01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-09-10 | 5 | 2024-07-17 | 4 |
| Cycle 2 | 2024-07-17 | 6 | 2023-08-10 | 1 |
| Cycle 3 | 2023-08-10 | 6 | 2022-06-30 | 1 |
CMS CCN 2452432026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Avera Granite Falls Care Center
250 Jordan Drive · Granite Falls, MN 56241 · Yellow Medcine County
Certified beds48CMS provider file
Recent citation rows23current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
23 rows in the current release
2 rows carry G–L scope/severity codes; 1 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-09-19 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Past Non-Compliance · 2025-09-12 · complaint2025-09-10 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2025-11-262025-09-10 · HEALTHF0880Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-11-262025-09-10 · HEALTHF0882Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Correction field: Deficient, Provider has date of correction · 2025-11-262025-09-10 · HEALTHF0883Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2025-11-262024-07-17 · HEALTHF0557Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Correction field: Deficient, Provider has date of correction · 2024-08-082024-07-17 · HEALTHF0576Severity F · widespread; potential for more than minimal harm
Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
Correction field: Deficient, Provider has date of correction · 2024-08-082024-07-17 · HEALTHF0604Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Correction field: Deficient, Provider has date of correction · 2024-08-082024-07-17 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2024-08-082024-07-17 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2024-08-202024-07-17 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2024-08-082024-07-17 · FIREK0226Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Have horizontal exits used in accordance with safety requirements.
Correction field: Deficient, Provider has date of correction · 2024-09-032024-07-17 · FIREK0291Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2024-08-082024-07-17 · FIREK0372Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2024-08-082024-07-17 · FIREK0521Severity F · widespread; potential for more than minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2024-09-032024-05-02 · HEALTHF0678Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Correction field: Past Non-Compliance · 2024-04-30 · complaint2024-02-29 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2024-03-21 · complaint2024-02-29 · HEALTHF0773Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Correction field: Deficient, Provider has date of correction · 2024-03-21 · complaint2023-08-10 · HEALTHF0644Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Correction field: Deficient, Provider has date of correction · 2023-09-062023-08-10 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2023-09-062023-08-10 · HEALTHF0883Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2023-09-062023-08-10 · FIREK0345Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2023-09-062022-06-30 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2022-08-1703 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-05-02 | Fine | $15,642 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- AVERA MARSHALLOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 01/01/2020
- AVERA HEALTHOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/01/2020
- BARBER, DANIELIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 07/01/2024
- JENSEN, MARKIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 07/01/2023
- KOENEN, LAVONNEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 07/01/2020
- RIOS AVENDANO, ROSAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 07/01/2023
- STREICH, LISAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 07/01/2024
- WELBIG, LUCILLEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 07/01/2023
- COUDRON, CHRISTYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 09/01/2020
- KOOIMAN, THOMASIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2020
- LAUTT, JULIEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/01/2020
- STREIER, DEBRAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/01/2021
- CARTER, DARRELLIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2020
- KOOIMAN, THOMASIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2020
- CARTER, DARRELLIndividual · ADP OF THE SNFNOT APPLICABLE · since 12/16/2025
- KOOIMAN, THOMASIndividual · ADP OF THE SNFNOT APPLICABLE · since 12/16/2025
- LAUTT, JULIEIndividual · ADP OF THE SNFNOT APPLICABLE · since 03/01/2020
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.81per resident day
RN hours0.82per resident day
Weekend nurse hours3.43per resident day
Staff turnover25.0%CMS reported field
06 / LOCAL RECORDS
Open the Minnesota ledger →Other published facilities nearby
No second facility in the same city met the directory rule.