Essentia Health -homestead

Penalties

• Mar 31, 2026 — Fine ($27,378)
• Dec 17, 2025 — Fine ($40,349)

Inspection findings

1. May 29, 2026 MDH complaint investigation · 1 finding
   • Severity not stated

     H54281685C 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)

2. May 18, 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 23, 2026 · CMS health inspection

3. Apr 22, 2026 Health · 3 findings
   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected May 8, 2026 · CMS health inspection

   • Not serious Scope/severity E

     K0222 Egress Deficiencies

     Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

     Corrected May 6, 2026 · CMS fire safety

   • Not serious Scope/severity D

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected May 12, 2026 · CMS fire safety

4. Apr 7, 2026 MDH complaint investigation · 1 finding
   • Severity not stated

     H54289260C 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 31, 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 Mar 22, 2026 · CMS health inspection

6. Jan 13, 2026 MDH complaint investigation · 1 finding
   • Severity not stated

     H54289082C 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. Dec 17, 2025 Health · 3 findings
   • Not serious Scope/severity D Complaint

     F0585 Resident Rights Deficiencies

     Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

     Corrected Jan 16, 2026 · 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 Jan 16, 2026 · CMS health inspection

   • Serious Scope/severity K Complaint

     F0726 Nursing and Physician Services Deficiencies

     Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

     Corrected Jan 16, 2026 · CMS health inspection

8. Jul 30, 2025 Health · 2 findings
   • Not serious Scope/severity C Complaint

     F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Develop and implement policies and procedures to prevent abuse, neglect, and theft.

     Corrected Aug 25, 2025 · CMS health inspection

   • 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 Aug 25, 2025 · CMS health inspection

9. Mar 12, 2025 Health · 12 findings
   • Not serious Scope/severity F

     F0576 Resident Rights Deficiencies

     Ensure residents have reasonable access to and privacy in their use of communication methods.

     Corrected Mar 25, 2025 · CMS health inspection

   • Not serious Scope/severity C

     F0732 Nursing and Physician Services Deficiencies

     Post nurse staffing information every day.

     Corrected Mar 25, 2025 · 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 Mar 28, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0761 Pharmacy Service Deficiencies

     Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

     Corrected Mar 28, 2025 · CMS health inspection

   • Not serious Scope/severity F

     F0851 Administration Deficiencies

     Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

     Corrected Mar 28, 2025 · CMS health inspection

   • Not serious Scope/severity F

     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 Mar 11, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Mar 21, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Mar 21, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0355 Smoke Deficiencies

     Properly select, install, inspect, or maintain portable fire extinguishes.

     Corrected Mar 20, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Mar 21, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0761 Miscellaneous Deficiencies

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

     Corrected Mar 21, 2025 · 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 Mar 20, 2025 · CMS fire safety

10. May 16, 2024 Health · 4 findings
    • 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 Jun 7, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Jun 7, 2024 · CMS health inspection

    • Not serious Scope/severity F

      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 Jun 7, 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 Jun 7, 2024 · CMS fire safety

11. Feb 3, 2022 MDH complaint investigation · 1 finding
    • Severity not stated

      H5428021C 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. Apr 8, 2021 MDH complaint investigation · 1 finding
    • Severity not stated

      H5428016C 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. Mar 30, 2021 MDH complaint investigation · 1 finding
    • Severity not stated

      H5428015C 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. Oct 15, 2019 MDH complaint investigation · 2 findings
    • Severity not stated

      H5428009C 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

      H5428010C 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)

• ARONSON NORR, NANCY — corporate director, NOT APPLICABLE, since 01/01/2025
• BACHAND, ADAM — corporate director, NOT APPLICABLE, since 01/01/2025
• BERGSTROM, AMY — corporate director, NOT APPLICABLE, since 01/01/2024
• BOREN, KEVIN — corporate officer, NOT APPLICABLE, since 04/04/2022
• BOREN, KEVIN — adp of the snf, NOT APPLICABLE, since 04/04/2022
• DUININCK, TROY — corporate director, NOT APPLICABLE, since 01/01/2023
• JAMAR, THOMAS — corporate director, NOT APPLICABLE, since 01/01/2023
• LOBAN, GEORGE — corporate director, NOT APPLICABLE, since 01/01/2024
• LUND, JARED — adp of the snf, NOT APPLICABLE, since 01/01/2024
• LUND, JARED — corporate director, NOT APPLICABLE, since 01/01/2024
• MEYER, DEBORAH — adp of the snf, NOT APPLICABLE, since 07/22/2019
• MEYER, DEBORAH — operational/managerial control, NOT APPLICABLE, since 07/22/2019
• SERTICH, ANTHONY — corporate officer, NOT APPLICABLE, since 01/01/2021
• SKORUPA, KRISTA — corporate officer, NOT APPLICABLE, since 05/06/2024
• SMITH, BRUCE — corporate director, NOT APPLICABLE, since 01/01/2026
• TERCH, JUSTIN — corporate director, NOT APPLICABLE, since 10/22/2025
• URBANSKI, REBECCA — corporate director, NOT APPLICABLE, since 01/01/2025
• WATTERS, MICHAEL — corporate director, NOT APPLICABLE, since 07/01/2023
• YUNG, ANTHONY — corporate director, NOT APPLICABLE, since 01/01/2023
• ESSENTIA HEALTH — 5% or greater direct ownership interest, 100%, since 03/01/2025
• ESSENTIA HEALTH — adp of the snf, NOT APPLICABLE, since 05/12/2025
• ST MARYS DULUTH CLINIC HEALTH SYSTEM — adp of the snf, NOT APPLICABLE, since 05/12/2025
• ST MARYS DULUTH CLINIC HEALTH SYSTEM — operational/managerial control, NOT APPLICABLE, since 09/01/2012