Essentia Health Grace Home
116 West Second Street, Graceville, MN 56240 · Big Stone County · 30 certified beds · avg 19 residents/day · certified since Jul 8, 1991
Part of chain: ESSENTIA HEALTH (6 facilities, chain avg rating 4.3★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
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)
▲ Actual harm, one-off · Feb 27, 2025 · F-0656 · triggered by a complaint
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.
Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.
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: Feb 20, 2025 (Past Non-Compliance)
All citations in the current public record (11)
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 |
|---|---|---|
| Jul 1, 2025 | 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 27, 2025 | ▲ G · Actual 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. · from a complaint |
| Jan 15, 2025 | F · Potential for harm, facility-wide | 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 15, 2025 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Dec 6, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Dec 6, 2023 | F · Potential for harm, facility-wide | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. |
| Dec 6, 2023 | E · Potential for harm, repeated | The facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately. |
| Dec 6, 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. |
| Dec 6, 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. |
| Dec 6, 2023 | 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. |
| Dec 6, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 7 | 0 | F |
| 2025 | 4 | 1 | G ▲ |
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)
No fines or payment denials in the published 3-year window.
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) | 5.24 | 4.83 | 3.95 | top 27% in Minnesota; top 10% in the U.S. |
| Registered Nurse hours | 1.51 | 1.22 | 0.69 | top 20% in Minnesota; top 5% in the U.S. |
| Weekend total nurse staffing | 4.15 | 4.27 | 3.50 | bottom 48% in Minnesota; top 19% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.84 | 0.69 | 0.48 | top 24% in Minnesota; top 10% in the U.S. |
| Total nursing staff turnover (%) | 36.0 | 42.2 | 45.8 | top 37% in Minnesota; top 26% in the U.S. |
| RN turnover (%) | 14.3 | 38.6 | 42.9 | top 10% in Minnesota; top 7% 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 4.42, RN 1.27, weekend 3.50. 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: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Essentia Health | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/01/2023 |
| Adams, Marc | Individual | Corporate Director | NOT APPLICABLE | 01/01/2026 |
| Arvin, Douglas | Individual | Corporate Officer | NOT APPLICABLE | 05/18/2023 |
| Arvin, Douglas | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/18/2023 |
| Arvin, Douglas | Individual | ADP of the SNF | NOT APPLICABLE | 05/18/2023 |
| Boren, Kevin | Individual | Corporate Officer | NOT APPLICABLE | 09/29/2025 |
| Christensen, James | Individual | Corporate Director | NOT APPLICABLE | 01/01/2020 |
| Essentia Health | Organization | ADP of the SNF | NOT APPLICABLE | 01/29/2025 |
| Gefroh Ellison, Stefanie | Individual | Corporate Officer | NOT APPLICABLE | 08/12/2024 |
| Heilman, Tim | Individual | Corporate Director | NOT APPLICABLE | 01/01/2020 |
| Hurley, Alan | Individual | Corporate Officer | NOT APPLICABLE | 05/18/2023 |
| Hurley, Alan | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/18/2023 |
| Hurley, Alan | Individual | ADP of the SNF | NOT APPLICABLE | 05/18/2023 |
| Innovis Health LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2017 |
| Innovis Health LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/29/2025 |
| Krejci, Mark | Individual | Corporate Director | NOT APPLICABLE | 01/01/2026 |
| Lewandowski, Laurie | Individual | Corporate Director | NOT APPLICABLE | 01/01/2017 |
| Mertz, Taylor | Individual | Corporate Director | NOT APPLICABLE | 05/17/2022 |
| Pladson, Kimberly | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
| Saint Georges, Anderson | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
- "How can my family member make private phone or video calls, and can we see where?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "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 |
|---|---|---|---|---|---|
| Traverse Care Center | 16.8 mi | Wheaton, MN | ★★★★★ | 4/5 | |
| Fairway View Neighborhoods | 17.1 mi | Ortonville, MN | ★★☆☆☆ | 2/5 | abuse |
| Browns Valley Health Center | 19.2 mi | Browns Valley, MN | ★★★☆☆ | 2/5 | abuse |
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Facility data as of CMS processing date 2026-08-01. CCN 245579.