Evansville Care Center
Nursing home · 649 STATE STREET NW, Evansville, MN 56326 · Douglas 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
- 27
- State license
- 425657
- Medicare CCN
- 245510
- Licensed entity
- EVANSVILLE CARE CAMPUS LLC
- Ownership
- For profit - Limited Liability company
- Phone
- (218) 948-2219
- Nurse staffing
- 3.92 hours per resident per day; 16.0% nursing staff turnover
- Medicare ratings
- Inspections 4★ · Staffing 5★ · Quality 3★
- Official record
- Minnesota Department of Health provider directory
- Official record
- Medicare Care Compare
Inspection findings
-
Jan 21, 2026 Health · 5 findings
-
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 Feb 20, 2026 · CMS health inspection
-
Not serious
Scope/severity F
F0867 Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected Feb 20, 2026 · CMS health inspection
-
Not serious
Scope/severity D
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Jan 22, 2026 · CMS fire safety
-
Not serious
Scope/severity D
K0372 Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected Jan 22, 2026 · CMS fire safety
-
Not serious
Scope/severity D
K0741 Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected Jan 22, 2026 · CMS fire safety
-
Not serious
Scope/severity D
-
Nov 20, 2024 Health · 5 findings
-
Not serious
Scope/severity D
F0582 Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected Dec 17, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0641 Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Corrected Dec 17, 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 Dec 17, 2024 · CMS health inspection
-
Not serious
Scope/severity D
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Nov 25, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected Dec 16, 2024 · CMS fire safety
-
Not serious
Scope/severity D
-
Dec 19, 2023 Fire Safety · 9 findings
-
Not serious
Scope/severity C
Complaint
E0041 Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
Corrected Jan 31, 2024 · CMS fire safety
-
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 Jan 31, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Jan 31, 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 Jan 31, 2024 · CMS health inspection
-
Not serious
Scope/severity D
K0281 Egress Deficiencies
Install proper backup exit lighting.
Corrected Jan 31, 2024 · CMS fire safety
-
Not serious
Scope/severity E
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 Jan 12, 2024 · CMS fire safety
-
Not serious
Scope/severity D
K0363 Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Corrected Dec 20, 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 Dec 28, 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 Jan 31, 2024 · CMS fire safety
-
Not serious
Scope/severity C
Complaint
-
Jun 8, 2022 MDH complaint investigation · 1 finding
-
Severity not stated
H55102030C 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
Owners and managers (as published by CMS)
- BORGSTROM, BRANDON — operational/managerial control, NOT APPLICABLE, since 03/15/2010
- BORGSTROM, BRANDON — adp of the snf, NOT APPLICABLE, since 03/15/2010
- EVINK, BRUCE — adp of the snf, NOT APPLICABLE, since 01/29/2025
- EVINK, BRUCE — operational/managerial control, NOT APPLICABLE, since 01/01/2017
- HOVLAND, SANDY — operational/managerial control, NOT APPLICABLE, since 12/23/2024
- JOHNSON, LANCE — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 02/23/2026
- JOHNSON, SHAWN — direct ownership interest, NOT APPLICABLE, since 04/08/2024
- JOHNSON, SHAWN — adp of the snf, NOT APPLICABLE, since 05/20/2025
- LENARZ, JENNIFER — operational/managerial control, NOT APPLICABLE, since 01/02/2017
- REQUE, DAWN — operational/managerial control, NOT APPLICABLE, since 12/20/2024
- ROSTEN, BRADLEY — operational/managerial control, NOT APPLICABLE, since 12/20/2024
- RUPP, NICOLE — operational/managerial control, NOT APPLICABLE, since 12/20/2024
- STERNS, ARDEL — operational/managerial control, NOT APPLICABLE, since 12/20/2024
- WHITE, ERICA — operational/managerial control, NOT APPLICABLE, since 12/20/2024
- AJ & SJ PROPERTIES LLC — adp of the snf, NOT APPLICABLE, since 09/23/2009
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.