Benedictine Care Community
201 9th Street West · Ada, MN · 56510 · 2187845500
49 certified beds Non profit - Corporation Chain: Benedictine Health System
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
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.
$154,460 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
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: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.05 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.76 | 0.55–0.75 |
| Weekend hours / resident-day | 2.69 | ≈ weekday level |
| Nursing turnover / year | 57% | median 45% |
| Fines (3-yr window) | 1 · $154,460 |
Inspection citations (18 in the current record)
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Immediate jeopardy · J March 5, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 3, 2026 · Quality of Life and Care
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Potential for harm · D March 5, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 3, 2026 · Resident Rights
-
Potential for harm · F March 5, 2026 · found via complaint
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected April 3, 2026 · Infection Control
-
Potential for harm · D March 5, 2026 · found via complaint
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected April 3, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 22, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 6, 2026 · Quality of Life and Care
-
Actual harm · G September 25, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 27, 2025 · Quality of Life and Care
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Potential for harm · D September 25, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected October 27, 2025 · Resident Rights
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Potential for harm · D August 21, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected October 3, 2025 · Resident Rights
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Potential for harm · E August 21, 2025 · found via complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected October 3, 2025 · Quality of Life and Care
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Potential for harm · E August 21, 2025 · found via complaint
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 October 3, 2025 · Quality of Life and Care
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Potential for harm · D April 9, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected May 9, 2025 · Resident Rights
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Potential for harm · F April 9, 2025
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected May 9, 2025 · Resident Rights
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Potential for harm · D April 9, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 9, 2025 · Quality of Life and Care
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Potential for harm · F April 9, 2025
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected May 9, 2025 · Administration
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Potential for harm · D February 8, 2024
Ensure each resident receives an accurate assessment.
Corrected February 16, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 8, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected February 16, 2024 · Infection Control
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Potential for harm · E December 20, 2023 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 5, 2024 · Quality of Life and Care
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Potential for harm · D March 22, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 3, 2023 · Freedom from Abuse, Neglect, and Exploitation
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 5, 2026 | Fine | $154,460 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 245502 · certified since November 1, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.