Mahnomen Health Center

Name: Mahnomen Health Center
Address: 414 WEST JEFFERSON AVENUE, Mahnomen, MN, 56557, US
Telephone: 2189352511

414 West Jefferson Avenue, Mahnomen, MN 56557 · Mahnomen County · 32 certified beds · avg 29 residents/day · certified since Aug 4, 1981

2/5

Health inspection rating (on-site)

Serious findings on record

$12,534

Fines, last 3 years

5.14

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

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 (15)

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
Mar 11, 2026	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.
Mar 11, 2026	F · Potential for harm, facility-wide	The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months.
Mar 11, 2026	F · Potential for harm, facility-wide	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.
Mar 11, 2026	F · Potential for harm, facility-wide	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Mar 11, 2026	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.
Mar 11, 2026	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.
Jun 4, 2025	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jun 4, 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.
Jun 4, 2025	D · Potential for harm, one-off	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
May 24, 2024	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. · from a complaint
Mar 14, 2024	E · Potential for harm, repeated	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.
Mar 14, 2024	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Mar 14, 2024	D · Potential for harm, 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.
Mar 14, 2024	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.
Mar 14, 2024	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 6).

Year	Citations	Worst severity that year
2024	6	E
2025	3	E
2026	6	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)

1 fine totaling $12,534.

Date	Type	Amount / length
Feb 6, 2024	Fine	$12,534

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)	5.14	4.83	3.95	top 34% in Minnesota; top 11% in the U.S.
Registered Nurse hours	0.97	1.22	0.69	bottom 31% in Minnesota; top 17% in the U.S.
Weekend total nurse staffing	4.63	4.27	3.50	top 28% in Minnesota; top 10% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.43	0.69	0.48	bottom 25% in Minnesota; top 43% in the U.S.
Total nursing staff turnover (%)	0.0	42.2	45.8	—
RN turnover (%)	0.0	38.6	42.9	—

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 4.24, RN 0.80, weekend 3.83. 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

Government - City/county

Owner / manager	Type	Role	Stake	Since
City of Mahnomen	Organization	5% or Greater Direct Ownership Interest	22%	07/01/2006
Mahnomen County	Organization	5% or Greater Direct Ownership Interest	78%	07/01/2006
Guenther, Lori	Individual	W-2 Managing Employee	NOT APPLICABLE	10/01/2015
Kruger, Dale	Individual	Corporate Officer	NOT APPLICABLE	09/08/2015

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 your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
"How does your quality committee work, and can you share an example of a problem it identified and fixed?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
"Who is your infection preventionist, and what training do they have?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"What alternatives do you try before using bed rails, and how do you involve families in that decision?"
"What is your policy on physical restraints, and what alternatives do you try first?"
"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
Fair Meadow Nursing Home	20.7 mi	Fertile, MN	★★★★☆	4/5
Viking Manor Nursing Home	20.7 mi	Ulen, MN	★★★★★	5/5
First Care Living Center	21.1 mi	Fosston, MN	★★★★☆	3/5
McIntosh Senior Living	23.3 mi	McIntosh, MN	★★★★★	4/5
Benedictine Care Community	26.1 mi	Ada, MN	★☆☆☆☆	1/5
Sunnyside Care Center	30.2 mi	Lake Park, MN	★★★★★	4/5
Cornerstone Nsg & Rehab Center	31.1 mi	Bagley, MN	★★★★★	4/5
Essentia Health Oak Crossing	34.9 mi	Detroit Lakes, MN	★★★★★	4/5
Emmanuel Nursing Home	35.4 mi	Detroit Lakes, MN	★★★☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Mahnomen →

Facility data as of CMS processing date 2026-08-01. CCN 245238.

The Care File

Visit checklist — Mahnomen Health Center

414 West Jefferson Avenue, Mahnomen, MN 56557 · 2189352511

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $12,534

Questions for the administrator:

☐ "How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
☐ "How does your quality committee work, and can you share an example of a problem it identified and fixed?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
☐ "Who is your infection preventionist, and what training do they have?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
☐ "What is your policy on physical restraints, and what alternatives do you try first?"
☐ "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 245238 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)