ownership
- Non profit - Corporation
- Chain
- BENEDICTINE HEALTH SYSTEM
- County
- Goodhue · rural
- Medicare-certified since
- 1987
CMS ratings
- Overall
- 4
- Health inspection
- 3
- Staffing
- 5
- Quality measures
- 4
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
Mar 19, 2026
235 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 | 3.76 | 4.22 |
| Registered-nurse hours per resident day | 1.11 | — |
| Annual nurse turnover | 38.6% | 42.1% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $138,989 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 | J211.1% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1372.2% | E15.6% | F211.1% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6842×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F8802×
Provide and implement an infection prevention and control program.
- F5541×
Allow residents to self-administer drugs if determined clinically appropriate.
- F6051×
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- F6091×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
In the surveyor’s words
From the most serious findings on record at St Crispin Living Community, in the surveyor’s own words.
- Immediate jeopardy, isolatedF755Mar 2, 2026
Based on observation, interview, and record review the facility failed to ensure effective pharmacy services for availability in opioid pain medication for 1 of 3 residents (R1) reviewed for pharmacy services. As a result of the facility's failures pain medications were not administered to R1 due to prolonged medication unavailability which caused escalating severe unmanaged pain that was more than transient and possible early opioid withdrawal symptoms without alternate treatment or monitoring. […]
- Immediate jeopardy, isolatedF684Aug 7, 2024
Based on interview and document review, the facility failed to assess, monitor and treat a surgical wound according to physician orders for 1 of 1 resident (R1). This resulted in immediate jeopardy (IJ) when the wound dehisced and became infected resulting in a five-day hospital admission with surgical intervention, antibiotic therapy, and wound vacuum assisted closure (VAC). The immediate jeopardy began on [DATE] when R1 admitted to the facility and the facility failed to comprehensively assess the surgical wound and transcribe physician's orders for its monitoring and treatment, and was identified on [DATE]. The administrator and director of nursing were notified of the immediate jeopardy on [DATE] at 4:53 p.m. […]
- Actual harm, isolatedF689Dec 28, 2022
Based on observation, interview, and document review the facility failed to complete comprehensive fall analysis to determine accurate causal factors and implement care plan interventions to prevent or mitigate the risk of recurrent falls for 2 of 3 residents (R1, R3) reviewed for falls. The facility's failures resulted in actual harm when R1's care plan was not followed resulting in a left hip fracture. Findings include: R1's face sheet, printed 12/28/22, identified R1 diagnoses: left femur fracture and hemiplegia (one-sided muscle paralysis or weakness) following a stroke affecting the left non-dominant side. R1's fall Care Area Assessment (CAA) dated 2/8/22, identified R1 was at increased risk for falls related to left sided hemiplegia and incontinence. […]
- Actual harm, isolatedF689Jul 7, 2022
Based on observation, interview, and document review the facility failed to follow the care plan, failed to complete comprehensive fall assessments for causal factors/root cause and identify care plans were not followed for 2 of 3 residents (R8, R5). The facility's failures resulted in actual harm to R8 when the first fall resulted in head lacerations that required treatment in the emergency room . In addition, the facility failed to ensure a comprehensive fall assessment was completed to ensure safe transfer for R5 following a fall. Findings include: R8's face sheet identified R8 had diagnoses of chronic [CONDITION(S)], [CONDITION(S)] in multiple sites, displaced interochanteric fracture of the left femur and presence of left artificial shoulder joint. […]
- No harm, potential for more than minimal, widespreadF710Mar 2, 2026
Based on interview and document review, the facility failed to ensure a nurse practitioner or physician provided timely orders to address a resident's immediate care needs when a scheduled prescribed narcotic pain medication was not available for administration for 1 of 3 residents (R1) reviewed for physician services. This had the potential to affect all residents residing in the facility.Findings include:R1's physician orders dated 11/28/23, identified an order for morphine immediate release (IR) 15 milligram (mg) tablet to be administered four times daily for chronic pain syndrome at 6:30 a.m., 11:30 a.m., 4:00 p.m., and 8:00 p.m.R1's February 2026, medication administration record (MAR) identified the following missed doses of scheduled morphine due to the medication not being… […]
Read 21 findings in full →The most serious and the most recent: 21 of 91 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 10, 2026Complaint1 finding
- Mar 19, 2026Standard5 findings
- Mar 2, 2026Complaint4 findings · 1 harm
- Feb 27, 2025Standard2 findings
- Aug 7, 2024Complaint1 finding · 1 harm
- Dec 7, 2023Standard6 findings
- Dec 28, 2022Complaint2 findings · 1 harm
- Nov 10, 2022Standard5 findings
Show the 14 earlier surveys
- Jul 7, 2022Complaint2 findings · 1 harm
- Oct 21, 2021Complaint1 finding
- Jun 3, 2020Complaint1 finding
- Jul 18, 2019Standard3 findings
- Apr 18, 2019Complaint1 finding
- May 23, 2018Standard5 findings
- Jun 15, 2017Standard4 findings
- May 5, 2016Standard10 findings
- Apr 23, 2015Standard7 findings
- Jun 27, 2014Standard11 findings
- Jun 25, 2014Complaint2 findings
- Aug 1, 2013—2 findings
- May 17, 2012—7 findings
- Mar 3, 2011—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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