St. Otto's Care Center INC

Inspection findings

1. Dec 4, 2025 Fire Safety · 1 finding
   • Not serious Scope/severity D

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Dec 16, 2025 · CMS fire safety

2. Nov 8, 2024 Health · 6 findings
   • Not serious Scope/severity D

     F0646 Resident Assessment and Care Planning Deficiencies

     Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

     Corrected Dec 9, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0684 Quality of Life and Care Deficiencies

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

     Corrected Dec 9, 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 Dec 9, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0758 Pharmacy Service Deficiencies

     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.

     Corrected Dec 9, 2024 · CMS health inspection

   • Not serious Scope/severity F

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected Dec 6, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0761 Miscellaneous Deficiencies

     To conduct inspection, testing and maintenance of fire doors by qualified individuals.

     Corrected Nov 30, 2024 · CMS fire safety

3. Feb 8, 2024 Fire Safety · 3 findings
   • Not serious Scope/severity F

     E0041 Emergency Preparedness Deficiencies

     Implement emergency and standby power systems.

     Corrected Mar 31, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Mar 25, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Jul 15, 2024 · CMS fire safety

4. May 24, 2022 MDH complaint investigation · 1 finding
   • Severity not stated

     H52571441C 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)

5. Mar 11, 2022 MDH complaint investigation · 2 findings
   • Severity not stated

     H5257030C 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

     H5257031C 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. Nov 10, 2021 MDH complaint investigation · 1 finding
   • Severity not stated

     H5257028C 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)

7. Oct 5, 2020 MDH complaint investigation · 1 finding
   • Severity not stated

     H5257015C 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. Feb 6, 2020 MDH complaint investigation · 1 finding
   • Severity not stated

     H5257014C 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)

• BERNANDER, BRIAN — corporate director, NOT APPLICABLE, since 08/04/2016
• BERNANDER, BRIAN — direct ownership interest, NOT APPLICABLE, since 11/01/2016
• BERNANDER, BRIAN — operational/managerial control, NOT APPLICABLE, since 11/01/2016
• BERNANDER, BRIAN — adp of the snf, NOT APPLICABLE, since 11/01/2016
• BERNANDER, BRIAN — corporate officer, NOT APPLICABLE, since 08/04/2016
• BERNANDER, KRISTA — corporate director, NOT APPLICABLE, since 08/04/2016
• BERNANDER, KRISTA — adp of the snf, NOT APPLICABLE, since 11/01/2016
• BERNANDER, KRISTA — corporate officer, NOT APPLICABLE, since 08/04/2016
• BERNANDER, KRISTA — operational/managerial control, NOT APPLICABLE, since 11/01/2016
• BERNANDER, KRISTA — direct ownership interest, NOT APPLICABLE, since 11/01/2016
• BERNARDY, DOROTHY — adp of the snf, NOT APPLICABLE, since 11/01/2016
• BERNARDY, DOROTHY — operational/managerial control, NOT APPLICABLE, since 11/01/2016
• EGGERTH, CHARLIE — operational/managerial control, NOT APPLICABLE, since 11/01/2016
• EGGERTH, CHARLIE — adp of the snf, NOT APPLICABLE, since 11/01/2016
• JACOBS, KAREN — operational/managerial control, NOT APPLICABLE, since 11/01/2016
• NELSON - HOLIEN, KELSI — adp of the snf, NOT APPLICABLE, since 02/01/2023
• NELSON - HOLIEN, KELSI — operational/managerial control, NOT APPLICABLE, since 01/01/2023
• POTTER, DANNA — operational/managerial control, NOT APPLICABLE, since 01/01/2022
• POTTER, DANNA — adp of the snf, NOT APPLICABLE, since 01/01/2022
• PRIMUS, DEANNA — operational/managerial control, NOT APPLICABLE, since 11/01/2016
• SCHUETT, MICHELLE — operational/managerial control, NOT APPLICABLE, since 07/23/2022
• UDY, LISA — operational/managerial control, NOT APPLICABLE, since 12/01/2022
• B2K COMMUNITIES LLC. — 5% or greater mortgage interest, NOT APPLICABLE, since 11/01/2016
• B2K COMMUNITIES LLC. — adp of the snf, NOT APPLICABLE, since 11/01/2016