Minnesota Veterans Home Silver Bay
56 Outer Drive, Silver Bay, MN 55614 · Lake County · 54 certified beds · avg 51 residents/day · certified since Oct 20, 2015
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
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 15, 2025 · F-0760 · triggered by a complaint
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
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 10, 2025 (Past Non-Compliance)
All citations in the current public record (6)
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 16, 2026 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Apr 16, 2026 | 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 |
| Apr 16, 2026 | D · Potential for 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. |
| Apr 16, 2026 | 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. |
| Apr 16, 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. |
| Jan 15, 2025 | ▲ G · Actual harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2025 | 1 | 1 | G ▲ |
| 2026 | 5 | 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)
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) | 6.22 | 4.83 | 3.95 | top 7% in Minnesota; top 3% in the U.S. |
| Registered Nurse hours | 2.05 | 1.22 | 0.69 | top 5% in Minnesota; top 2% in the U.S. |
| Weekend total nurse staffing | 5.19 | 4.27 | 3.50 | top 10% in Minnesota; top 5% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.03 | 0.69 | 0.48 | top 15% in Minnesota; top 5% 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 4.97, RN 1.63, weekend 4.14. 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 - Federal
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Curtis, Nancy | Individual | W-2 Managing Employee | NOT APPLICABLE | 12/24/2018 |
| Gilbertson, Carol | Individual | W-2 Managing Employee | NOT APPLICABLE | 07/28/2008 |
| Gilbertson, Carol | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/1991 |
| Hughes, Douglas | Individual | W-2 Managing Employee | NOT APPLICABLE | 07/05/2016 |
| Hughes, Douglas | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/05/2016 |
| State of Minnesota - Minnesota Management and Budget | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/28/2008 |
| Ward, George | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/1991 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "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 |
|---|---|---|---|---|---|
| The Waterview Shores LLC | 26.5 mi | Two Harbors, MN | ★☆☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 245628.