Sauer Health Care

Name: Sauer Health Care
Address: 1635 WEST SERVICE DRIVE, Winona, MN, 55987, US
Telephone: 5074545540

1635 West Service Drive, Winona, MN 55987 · Winona County · 61 certified beds · avg 47 residents/day · certified since Jan 19, 1967

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.24

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: 1/5

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 (19)

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 19, 2026	F · Potential for harm, facility-wide	The facility did not provide or arrange for a doctor to be available for emergencies 24 hours a day. · from a complaint
Mar 19, 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. · from a complaint
Mar 19, 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. · from a complaint
Mar 19, 2026	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint
Mar 19, 2026	D · Potential for harm, one-off	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint
Jan 7, 2026	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jan 7, 2026	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Jan 7, 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.
Jan 7, 2026	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Jan 7, 2026	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.
Jan 7, 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.
Jan 7, 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.
Dec 19, 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.
Dec 19, 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.
Oct 19, 2023	F · Potential for harm, facility-wide	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service.
Oct 19, 2023	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Oct 19, 2023	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.
Oct 19, 2023	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.
Oct 19, 2023	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 7).

Year	Citations	Worst severity that year
2023	5	F
2024	2	E
2026	12	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)

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)	4.24	4.83	3.95	bottom 26% in Minnesota; top 31% in the U.S.
Registered Nurse hours	1.00	1.22	0.69	bottom 35% in Minnesota; top 16% in the U.S.
Weekend total nurse staffing	3.77	4.27	3.50	bottom 28% in Minnesota; top 30% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.52	0.69	0.48	bottom 39% in Minnesota; top 31% in the U.S.
Total nursing staff turnover (%)	43.1	42.2	45.8	bottom 42% in Minnesota; top 45% in the U.S.
RN turnover (%)	50.0	38.6	42.9	bottom 32% in Minnesota; bottom 39% 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 3.60, RN 0.85, weekend 3.21. 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

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Curran, John	Individual	Corporate Director	NOT APPLICABLE	11/15/2021
Digby, Linda	Individual	Corporate Director	NOT APPLICABLE	07/20/2015
Forsyth, Jennifer	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2022
Forsyth, Jennifer	Individual	ADP of the SNF	NOT APPLICABLE	07/01/2022
Holmay, Steven	Individual	Corporate Director	NOT APPLICABLE	01/01/2016
Johnson, Stacy	Individual	Operational/Managerial Control	NOT APPLICABLE	09/27/2021
Johnson, Stacy	Individual	ADP of the SNF	NOT APPLICABLE	09/27/2021
Kaehler, Cynthia	Individual	Operational/Managerial Control	NOT APPLICABLE	11/23/2020
Kaehler, Cynthia	Individual	ADP of the SNF	NOT APPLICABLE	11/23/2020
Klinger, Bernard	Individual	Corporate Director	NOT APPLICABLE	01/18/2022
Matzke, Dean	Individual	Operational/Managerial Control	NOT APPLICABLE	10/31/1984
Matzke, Dean	Individual	ADP of the SNF	NOT APPLICABLE	10/31/1984
Muras, Jessica	Individual	Corporate Officer	NOT APPLICABLE	08/19/2023
Muras, Jessica	Individual	Operational/Managerial Control	NOT APPLICABLE	08/19/2023
Muras, Jessica	Individual	ADP of the SNF	NOT APPLICABLE	08/19/2023
Roessler, Donald	Individual	Corporate Director	NOT APPLICABLE	11/15/2005
Ruppert, Annie	Individual	Corporate Director	NOT APPLICABLE	01/24/2023
Schaefer, Gregory	Individual	Corporate Director	NOT APPLICABLE	05/28/2024

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"If my family member has a medical emergency at 2 a.m., who does your staff call and how fast can a doctor respond?"
"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?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"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
Sainte Anne Extended Healthcare	0.5 mi	Winona, MN	★★★★☆	4/5
Lake Winona Manor	3.3 mi	Winona, MN	★★★★★	4/5
Marinuka Manor	17.2 mi	Galesville, WI	★★★★★	5/5
Good Shepherd Lutheran Home	17.9 mi	Rushford, MN	★★★★★	5/5
Whitewater Health Services	19.5 mi	St Charles, MN	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Winona →

Facility data as of CMS processing date 2026-08-01. CCN 245102.

The Care File

Visit checklist — Sauer Health Care

1635 West Service Drive, Winona, MN 55987 · 5074545540

Health inspection rating 2/5 · CMS overall 1/5· Fines (3y): $0

Questions for the administrator:

☐ "If my family member has a medical emergency at 2 a.m., who does your staff call and how fast can a doctor respond?"
☐ "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?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "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 245102 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)