Evansville Care Center
649 State Street Northwest, Evansville, MN 56326 · Douglas County · 27 certified beds · avg 23 residents/day · certified since Jan 1, 1988
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.
All citations in the current public record (8)
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 |
|---|---|---|
| Jan 21, 2026 | F · Potential for harm, facility-wide | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Jan 21, 2026 | 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. |
| Nov 20, 2024 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Nov 20, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Nov 20, 2024 | 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. |
| Dec 19, 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 19, 2023 | 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. |
| Dec 19, 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
Citations from standard inspections decreased between the last two inspection cycles (3 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 0 | D |
| 2024 | 3 | 0 | D |
| 2026 | 2 | 0 | F |
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) | 4.42 | 4.83 | 3.95 | bottom 33% in Minnesota; top 25% in the U.S. |
| Registered Nurse hours | 1.46 | 1.22 | 0.69 | top 22% in Minnesota; top 5% in the U.S. |
| Weekend total nurse staffing | 3.67 | 4.27 | 3.50 | bottom 22% in Minnesota; top 34% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.69 | 0.69 | 0.48 | top 39% in Minnesota; top 17% in the U.S. |
| Total nursing staff turnover (%) | 16.0 | 42.2 | 45.8 | top 1% in Minnesota; top 1% in the U.S. |
| RN turnover (%) | 12.5 | 38.6 | 42.9 | top 8% in Minnesota; top 6% 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 3.92, RN 1.29, weekend 3.25. 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
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Johnson, Shawn | Individual | Direct Ownership Interest | NOT APPLICABLE | 04/08/2024 |
| Aj & SJ Properties LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/23/2009 |
| Borgstrom, Brandon | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/15/2010 |
| Borgstrom, Brandon | Individual | ADP of the SNF | NOT APPLICABLE | 03/15/2010 |
| Evink, Bruce | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2017 |
| Evink, Bruce | Individual | ADP of the SNF | NOT APPLICABLE | 01/29/2025 |
| Hovland, Sandy | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/23/2024 |
| Johnson, Lance | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 02/23/2026 |
| Johnson, Shawn | Individual | ADP of the SNF | NOT APPLICABLE | 05/20/2025 |
| Lenarz, Jennifer | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/02/2017 |
| Reque, Dawn | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/20/2024 |
| Rosten, Bradley | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/20/2024 |
| Rupp, Nicole | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/20/2024 |
| Sterns, Ardel | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/20/2024 |
| White, Erica | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/20/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "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 percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "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 |
|---|---|---|---|---|---|
| Barrett Care Center INC | 11.6 mi | Barrett, MN | ★★★★★ | 4/5 | |
| Bethany on the Lake LLC | 17.2 mi | Alexandria, MN | ★★★☆☆ | 2/5 | abuse |
| Knute Nelson Care Center | 18.0 mi | Alexandria, MN | ★★★★★ | 5/5 | |
| Good Samaritan Society - Battle Lake | 19.6 mi | Battle Lake, MN | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 245510.