Villa St Vincent
516 Walsh Street · Crookston, MN · 56716 · 2182813424
100 certified beds Non profit - Corporation Chain: Benedictine Health System
Why this verdict
- Carries CMS’s abuse warning icon.
- 4 citations involved actual harm to residents.
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
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 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.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
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: 2 of 5
| Total nurse hours / resident-day | 3.99 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.74 | 0.55–0.75 |
| Weekend hours / resident-day | 3.53 | ≈ weekday level |
| Nursing turnover / year | 38% | median 45% |
| Fines (3-yr window) | 1 · $29,234 |
Inspection citations (26 in the current record)
-
Actual harm · G July 10, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected July 2, 2025 · Pharmacy Service
-
Potential for harm · D July 10, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 6, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D July 10, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 6, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Actual harm · G June 5, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 2, 2025 · Quality of Life and Care
-
Potential for harm · D March 27, 2025
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 May 5, 2025 · Resident Rights
-
Potential for harm · D March 27, 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 May 5, 2025 · Pharmacy Service
-
Potential for harm · F March 27, 2025
Provide and implement an infection prevention and control program.
Corrected May 5, 2025 · Infection Control
-
Actual harm · G August 9, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 30, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Actual harm · G July 31, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 2, 2024 · Quality of Life and Care
-
Potential for harm · D July 31, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected September 2, 2024 · Pharmacy Service
-
Potential for harm · D July 31, 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 September 2, 2024 · Pharmacy Service
-
Potential for harm · D July 31, 2024
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 September 2, 2024 · Pharmacy Service
-
Potential for harm · D July 31, 2024
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected September 2, 2024 · Administration
-
Potential for harm · D July 31, 2024
Provide and implement an infection prevention and control program.
Corrected September 2, 2024 · Infection Control
-
Potential for harm · E July 31, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected September 2, 2024 · Infection Control
-
Potential for harm · D July 31, 2024 · found via complaint
Assess the resident when there is a significant change in condition
Corrected September 2, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D April 2, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 1, 2024 · Quality of Life and Care
-
Potential for harm · D June 29, 2023
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected August 14, 2023 · Resident Rights
-
Potential for harm · D June 29, 2023
Ensure each resident receives an accurate assessment.
Corrected August 14, 2023 · Resident Assessment and Care Planning
-
Potential for harm · D June 29, 2023
Provide activities to meet all resident's needs.
Corrected August 14, 2023 · Quality of Life and Care
-
Potential for harm · D June 29, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 14, 2023 · Quality of Life and Care
-
Potential for harm · D June 29, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 14, 2023 · Quality of Life and Care
-
Potential for harm · D June 29, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected August 14, 2023 · Pharmacy Service
-
Potential for harm · D June 29, 2023
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected August 14, 2023 · Pharmacy Service
-
Potential for harm · D June 29, 2023
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected August 14, 2023 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 31, 2024 | Fine | $29,234 |
Better-scoring options nearby
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 245484 · certified since June 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.