01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-07-08 | 3 | 2026-07-08 | 1 |
| Cycle 2 | 2025-06-25 | 10 | 2025-06-25 | 1 |
| Cycle 3 | 2024-04-10 | 4 | 2024-04-10 | 4 |
CMS CCN 2454612026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Eventide Lutheran Home
1405 7Th Street South · Moorhead, MN 56560 · Clay County
Certified beds145CMS provider file
Recent citation rows23current 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
23 rows in the current release
5 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.
2026-07-08 · FIREK0321Severity D · isolated; 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 · 2026-07-092026-06-24 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2026-07-10 · complaint2026-06-24 · 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 · 2026-07-10 · complaint2025-11-13 · 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 · 2025-12-19 · complaint2025-06-25 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2025-07-182025-06-25 · HEALTHF0554Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Correction field: Deficient, Provider has date of correction · 2025-07-182025-06-25 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2025-07-182025-06-25 · HEALTHF0561Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Correction field: Deficient, Provider has date of correction · 2025-07-182025-06-25 · HEALTHF0637Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Correction field: Deficient, Provider has date of correction · 2025-07-182025-06-25 · HEALTHF0686Severity D · isolated; potential for more than minimal 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 · 2025-07-182025-06-25 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-06-242025-04-30 · HEALTHF0689Severity J · isolated immediate jeopardy
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 · 2025-04-22 · complaint2025-04-02 · HEALTHF0880Severity D · isolated; 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 · 2025-04-24 · complaint2025-03-12 · 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 · 2025-02-20 · complaint2024-12-10 · 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 · 2024-12-01 · complaint2024-04-10 · HEALTHF0584Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Correction field: Deficient, Provider has date of correction · 2024-05-062024-04-10 · HEALTHF0812Severity F · widespread; 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 · 2024-05-062024-04-10 · HEALTHF0880Severity D · isolated; 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 · 2024-05-062024-04-10 · FIREK0324Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2024-05-312024-04-10 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-05-312024-04-10 · FIREK0901Severity D · isolated; potential for more than minimal harm
Electrical Deficiencies
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Correction field: Deficient, Provider has date of correction · 2024-05-312024-04-10 · FIREK0920Severity E · pattern; 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 · 2024-05-312023-09-15 · 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 · 2023-10-04 · complaint03 / 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 |
|---|---|---|---|
| 2025-04-30 | Fine | $14,508 | 0 |
| 2025-03-12 | Fine | $9,620 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- BOCK, JODEEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/15/2022
- BRANDT, TERRYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/15/2022
- BYE, ROBERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/15/2022
- FISCHBACH, TYLERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/15/2022
- GULBRANSON, PATRICKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/15/2022
- JOHNSON, VIKKIIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/15/2022
- LARSON-CASSELTON, CINDYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/15/2022
- LEE, JUDITHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/15/2022
- LUNAK, BRANDONIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/15/2022
- SCHAFER, ERICIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/10/2024
- SELJEVOLD, PETERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2009
- SWENSON, KARLAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/15/2022
- BYE, ROBERTIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/15/2022
- JOHNSON, VIKKIIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/01/2023
- LUNAK, BRANDONIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/01/2026
- RIEWER, JONIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/31/2003
- BLUE STONE THERAPY INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/01/2020
- ANDERSON, KELSEYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/10/2021
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 hours4.88per resident day
RN hours0.70per resident day
Weekend nurse hours4.54per resident day
Staff turnover32.2%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.