St Clare Living Community of Mora

Name: St Clare Living Community of Mora
Address: 110 NORTH 7TH STREET, Mora, MN, 55051, US
Telephone: 3206791411

110 North 7th Street, Mora, MN 55051 · Kanabec County · 65 certified beds · avg 47 residents/day · certified since Sep 1, 1985

2/5

Health inspection rating (on-site)

Serious findings on record

$41,955

Fines, last 3 years

4.85

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: 3/5

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)

▲ Immediate jeopardy, one-off · May 1, 2026 · F-0689

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Jun 9, 2026 (Deficient, Provider has date of correction)

All citations in the current public record (27)

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
May 1, 2026	▲ J · Immediate jeopardy, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
May 1, 2026	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.
May 1, 2026	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
May 1, 2026	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.
May 1, 2026	D · Potential for harm, one-off	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Feb 14, 2025	E · Potential for harm, repeated	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.
Feb 14, 2025	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.
Feb 14, 2025	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.
Feb 14, 2025	D · Potential for harm, one-off	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Feb 14, 2025	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.
Feb 14, 2025	D · Potential for harm, one-off	The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
Feb 14, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Feb 14, 2025	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.
Feb 14, 2025	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Feb 14, 2025	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Apr 12, 2024	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
Apr 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. · from a complaint
Dec 28, 2023	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Dec 28, 2023	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Dec 28, 2023	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Dec 28, 2023	D · Potential for harm, one-off	The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have.
Dec 28, 2023	D · Potential for harm, one-off	The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
Dec 28, 2023	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Dec 28, 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.
Dec 28, 2023	D · Potential for harm, one-off	The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows.
Dec 28, 2023	C · Minimal risk, facility-wide	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Sep 1, 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. · from a complaint

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (10 → 5).

Year	Citations	Serious (G–L)	Worst severity that year
2023	10	0	E
2024	2	0	D
2025	10	0	E
2026	5	1	J ▲

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)

12 fines totaling $41,955.

Date	Type	Amount / length
Nov 6, 2023	Fine	$4,545
Oct 30, 2023	Fine	$4,545
Oct 23, 2023	Fine	$4,545
Oct 17, 2023	Fine	$4,545
Oct 10, 2023	Fine	$4,196
Oct 2, 2023	Fine	$3,846
Sep 25, 2023	Fine	$3,496
Sep 18, 2023	Fine	$3,147
Sep 11, 2023	Fine	$2,797
Sep 5, 2023	Fine	$2,447
Aug 28, 2023	Fine	$2,098
Aug 21, 2023	Fine	$1,748

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)	4.85	4.83	3.95	top 46% in Minnesota; top 16% in the U.S.
Registered Nurse hours	1.15	1.22	0.69	top 47% in Minnesota; top 11% in the U.S.
Weekend total nurse staffing	3.92	4.27	3.50	bottom 36% in Minnesota; top 25% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.31	0.69	0.48	bottom 7% in Minnesota; bottom 33% in the U.S.
Total nursing staff turnover (%)	23.1	42.2	45.8	top 7% in Minnesota; top 5% in the U.S.
RN turnover (%)	0.0	38.6	42.9	top 1% in Minnesota; top 1% 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 4.05, RN 0.96, weekend 3.27. 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: 4/5 · long-stay residents: 2/5 · short-stay residents: 5/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Living Services Foundation	Organization	Direct Ownership Interest	NOT APPLICABLE	01/01/2018
Gleason, Jennifer	Individual	Corporate Officer	NOT APPLICABLE	01/01/2018
Gleason, Jennifer	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2018
Kamstra, Dennis	Individual	Corporate Director	NOT APPLICABLE	01/01/2018
Living Services Foundation	Organization	ADP of the SNF	NOT APPLICABLE	04/30/2009
Living Services Foundation/Mora, LLC	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	02/01/2011
Living Services Foundation/Mora, LLC	Organization	ADP of the SNF	NOT APPLICABLE	02/01/2011
Pakonen, Rodney	Individual	Corporate Director	NOT APPLICABLE	01/01/2018
Peterson, Jennifer	Individual	Operational/Managerial Control	NOT APPLICABLE	08/01/2019
Peterson, Jennifer	Individual	ADP of the SNF	NOT APPLICABLE	08/01/2019
Sanders, Paul	Individual	Corporate Director	NOT APPLICABLE	01/01/2018
Schwinghamer, Jack	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2020
Schwinghamer, Jack	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2020
Sundberg, Robert	Individual	Corporate Director	NOT APPLICABLE	01/01/2018

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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
"What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
"If my family member is able to manage their own medications, would you allow it, and how is that decided?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"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
Milaca Elim Meadows Health Care Center	18.8 mi	Milaca, MN	★★★★★	4/5

Compare this facility with the 1 closest →

All facilities in Mora →

Facility data as of CMS processing date 2026-08-01. CCN 245291.

The Care File

Visit checklist — St Clare Living Community of Mora

110 North 7th Street, Mora, MN 55051 · 3206791411

Health inspection rating 2/5 · CMS overall 3/5· Fines (3y): $41,955

Most serious findings on record:

▲ May 1, 2026 (F-0689, Immediate jeopardy, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
☐ "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
☐ "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "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 245291 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)