Burnett Medical Center

Inspection findings

1. Jun 29, 2026 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Respond appropriately to all alleged violations.

     CMS health inspection

   • Not serious Scope/severity D Complaint

     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.

     CMS health inspection

2. Apr 29, 2026 Health · 2 findings
   • 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 May 29, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Respond appropriately to all alleged violations.

     Corrected May 29, 2026 · CMS health inspection

3. Jan 29, 2026 Health · 8 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 Feb 20, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0605 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

     Corrected Feb 20, 2026 · CMS health inspection

   • 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 Feb 20, 2026 · 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 Feb 20, 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 Feb 20, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Feb 20, 2026 · CMS health inspection

   • Not serious Scope/severity F

     K0222 Egress Deficiencies

     Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

     Corrected Feb 19, 2026 · CMS fire safety

   • Not serious Scope/severity C

     K0521 Services Deficiencies

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

     CMS fire safety

4. Jan 8, 2026 Health · 3 findings
   • Not serious Scope/severity D Complaint

     F0580 Resident Rights Deficiencies

     Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

     Corrected Feb 8, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0628 Resident Rights Deficiencies

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

     Corrected Feb 8, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected Feb 8, 2026 · CMS health inspection

5. Oct 29, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0684 Quality of Life and Care Deficiencies

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

     Corrected Dec 11, 2025 · CMS health inspection

6. Oct 23, 2024 Health · 10 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 Nov 22, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0585 Resident Rights Deficiencies

     Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

     Corrected Nov 22, 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 Nov 22, 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 Nov 22, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0756 Pharmacy Service Deficiencies

     Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

     Corrected Nov 22, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0757 Pharmacy Service Deficiencies

     Ensure each resident’s drug regimen must be free from unnecessary drugs.

     Corrected Nov 22, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Nov 22, 2024 · CMS health inspection

   • Not serious Scope/severity E

     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 Nov 22, 2024 · CMS health inspection

   • Not serious Scope/severity F

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Nov 22, 2024 · CMS health inspection

   • Not serious Scope/severity F

     K0761 Miscellaneous Deficiencies

     To conduct inspection, testing and maintenance of fire doors by qualified individuals.

     Corrected Dec 31, 2024 · CMS fire safety

7. Dec 27, 2023 Health · 2 findings
   • Not serious Scope/severity D Complaint

     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 18, 2024 · 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 Jan 18, 2024 · CMS health inspection

8. Sep 18, 2023 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 Oct 19, 2023 · CMS health inspection

9. Jul 26, 2023 Health · 13 findings
   • Not serious Scope/severity D

     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 Aug 26, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Respond appropriately to all alleged violations.

     Corrected Aug 26, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0638 Resident Assessment and Care Planning Deficiencies

     Assure that each resident’s assessment is updated at least once every 3 months.

     Corrected Aug 26, 2023 · 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 Aug 26, 2023 · 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 Aug 26, 2023 · 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 Aug 26, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Aug 26, 2023 · CMS health inspection

   • Not serious Scope/severity E

     K0222 Egress Deficiencies

     Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

     Corrected Sep 8, 2023 · CMS fire safety

   • Not serious Scope/severity C

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Sep 8, 2023 · CMS fire safety

   • Not serious Scope/severity D

     K0351 Smoke Deficiencies

     Install an approved automatic sprinkler system.

     Corrected Sep 8, 2023 · CMS fire safety

   • Not serious Scope/severity D

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Sep 8, 2023 · CMS fire safety

   • Not serious Scope/severity C

     K0355 Smoke Deficiencies

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

     Corrected Sep 8, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0361 Smoke Deficiencies

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

     Corrected Sep 8, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• ANDERSON, ABIGAIL — operational/managerial control, NOT APPLICABLE, since 04/06/2020
• ANDERSON, ABIGAIL — adp of the snf, NOT APPLICABLE, since 04/06/2020
• CARLSON, LOIS — adp of the snf, NOT APPLICABLE, since 01/21/2020
• CARLSON, LOIS — corporate director, NOT APPLICABLE, since 01/21/2020
• CARLSON, LOIS — trustee of the snf, NOT APPLICABLE, since 01/21/2020
• DAHLBERG, DAVID — corporate officer, NOT APPLICABLE, since 01/21/2025
• DAHLBERG, DAVID — trustee of the snf, NOT APPLICABLE, since 01/21/2025
• DAHLBERG, DAVID — adp of the snf, NOT APPLICABLE, since 01/21/2025
• HOEFS, JENNIFER — operational/managerial control, NOT APPLICABLE, since 02/09/2024
• JENSEN, TANYA — adp of the snf, NOT APPLICABLE, since 01/21/2025
• JENSEN, TANYA — corporate director, NOT APPLICABLE, since 01/21/2025
• JENSEN, TANYA — trustee of the snf, NOT APPLICABLE, since 01/21/2025
• KUTZ, KENNETH — trustee of the snf, NOT APPLICABLE, since 01/21/2025
• KUTZ, KENNETH — corporate officer, NOT APPLICABLE, since 01/21/2025
• KUTZ, KENNETH — adp of the snf, NOT APPLICABLE, since 01/21/2025
• LARSON, LEANN — adp of the snf, NOT APPLICABLE, since 04/01/2022
• LARSON, LEANN — operational/managerial control, NOT APPLICABLE, since 04/01/2022
• MCINTOSH, STUART — corporate director, NOT APPLICABLE, since 01/16/2024
• MCINTOSH, STUART — trustee of the snf, NOT APPLICABLE, since 01/26/2024
• MCINTOSH, STUART — adp of the snf, NOT APPLICABLE, since 01/26/2024
• MCKENZIE, JULIE — adp of the snf, NOT APPLICABLE, since 02/09/2024
• MCKENZIE, JULIE — operational/managerial control, NOT APPLICABLE, since 02/09/2024
• NOVICK, TIMOTHY — operational/managerial control, NOT APPLICABLE, since 02/09/2024
• NOVICK, TIMOTHY — adp of the snf, NOT APPLICABLE, since 02/28/2025
• PAAP, TAYLOR — adp of the snf, NOT APPLICABLE, since 01/17/2023
• PAAP, TAYLOR — trustee of the snf, NOT APPLICABLE, since 01/17/2023
• PAAP, TAYLOR — corporate director, NOT APPLICABLE, since 01/17/2023
• PARDUN, HALLE — operational/managerial control, NOT APPLICABLE, since 07/13/2016
• PARDUN, HALLE — adp of the snf, NOT APPLICABLE, since 07/13/2016
• SANDGREN, MEGAN — corporate officer, NOT APPLICABLE, since 12/01/2025
• SANDGREN, MEGAN — adp of the snf, NOT APPLICABLE, since 12/01/2025
• SANDGREN, MEGAN — operational/managerial control, NOT APPLICABLE, since 12/01/2025
• THAYER, MARK — trustee of the snf, NOT APPLICABLE, since 01/21/2025
• THAYER, MARK — corporate director, NOT APPLICABLE, since 01/21/2025
• THAYER, MARK — adp of the snf, NOT APPLICABLE, since 01/21/2025
• WHITE, TAMRA — corporate officer, NOT APPLICABLE, since 06/02/2025
• WHITE, TAMRA — adp of the snf, NOT APPLICABLE, since 02/09/2024
• WHITE, TAMRA — operational/managerial control, NOT APPLICABLE, since 02/09/2024
• BREMER BANK, NATIONAL ASSOCIATION — 5% or greater mortgage interest, NOT APPLICABLE, since 03/23/2007
• CURA HOSPITALITY, LLC — operational/managerial control, NOT APPLICABLE, since 10/16/2007
• CURA HOSPITALITY, LLC — adp of the snf, NOT APPLICABLE, since 07/16/2025