Johnson Memorial Hospital & Home
1290 Locust Street, Dawson, MN 56232 · Lac Qui Parle County · 56 certified beds · avg 50 residents/day · certified since Jun 1, 1987
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5
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 · Jan 22, 2025 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
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: Jan 16, 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 |
|---|---|---|
| Feb 20, 2025 | F · Potential for harm, facility-wide | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint |
| Feb 20, 2025 | F · Potential for harm, facility-wide | The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. |
| Feb 20, 2025 | 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. |
| Feb 20, 2025 | F · Potential for harm, facility-wide | The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. |
| Feb 20, 2025 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Feb 20, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| Feb 20, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Feb 20, 2025 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Jan 22, 2025 | ▲ G · Actual harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Apr 10, 2024 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Apr 10, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 2 | 0 | D |
| 2025 | 9 | 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) | 5.54 | 4.83 | 3.95 | top 17% in Minnesota; top 7% in the U.S. |
| Registered Nurse hours | 1.07 | 1.22 | 0.69 | bottom 44% in Minnesota; top 13% in the U.S. |
| Weekend total nurse staffing | 4.58 | 4.27 | 3.50 | top 30% in Minnesota; top 11% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.42 | 0.69 | 0.48 | bottom 22% in Minnesota; top 45% in the U.S. |
| Total nursing staff turnover (%) | 45.8 | 42.2 | 45.8 | bottom 36% in Minnesota; bottom 48% in the U.S. |
| RN turnover (%) | 78.6 | 38.6 | 42.9 | bottom 5% in Minnesota; bottom 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 4.42, RN 0.86, weekend 3.64. 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: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5
Who owns this facility
Government - Hospital district
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Johnson Memorial Health Services | Organization | 5% or Greater Direct Ownership Interest | 100% | 06/06/1972 |
| Redepenning, Jacob | Individual | Indirect Ownership Interest | NOT APPLICABLE | 11/18/2024 |
| Shelstad, Erik | Individual | Indirect Ownership Interest | NOT APPLICABLE | 08/01/2021 |
| Bothun, Crystal | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/04/2024 |
| Bothun, Crystal | Individual | Corporate Officer | NOT APPLICABLE | 08/07/2024 |
| Bothun, Crystal | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/04/2024 |
| Bothun, Crystal | Individual | ADP of the SNF | NOT APPLICABLE | 08/07/2024 |
| Redepenning, Jacob | Individual | Corporate Officer | NOT APPLICABLE | 11/18/2024 |
| Redepenning, Jacob | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/18/2024 |
| Redepenning, Jacob | Individual | ADP of the SNF | NOT APPLICABLE | 11/18/2024 |
| Shelstad, Erik | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2021 |
| Shelstad, Erik | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2021 |
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 do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "How do you decide you have enough staff and resources for your resident population, including nights and weekends?"
- "How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
- "Who is your infection preventionist, and what training do they have?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "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 |
|---|---|---|---|---|---|
| Madison Healthcare Services | 8.4 mi | Madison, MN | ★★★★☆ | 4/5 | |
| Clarkfield Care Center | 15.7 mi | Clarkfield, MN | ★★★★☆ | 4/5 | |
| Luther Haven | 17.3 mi | Montevideo, MN | ★☆☆☆☆ | 1/5 | |
| Appleton Area Health | 18.7 mi | Appleton, MN | ★★★☆☆ | 4/5 | |
| Sanford Health Sylvan Court | 18.7 mi | Canby, MN | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 245485.