Essentia Health Homestead
115 10th Avenue Northeast · Deer River, MN · 56636 · 2182464336
32 certified beds Non profit - Corporation Chain: Essentia Health Hospital-based
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).
- Federal penalties on record: $89,453 in fines in the last 24 months.
- 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.
$89,453 in federal fines in the last 24 months
2 fines — 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: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.47 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.61 | 0.55–0.75 |
| Weekend hours / resident-day | 3.79 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | 2 · $89,453 |
Inspection citations (14 in the current record)
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Potential for harm · D April 22, 2026
Provide and implement an infection prevention and control program.
Corrected May 8, 2026 · Infection Control
-
Actual harm · G March 31, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 22, 2026 · Quality of Life and Care
-
Immediate jeopardy · K December 17, 2025 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected January 16, 2026 · Nursing and Physician Services
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Potential for harm · D December 17, 2025 · found via complaint
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 January 16, 2026 · Resident Rights
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Potential for harm · D December 17, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 16, 2026 · Quality of Life and Care
-
Potential for harm · D July 30, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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No harm found · C July 30, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected August 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F March 12, 2025
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected March 25, 2025 · Resident Rights
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Potential for harm · D March 12, 2025
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected March 28, 2025 · Pharmacy Service
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Potential for harm · D March 12, 2025
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected March 28, 2025 · Pharmacy Service
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Potential for harm · F March 12, 2025
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected March 28, 2025 · Administration
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No harm found · C March 12, 2025
Post nurse staffing information every day.
Corrected March 25, 2025 · Nursing and Physician Services
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Potential for harm · D May 16, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected June 7, 2024 · Pharmacy Service
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Potential for harm · E May 16, 2024
Provide and implement an infection prevention and control program.
Corrected June 7, 2024 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 31, 2026 | Fine | $27,378 |
| December 17, 2025 | Fine | $62,075 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 245428 · certified since February 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.