Gundersen St Elizabeth's Care Center

Name: Gundersen St Elizabeth's Care Center
Address: 1200 FIFTH GRANT BOULEVARD WEST, Wabasha, MN, 55981, US
Telephone: 6515654581

1200 Fifth Grant Boulevard West, Wabasha, MN 55981 · Wabasha County · 100 certified beds · avg 79 residents/day · certified since Feb 14, 1986

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

5.31

Nurse hours/resident/day (adjusted)

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.

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
Jun 10, 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.
May 21, 2025	E · Potential for harm, repeated	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. · from a complaint
May 21, 2025	E · Potential for harm, repeated	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
May 21, 2025	D · Potential for harm, one-off	The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. · from a complaint
May 21, 2025	D · Potential for harm, one-off	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
May 21, 2025	C · Minimal risk, facility-wide	The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames.
Apr 4, 2024	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Apr 4, 2024	C · Minimal risk, facility-wide	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (5 → 1).

Year	Citations	Worst severity that year
2024	2	D
2025	5	E
2026	1	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)

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)	5.31	4.83	3.95	top 23% in Minnesota; top 9% in the U.S.
Registered Nurse hours	0.88	1.22	0.69	bottom 20% in Minnesota; top 22% in the U.S.
Weekend total nurse staffing	4.81	4.27	3.50	top 22% in Minnesota; top 8% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.47	0.69	0.48	bottom 31% in Minnesota; top 37% in the U.S.
Total nursing staff turnover (%)	27.6	42.2	45.8	top 15% in Minnesota; top 10% in the U.S.
RN turnover (%)	36.8	38.6	42.9	bottom 48% in Minnesota; top 41% 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 4.19, RN 0.69, weekend 3.80. 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: —/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%	08/01/2020
Bellin Gundersen Health System INC	Organization	Operational/Managerial Control	NOT APPLICABLE	11/30/2022
Coenen, Daniel	Individual	Corporate Director	NOT APPLICABLE	01/01/2024
Denk, Cindy	Individual	Corporate Director	NOT APPLICABLE	10/01/2012
Durand, Emily	Individual	Corporate Director	NOT APPLICABLE	01/01/2023
Ebersold, Michael	Individual	Corporate Director	NOT APPLICABLE	07/01/2016
Fisch, Paul	Individual	Corporate Director	NOT APPLICABLE	09/01/2020
Gundersen Lutheran Health System INC	Organization	Operational/Managerial Control	NOT APPLICABLE	08/01/2020
Haas, Lloyd	Individual	Corporate Director	NOT APPLICABLE	09/01/2020
McLellan, Paul	Individual	Corporate Director	NOT APPLICABLE	01/01/2026
Petersen, Kristi	Individual	Corporate Officer	NOT APPLICABLE	01/01/2025
Petersen, Kristi	Individual	ADP of the SNF	NOT APPLICABLE	03/03/2025
Root, James	Individual	Corporate Officer	NOT APPLICABLE	09/01/2020
Spano, Dennis	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
Spano, Dennis	Individual	ADP of the SNF	NOT APPLICABLE	03/03/2025
Vaplon, Richard	Individual	Corporate Director	NOT APPLICABLE	01/01/2026
Wolfe, John	Individual	Corporate Officer	NOT APPLICABLE	01/01/1992
Youngbauer, Beverly	Individual	Corporate Director	NOT APPLICABLE	01/01/2023

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 leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"What alternatives do you try before using bed rails, and how do you involve families in that decision?"
"How do you learn about each resident's background and history, and how does that shape their care?"
"How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
"How often are beds and bed rails inspected, and who does those checks?"
"If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
"If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
"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
Mayo Clinic Health System - Lake City	12.8 mi	Lake City, MN	★★★☆☆	2/5	abuse
The Green Prairie Rehabilitation Center	16.4 mi	Plainview, MN	★★★★★	4/5
Plum City Care Ctr	18.1 mi	Plum City, WI	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Wabasha →

Facility data as of CMS processing date 2026-08-01. CCN 245487.

The Care File

Visit checklist — Gundersen St Elizabeth's Care Center

1200 Fifth Grant Boulevard West, Wabasha, MN 55981 · 6515654581

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "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 are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
☐ "How do you learn about each resident's background and history, and how does that shape their care?"
☐ "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
☐ "How often are beds and bed rails inspected, and who does those checks?"
☐ "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
☐ "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 245487 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)