Avera Morningside Heights Care Center
300 South Bruce Street · Marshall, MN · 56258 · 5075379394
76 certified beds Non profit - Corporation Chain: Avera Health Hospital-based
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
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Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 5 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.71 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.03 | 0.55–0.75 |
| Weekend hours / resident-day | 4.36 | ≈ weekday level |
| Nursing turnover / year | 31% | median 45% |
| Fines (3-yr window) | 1 · $26,685 |
Inspection citations (17 in the current record)
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Actual harm · G March 24, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 21, 2026 · Quality of Life and Care
-
Potential for harm · F December 3, 2025
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected January 6, 2026 · Administration
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Potential for harm · F December 3, 2025
Provide and implement an infection prevention and control program.
Corrected January 6, 2026 · Infection Control
-
Potential for harm · F December 3, 2025
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected January 6, 2026 · Infection Control
-
Immediate jeopardy · J September 24, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 21, 2025 · Quality of Life and Care
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Potential for harm · D October 30, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 25, 2024 · Quality of Life and Care
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Potential for harm · E October 30, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 25, 2024 · Nutrition and Dietary
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Potential for harm · F October 30, 2024
Provide and implement an infection prevention and control program.
Corrected November 25, 2024 · Infection Control
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Actual harm · G November 30, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 4, 2024 · Quality of Life and Care
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Potential for harm · D November 30, 2023
Ensure each resident receives an accurate assessment.
Corrected January 4, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 30, 2023
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected January 4, 2024 · Quality of Life and Care
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Potential for harm · D November 30, 2023
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected January 4, 2024 · Quality of Life and Care
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Potential for harm · E November 30, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 4, 2024 · Quality of Life and Care
-
Potential for harm · E November 30, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 4, 2024 · Nutrition and Dietary
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Potential for harm · F November 30, 2023
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected January 4, 2024 · Administration
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Potential for harm · E November 30, 2023
Provide and implement an infection prevention and control program.
Corrected January 4, 2024 · Infection Control
-
Potential for harm · E November 30, 2023
Implement a program that monitors antibiotic use.
Corrected January 4, 2024 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 24, 2025 | Fine | $26,685 |
| November 30, 2023 | Payment Denial | 6 days |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 245228 · certified since August 1, 1979. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.