01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-12-03 | 5 | 2025-12-03 | 1 |
| Cycle 2 | 2024-10-30 | 3 | 2024-10-30 | 2 |
| Cycle 3 | 2023-11-30 | 9 | 2023-11-30 | 1 |
CMS CCN 2452282026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Avera Morningside Heights Care Center
300 South Bruce Street · Marshall, MN 56258 · Lyon County
Certified beds76CMS provider file
Recent citation rows21current CMS citation release
Penalty rows2current 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
21 rows in the current release
3 rows carry G–L scope/severity codes; 1 carry J–L. 3 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-03-24 · 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: Deficient, Provider has date of correction · 2026-04-21 · complaint2025-12-03 · HEALTHF0868Severity F · widespread; potential for more than minimal harm
Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Correction field: Deficient, Provider has date of correction · 2026-01-062025-12-03 · 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 · 2026-01-062025-12-03 · 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 · 2026-01-062025-12-03 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-12-102025-09-24 · HEALTHF0684Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Past Non-Compliance · 2025-09-21 · complaint2024-10-30 · 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 · 2024-11-252024-10-30 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-11-252024-10-30 · 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 · 2024-11-252024-10-30 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2024-11-252024-10-30 · FIREK0920Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2024-11-252023-11-30 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2024-01-042023-11-30 · HEALTHF0678Severity D · isolated; potential for more than minimal harm
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: Deficient, Provider has date of correction · 2024-01-042023-11-30 · HEALTHF0686Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2024-01-042023-11-30 · HEALTHF0688Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Correction field: Deficient, Provider has date of correction · 2024-01-042023-11-30 · HEALTHF0689Severity E · pattern; potential for more than minimal 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: Deficient, Provider has date of correction · 2024-01-042023-11-30 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-01-042023-11-30 · HEALTHF0867Severity F · widespread; potential for more than minimal harm
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Correction field: Deficient, Provider has date of correction · 2024-01-042023-11-30 · HEALTHF0880Severity E · pattern; 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 · 2024-01-042023-11-30 · HEALTHF0881Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Correction field: Deficient, Provider has date of correction · 2024-01-042023-11-30 · FIREK0923Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2024-01-1003 / 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 |
|---|---|---|---|
| 2025-09-24 | Fine | $17,345 | 0 |
| 2023-11-30 | Payment Denial | $0 | 6 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- AVERA HEALTHOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 11/01/2009
- HENNEN, SHARONIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2023
- KOENEN, LAVONNEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2020
- LORANG, THOMASIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2024
- LOUWAGIE, CURTISIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2018
- NOVAK, KARIEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2024
- O'LEARY, TIMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2023
- SIELING, AMANDAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2018
- VROMAN, JILLIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2023
- ZIMMERMAN, JODELLEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2018
- COUDRON, CHRISTYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 09/01/2020
- LAUTT, JULIEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/01/2020
- STREIER, DEBRAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/01/2021
- DEUTZ, TRACYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/14/2024
- WALKER, VICTORIAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/01/2020
- DEUTZ, TRACYIndividual · ADP OF THE SNFNOT APPLICABLE · since 12/16/2025
- WALKER, VICTORIAIndividual · ADP OF THE SNFNOT APPLICABLE · since 02/09/2026
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 hours4.80per resident day
RN hours1.01per resident day
Weekend nurse hours4.46per resident day
Staff turnover24.4%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.