01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-06-02 | 0 | 2026-06-02 | 1 |
| Cycle 2 | 2025-04-16 | 2 | 2025-04-16 | 3 |
| Cycle 3 | 2024-07-24 | 1 | 2024-07-24 | 6 |
CMS CCN 2456222026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Meadows On Fairview
25565 Fairview Avenue · Wyoming, MN 55092 · Chisago County
Certified beds14CMS provider file
Recent citation rows13current 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
13 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-06-02 · 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 · 2026-07-312025-04-16 · 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 · 2025-05-232025-04-16 · 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 · 2025-05-232025-04-16 · FIREK0311Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Correction field: Deficient, Provider has date of correction · 2025-05-232025-04-16 · 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 · 2025-05-232025-04-16 · FIREK0920Severity F · widespread; 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 · 2025-05-232024-07-24 · 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 · 2024-08-202024-07-24 · FIREK0324Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2024-08-162024-07-24 · 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 · 2024-09-062024-07-24 · 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 · 2024-08-192024-07-24 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2024-08-142024-07-24 · FIREK0761Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2024-08-142024-07-24 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2024-08-0103 / 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
- EBENEZER SOCIETYOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 11/01/2014
- EBENEZER MANAGEMENT SERVICES INCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/01/2018
- CARLSON-WEINBERG, SUSANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/31/2019
- FAUST, KIMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2022
- HEREFORD, JAMESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/01/2017
- JACOBSON, CAROLYNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2017
- KVENVOLD, GAYLEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/23/2024
- LANDREVILLE, MARKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/21/2024
- MILIUS, MARGARETIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/21/2024
- PIPER, KENNETHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/27/2022
- WALKER, ROBERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/27/2022
- WORDELMAN, SCOTTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/24/2017
- ANDERSON, BRETTIndividual · CORPORATE OFFICERNOT APPLICABLE · since 09/05/2024
- WILLETT, TODDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/24/2016
- EBENEZER MANAGEMENT SERVICES INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2018
- BELL, BRITTANYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/06/2021
- CHEBLI, YASSERIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2022
- LURAAS, KAYLAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2024
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 hours—per resident day
RN hours—per resident day
Weekend nurse hours—per resident day
Staff turnover56.3%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.