Emmanuel Nursing Home

Penalties

• Jan 28, 2026 — Fine ($53,847)

Inspection findings

1. Apr 3, 2026 Health · 1 finding
   • 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 Apr 29, 2026 · CMS health inspection

2. Feb 12, 2026 MDH complaint investigation · 1 finding
   • Severity not stated

     H54893980C 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)

3. Feb 11, 2026 Health · 7 findings
   • Not serious Scope/severity D

     F0554 Resident Rights Deficiencies

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

     Corrected Feb 23, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0604 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

     Corrected Feb 23, 2026 · CMS health inspection

   • 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 Feb 23, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Feb 23, 2026 · CMS health inspection

   • Not serious Scope/severity F

     K0351 Smoke Deficiencies

     Install an approved automatic sprinkler system.

     Corrected Feb 11, 2026 · CMS fire safety

   • Not serious Scope/severity D

     K0374 Smoke Deficiencies

     Install smoke barrier doors that can resist smoke for at least 20 minutes.

     Corrected Feb 11, 2026 · 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 Feb 23, 2026 · CMS fire safety

4. Jan 28, 2026 Health · 1 finding
   • Serious Scope/severity J Complaint

     F0808 Nutrition and Dietary Deficiencies

     Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

     Corrected Feb 23, 2026 · CMS health inspection

5. Feb 20, 2025 Health · 2 findings
   • Serious Scope/severity G Complaint

     F0684 Quality of Life and Care Deficiencies

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

     Corrected Mar 12, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0835 Administration Deficiencies

     Administer the facility in a manner that enables it to use its resources effectively and efficiently.

     Corrected Mar 12, 2025 · CMS health inspection

6. Feb 18, 2025 MDH complaint investigation · 1 finding
   • Severity not stated

     H54895880C 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. Jan 30, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0550 Resident Rights Deficiencies

     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

     Corrected Mar 4, 2025 · CMS health inspection

8. Dec 18, 2024 Health · 4 findings
   • 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 20, 2025 · CMS health inspection

   • Not serious Scope/severity D

     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 20, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jan 20, 2025 · CMS health inspection

   • Not serious Scope/severity D

     K0363 Smoke Deficiencies

     Install corridor and hallway doors that block smoke.

     Corrected Dec 24, 2024 · CMS fire safety

9. Oct 4, 2023 Health · 11 findings
   • Not serious Scope/severity D

     F0554 Resident Rights Deficiencies

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

     Corrected Nov 5, 2023 · 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 Nov 5, 2023 · 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 Nov 5, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0685 Quality of Life and Care Deficiencies

     Assist a resident in gaining access to vision and hearing services.

     Corrected Nov 5, 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 Nov 5, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0725 Nursing and Physician Services Deficiencies

     Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

     Corrected Nov 5, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Nov 5, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0883 Infection Control Deficiencies

     Develop and implement policies and procedures for flu and pneumonia vaccinations.

     Corrected Nov 5, 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 Nov 5, 2023 · CMS fire safety

   • 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 Nov 5, 2023 · CMS fire safety

   • Not serious Scope/severity D

     K0361 Smoke Deficiencies

     Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

     Corrected Nov 5, 2023 · CMS fire safety

10. Jun 20, 2023 MDH complaint investigation · 1 finding
    • Severity not stated

      H54892847C 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. Feb 14, 2023 MDH complaint investigation · 1 finding
    • Severity not stated

      H54898072C 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. Aug 1, 2022 MDH complaint investigation · 1 finding
    • Severity not stated

      H54893229C 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. Apr 4, 2022 MDH complaint investigation · 1 finding
    • Severity not stated

      H5489045C 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. Dec 14, 2021 MDH complaint investigation · 2 findings
    • Severity not stated

      H5489032C 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

      H5489039C 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)

15. Jan 15, 2021 MDH complaint investigation · 1 finding
    • Severity not stated

      H5489029C 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)

16. Jun 8, 2020 MDH complaint investigation · 1 finding
    • Severity not stated

      H5489017C 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)

• ANDRESEN, ANGELICA — corporate officer, NOT APPLICABLE, since 05/24/2023
• ANDRESEN, ANGELICA — adp of the snf, NOT APPLICABLE, since 07/27/2020
• ANDRESEN, ANGELICA — operational/managerial control, NOT APPLICABLE, since 07/27/2020
• ANDRESEN, ANGELICA — managing control - governing body, NOT APPLICABLE, since 05/24/2023
• ANZEL, JOSEPH — adp of the snf, NOT APPLICABLE, since 11/12/2019
• ANZEL, JOSEPH — operational/managerial control, NOT APPLICABLE, since 11/12/2019
• AUGUSTSON, JEANETTE — managing control - governing body, NOT APPLICABLE, since 05/18/2022
• AUGUSTSON, JEANETTE — operational/managerial control, NOT APPLICABLE, since 05/18/2022
• AUGUSTSON, JEANETTE — corporate director, NOT APPLICABLE, since 05/18/2022
• BARTNES, JANICE — adp of the snf, NOT APPLICABLE, since 05/11/1998
• BEESON, JENNIFER — operational/managerial control, NOT APPLICABLE, since 09/24/2019
• BERGSTROM, SUSAN — operational/managerial control, NOT APPLICABLE, since 02/25/2025
• BERGSTROM, SUSAN — managing control - governing body, NOT APPLICABLE, since 02/25/2025
• BERGSTROM, SUSAN — corporate director, NOT APPLICABLE, since 02/25/2025
• BOHLEN, HOLLY — operational/managerial control, NOT APPLICABLE, since 08/05/2024
• BOHLEN, HOLLY — adp of the snf, NOT APPLICABLE, since 08/05/2024
• CONLIN, JAN — corporate director, NOT APPLICABLE, since 01/09/2024
• CONLIN, JAN — managing control - governing body, NOT APPLICABLE, since 01/09/2024
• CONLIN, JAN — operational/managerial control, NOT APPLICABLE, since 01/09/2024
• COX, NICOLE — operational/managerial control, NOT APPLICABLE, since 01/01/2023
• COX, NICOLE — adp of the snf, NOT APPLICABLE, since 01/01/2023
• DREYER, DOUGLAS — adp of the snf, NOT APPLICABLE, since 11/13/2023
• DREYER, DOUGLAS — operational/managerial control, NOT APPLICABLE, since 11/13/2023
• FREY, MARY — corporate director, NOT APPLICABLE, since 08/21/2024
• FREY, MARY — operational/managerial control, NOT APPLICABLE, since 08/21/2024
• FREY, MARY — managing control - governing body, NOT APPLICABLE, since 08/21/2024
• GAMST, BLAINE — operational/managerial control, NOT APPLICABLE, since 10/04/2024
• GAMST, BLAINE — adp of the snf, NOT APPLICABLE, since 10/04/2024
• GETAWEH, SHARLENE — managing control - governing body, NOT APPLICABLE, since 02/25/2025
• GETAWEH, SHARLENE — operational/managerial control, NOT APPLICABLE, since 02/25/2025
• GETAWEH, SHARLENE — corporate director, NOT APPLICABLE, since 02/25/2025
• GILLETTE, MELISSA — operational/managerial control, NOT APPLICABLE, since 10/24/2012
• GILLETTE, MELISSA — adp of the snf, NOT APPLICABLE, since 10/24/2012
• HALEY, TAMI — corporate officer, NOT APPLICABLE, since 05/18/2022
• HALEY, TAMI — adp of the snf, NOT APPLICABLE, since 10/01/2012
• HALEY, TAMI — managing control - governing body, NOT APPLICABLE, since 05/18/2022
• HALEY, TAMI — operational/managerial control, NOT APPLICABLE, since 10/01/2012
• HARRISON, DOUGLAS — adp of the snf, NOT APPLICABLE, since 09/03/2024
• HARRISON, DOUGLAS — corporate officer, NOT APPLICABLE, since 01/16/2025
• HARRISON, DOUGLAS — managing control - governing body, NOT APPLICABLE, since 01/16/2025
• HARRISON, DOUGLAS — operational/managerial control, NOT APPLICABLE, since 09/03/2024
• HORVATH, BRIAN — operational/managerial control, NOT APPLICABLE, since 07/09/2012
• HORVATH, BRIAN — adp of the snf, NOT APPLICABLE, since 07/09/2012
• HUKRIEDE, CHRISTINE — adp of the snf, NOT APPLICABLE, since 11/05/2004
• ISERMAN, BRENT — operational/managerial control, NOT APPLICABLE, since 02/25/2025
• ISERMAN, BRENT — corporate director, NOT APPLICABLE, since 02/25/2025
• ISERMAN, BRENT — managing control - governing body, NOT APPLICABLE, since 02/25/2025
• KELLER, KERRI — adp of the snf, NOT APPLICABLE, since 03/06/2013
• KELLER, KERRI — operational/managerial control, NOT APPLICABLE, since 03/06/2013
• KEMPER, MONICA — operational/managerial control, NOT APPLICABLE, since 02/01/2019
• KEMPER, MONICA — adp of the snf, NOT APPLICABLE, since 02/01/2019
• KENDRICK, SHELLEY — managing control - governing body, NOT APPLICABLE, since 02/04/2019
• KENDRICK, SHELLEY — adp of the snf, NOT APPLICABLE, since 05/22/2013
• KENDRICK, SHELLEY — corporate officer, NOT APPLICABLE, since 02/04/2019
• KENDRICK, SHELLEY — operational/managerial control, NOT APPLICABLE, since 01/18/2012
• KROLAK, JR., THOMAS — operational/managerial control, NOT APPLICABLE, since 02/24/2025
• KROLAK, JR., THOMAS — adp of the snf, NOT APPLICABLE, since 02/24/2025
• KULL, MARCIA — operational/managerial control, NOT APPLICABLE, since 01/01/2022
• KULL, MARCIA — corporate director, NOT APPLICABLE, since 01/01/2022
• KULL, MARCIA — managing control - governing body, NOT APPLICABLE, since 01/01/2022
• LAXDAL SOMMER, EMILY — adp of the snf, NOT APPLICABLE, since 09/16/2014
• LAXDAL SOMMER, EMILY — corporate officer, NOT APPLICABLE, since 05/22/2024
• LAXDAL SOMMER, EMILY — operational/managerial control, NOT APPLICABLE, since 05/22/2024
• LAXDAL SOMMER, EMILY — managing control - governing body, NOT APPLICABLE, since 05/22/2024
• LEFFNER, JACQUELINE — operational/managerial control, NOT APPLICABLE, since 03/28/2022
• LEFFNER, JACQUELINE — adp of the snf, NOT APPLICABLE, since 03/28/2022
• MCALPINE, JAMES — operational/managerial control, NOT APPLICABLE, since 02/08/2021
• MCALPINE, JAMES — managing control - governing body, NOT APPLICABLE, since 05/20/2021
• MCALPINE, JAMES — adp of the snf, NOT APPLICABLE, since 02/08/2021
• MCALPINE, JAMES — corporate officer, NOT APPLICABLE, since 05/20/2021
• MROSLA, DANIELLE — operational/managerial control, NOT APPLICABLE, since 11/01/2024
• MROSLA, DANIELLE — adp of the snf, NOT APPLICABLE, since 11/01/2024
• NEWLAND, CHARLES — operational/managerial control, NOT APPLICABLE, since 09/24/2019
• OKESON, BRIDGET — operational/managerial control, NOT APPLICABLE, since 03/12/1999
• OKESON, BRIDGET — adp of the snf, NOT APPLICABLE, since 03/12/1999
• OLSON, AMY — corporate officer, NOT APPLICABLE, since 05/21/2025
• OLSON, AMY — adp of the snf, NOT APPLICABLE, since 09/23/2024
• OLSON, AMY — operational/managerial control, NOT APPLICABLE, since 09/23/2024
• OLSON, AMY — managing control - governing body, NOT APPLICABLE, since 05/21/2025
• OLSON, DANIELLE — operational/managerial control, NOT APPLICABLE, since 04/05/2010
• OLSON, DANIELLE — adp of the snf, NOT APPLICABLE, since 04/05/2010
• OSMAN, AMAL — operational/managerial control, NOT APPLICABLE, since 11/14/1995
• OSMAN, AMAL — adp of the snf, NOT APPLICABLE, since 11/14/1995
• PALMER, TINA — adp of the snf, NOT APPLICABLE, since 02/29/2024
• PALMER, TINA — operational/managerial control, NOT APPLICABLE, since 02/29/2024
• PALMER, TINA — managing control - governing body, NOT APPLICABLE, since 05/22/2024
• PALMER, TINA — corporate officer, NOT APPLICABLE, since 05/22/2024
• PETRABORG, JOHN — corporate director, NOT APPLICABLE, since 05/24/2023
• PETRABORG, JOHN — managing control - governing body, NOT APPLICABLE, since 05/24/2023
• PETRABORG, JOHN — operational/managerial control, NOT APPLICABLE, since 02/21/2013
• PLAMANN, JOY — managing control - governing body, NOT APPLICABLE, since 05/22/2024
• PLAMANN, JOY — operational/managerial control, NOT APPLICABLE, since 05/22/2024
• PLAMANN, JOY — corporate director, NOT APPLICABLE, since 05/22/2024
• ROATH, ALVIN — adp of the snf, NOT APPLICABLE, since 04/12/2017
• ROATH, ALVIN — operational/managerial control, NOT APPLICABLE, since 04/12/2017
• SCHOWALTER, JAMES — corporate director, NOT APPLICABLE, since 05/21/2025
• SCHOWALTER, JAMES — operational/managerial control, NOT APPLICABLE, since 05/22/2024
• SCHOWALTER, JAMES — managing control - governing body, NOT APPLICABLE, since 05/21/2025
• SCHUH, SUSAN — adp of the snf, NOT APPLICABLE, since 02/16/2016
• SCHUH, SUSAN — operational/managerial control, NOT APPLICABLE, since 02/16/2016
• SCHUNA, PETER — corporate director, NOT APPLICABLE, since 05/22/2024
• SCHUNA, PETER — operational/managerial control, NOT APPLICABLE, since 05/22/2024
• SCHUNA, PETER — managing control - governing body, NOT APPLICABLE, since 05/22/2024
• SHOVEIN, ANGELA — operational/managerial control, NOT APPLICABLE, since 12/12/2022
• SHOVEIN, ANGELA — adp of the snf, NOT APPLICABLE, since 04/05/2024
• SNYDER, NILS — managing control - governing body, NOT APPLICABLE, since 08/21/2024
• SNYDER, NILS — operational/managerial control, NOT APPLICABLE, since 08/21/2024
• SNYDER, NILS — corporate director, NOT APPLICABLE, since 08/21/2024
• SPEARMAN, JESSICA — operational/managerial control, NOT APPLICABLE, since 06/27/2013
• SPEARMAN, JESSICA — adp of the snf, NOT APPLICABLE, since 06/27/2013
• STEVENS, ANGELA — adp of the snf, NOT APPLICABLE, since 06/14/2010
• STEVENS, ANGELA — operational/managerial control, NOT APPLICABLE, since 06/14/2010
• THOM, JAMIE — operational/managerial control, NOT APPLICABLE, since 01/22/2001
• THOM, JAMIE — adp of the snf, NOT APPLICABLE, since 01/22/2001
• VANG, KOU — operational/managerial control, NOT APPLICABLE, since 10/05/2020
• VANG, KOU — adp of the snf, NOT APPLICABLE, since 10/05/2020
• WIK, AMANDA — adp of the snf, NOT APPLICABLE, since 11/30/2016
• WIK, AMANDA — operational/managerial control, NOT APPLICABLE, since 11/30/2016
• WILSON, MARIA — adp of the snf, NOT APPLICABLE, since 09/08/2023
• WILSON, MARIA — operational/managerial control, NOT APPLICABLE, since 08/11/1998
• CDL HOMES, LLC — operational/managerial control, NOT APPLICABLE, since 06/28/2004
• CDL HOMES, LLC — 5% or greater direct ownership interest, 100%, since 06/28/2004
• CDL HOMES, LLC — adp of the snf, NOT APPLICABLE, since 06/28/2004