Mission Nursing Home

Penalties

• Feb 11, 2026 — Fine ($14,015)

Inspection findings

1. May 22, 2026 Health · 7 findings
   • Not serious Scope/severity D

     F0628 Resident Rights Deficiencies

     Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

     Corrected Jun 30, 2026 · 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 Jun 30, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jun 30, 2026 · CMS health inspection

   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

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

     Corrected Jun 30, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected Jun 30, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Jun 30, 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 Jun 30, 2026 · CMS fire safety

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

     H55466881C 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. Mar 5, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0849 Administration Deficiencies

     Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

     Corrected Mar 26, 2026 · CMS health inspection

4. Feb 25, 2026 Health · 1 finding
   • Serious Scope/severity G 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 Feb 19, 2026 · CMS health inspection

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

     H55465581C 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)

6. Feb 11, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0686 Quality of Life and Care Deficiencies

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

     Corrected Mar 4, 2026 · CMS health inspection

7. Jan 8, 2026 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0729 Nursing and Physician Services Deficiencies

     Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

     Corrected Jan 23, 2026 · CMS health inspection

8. Jul 23, 2025 MDH complaint investigation · 1 finding
   • Severity not stated

     H55468311C 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)

9. Jul 3, 2025 Health · 3 findings
   • 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 Aug 18, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Aug 18, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Aug 18, 2025 · CMS health inspection

10. Apr 23, 2025 MDH complaint investigation · 1 finding
    • Severity not stated

      H55462596C 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. Apr 10, 2025 Health · 3 findings
    • Not serious Scope/severity D Complaint

      F0558 Resident Rights Deficiencies

      Reasonably accommodate the needs and preferences of each resident.

      Corrected May 9, 2025 · 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 May 9, 2025 · CMS health inspection

    • Serious Scope/severity G Complaint

      F0697 Quality of Life and Care Deficiencies

      Provide safe, appropriate pain management for a resident who requires such services.

      Corrected Apr 3, 2025 · CMS health inspection

12. Mar 12, 2025 Health · 13 findings
    • Not serious Scope/severity D

      F0645 Resident Assessment and Care Planning Deficiencies

      PASARR screening for Mental disorders or Intellectual Disabilities

      Corrected Apr 18, 2025 · CMS health inspection

    • Not serious Scope/severity E

      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 18, 2025 · 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 Apr 18, 2025 · CMS health inspection

    • Not serious Scope/severity D

      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 21, 2025 · CMS fire safety

    • Not serious Scope/severity F

      K0345 Smoke Deficiencies

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

      Corrected Mar 21, 2025 · CMS fire safety

    • Not serious Scope/severity E

      K0347 Smoke Deficiencies

      Properly provide smoke detection systems in areas open to corridors.

      Corrected Apr 30, 2025 · CMS fire safety

    • Not serious Scope/severity E

      K0353 Smoke Deficiencies

      Inspect, test, and maintain automatic sprinkler systems.

      Corrected Apr 30, 2025 · CMS fire safety

    • Not serious Scope/severity F

      K0355 Smoke Deficiencies

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

      Corrected Apr 4, 2025 · CMS fire safety

    • Not serious Scope/severity E

      K0363 Smoke Deficiencies

      Install corridor and hallway doors that block smoke.

      Corrected Apr 4, 2025 · CMS fire safety

    • Not serious Scope/severity F

      K0711 Miscellaneous Deficiencies

      Provide a written emergency evacuation plan.

      Corrected Mar 21, 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

      K0918 Gas, Vacuum, and Electrical Systems Deficiencies

      Have generator or other power source capable of supplying service within 10 seconds.

      Corrected Apr 4, 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 Mar 21, 2025 · CMS fire safety

13. Dec 24, 2024 MDH complaint investigation · 1 finding
    • Severity not stated

      H55462664C 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. May 31, 2024 Health · 23 findings
    • Not serious Scope/severity D

      F0550 Resident Rights Deficiencies

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

      Corrected Jul 12, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0576 Resident Rights Deficiencies

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

      Corrected Jul 12, 2024 · CMS health inspection

    • 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 Jul 12, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0584 Resident Rights Deficiencies

      Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

      Corrected Jul 12, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0623 Resident Rights Deficiencies

      Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

      Corrected Jul 12, 2024 · 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 Jul 12, 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 Jul 12, 2024 · 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 Jul 12, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0692 Quality of Life and Care Deficiencies

      Provide enough food/fluids to maintain a resident's health.

      Corrected Jul 12, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0698 Quality of Life and Care Deficiencies

      Provide safe, appropriate dialysis care/services for a resident who requires such services.

      Corrected Jul 12, 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 Jul 12, 2024 · CMS health inspection

    • Not serious Scope/severity F

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Jul 12, 2024 · CMS health inspection

    • Not serious Scope/severity F

      F0881 Infection Control Deficiencies

      Implement a program that monitors antibiotic use.

      Corrected Jul 12, 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 Jul 12, 2024 · CMS health inspection

    • Not serious Scope/severity D

      K0324 Smoke Deficiencies

      Provide properly protected cooking facilities.

      Corrected Jun 20, 2024 · CMS fire safety

    • Not serious Scope/severity F

      K0345 Smoke Deficiencies

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

      Corrected Jun 20, 2024 · CMS fire safety

    • Not serious Scope/severity F

      K0346 Smoke Deficiencies

      Follow proper procedures when the fire alarm was out of service for more than 4 hours.

      Corrected Jun 20, 2024 · CMS fire safety

    • Not serious Scope/severity E

      K0353 Smoke Deficiencies

      Inspect, test, and maintain automatic sprinkler systems.

      Corrected Jun 28, 2024 · CMS fire safety

    • Not serious Scope/severity F

      K0354 Smoke Deficiencies

      Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

      Corrected Jun 20, 2024 · CMS fire safety

    • Not serious Scope/severity E

      K0372 Smoke Deficiencies

      Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      Corrected Jun 20, 2024 · CMS fire safety

    • Not serious Scope/severity F

      K0711 Miscellaneous Deficiencies

      Provide a written emergency evacuation plan.

      Corrected Jun 20, 2024 · CMS fire safety

    • Not serious Scope/severity C

      K0712 Miscellaneous Deficiencies

      Have simulated fire drills held at unexpected times.

      Corrected Jun 20, 2024 · CMS fire safety

    • Not serious Scope/severity D

      K0930 Gas, Vacuum, and Electrical Systems Deficiencies

      Ensure proper storage of liquid oxygen.

      Corrected Jun 20, 2024 · CMS fire safety

15. May 1, 2024 MDH complaint investigation · 1 finding
    • Severity not stated

      H55463275C 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. Apr 24, 2024 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0583 Resident Rights Deficiencies

      Keep residents' personal and medical records private and confidential.

      Corrected May 17, 2024 · CMS health inspection

17. Dec 13, 2023 Health · 2 findings
    • Not serious Scope/severity F Complaint

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Jan 4, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0883 Infection Control Deficiencies

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

      Corrected Jan 4, 2024 · CMS health inspection

18. Sep 8, 2023 MDH complaint investigation · 1 finding
    • Severity not stated

      H55464823C 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)

19. Dec 10, 2021 MDH complaint investigation · 5 findings
    • Severity not stated

      H5546101C 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

      H5546102C 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

      H5546108C 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

      H5546112C 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

      H5546113C 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)

20. Aug 3, 2021 MDH complaint investigation · 3 findings
    • Severity not stated

      H5546095C 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

      H5546096C 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

      H5546097C 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)

21. Dec 11, 2019 MDH complaint investigation · 1 finding
    • Severity not stated

      H5546069C 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)

22. Nov 4, 2019 MDH complaint investigation · 1 finding
    • Severity not stated

      H5546068C 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)

• AURAND, CLAUDIA — corporate director, NOT APPLICABLE, since 06/01/2021
• BARKER, JOEL — corporate director, NOT APPLICABLE, since 06/01/2021
• BILLY, STACEY — corporate director, NOT APPLICABLE, since 06/01/2021
• BOBO, CYNTHIA — corporate director, NOT APPLICABLE, since 06/01/2023
• COLLINS, LUCAS — adp of the snf, NOT APPLICABLE, since 02/05/2018
• COLLINS, LUCAS — operational/managerial control, NOT APPLICABLE, since 02/05/2018
• DANIELS, KATHRYN — corporate director, NOT APPLICABLE, since 07/01/2022
• DETERMAN, TERESA — corporate director, NOT APPLICABLE, since 06/01/2022
• FALLON, TAMARA — corporate director, NOT APPLICABLE, since 06/01/2021
• KIWUS, KELLY — corporate director, NOT APPLICABLE, since 06/01/2023
• MANNIX, PETER — corporate director, NOT APPLICABLE, since 10/01/2023
• MEYER, ELLEN — corporate director, NOT APPLICABLE, since 06/01/2022
• MONCRIEF, WILLIAM — operational/managerial control, NOT APPLICABLE, since 07/01/2022
• MONCRIEF, WILLIAM — adp of the snf, NOT APPLICABLE, since 02/20/2025
• MONCRIEF, WILLIAM — corporate director, NOT APPLICABLE, since 07/01/2022
• NETTLES, ANDREA — corporate director, NOT APPLICABLE, since 06/01/2023
• O'BRIEN, LINDA — operational/managerial control, NOT APPLICABLE, since 06/26/2019
• RODRIGUEZ, JENNIFER — adp of the snf, NOT APPLICABLE, since 10/16/2023
• RODRIGUEZ, JENNIFER — operational/managerial control, NOT APPLICABLE, since 10/16/2023
• SENKBEIL, MARY — corporate director, NOT APPLICABLE, since 06/01/2020
• SONNTAG, ROBERT — operational/managerial control, NOT APPLICABLE, since 01/01/2010
• SONNTAG, ROBERT — adp of the snf, NOT APPLICABLE, since 04/02/2025
• SONNTAG, ROBERT — corporate director, NOT APPLICABLE, since 01/01/2010
• SPAULDING, WENDY — corporate director, NOT APPLICABLE, since 06/01/2023
• WHITMAN, ANDREW — corporate director, NOT APPLICABLE, since 06/01/2020
• WOLD, DENNIS — corporate director, NOT APPLICABLE, since 06/01/2022
• MISSIONS, INC PROGRAMS — 5% or greater security interest, NOT APPLICABLE, since 04/17/1975
• MISSIONS, INC PROGRAMS — operational/managerial control, NOT APPLICABLE, since 04/17/1975
• MISSIONS, INC PROGRAMS — adp of the snf, NOT APPLICABLE, since 04/17/1975
• MISSIONS, INC PROGRAMS — 5% or greater direct ownership interest, 100%, since 04/17/1975