Mahnomen Health Center
414 West Jefferson Avenue · Mahnomen, MN · 56557 · 2189352511
32 certified beds Government - City/county
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
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
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
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: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $12,534 |
Inspection citations (15 in the current record)
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Potential for harm · D March 11, 2026
Ensure each resident receives an accurate assessment.
Corrected April 16, 2026 · Resident Assessment and Care Planning
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Potential for harm · F March 11, 2026
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected April 16, 2026 · Administration
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Potential for harm · F March 11, 2026
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected April 16, 2026 · Administration
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Potential for harm · F March 11, 2026
Provide and implement an infection prevention and control program.
Corrected April 16, 2026 · Infection Control
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Potential for harm · F March 11, 2026
Implement a program that monitors antibiotic use.
Corrected April 16, 2026 · Infection Control
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Potential for harm · F March 11, 2026
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected May 6, 2026 · Infection Control
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Potential for harm · D June 4, 2025
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected June 26, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E June 4, 2025
Ensure each resident receives an accurate assessment.
Corrected June 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · E June 4, 2025
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected June 26, 2025 · Quality of Life and Care
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Potential for harm · D May 24, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 27, 2024 · Quality of Life and Care
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Potential for harm · D March 14, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 28, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 14, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 5, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 14, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected April 2, 2024 · Resident Assessment and Care Planning
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Potential for harm · E March 14, 2024
Provide and implement an infection prevention and control program.
Corrected March 28, 2024 · Infection Control
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Potential for harm · E March 14, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected April 2, 2024 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 6, 2024 | Fine | $12,534 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 245238 · certified since August 4, 1981. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.