Sauer Health Care
1635 West Service Drive · Winona, MN · 55987 · 5074545540
61 certified beds Non profit - Corporation
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 72 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
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: 4 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.49 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.74 | 0.55–0.75 |
| Weekend hours / resident-day | 3.07 | ≈ weekday level |
| Nursing turnover / year | 33% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (19 in the current record)
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Potential for harm · D March 19, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 24, 2026 · Quality of Life and Care
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Potential for harm · D March 19, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 10, 2026 · Quality of Life and Care
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Potential for harm · D March 19, 2026 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 30, 2026 · Quality of Life and Care
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Potential for harm · F March 19, 2026 · found via complaint
Provide or arrange emergency care by a doctor 24 hours a day.
Corrected April 10, 2026 · Nursing and Physician Services
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Potential for harm · D March 19, 2026 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Deficient, Provider has plan of correction · Nursing and Physician Services
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Potential for harm · D January 7, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 9, 2026 · Resident Rights
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Potential for harm · D January 7, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected February 9, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 7, 2026
Assess the resident when there is a significant change in condition
Corrected February 9, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 7, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 9, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 7, 2026
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected February 9, 2026 · Pharmacy Service
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Potential for harm · F January 7, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 9, 2026 · Nutrition and Dietary
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Potential for harm · D January 7, 2026
Provide and implement an infection prevention and control program.
Corrected February 9, 2026 · Infection Control
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Potential for harm · D December 19, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 15, 2025 · Quality of Life and Care
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Potential for harm · E December 19, 2024
Provide and implement an infection prevention and control program.
Corrected January 15, 2025 · Infection Control
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Potential for harm · D October 19, 2023
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected November 15, 2023 · Resident Assessment and Care Planning
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Potential for harm · D October 19, 2023
Ensure each resident receives an accurate assessment.
Corrected November 15, 2023 · Resident Assessment and Care Planning
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Potential for harm · D October 19, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 15, 2023 · Quality of Life and Care
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Potential for harm · D October 19, 2023
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 November 15, 2023 · Pharmacy Service
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Potential for harm · F October 19, 2023
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected November 15, 2023 · Nutrition and Dietary
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 245102 · certified since January 19, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.