Gundersen Harmony Care Center

Penalties

• Oct 11, 2023 — Fine ($12,649)

Inspection findings

1. May 6, 2026 Fire Safety · 5 findings
   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Jun 12, 2026 · CMS fire safety

   • Not serious Scope/severity C

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected May 29, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected May 29, 2026 · 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 Jun 12, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0923 Gas, Vacuum, and Electrical Systems Deficiencies

     Have proper medical gas storage and administration areas.

     Corrected Jun 12, 2026 · CMS fire safety

2. Apr 10, 2025 Health · 4 findings
   • 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 May 26, 2025 · CMS health inspection

   • Not serious Scope/severity E

     K0211 Egress Deficiencies

     Keep aisles, corridors, and exits free of obstruction in case of emergency.

     Corrected May 26, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected May 26, 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 May 26, 2025 · CMS fire safety

3. Feb 29, 2024 Health · 4 findings
   • 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 Mar 28, 2024 · CMS health inspection

   • Not serious Scope/severity D

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Mar 28, 2024 · CMS fire safety

   • Not serious Scope/severity D

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Mar 28, 2024 · CMS fire safety

   • Not serious Scope/severity D

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Mar 28, 2024 · CMS fire safety

4. Oct 20, 2023 MDH complaint investigation · 1 finding
   • Severity not stated

     H55286192C 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. Oct 11, 2023 Health · 2 findings
   • Serious Scope/severity J Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Sep 30, 2023 · 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 Nov 3, 2023 · CMS health inspection

6. Aug 11, 2021 MDH complaint investigation · 1 finding
   • Severity not stated

     H5528017C 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)

• BAKALARS, VICKIE — managing control - governing body, NOT APPLICABLE, since 02/01/2017
• BAKALARS, VICKIE — corporate director, NOT APPLICABLE, since 02/01/2017
• BERG, RANDI — adp of the snf, NOT APPLICABLE, since 01/01/2025
• BERG, RANDI — operational/managerial control, NOT APPLICABLE, since 01/01/2025
• BOLAND, LINDA — corporate officer, NOT APPLICABLE, since 01/01/2025
• BOLAND, LINDA — adp of the snf, NOT APPLICABLE, since 01/01/2025
• BOLAND, LINDA — operational/managerial control, NOT APPLICABLE, since 01/01/2025
• BRANUM, MARK — operational/managerial control, NOT APPLICABLE, since 01/01/2025
• BRANUM, MARK — adp of the snf, NOT APPLICABLE, since 01/01/2025
• ENRIGHT, CARRIE — operational/managerial control, NOT APPLICABLE, since 01/01/2025
• ENRIGHT, CARRIE — adp of the snf, NOT APPLICABLE, since 01/01/2025
• FOSTER, KAREN — adp of the snf, NOT APPLICABLE, since 01/01/2025
• FOSTER, KAREN — operational/managerial control, NOT APPLICABLE, since 01/01/2025
• JOHNSON, CHARLES — corporate director, NOT APPLICABLE, since 01/23/2019
• JOHNSON, DEBRA — operational/managerial control, NOT APPLICABLE, since 01/01/2025
• JOHNSON, DEBRA — adp of the snf, NOT APPLICABLE, since 01/01/2025
• JOHNSON, RODNEY — operational/managerial control, NOT APPLICABLE, since 01/01/2025
• JOHNSON, RODNEY — adp of the snf, NOT APPLICABLE, since 01/01/2025
• LENZ, SUSAN — corporate officer, NOT APPLICABLE, since 01/01/2025
• LENZ, SUSAN — adp of the snf, NOT APPLICABLE, since 01/01/2025
• LENZ, SUSAN — operational/managerial control, NOT APPLICABLE, since 01/01/2025
• MELDE, SARAH — managing control - governing body, NOT APPLICABLE, since 01/01/2024
• MELDE, SARAH — corporate director, NOT APPLICABLE, since 01/01/2024
• MOSER, BRENDA — corporate officer, NOT APPLICABLE, since 01/01/2025
• MOSER, BRENDA — operational/managerial control, NOT APPLICABLE, since 01/01/2025
• MOSER, BRENDA — adp of the snf, NOT APPLICABLE, since 01/01/2025
• NESS, CHARLES — adp of the snf, NOT APPLICABLE, since 08/05/2025
• NESS, CHARLES — corporate officer, NOT APPLICABLE, since 07/31/2025
• PERICAK, AMANDA — managing control - governing body, NOT APPLICABLE, since 04/01/2022
• PERICAK, AMANDA — corporate director, NOT APPLICABLE, since 04/01/2022
• RANKIN, TRACER — adp of the snf, NOT APPLICABLE, since 01/01/2025
• RANKIN, TRACER — corporate officer, NOT APPLICABLE, since 01/01/2025
• SAUER, LEANNE — corporate officer, NOT APPLICABLE, since 01/01/2025
• SAUER, LEANNE — adp of the snf, NOT APPLICABLE, since 01/01/2025
• SAUER, LEANNE — operational/managerial control, NOT APPLICABLE, since 01/01/2025
• SCHUSTER, KRAIG — adp of the snf, NOT APPLICABLE, since 01/01/2025
• SCHUSTER, KRAIG — corporate officer, NOT APPLICABLE, since 01/01/2025
• SCHUSTER, KRAIG — operational/managerial control, NOT APPLICABLE, since 01/01/2025
• SKAALEN, CHRISTOPHER — managing control - governing body, NOT APPLICABLE, since 01/24/2018
• SKAALEN, CHRISTOPHER — corporate director, NOT APPLICABLE, since 01/24/2018
• SOLBERG, PENNY — corporate director, NOT APPLICABLE, since 01/01/2026
• BELLIN GUNDERSEN HEALTH SYSTEM INC — operational/managerial control, NOT APPLICABLE, since 11/30/2022
• BELLIN GUNDERSEN HEALTH SYSTEM INC — 5% or greater indirect ownership interest, 100%, since 11/30/2022
• GUNDERSEN LUTHERAN HEALTH SYSTEM INC — operational/managerial control, NOT APPLICABLE, since 01/01/2013
• GUNDERSEN LUTHERAN HEALTH SYSTEM INC — 5% or greater direct ownership interest, 100%, since 01/01/2013