Emmanuel Nursing Home
1415 Madison Avenue, Detroit Lakes, MN 56501 · Becker County · 57 certified beds · avg 50 residents/day · certified since Jan 1, 1987
Part of chain: ECUMEN (5 facilities, chain avg rating 3.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Jan 28, 2026 · F-0808 · triggered by a complaint
The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows.
Why it matters: A special diet handled without proper medical oversight may not be safe or right for the resident's condition.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Feb 23, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Feb 20, 2025 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Mar 12, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (20)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 3, 2026 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Feb 11, 2026 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Feb 11, 2026 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. |
| Feb 11, 2026 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Feb 11, 2026 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jan 28, 2026 | ▲ J · Immediate jeopardy, one-off | The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows. · from a complaint |
| Feb 20, 2025 | ▲ G · Actual harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Feb 20, 2025 | D · Potential for harm, one-off | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint |
| Jan 30, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Dec 18, 2024 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Dec 18, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Dec 18, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Oct 4, 2023 | E · Potential for harm, repeated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
| Oct 4, 2023 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Oct 4, 2023 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Oct 4, 2023 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Oct 4, 2023 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Oct 4, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Oct 4, 2023 | D · Potential for harm, one-off | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. |
| Oct 4, 2023 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 8 | 0 | E |
| 2024 | 3 | 0 | D |
| 2025 | 3 | 1 | G ▲ |
| 2026 | 6 | 1 | J ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $53,847.
| Date | Type | Amount / length |
|---|---|---|
| Jan 28, 2026 | Fine | $53,847 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Minnesota avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.13 | 4.83 | 3.95 | top 35% in Minnesota; top 11% in the U.S. |
| Registered Nurse hours | 1.71 | 1.22 | 0.69 | top 12% in Minnesota; top 3% in the U.S. |
| Weekend total nurse staffing | 4.41 | 4.27 | 3.50 | top 40% in Minnesota; top 13% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.82 | 0.69 | 0.48 | top 25% in Minnesota; top 11% in the U.S. |
| Total nursing staff turnover (%) | 48.7 | 42.2 | 45.8 | bottom 30% in Minnesota; bottom 40% in the U.S. |
| RN turnover (%) | 30.0 | 38.6 | 42.9 | top 40% in Minnesota; top 29% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.57, RN 1.52, weekend 3.93. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| CDL Homes, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 06/28/2004 |
| Andresen, Angelica | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/24/2023 |
| Andresen, Angelica | Individual | Corporate Officer | NOT APPLICABLE | 05/24/2023 |
| Andresen, Angelica | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/27/2020 |
| Andresen, Angelica | Individual | ADP of the SNF | NOT APPLICABLE | 07/27/2020 |
| Anzel, Joseph | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/12/2019 |
| Anzel, Joseph | Individual | ADP of the SNF | NOT APPLICABLE | 11/12/2019 |
| Augustson, Jeanette | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/18/2022 |
| Augustson, Jeanette | Individual | Corporate Director | NOT APPLICABLE | 05/18/2022 |
| Augustson, Jeanette | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/18/2022 |
| Bartnes, Janice | Individual | ADP of the SNF | NOT APPLICABLE | 05/11/1998 |
| Beeson, Jennifer | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/24/2019 |
| Bergstrom, Susan | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/25/2025 |
| Bergstrom, Susan | Individual | Corporate Director | NOT APPLICABLE | 02/25/2025 |
| Bergstrom, Susan | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/25/2025 |
| Bohlen, Holly | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/05/2024 |
| Bohlen, Holly | Individual | ADP of the SNF | NOT APPLICABLE | 08/05/2024 |
| CDL Homes, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/28/2004 |
| CDL Homes, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/28/2004 |
| Conlin, Jan | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/09/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who oversees residents' therapeutic diets, and how do the doctor and dietitian work together on them?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "What is your policy on physical restraints, and what alternatives do you try first?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What were the findings behind this administration citation, and what has leadership changed since?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Essentia Health Oak Crossing | 0.6 mi | Detroit Lakes, MN | ★★★★★ | 4/5 | |
| Frazee Care Center | 8.3 mi | Frazee, MN | ★★★★★ | 4/5 | |
| Sunnyside Care Center | 11.3 mi | Lake Park, MN | ★★★★★ | 4/5 | |
| Perham Living | 18.8 mi | Perham, MN | ★★★★★ | 5/5 | |
| Pelican Valley Health Center | 20.0 mi | Pelican Rapids, MN | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
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Facility data as of CMS processing date 2026-08-01. CCN 245489.