Perham Living
735 Third Street Southwest, Perham, MN 56573 · Otter Tail County · 96 certified beds · avg 86 residents/day · certified since Jul 1, 1987
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 (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 |
|---|---|---|
| Mar 24, 2026 | D · Potential for harm, one-off | 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. |
| Mar 24, 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. |
| Mar 24, 2026 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Jun 12, 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. |
| Jun 12, 2024 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jun 12, 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. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 3 | 0 | E |
| 2026 | 3 | 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) | 6.99 | 4.83 | 3.95 | top 3% in Minnesota; top 2% in the U.S. |
| Registered Nurse hours | 1.76 | 1.22 | 0.69 | top 10% in Minnesota; top 3% in the U.S. |
| Weekend total nurse staffing | 5.73 | 4.27 | 3.50 | top 5% in Minnesota; top 3% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.77 | 0.69 | 0.48 | top 29% in Minnesota; top 12% in the U.S. |
| Total nursing staff turnover (%) | 30.0 | 42.2 | 45.8 | top 22% in Minnesota; top 14% in the U.S. |
| RN turnover (%) | 25.8 | 38.6 | 42.9 | top 32% in Minnesota; top 23% 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 5.45, RN 1.37, weekend 4.46. 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: 3/5 · long-stay residents: 3/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Altstadt, Erika | Individual | Corporate Director | NOT APPLICABLE | 10/21/2018 |
| Altstadt, Erika | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/24/2018 |
| Bachelder, Jared | Individual | Corporate Director | NOT APPLICABLE | 02/15/2025 |
| Berube, Allan | Individual | Corporate Director | NOT APPLICABLE | 01/31/2017 |
| Blickenstaff, Jeffrey | Individual | Corporate Director | NOT APPLICABLE | 07/01/1982 |
| Blickenstaff, Jeffrey | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/1982 |
| Blickenstaff, Jeffrey | Individual | ADP of the SNF | NOT APPLICABLE | 02/13/2025 |
| Brasel, Michael | Individual | Corporate Director | NOT APPLICABLE | 06/27/2018 |
| Hendrickx, Tracy | Individual | Corporate Officer | NOT APPLICABLE | 10/31/2016 |
| Hendrickx, Tracy | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/31/2016 |
| Hendrickx, Tracy | Individual | ADP of the SNF | NOT APPLICABLE | 02/13/2025 |
| Hofius, Charles | Individual | Corporate Officer | NOT APPLICABLE | 06/29/2007 |
| Huebsch, Sue | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Jahnke, Eugene | Individual | Corporate Director | NOT APPLICABLE | 02/01/2010 |
| Keil, Alisyn | Individual | Corporate Director | NOT APPLICABLE | 06/29/2007 |
| Lee, Michael | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
| Marthaler, Terry | Individual | Corporate Director | NOT APPLICABLE | 02/01/2010 |
| Meyer, Thomas | Individual | Corporate Director | NOT APPLICABLE | 01/01/2015 |
| Rastedt, Cynthia | Individual | Corporate Director | NOT APPLICABLE | 06/29/2007 |
| Richter, Richard | Individual | Corporate Director | NOT APPLICABLE | 06/29/2007 |
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 percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "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 |
|---|---|---|---|---|---|
| Frazee Care Center | 10.7 mi | Frazee, MN | ★★★★★ | 4/5 | |
| Emmanuel Nursing Home | 18.8 mi | Detroit Lakes, MN | ★★★☆☆ | 2/5 | |
| Essentia Health Oak Crossing | 19.4 mi | Detroit Lakes, MN | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 245486.