01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-02-19 | 2 | 2026-02-19 | 1 |
| Cycle 2 | 2024-12-04 | 0 | 2024-12-04 | 3 |
| Cycle 3 | 2023-11-08 | 6 | 2023-11-08 | 3 |
CMS CCN 2454202026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Lakewood Health System
401 Prairie Avenue Northeast · Staples, MN 56479 · Todd County
Certified beds87CMS provider file
Recent citation rows15current 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
15 rows in the current release
1 rows carry G–L scope/severity codes; 0 carry J–L. 0 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-02-19 · 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 · 2026-03-062026-02-19 · 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 · 2026-03-062026-02-19 · 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 · 2026-03-022024-12-04 · 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 · 2024-12-122024-12-04 · FIREK0753Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
Have restrictions on the use of highly flammable decorations.
Correction field: Deficient, Provider has date of correction · 2024-12-122024-12-04 · 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 · 2024-12-122024-07-17 · HEALTHF0684Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Past Non-Compliance · 2024-07-05 · complaint2023-11-08 · HEALTHF0576Severity E · pattern; 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 · 2023-11-202023-11-08 · HEALTHF0585Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2023-11-202023-11-08 · HEALTHF0607Severity C · widespread; potential for minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Deficient, Provider has date of correction · 2023-11-20 · complaint2023-11-08 · HEALTHF0623Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Correction field: Deficient, Provider has date of correction · 2023-11-202023-11-08 · FIREK0211Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2023-11-202023-11-08 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2023-11-202023-11-08 · 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 · 2023-11-202023-08-11 · 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 · 2023-09-09 · 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 |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- DANIELS, MELISSAIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 09/15/2016
- BJERGA, JUDITHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2007
- BRICHACEK, AMYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- CICHOS, JEFIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2016
- GROVE, SARAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/24/2014
- HAEHNEL, BILLYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/01/2015
- HANSEN, LANAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2008
- HOEMBERG, BEVERLYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2011
- JORDAHL, STEPHANIEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2021
- KRAUSE, NORMANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2018
- KRAY, RYANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2021
- LEVEILLE, LINDSAYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2023
- MUELLER, ROBERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/25/2015
- NELSON, KEVINIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2018
- PEET, SUSANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- POTTRATZ, ELIZABETHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2023
- SCHOECK, KAITLYNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/07/2017
- STORBAKKEN, RONALDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2000
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 hours4.41per resident day
RN hours0.82per resident day
Weekend nurse hours3.88per resident day
Staff turnover34.3%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.