01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-03-05 | 4 | 2026-03-05 | 0 |
| Cycle 2 | 2024-12-05 | 5 | 2024-12-05 | 4 |
| Cycle 3 | 2023-10-26 | 15 | 2023-10-26 | 3 |
CMS CCN 2452402026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Lake Winona Manor
865 Mankato Avenue · Winona, MN 55987 · Winona County
Certified beds80CMS provider file
Recent citation rows31current CMS citation release
Penalty rows0current 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
31 rows in the current release
1 rows carry G–L scope/severity codes; 0 carry J–L. 3 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-03-05 · 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 · 2026-03-242026-03-05 · HEALTHF0572Severity C · widespread; potential for minimal harm
Resident Rights Deficiencies
Give residents a notice of rights, rules, services and charges.
Correction field: Deficient, Provider has date of correction · 2026-03-242026-03-05 · HEALTHF0577Severity C · widespread; potential for minimal harm
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Correction field: Deficient, Provider has date of correction · 2026-03-242025-12-18 · 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 · 2025-11-13 · complaint2024-12-05 · 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 · 2025-01-09 · complaint2024-12-05 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2025-01-09 · complaint2024-12-05 · HEALTHF0700Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Correction field: Deficient, Provider has date of correction · 2025-01-09 · complaint2024-12-05 · 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 · 2025-01-09 · complaint2024-12-05 · 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 · 2025-01-09 · complaint2024-12-05 · FIREK0345Severity F · widespread; 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 · 2025-01-022024-12-05 · FIREK0374Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Correction field: Deficient, Provider has date of correction · 2025-01-032024-12-05 · FIREK0712Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2025-01-022024-12-05 · FIREK0923Severity F · widespread; 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 · 2025-01-092024-03-12 · 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 · 2024-04-06 · complaint2023-10-26 · 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 · 2023-12-012023-10-26 · HEALTHF0565Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Correction field: Deficient, Provider has date of correction · 2023-11-212023-10-26 · HEALTHF0570Severity B · pattern; potential for minimal harm
Resident Rights Deficiencies
Assure the security of all personal funds of residents deposited with the facility.
Correction field: Deficient, Provider has date of correction · 2023-10-272023-10-26 · 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 · 2023-12-012023-10-26 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2023-12-012023-10-26 · 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 · 2023-12-012023-10-26 · HEALTHF0689Severity D · isolated; 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 · 2023-12-012023-10-26 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2023-12-012023-10-26 · HEALTHF0732Severity C · widespread; potential for minimal harm
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Correction field: Deficient, Provider has date of correction · 2023-12-012023-10-26 · 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 · 2023-12-0103 / 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 |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- WINONA HEALTH SERVICESOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 07/01/2011
- ATKINSON, LINDAIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 11/05/2018
- CEPLECHA, AUDREYIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 11/01/2021
- BAKER, RODNEYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2014
- BLUE, STEVENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2007
- BROGHAMMER, MATTHEWIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2007
- BROSNAHAN, JANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/01/2011
- BURKE, SANDRAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2016
- DECKER, VICKYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2007
- EVANS, GREGIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/01/2016
- GILMER, DAVIDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/01/2018
- HAMMEL, KATRINAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/01/2019
- HEISING-SCHULTZ, RACHELLEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2007
- MILLER, HUGHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/1993
- MODJESKI, NICHOLASIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/01/2017
- MOGREN, KENNETHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2007
- PAULSON, TODDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/01/2018
- SAID, FATIMAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/01/2018
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 hours4.28per resident day
RN hours0.67per resident day
Weekend nurse hours3.76per resident day
Staff turnover34.1%CMS reported field
06 / LOCAL RECORDS
Open the Winona ledger →