La Crescent Health Services
101 South Hill Street · La Crescent, MN · 55947 · 5078954445
42 certified beds For profit - Limited Liability company Chain: North Shore Healthcare
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.
- No federal fines or payment denials in CMS’s 3-year window.
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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.
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: 2 of 5
| Total nurse hours / resident-day | 3.71 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.32 | 0.55–0.75 |
| Weekend hours / resident-day | 3.16 | ≈ weekday level |
| Nursing turnover / year | 41% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (32 in the current record)
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Immediate jeopardy · J April 14, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Deficient, Provider has no plan of correction · Quality of Life and Care
-
Potential for harm · D April 14, 2026
Allow residents to self-administer drugs if determined clinically appropriate.
Deficient, Provider has no plan of correction · Resident Rights
-
Potential for harm · D April 14, 2026
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Deficient, Provider has no plan of correction · Resident Rights
-
Potential for harm · D April 14, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D April 14, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Deficient, Provider has no plan of correction · Resident Rights
-
Potential for harm · D April 14, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Deficient, Provider has no plan of correction · Resident Assessment and Care Planning
-
Potential for harm · D April 14, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Deficient, Provider has no plan of correction · Resident Assessment and Care Planning
-
Potential for harm · D April 14, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Deficient, Provider has no plan of correction · Quality of Life and Care
-
Potential for harm · D April 14, 2026
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Deficient, Provider has no plan of correction · Quality of Life and Care
-
Potential for harm · D April 14, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Deficient, Provider has no plan of correction · Quality of Life and Care
-
Potential for harm · D April 14, 2026
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Deficient, Provider has no plan of correction · Quality of Life and Care
-
Potential for harm · D April 14, 2026
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Deficient, Provider has no plan of correction · Nursing and Physician Services
-
Potential for harm · D April 14, 2026
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Deficient, Provider has no plan of correction · Pharmacy Service
-
Potential for harm · D April 14, 2026
Ensure medication error rates are not 5 percent or greater.
Deficient, Provider has no plan of correction · Pharmacy Service
-
Potential for harm · E April 14, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Deficient, Provider has no plan of correction · Nutrition and Dietary
-
Potential for harm · D April 14, 2026
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Deficient, Provider has no plan of correction · Administration
-
Potential for harm · F April 14, 2026
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Deficient, Provider has no plan of correction · Nursing and Physician Services
-
Potential for harm · D April 14, 2026
Provide and implement an infection prevention and control program.
Deficient, Provider has no plan of correction · Infection Control
-
Potential for harm · D April 14, 2026
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Deficient, Provider has no plan of correction · Administration
-
Potential for harm · D April 14, 2026
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Deficient, Provider has no plan of correction · Administration
-
Potential for harm · D April 14, 2026 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation
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No harm found · C April 14, 2026
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Deficient, Provider has no plan of correction · Resident Rights
-
Potential for harm · F February 6, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 18, 2025 · Nutrition and Dietary
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Potential for harm · D February 6, 2025
Provide and implement an infection prevention and control program.
Corrected March 18, 2025 · Infection Control
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Potential for harm · D December 6, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 26, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 245319 · certified since July 1, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.