Sauer Health Care

1635 West Service Drive, Winona, MN 55987 (opens Google Maps) · Winona County · (507) 454-5540· 61 certified beds · avg 47 residents/day · certified since Jan 19, 1967 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

2/5

Health inspection rating (on-site)

inspected Jan 7, 2026

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)

New to these records? How to read an inspection report →

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 19 inspection findings. Open the full record below to read every finding.

Mar 19, 2026F · Potential for more than minimal harm, widespread
The facility did not provide or arrange for a doctor to be available for emergencies 24 hours a day. · from a complaint F-0713
Mar 19, 2026D · Potential for more than minimal harm, isolated
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 F-0684
Mar 19, 2026D · Potential for more than minimal harm, isolated
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 F-0689

View all 19 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

Date	Severity	What the facility was cited for
Mar 19, 2026	F · Potential for more than minimal harm, widespread	The facility did not provide or arrange for a doctor to be available for emergencies 24 hours a day. · from a complaint · F-0713
Mar 19, 2026	D · Potential for more than minimal harm, isolated	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 · F-0684
Mar 19, 2026	D · Potential for more than minimal harm, isolated	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 · F-0689
Mar 19, 2026	D · Potential for more than minimal harm, isolated	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 · F-0690
Mar 19, 2026	D · Potential for more than minimal harm, isolated	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 · F-0725
Jan 7, 2026	F · Potential for more than minimal harm, widespread	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. · F-0812
Jan 7, 2026	D · Potential for more than minimal harm, isolated	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. · F-0550
Jan 7, 2026	D · Potential for more than minimal harm, isolated	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. · F-0605
Jan 7, 2026	D · Potential for more than minimal harm, isolated	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. · F-0637
Jan 7, 2026	D · Potential for more than minimal harm, isolated	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. · F-0657
Jan 7, 2026	D · Potential for more than minimal harm, isolated	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. · F-0756
Jan 7, 2026	D · Potential for more than minimal harm, isolated	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. · F-0880
Dec 19, 2024	E · Potential for more than minimal harm, pattern	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. · F-0880
Dec 19, 2024	D · Potential for more than minimal harm, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Oct 19, 2023	F · Potential for more than minimal harm, widespread	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. · F-0801
Oct 19, 2023	D · Potential for more than minimal harm, isolated	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. · F-0636
Oct 19, 2023	D · Potential for more than minimal harm, isolated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Oct 19, 2023	D · Potential for more than minimal harm, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Oct 19, 2023	D · Potential for more than minimal harm, isolated	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. · F-0758

Inspection trend by year

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

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2023

2024

2026

All bars start at zero. Exact values and supporting details remain below.

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)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityMinnesota averageU.S. average

Total nurse staffing (hours per resident per day)

4.24

4.83

3.95

Registered Nurse hours

1.00

1.22

0.69

Weekend total nurse staffing

3.77

4.27

3.50

All bars start at zero. Exact values and supporting details remain below.

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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.60 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Sauer Health Care. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

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

All 18 owning or managing parties CMS has on file are shown — none excluded.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

"Your weekend nurse staffing is reported below the Minnesota midpoint — how does the weekend schedule differ from a weekday?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"CMS reports 43% total nursing staff turnover here — who on the care team has been with you longest?"
"The ownership record on file lists 18 owning or managing parties — who makes the decisions about staffing levels?"
"Can I visit again unannounced, at a mealtime or on a weekend?"

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.

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — Sauer Health Care

1635 West Service Drive, Winona, MN 55987 · (507) 454-5540

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?"
☐ "Your weekend nurse staffing is reported below the Minnesota midpoint — how does the weekend schedule differ from a weekday?"
☐ "Can I see the plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 43% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "The ownership record on file lists 18 owning or managing parties — who makes the decisions about staffing levels?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"

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)