St Johns on Fountain Lake
Albert Lea, Minnesota · CCN 245635
20 surveys since 2019, 9 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
- 59
- Surveys
- 20
- Harm or worse
- 9
- Immediate jeopardyall corrected before survey
- 5
Findings at the most serious level CMS records. All were recorded as past non-compliance — corrected before the survey.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 84
- Ownership
- Non profit - Church related
- Chain
- Independent
- County
- Freeborn · rural
- Medicare-certified since
- 2018
CMS ratings
- Overall
- 3
- Health inspection
- 2
- 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 52 not-for-profit facilities of 66–99 beds in Minnesota.
Last survey on record
Dec 3, 2025
341 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 | 4.55 | 4.39 |
| Registered-nurse hours per resident day | 0.82 | — |
| Annual nurse turnover | 29.4% | 37.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $16,448 across 1 penalty
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 | J13.3% | K— | L— |
| Actual harm | G26.7% | H— | I— |
| No harm, potential for more than minimal | D2273.3% | E26.7% | F310.0% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F8804×
Provide and implement an infection prevention and control program.
- F6863×
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- F5542×
Allow residents to self-administer drugs if determined clinically appropriate.
- F6562×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F6842×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
In the surveyor’s words
From the most serious findings on record at St Johns on Fountain Lake, in the surveyor’s own words.
- Immediate jeopardy, patternF812Jun 1, 2021
Based on observation, interview and document review, the facility failed to properly prepare food to the appropriate temperature to ensure food safety and prevent foodborne illness. This deficient practice resulted in an immediate jeopardy (IJ) for 5 of 7 residents (R29, R60, R47, R23, R48) who ate undercooked food prepared and served from one of five facility satellite kitchens (kitchen 2B). Furthermore, the facility failed to ensure staff completed proper cleaning and sanitization of items and equipment, date when food items were opened, and monitor food storage temperatures to prevent foodborne illness. This deficient practice had the potential to affect all 58 residents receiving food from the kitchenettes. The IJ began on 5/27/21, at 5:15 p.m. […]
- Immediate jeopardy, isolatedF760Aug 6, 2025
Based on interview and document review the facility failed to ensure medications were administered according to physician orders for 1 of 3 residents (R1) reviewed for medication administration. The facility's failures resulted in a significant medication error and an Immediate Jeopardy (IJ) situation for R1 who did not receive an increased dose of Torsemide (treat fluid overload related to heart or kidney disease) ordered by the physician. R1 was admitted to the hospital cardiac intensive care unit (ICU) for worsening congestive heart failure where she remained at the time of the survey. The IJ began on 7/9/25 when staff failed to administer an increased dose of Torsemide as ordered, due to not following the rights of medication administration. […]
- Immediate jeopardy, isolatedF678Nov 17, 2021
Based on interview and document review, the facility failed to provide basic life support, including cardiopulmonary resuscitation (CPR) in accordance with resident wishes and physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . This deficient practice resulted in an immediate jeopardy (IJ) situation when R3 was found with absent pulse and respirations, and timely CPR was not initiated. The immediate jeopardy began on [DATE], at 4:40 a.m. when R3 had no respirations or pulse and CPR was not initiated. The administrator and director of nursing (DON) were notified of the immediate jeopardy at 6:30 p.m. on [DATE]. The immediate jeopardy was removed, and the facility implemented correction action on [DATE], prior to the start of the survey and was therefore issued at past non-compliance. […]
- Immediate jeopardy, isolatedF600Jan 7, 2021
Based on interview and document review, the facility failed to protect 1 of 3 residents (R1) from verbal abuse. Verbal abuse occurred when a staff person screamed at R1 and called her a liar and the facility failed to take immediate action to protect R1 from further abuse. This finding constituted an immediate jeopardy (IJ) situation which had potential to affect all 26 residents residing on the second floor, as nursing assistant (NA)-A continued to work despite an allegation of verbal abuse towards R1. The IJ began on 12/30/20, when the facility failed to take action when R1 informed social worker (SW)-A that a staff member screamed in her face and called her a liar. The facility failed to protect R1 and other residents from continued verbal abuse from NA-A. […]
- Immediate jeopardy, isolatedF610Jan 7, 2021
Based on interview and document review, the facility failed to ensure a thorough investigation was completed and adequate protection provided to ensure freedom from abuse for 1 of 3 residents (R1). These findings constituted an immediate jeopardy (IJ) situation which had potential to affect all 26 residents residing on the second floor, as nursing assistant (NA)-A continued to work despite an allegation of verbal abuse. The IJ began on 12/30/20, when the facility failed to take action when R1 reported an allegation of verbal abuse to social worker (SW)-A that a staff member screamed in her face and called her a liar. The facility failed to report and investigate this allegation, and to protect R1 and other residents from continued verbal abuse from NA-A. […]
Read 27 findings in full →The most serious and the most recent: 27 of 59 on record.
Every survey on record
FindingsAt actual harm or above
- Dec 3, 2025Standard9 findings
- Aug 6, 2025Complaint3 findings · 1 harm
- Nov 6, 2024Standard5 findings
- Sep 24, 2024Complaint1 finding
- Jul 26, 2024Complaint1 finding · 1 harm
- Apr 17, 2024Complaint2 findings
- Jan 10, 2024Standard6 findings · 1 harm
- Sep 20, 2023Complaint2 findings
Show the 12 earlier surveys
- Sep 7, 2023Complaint1 finding
- Mar 9, 2023Standard6 findings
- Dec 28, 2021Complaint1 finding
- Nov 17, 2021Complaint1 finding · 1 harm
- Jun 1, 2021Standard and complaint9 findings · 1 harm
- Jan 7, 2021Complaint3 findings · 2 harm
- Oct 21, 2020Infection control1 finding
- May 7, 2020Infection control1 finding
- Mar 11, 2020Complaint1 finding
- Jun 20, 2019Complaint1 finding · 1 harm
- Jun 5, 2019Standard4 findings
- Apr 25, 2019Complaint1 finding · 1 harm
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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