Essentia Health Virginia Care

Inspection findings

1. Mar 26, 2026 Health · 4 findings
   • Not serious Scope/severity D

     F0554 Resident Rights Deficiencies

     Allow residents to self-administer drugs if determined clinically appropriate.

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

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Apr 16, 2026 · CMS health inspection

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Apr 21, 2026 · CMS fire safety

2. Jan 9, 2025 Health · 6 findings
   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jan 29, 2025 · CMS health inspection

   • Not serious Scope/severity D

     K0223 Egress Deficiencies

     Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

     Corrected Jan 10, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0226 Egress Deficiencies

     Have horizontal exits used in accordance with safety requirements.

     Corrected Jan 13, 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 Jan 20, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0912 Gas, Vacuum, and Electrical Systems Deficiencies

     Have power receptacles that are properly grounded.

     Corrected Jan 9, 2025 · 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 Jan 10, 2025 · CMS fire safety

3. Feb 28, 2024 Health · 9 findings
   • Not serious Scope/severity D

     F0636 Resident Assessment and Care Planning Deficiencies

     Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

     Corrected Mar 18, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Mar 18, 2024 · CMS health inspection

   • Not serious Scope/severity D

     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 Mar 18, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0686 Quality of Life and Care Deficiencies

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

     Corrected Mar 18, 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 Mar 18, 2024 · CMS health inspection

   • Not serious Scope/severity F

     K0363 Smoke Deficiencies

     Install corridor and hallway doors that block smoke.

     Corrected Mar 21, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0541 Services Deficiencies

     Install properly constructed and protected linen or trash chutes.

     Corrected Mar 21, 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 Apr 4, 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 Apr 5, 2024 · CMS fire safety

4. Feb 19, 2021 MDH complaint investigation · 1 finding
   • Severity not stated

     H5458026C 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 — managing control - governing body, NOT APPLICABLE, since 01/01/2025
• BACHAND, ADAM — managing control - governing body, NOT APPLICABLE, since 01/01/2025
• BALDWIN, JAN — managing control - governing body, NOT APPLICABLE, since 01/01/2017
• BEARD, BRADLEY — adp of the snf, NOT APPLICABLE, since 07/01/2023
• BEARD, BRADLEY — operational/managerial control, NOT APPLICABLE, since 07/01/2023
• BEARD, BRADLEY — corporate officer, NOT APPLICABLE, since 07/01/2023
• BERGSTROM, AMY — managing control - governing body, NOT APPLICABLE, since 01/01/2025
• BOREN, KEVIN — operational/managerial control, NOT APPLICABLE, since 07/01/2023
• BOREN, KEVIN — adp of the snf, NOT APPLICABLE, since 07/01/2023
• BOREN, KEVIN — corporate officer, NOT APPLICABLE, since 07/01/2023
• BORTNEM, MARK — corporate officer, NOT APPLICABLE, since 09/29/2025
• DUININCK, TROY — managing control - governing body, NOT APPLICABLE, since 01/01/2023
• JAMAR, THOMAS — managing control - governing body, NOT APPLICABLE, since 01/01/2023
• LOBAN, GEORGE — managing control - governing body, NOT APPLICABLE, since 01/01/2024
• MEYER, DEBORAH — adp of the snf, NOT APPLICABLE, since 09/09/2023
• MEYER, DEBORAH — operational/managerial control, NOT APPLICABLE, since 09/09/2023
• OMAN, MICHELLE — operational/managerial control, NOT APPLICABLE, since 01/01/2024
• OMAN, MICHELLE — adp of the snf, NOT APPLICABLE, since 01/01/2024
• RAWAY, BEVERLY — managing control - governing body, NOT APPLICABLE, since 10/01/2018
• SERTICH, ANTHONY — managing control - governing body, NOT APPLICABLE, since 01/01/2021
• SKORUPA, KRISTA — corporate officer, NOT APPLICABLE, since 05/06/2024
• URBANSKI, REBECCA — managing control - governing body, NOT APPLICABLE, since 01/01/2025
• WATTERS, MICHAEL — corporate officer, NOT APPLICABLE, since 07/01/2023
• WEBER, JEANNE — managing control - governing body, NOT APPLICABLE, since 02/15/2019
• YUNG, ANTHONY — managing control - governing body, NOT APPLICABLE, since 01/01/2023
• YUNG, ANTHONY — corporate director, NOT APPLICABLE, since 01/01/2023
• ESSENTIA HEALTH — indirect ownership interest, NOT APPLICABLE, since 08/28/2012
• ESSENTIA HEALTH — adp of the snf, NOT APPLICABLE, since 10/28/2025
• SMDC MEDICAL CENTER — direct ownership interest, NOT APPLICABLE, since 07/01/2012
• ST MARYS DULUTH CLINIC HEALTH SYSTEM — operational/managerial control, NOT APPLICABLE, since 08/28/2012
• ST MARYS DULUTH CLINIC HEALTH SYSTEM — adp of the snf, NOT APPLICABLE, since 10/28/2025