Avera Morningside Heights C Ct

Penalties

• Sep 24, 2025 — Fine ($17,345)
• Nov 30, 2023 — Payment Denial · payment denial 6 days

Inspection findings

1. Mar 24, 2026 Health · 1 finding
   • Serious Scope/severity G Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Apr 21, 2026 · CMS health inspection

2. Dec 3, 2025 Health · 4 findings
   • Not serious Scope/severity F

     F0868 Administration Deficiencies

     Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

     Corrected Jan 6, 2026 · CMS health inspection

   • Not serious Scope/severity F

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jan 6, 2026 · CMS health inspection

   • Not serious Scope/severity F

     F0882 Infection Control Deficiencies

     Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

     Corrected Jan 6, 2026 · CMS health inspection

   • Not serious Scope/severity D

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Dec 10, 2025 · CMS fire safety

3. Nov 24, 2025 MDH complaint investigation · 1 finding
   • Severity not stated

     H52284805C Substantiated complaint (MDH Office of Health Facility Complaints)

     MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

     Statement of deficiencies (PDF)

4. Sep 24, 2025 Health · 1 finding
   • Serious Scope/severity J Complaint

     F0684 Quality of Life and Care Deficiencies

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

     Corrected Sep 21, 2025 · CMS health inspection

5. Feb 6, 2025 MDH complaint investigation · 1 finding
   • Severity not stated

     H52286347C Substantiated complaint (MDH Office of Health Facility Complaints)

     MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

     Statement of deficiencies (PDF)

6. Oct 30, 2024 Health · 5 findings
   • Not serious Scope/severity D

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Nov 25, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Nov 25, 2024 · CMS health inspection

   • Not serious Scope/severity F

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Nov 25, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Nov 25, 2024 · CMS fire safety

   • Not serious Scope/severity D

     K0920 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure proper usage of power strips and extension cords.

     Corrected Nov 25, 2024 · CMS fire safety

7. Oct 17, 2024 MDH complaint investigation · 1 finding
   • Severity not stated

     H52289503C Substantiated complaint (MDH Office of Health Facility Complaints)

     MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

     Statement of deficiencies (PDF)

8. Sep 23, 2024 MDH complaint investigation · 1 finding
   • Severity not stated

     H52288301C Substantiated complaint (MDH Office of Health Facility Complaints)

     MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

     Statement of deficiencies (PDF)

9. Nov 30, 2023 Health · 10 findings
   • Not serious Scope/severity D

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Jan 4, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0678 Quality of Life and Care Deficiencies

     Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

     Corrected Jan 4, 2024 · CMS health inspection

   • Serious Scope/severity G

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected Jan 4, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0688 Quality of Life and Care Deficiencies

     Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

     Corrected Jan 4, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Jan 4, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Jan 4, 2024 · CMS health inspection

   • Not serious Scope/severity F

     F0867 Administration Deficiencies

     Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

     Corrected Jan 4, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jan 4, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0881 Infection Control Deficiencies

     Implement a program that monitors antibiotic use.

     Corrected Jan 4, 2024 · CMS health inspection

   • Not serious Scope/severity D

     K0923 Gas, Vacuum, and Electrical Systems Deficiencies

     Have proper medical gas storage and administration areas.

     Corrected Jan 10, 2024 · CMS fire safety

10. Sep 1, 2022 MDH complaint investigation · 1 finding
    • Severity not stated

      H52284389C Substantiated complaint (MDH Office of Health Facility Complaints)

      MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

      Statement of deficiencies (PDF)

11. Aug 24, 2022 MDH complaint investigation · 1 finding
    • Severity not stated

      H52283498C Substantiated complaint (MDH Office of Health Facility Complaints)

      MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

      Statement of deficiencies (PDF)

12. Dec 9, 2021 MDH complaint investigation · 3 findings
    • Severity not stated

      H5228029C Substantiated complaint (MDH Office of Health Facility Complaints)

      MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

      Statement of deficiencies (PDF)

    • Severity not stated

      H5228031C Substantiated complaint (MDH Office of Health Facility Complaints)

      MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

      Statement of deficiencies (PDF)

    • Severity not stated

      H5228032C Substantiated complaint (MDH Office of Health Facility Complaints)

      MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

      Statement of deficiencies (PDF)

13. Sep 22, 2021 MDH complaint investigation · 1 finding
    • Severity not stated

      H5228027C Substantiated complaint (MDH Office of Health Facility Complaints)

      MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

      Statement of deficiencies (PDF)

14. Mar 10, 2021 MDH complaint investigation · 1 finding
    • Severity not stated

      H5228021C Substantiated complaint (MDH Office of Health Facility Complaints)

      MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

      Statement of deficiencies (PDF)

Owners and managers (as published by CMS)

• COUDRON, CHRISTY — corporate officer, NOT APPLICABLE, since 09/01/2020
• DEUTZ, TRACY — adp of the snf, NOT APPLICABLE, since 12/16/2025
• DEUTZ, TRACY — operational/managerial control, NOT APPLICABLE, since 12/14/2024
• HENNEN, SHARON — corporate director, NOT APPLICABLE, since 07/01/2023
• KOENEN, LAVONNE — corporate director, NOT APPLICABLE, since 07/01/2020
• LAUTT, JULIE — corporate officer, NOT APPLICABLE, since 03/01/2020
• LORANG, THOMAS — corporate director, NOT APPLICABLE, since 07/01/2024
• LOUWAGIE, CURTIS — corporate director, NOT APPLICABLE, since 07/01/2018
• NOVAK, KARIE — corporate director, NOT APPLICABLE, since 07/01/2024
• O'LEARY, TIM — corporate director, NOT APPLICABLE, since 07/01/2023
• SIELING, AMANDA — corporate director, NOT APPLICABLE, since 07/01/2018
• STREIER, DEBRA — corporate officer, NOT APPLICABLE, since 02/01/2021
• VROMAN, JILL — corporate director, NOT APPLICABLE, since 07/01/2023
• WALKER, VICTORIA — operational/managerial control, NOT APPLICABLE, since 08/01/2020
• WALKER, VICTORIA — adp of the snf, NOT APPLICABLE, since 02/09/2026
• ZIMMERMAN, JODELLE — corporate director, NOT APPLICABLE, since 07/01/2018
• AVERA HEALTH — 5% or greater direct ownership interest, 100%, since 11/01/2009