Mayo Clinic Health System - Lake City
500 West Grant Street · Lake City, MN · 55041 · 6513451144
90 certified beds Non profit - Corporation
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Staffing hours comfortably above national benchmarks.
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Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
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.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
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 | 4.54 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.33 | 0.55–0.75 |
| Weekend hours / resident-day | 4.13 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | 1 · $32,139 |
Inspection citations (22 in the current record)
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Immediate jeopardy · J April 20, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 15, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 20, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 15, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 20, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected May 15, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 20, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 15, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 4, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 19, 2025 · Quality of Life and Care
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Potential for harm · D July 31, 2025
Provide and implement an infection prevention and control program.
Corrected September 8, 2025 · Infection Control
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Actual harm · G April 3, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 1, 2025 · Quality of Life and Care
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Actual harm · G December 18, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected December 10, 2024 · Pharmacy Service
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Potential for harm · D June 13, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected August 9, 2024 · Resident Rights
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Potential for harm · D June 13, 2024
Ensure each resident receives an accurate assessment.
Corrected August 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 13, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 9, 2024 · Quality of Life and Care
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Potential for harm · D June 13, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 9, 2024 · Quality of Life and Care
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Potential for harm · D June 13, 2024
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected August 9, 2024 · Quality of Life and Care
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Potential for harm · D June 13, 2024
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected August 9, 2024 · Quality of Life and Care
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Potential for harm · D June 13, 2024
Provide and implement an infection prevention and control program.
Corrected August 9, 2024 · Infection Control
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Potential for harm · D June 13, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected August 9, 2024 · Infection Control
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No harm found · B June 13, 2024
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected August 9, 2024 · Resident Rights
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Potential for harm · D November 6, 2023 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected November 27, 2023 · Resident Rights
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Potential for harm · D November 6, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 27, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 6, 2023 · found via complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected November 27, 2023 · Resident Rights
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Potential for harm · D November 6, 2023 · found via complaint
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected November 27, 2023 · Resident Rights
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Potential for harm · D November 6, 2023 · found via complaint
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected November 27, 2023 · Resident Rights
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 3, 2025 | Fine | $32,139 |
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 245218 · certified since March 20, 1978. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.