Edenbrook Pine Haven
Nursing home · 210 3RD STREET NW, Pine Island, MN 55963 · Goodhue County
Prices
The Minnesota Department of Health publishes no prices or facility websites, so we show none. Ask the facility directly.
Facility
- Type
- Nursing home · Skilled Nursing Facility/Nursing Facilit · For-Profit Limited Liability Company
- Capacity
- 70
- State license
- 426241
- Medicare CCN
- 245359
- Licensed entity
- Legal Business Name Not Available
- Ownership
- Non profit - Corporation
- Phone
- (507) 356-8304
- Medicare ratings
- Inspections 3★ · Staffing 1★ · Quality 2★
- Official record
- Minnesota Department of Health provider directory
- Official record
- Medicare Care Compare
Penalties
- Jan 23, 2024 — Fine ($14,898)
Inspection findings
-
Jun 8, 2026 MDH complaint investigation · 1 finding
-
Severity not stated
H53592606C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Aug 28, 2025 Health · 10 findings
-
Not serious
Scope/severity E
F0565 Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected Oct 15, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0578 Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected Oct 15, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0580 Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected Oct 15, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0697 Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Corrected Oct 15, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Oct 15, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0883 Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected Oct 15, 2025 · CMS health inspection
-
Not serious
Scope/severity F
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Oct 15, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0372 Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected Oct 15, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected Oct 15, 2025 · 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 Oct 15, 2025 · CMS fire safety
-
Not serious
Scope/severity E
-
Dec 24, 2024 Health · 2 findings
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Jan 31, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Jan 31, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Oct 10, 2024 MDH complaint investigation · 1 finding
-
Severity not stated
H53596229C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Oct 3, 2024 Health · 2 findings
-
Not serious
Scope/severity D
Complaint
F0695 Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Corrected Nov 8, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Nov 8, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Aug 15, 2024 MDH complaint investigation · 1 finding
-
Severity not stated
H53596580C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Jul 17, 2024 Health · 24 findings
-
Not serious
Scope/severity D
F0554 Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected Aug 26, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0656 Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Aug 26, 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 Aug 26, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0690 Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected Aug 26, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0695 Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Corrected Aug 26, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0698 Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected Aug 26, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0756 Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected Aug 26, 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 Aug 26, 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 Aug 26, 2024 · CMS health inspection
-
Not serious
Scope/severity F
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Aug 26, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0883 Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected Aug 26, 2024 · CMS health inspection
-
Not serious
Scope/severity D
K0211 Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected Aug 26, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0345 Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected Aug 26, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Aug 26, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0355 Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected Aug 26, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0374 Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected Aug 26, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0541 Services Deficiencies
Install properly constructed and protected linen or trash chutes.
Corrected Aug 26, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected Aug 26, 2024 · CMS fire safety
-
Not serious
Scope/severity C
K0901 Electrical Deficiencies
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected Aug 26, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0914 Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected Aug 26, 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 Aug 26, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0920 Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Corrected Aug 26, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0923 Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Corrected Aug 26, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0926 Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected Aug 26, 2024 · CMS fire safety
-
Not serious
Scope/severity D
-
Apr 26, 2024 MDH complaint investigation · 1 finding
-
Severity not stated
H53593348C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Apr 1, 2024 MDH complaint investigation · 1 finding
-
Severity not stated
H53592345C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Jan 31, 2024 MDH complaint investigation · 1 finding
-
Severity not stated
H53598714C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Jan 23, 2024 Health · 2 findings
-
Not serious
Scope/severity D
Complaint
F0656 Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Feb 16, 2024 · CMS health inspection
-
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 Jan 17, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Aug 24, 2023 Fire Safety · 16 findings
-
Not serious
Scope/severity C
E0024 Emergency Preparedness Deficiencies
Establish policies and procedures for volunteers.
Corrected Oct 4, 2023 · CMS fire safety
-
Not serious
Scope/severity C
E0041 Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
Corrected Oct 13, 2023 · CMS fire safety
-
Not serious
Scope/severity D
F0625 Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected Oct 4, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0657 Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected Oct 4, 2023 · CMS health inspection
-
Not serious
Scope/severity D
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 Oct 4, 2023 · CMS health inspection
-
Not serious
Scope/severity F
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 Sep 22, 2023 · CMS health inspection
-
Not serious
Scope/severity F
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Oct 3, 2023 · CMS health inspection
-
Not serious
Scope/severity F
K0291 Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Corrected Oct 4, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0324 Smoke Deficiencies
Provide properly protected cooking facilities.
Corrected Oct 4, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Oct 4, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0354 Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected Oct 4, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0372 Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected Oct 4, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected Oct 4, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0761 Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected Oct 4, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0914 Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected Oct 4, 2023 · 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 Oct 4, 2023 · CMS fire safety
-
Not serious
Scope/severity C
-
May 1, 2023 MDH complaint investigation · 2 findings
-
Severity not stated
H53591200C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
H53591242C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Nov 23, 2022 MDH complaint investigation · 1 finding
-
Severity not stated
H5359079C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Oct 31, 2022 MDH complaint investigation · 1 finding
-
Severity not stated
H53595083C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Sep 19, 2022 MDH complaint investigation · 1 finding
-
Severity not stated
H53594520C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Aug 2, 2022 MDH complaint investigation · 1 finding
-
Severity not stated
H53593533C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Jul 31, 2022 MDH complaint investigation · 1 finding
-
Severity not stated
H53593054C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Jun 10, 2022 MDH complaint investigation · 1 finding
-
Severity not stated
H53592028C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Jan 26, 2022 MDH complaint investigation · 1 finding
-
Severity not stated
H5359083C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Dec 17, 2021 MDH complaint investigation · 1 finding
-
Severity not stated
H5359074C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Sep 29, 2021 MDH complaint investigation · 1 finding
-
Severity not stated
H5359062C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Aug 11, 2021 MDH complaint investigation · 1 finding
-
Severity not stated
H5359060C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Jul 29, 2021 MDH complaint investigation · 1 finding
-
Severity not stated
H5359059C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Jun 18, 2021 MDH complaint investigation · 1 finding
-
Severity not stated
H5359056C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
May 7, 2021 MDH complaint investigation · 2 findings
-
Severity not stated
H5359053C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
H5359055C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Aug 25, 2020 MDH complaint investigation · 1 finding
-
Severity not stated
H5359026C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Aug 22, 2020 MDH complaint investigation · 2 findings
-
Severity not stated
H5359027C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
H5359040C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Jul 22, 2020 MDH complaint investigation · 4 findings
-
Severity not stated
H5359032C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
H5359033C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
H5359034C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
H5359035C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
Sources: the MDH Health Care Provider Directory, MDH's evaluation and complaint findings, and CMS's list of certified Minnesota nursing homes and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.