Gundersen Harmony Care Center
815 Main Avenue South, Harmony, MN 55939 · Fillmore County · 42 certified beds · avg 36 residents/day · certified since Apr 1, 1988
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · 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)
▲ Immediate jeopardy, one-off · Oct 11, 2023 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
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: Sep 30, 2023 (Past Non-Compliance)
All citations in the current public record (4)
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 10, 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. |
| Feb 29, 2024 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Oct 11, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Oct 11, 2023 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 1 | J ▲ |
| 2024 | 1 | 0 | D |
| 2025 | 1 | 0 | D |
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 $12,649.
| Date | Type | Amount / length |
|---|---|---|
| Oct 11, 2023 | Fine | $12,649 |
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) | 4.40 | 4.83 | 3.95 | bottom 33% in Minnesota; top 26% in the U.S. |
| Registered Nurse hours | 1.04 | 1.22 | 0.69 | bottom 41% in Minnesota; top 14% in the U.S. |
| Weekend total nurse staffing | 3.81 | 4.27 | 3.50 | bottom 30% in Minnesota; top 29% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.48 | 0.69 | 0.48 | bottom 32% in Minnesota; top 35% in the U.S. |
| Total nursing staff turnover (%) | 51.4 | 42.2 | 45.8 | bottom 24% in Minnesota; bottom 33% in the U.S. |
| RN turnover (%) | 54.5 | 38.6 | 42.9 | bottom 21% in Minnesota; bottom 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 3.38, RN 0.80, weekend 2.92. Staffing rating: 4/5.
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: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bellin Gundersen Health System INC | Organization | 5% or Greater Indirect Ownership Interest | 100% | 11/30/2022 |
| Gundersen Lutheran Health System INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/2013 |
| Bakalars, Vickie | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/01/2017 |
| Bakalars, Vickie | Individual | Corporate Director | NOT APPLICABLE | 02/01/2017 |
| Bellin Gundersen Health System INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/30/2022 |
| Berg, Randi | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Berg, Randi | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Boland, Linda | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2025 |
| Boland, Linda | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Boland, Linda | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Branum, Mark | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Branum, Mark | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Enright, Carrie | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Enright, Carrie | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Foster, Karen | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Foster, Karen | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Gundersen Lutheran Health System INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2013 |
| Johnson, Charles | Individual | Corporate Director | NOT APPLICABLE | 01/23/2019 |
| Johnson, Debra | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Johnson, Debra | Individual | ADP of the SNF | 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.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "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 |
|---|---|---|---|---|---|
| Green Lea Senior Living | 7.6 mi | Mabel, MN | ★☆☆☆☆ | 1/5 | |
| Evans Senior Living Community | 12.4 mi | Cresco, IA | ★★★★★ | 5/5 | |
| The Highlands | 19.0 mi | Decorah, IA | ★★☆☆☆ | 2/5 | |
| Tweeten Lutheran Health Care Center | 19.1 mi | Spring Grove, MN | ★☆☆☆☆ | 1/5 | SFF |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 245528.