How to file a complaint about care →
No fines or payment denials in the published 3-year window.
116 West Second Street, Graceville, MN 56240 (opens Google Maps) · Big Stone County · (701) 671-4105· 30 certified beds · avg 19 residents/day · certified since Jul 8, 1991 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: ESSENTIA HEALTH (6 facilities, chain avg rating 4.3★)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5 · how star ratings work →
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 quality measures from resident assessments and claims.
▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Feb 20, 2025 (Past Non-Compliance)
Showing the latest 3 of 11 inspection findings. Open the full record below to read every finding.
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 F-0689
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 F-0656
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. F-0880
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jul 1, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0689 |
| Feb 27, 2025 | ▲ G · Actual harm, isolated | 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 · F-0656 |
| Jan 15, 2025 | F · Potential for more than minimal harm, widespread | 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. · F-0880 |
| Jan 15, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0760 |
| Dec 6, 2023 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Dec 6, 2023 | F · Potential for more than minimal harm, widespread | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. · F-0851 |
| Dec 6, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0576 |
| Dec 6, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0880 |
| Dec 6, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0554 |
| Dec 6, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0677 |
| Dec 6, 2023 | D · Potential for more than minimal harm, isolated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883 |
All bars start at zero. Exact values and supporting details remain below.
| 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.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.42 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Essentia Health Grace Home. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
Showing 20 of 27 parties CMS has on file for this facility; 7 are not displayed. The full list is in the CMS Ownership dataset.
CMS lists this facility under the chain Essentia Health — 6 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| 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 |
Facility data as of CMS processing date 2026-08-01. CCN 245579.
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