Cornerstone Villa

Penalties

• Jan 7, 2025 — Fine ($8,420)
• Aug 28, 2023 — Fine ($2,823)

Inspection findings

1. Dec 4, 2025 Health · 4 findings
   • Not serious Scope/severity D

     F0554 Resident Rights Deficiencies

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

     Corrected Jan 12, 2026 · 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 Jan 12, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0761 Pharmacy Service Deficiencies

     Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

     Corrected Jan 12, 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 Jan 12, 2026 · CMS health inspection

2. Jan 17, 2025 MDH complaint investigation · 1 finding
   • Severity not stated

     H56123220C 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. Jan 7, 2025 Health · 1 finding
   • Serious Scope/severity J 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 Dec 20, 2024 · CMS health inspection

4. Oct 31, 2024 Health · 6 findings
   • Not serious Scope/severity D

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Dec 20, 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 Dec 20, 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 Dec 20, 2024 · CMS health inspection

   • Not serious Scope/severity E

     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 Dec 20, 2024 · CMS health inspection

   • Not serious Scope/severity F

     F0851 Administration Deficiencies

     Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

     Corrected Dec 20, 2024 · CMS health inspection

   • Not serious Scope/severity F

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Dec 20, 2024 · CMS health inspection

5. Nov 17, 2023 Fire Safety · 10 findings
   • Not serious Scope/severity F

     E0039 Emergency Preparedness Deficiencies

     Conduct testing and exercise requirements.

     Corrected Jan 6, 2024 · CMS fire safety

   • Not serious Scope/severity E Complaint

     F0625 Resident Rights Deficiencies

     Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

     Corrected Jan 6, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0637 Resident Assessment and Care Planning Deficiencies

     Assess the resident when there is a significant change in condition

     Corrected Jan 6, 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 Jan 6, 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 Jan 6, 2024 · CMS health inspection

   • Not serious Scope/severity F

     F0727 Nursing and Physician Services Deficiencies

     Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

     Corrected Jan 6, 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 Jan 6, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Jan 6, 2024 · CMS health inspection

   • Not serious Scope/severity F

     F0801 Nutrition and Dietary Deficiencies

     Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

     Corrected Jan 6, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jan 6, 2024 · CMS health inspection

Owners and managers (as published by CMS)

• CARLSON, DONALD — corporate director, NOT APPLICABLE, since 01/01/2010
• CARLSON, DONALD — adp of the snf, NOT APPLICABLE, since 01/01/2010
• CARLSON, DONALD — operational/managerial control, NOT APPLICABLE, since 01/01/2010
• CHAMBERLIN, KETTI — operational/managerial control, NOT APPLICABLE, since 07/01/2022
• CHAMBERLIN, KETTI — adp of the snf, NOT APPLICABLE, since 07/01/2022
• CHAMBERLIN, KETTI — corporate officer, NOT APPLICABLE, since 02/14/2022
• CHAMBERLIN, KETTI — corporate director, NOT APPLICABLE, since 07/01/2022
• DOBSON, JEFF — operational/managerial control, NOT APPLICABLE, since 07/01/2004
• DOBSON, JEFF — adp of the snf, NOT APPLICABLE, since 07/01/2004
• EDSTROM, RINA — managing control - governing body, NOT APPLICABLE, since 07/01/2023
• EDSTROM, RINA — operational/managerial control, NOT APPLICABLE, since 07/01/2023
• EDSTROM, RINA — adp of the snf, NOT APPLICABLE, since 07/01/2023
• EDSTROM, RINA — corporate director, NOT APPLICABLE, since 07/01/2023
• FOX, DEAN — operational/managerial control, NOT APPLICABLE, since 07/01/2022
• FOX, DEAN — adp of the snf, NOT APPLICABLE, since 07/01/2022
• KUNKEL, CASSIDIE — corporate officer, NOT APPLICABLE, since 07/25/2022
• KUNKEL, CASSIDIE — adp of the snf, NOT APPLICABLE, since 07/25/2022
• KUNKEL, CASSIDIE — operational/managerial control, NOT APPLICABLE, since 07/25/2022
• KUNKEL, CASSIDIE — corporate director, NOT APPLICABLE, since 07/25/2022
• SAUTER, LEA — operational/managerial control, NOT APPLICABLE, since 10/01/2022
• SAUTER, LEA — adp of the snf, NOT APPLICABLE, since 10/01/2022