01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-03-27 | 5 | 2026-03-27 | 3 |
| Cycle 2 | 2024-11-21 | 7 | 2024-11-21 | 2 |
| Cycle 3 | 2023-09-08 | 8 | 2023-09-08 | 7 |
CMS CCN 3852062026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Mennonite Home
5353 Columbus Street Se · Albany, OR 97321 · Linn County
Certified beds95CMS provider file
Recent citation rows32current 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
32 rows in the current release
2 rows carry G–L scope/severity codes; 0 carry J–L. 6 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-03-27 · 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 · 2026-05-052026-03-27 · HEALTHF0552Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Correction field: Deficient, Provider has date of correction · 2026-05-052026-03-27 · 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 · 2026-05-052026-03-27 · HEALTHF0760Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2026-05-052026-03-27 · HEALTHF0761Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Correction field: Deficient, Provider has date of correction · 2026-05-052026-03-27 · 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 · 2026-04-302026-03-27 · 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 · 2026-05-052026-03-27 · FIREK0355Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2026-05-052025-03-04 · 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 · 2025-04-23 · complaint2024-11-21 · 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 · 2025-01-102024-11-21 · HEALTHF0552Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Correction field: Deficient, Provider has date of correction · 2025-01-102024-11-21 · HEALTHF0636Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Correction field: Deficient, Provider has date of correction · 2025-01-102024-11-21 · 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 · 2025-01-102024-11-21 · 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 · 2025-01-102024-11-21 · 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 · 2025-01-102024-11-21 · FIREK0222Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2025-01-102024-11-21 · 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 · 2025-01-102024-07-24 · 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 · 2024-09-12 · complaint2023-09-08 · FIREE0013Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop Emergency Preparedness policies and procedures.
Correction field: Deficient, Provider has date of correction · 2023-10-282023-09-08 · FIREE0015Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Correction field: Deficient, Provider has date of correction · 2023-10-282023-09-08 · FIREE0018Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish procedures for tracking staff and patients during an emergency.
Correction field: Deficient, Provider has date of correction · 2023-10-282023-09-08 · HEALTHF0553Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Correction field: Deficient, Provider has date of correction · 2023-10-282023-09-08 · HEALTHF0578Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Correction field: Deficient, Provider has date of correction · 2023-10-282023-09-08 · HEALTHF0642Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure a qualified health professional conducts resident assessments.
Correction field: Deficient, Provider has date of correction · 2023-10-2803 / 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 |
|---|---|---|---|
| 2025-03-04 | Fine | $9,110 | 0 |
| 2024-07-24 | Fine | $8,824 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- HANSELL, SHAUNAIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 12/05/2012
- RUMPEL, MAUREENIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 09/28/2018
- TRAHAN, ANGELAIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 02/07/2011
- WALLS, ELIZABETHIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 11/08/2006
- BAKER, MICHAELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/31/2013
- DESOYZA, SHANILKAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/31/2016
- FERRIS, NANCYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/18/2018
- HISTAND, PHILLIPIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/06/2021
- JACOBO, KRISTIIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/06/2018
- MELERO, MARYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/04/2021
- PIMM, RICKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/06/2018
- ROPP, DENNISIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/28/2015
- STUTZMAN, GENEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/13/2021
- TIESZEN, BRETTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/08/2018
- HOOD, DIANEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/30/2023
- MARS, CLIFFORDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 08/06/2012
- WALLS, ELIZABETHIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/28/2015
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 hours4.76per resident day
RN hours0.56per resident day
Weekend nurse hours4.28per resident day
Staff turnover62.5%CMS reported field
06 / LOCAL RECORDS
Open the Albany ledger →