Deficiency Index

Walker Methodist Westwood Ridge II

West Saint Paul, Minnesota · CCN 245618

17 surveys since 2013. 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
63
Surveys
17
Harm or worse
2
Immediate jeopardy
1
The record, 2013–2026
’13’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file11/17

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
37
Ownership
Non profit - Corporation
Chain
VIVIE
County
Dakota
Medicare-certified since
2012

CMS ratings

Overall
2
Health inspection
2
Staffing
4
Quality measures
3

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

Apr 15, 2026

208 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day5.324.22
Registered-nurse hours per resident day1.83—

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$15,914 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ13.3%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD2273.3%E310.0%F413.3%
No harm, potential for minimalA—B—C—
CMS’s current file: 30 of the 63 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6092×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • F6552×

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

  • F6842×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • 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 Walker Methodist Westwood Ridge II, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF678Sep 12, 2024

    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 for full code status of CPR to 1 of 3 residents (R1) reviewed. This deficient practice resulted in an immediate jeopardy (IJ) situation when R1 was found not breathing, had no pulse, CPR was not initiated timely, and R1 passed away at the facility. The IJ began on [DATE], at 12:30 a.m. when R1 was noted to have no respirations or pulse, and no immediate action was taken by Registered Nurse (RN)-A, including CPR, which resulted in a missed opportunity to resuscitate R1, resulting in certain death. On [DATE], at 5:15 p.m. the administrator and director of nursing (DON) were notified of the IJ. […]

  • No harm, potential for more than minimal, widespreadF880Jan 23, 2025

    Based on observation, interview and document review, the facility failed to ensure proper personal protective equipment (PPE) use for 1 of 3 residents (R4) on enhanced barrier precautions (EBP) reviewed for proper PPE use during survey. In addition, the facility failed to ensure a comprehensive Infection Prevention and Control Program (IPCP) was maintained to include an ongoing analysis of collected data to help identify and reduce the risk of infection spread and outbreak. This had potential to affect all 30 residents, staff, and visitors. Findings include: R4's admission Minimum Data Set (MDS), dated [DATE], indicated R4 was dependent on facility staff for bathing, toileting and dressing and had a Foley catheter in place. […]

  • No harm, potential for more than minimal, widespreadF881Jan 23, 2025

    Based on interview and document review, the facility failed to implement an antibiotic stewardship program which included development of protocols and a system to monitor appropriateness of antibiotic use to prevent antibiotic resistance and help prevent the spread of infectious diseases. This had the potential to affect all 30 residents residing in the facility. Findings include: During an interview on 1/22/25 at 1:46 p.m., director of nursing (DON) stated she was currently the acting facility infection preventionist and was responsible for overseeing the infection control program. DON verified the facility was currently not tracking resident antibiotic use to ensure proper use and follow up. […]

  • No harm, potential for more than minimal, widespreadF882Jan 23, 2025

    Based on interview and document review, the facility failed to ensure the acting infection preventionist had completed specialized training in infection prevention and control. This had the potential to affect all 30 residents residing in the facility. Findings include: On 1/22/25 at 1:26 p.m., director of nursing (DON) stated she was currently the acting facility infection preventionist and was responsible for overseeing the infection control program. DON verified that she had not completed specialized training for infection prevention and control. DON verified they were not currently enrolled in any specialized training at this time nor had any specialized infection control education scheduled. […]

  • No harm, potential for more than minimal, widespreadF882Feb 28, 2024

    Based on interview and document review, the facility failed to ensure the acting infection preventionist (IP) had completed specialized training in infection prevention and control. This had the potential to affect all 33 residents residing in the facility. Findings include: When interviewed on 2/28/24, at 8:19 a.m., the administrator stated infection preventionist (IP) was the facility's designated infection preventionist. He verified that IP did not have the specialized training in infection prevention and control. He verified that IP had completed Relias trainings that all staff complete through facility and recently attended a Minnesota Department of Health Project Firstline Table Talk. During interview on 2/28/24, at 10:59 a.m., IP verified that she was the infection preventionist. […]

Read 22 findings in full →The most serious and the most recent: 22 of 63 on record.

Every survey on record

FindingsAt actual harm or above

  • Apr 15, 2026Standard6 findings
  • Jan 23, 2025Standard13 findings
  • Dec 11, 2024Complaint1 finding
  • Sep 12, 2024Complaint4 findings · 1 harm
  • Feb 28, 2024Standard5 findings
  • Feb 1, 2024Complaint1 finding
  • Jul 20, 2023Standard6 findings
  • Jun 14, 2022Standard and complaint5 findings
Show the 9 earlier surveys
  • Dec 30, 2021Complaint1 finding
  • Oct 29, 2021Complaint3 findings
  • Dec 18, 2020Complaint1 finding
  • Dec 5, 2019Standard and complaint3 findings
  • Oct 18, 2018Standard3 findings
  • Nov 2, 2017Standard4 findings
  • Sep 18, 2017Complaint1 finding · 1 harm
  • Dec 18, 2014Standard5 findings
  • Nov 14, 2013—1 finding

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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