Villa St. Vincent
Crookston, Minnesota · CCN 245484
27 surveys since 2012. The first finding at harm level was recorded in 2017.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 110
- Surveys
- 27
- Harm or worse
- 11
- Immediate jeopardy
- 4
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
- 100
- Ownership
- Non profit - Corporation
- Chain
- BENEDICTINE HEALTH SYSTEM
- County
- Polk
- Medicare-certified since
- 1987
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 4
- Quality measures
- 2
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 18 not-for-profit facilities of 100–127 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 | 3.96 | 4.27 |
| Registered-nurse hours per resident day | 0.71 | — |
| Annual nurse turnover | 42.3% | 33.8% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $29,234 across 1 penalty
- Abuse icon
- Flagged by CMS on Care Compare
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 | J14.0% | K— | L— |
| Actual harm | G416.0% | H— | I— |
| No harm, potential for more than minimal | D1872.0% | E14.0% | F14.0% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6003×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F6893×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F6092×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F7582×
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- F8802×
Provide and implement an infection prevention and control program.
In the surveyor’s words
From the most serious findings on record at Villa St. Vincent, in the surveyor’s own words.
- Immediate jeopardy, patternF880Jul 23, 2021
Based on observation, interview and document review, the facility failed to implement the Centers for Disease Controls (CDC) guidance for individualized transmission-based precautions including appropriate personal protective equipment (PPE) and isolation precautions to prevent the spread of COVID-19 for 1 of 1 resident (R6) who displayed symptoms of COVID-19, resided on the dementia unit, wandered throughout the unit and subsequently tested positive for COVID-19. This practice resulted in an immediate jeopardy (IJ) situation which had the high likelihood to cause serious illness and/or death for 2 of 23 residents (R7, R8) who resided on the memory care unit and were not fully vaccinated; 2 of 67 residents (R9, R10) who were not fully vaccinated against COVID-19 and resided in other units… […]
- Immediate jeopardy, patternF886Jul 23, 2021
Based on observation, interview and document review, the facility failed to test staff for COVID-19 according to Centers for Disease Control (CDC) guidance for outbreak and routine resting requirements. In addition, the facility failed to ensure a confirmatory, RT-PCR (real-time reverse transcription polymerase chain reaction [rRT-PCR] test) was obtained for 1 of 1 resident (R6) after a presumptive negative rapid [MEDICATION(S)] (screening) and was displaying signs and symptoms of COVID-19. […]
- Immediate jeopardy, isolatedF600Jun 4, 2026
Based on observation, interview, and document review, the facility failed to protect residents' rights to be free from sexual abuse by failing to complete a comprehensive assessment for capacity to consent to sexual activity for 2 of 2 residents (R58, R61) with cognitive impairment who engaged in sexual activity. In addition, the facility failed to investigate unexplained bruising and vaginal bleeding for 1 of 1 resident (R58) in the context of known sexual activity. These failures resulted in an Immediate Jeopardy (IJ) as the facility did not determine whether either resident possessed the capacity to knowingly and voluntarily consent to sexual activity, creating a likelihood that one or both residents were subjected to non-consensual sexual contact and placing them at risk for serious… […]
- Immediate jeopardy, isolatedF689Aug 13, 2021
Based on observation, interview and document review, the facility failed to adequately assess 1 of 1 resident (R1) who was at risk for elopement prior to discharging him from the secured unit and failed to provide supervision while outside smoking on the facility property which led to R1 eloping. This resulted in an immediate jeopardy (IJ) situation for R1 who eloped from the facility on two separate occasions. The IJ began on 7/14/21, when R1 was transferred from the secured unit of the facility and was allowed to go outside the facility independently to smoke. The director of nursing (DON) and licensed social worker (LSW)-A were informed of the IJ on 8/12/21, at 1:39 p.m. The IJ was removed on 8/13/21, at 1:45 p.m. […]
- Actual harm, isolatedF760Jul 10, 2025
Based on interview and document review the facility failed to ensure residents remained free from significant medication errors. This resulted in actual harm to R1 who was administered opioid medications prior to the prescribed date resulting in hypoxia, confusion and unresponsiveness and required the use of Narcan (used to reverse the effects of an opioid overdose).Findings include: A report to the state agency dated 7/1/25, indicated R1 had a visit with the palliative care provider on 6/27/25. The provider was informed that the R1's insurance had denied Oxycontin which R1 had been receiving for management of significant pain from fractures that occurred prior to admission to SNF (skilled nursing facility). […]
Read 26 findings in full →The most serious and the most recent: 26 of 110 on record.
Every survey on record
FindingsAt actual harm or above
- Jun 4, 2026Standard8 findings · 1 harm
- Jul 10, 2025Complaint3 findings · 1 harm
- Jun 5, 2025Complaint1 finding · 1 harm
- Mar 27, 2025Standard3 findings
- Aug 9, 2024Complaint1 finding · 1 harm
- Jul 31, 2024Standard and complaint8 findings · 1 harm
- Apr 2, 2024Complaint1 finding
- Jun 29, 2023Standard and complaint9 findings
Show the 19 earlier surveys
- Dec 21, 2022Complaint2 findings
- Jul 21, 2022Standard2 findings
- May 25, 2022Complaint3 findings
- Aug 13, 2021Complaint2 findings · 1 harm
- Jul 23, 2021Complaint4 findings · 2 harm
- Mar 17, 2021Complaint1 finding
- Jan 17, 2020Standard3 findings
- Feb 15, 2019Standard6 findings
- Nov 15, 2018Complaint2 findings · 2 harm
- Jan 12, 2018Standard and complaint6 findings
- Jan 11, 2017Complaint1 finding · 1 harm
- Dec 15, 2016Standard7 findings
- Jan 13, 2016Standard5 findings
- Dec 4, 2014Standard5 findings
- Jul 25, 2014Complaint2 findings
- Jul 23, 2014Complaint3 findings
- Nov 15, 2013—11 findings
- Oct 25, 2012—5 findings
- Jan 13, 2012—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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