01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-06-04 | 8 | 2026-06-04 | 8 |
| Cycle 2 | 2025-03-27 | 8 | 2025-03-27 | 6 |
| Cycle 3 | 2024-07-31 | 9 | 2024-07-31 | 11 |
CMS CCN 2454842026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Villa St. Vincent
516 Walsh Street · Crookston, MN 56716 · Polk County
Certified beds100CMS provider file
Recent citation rows50current CMS citation release
Penalty rows1current 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
50 rows in the current release
5 rows carry G–L scope/severity codes; 1 carry J–L. 11 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-06-04 · 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 · 2026-07-092026-06-04 · 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 · 2026-07-092026-06-04 · HEALTHF0600Severity J · isolated immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2026-07-092026-06-04 · HEALTHF0604Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Correction field: Deficient, Provider has date of correction · 2026-07-092026-06-04 · 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 · 2026-07-092026-06-04 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2026-07-092026-06-04 · HEALTHF0883Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2026-07-092026-06-04 · HEALTHF0887Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Correction field: Deficient, Provider has date of correction · 2026-07-092026-06-04 · FIREK0223Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Correction field: Deficient, Provider has plan of correction · 2026-07-092026-06-04 · FIREK0324Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has plan of correction · 2026-07-092026-06-04 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has plan of correction · 2026-07-092026-06-04 · FIREK0372Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has plan of correction · 2026-07-092026-06-04 · FIREK0511Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has plan of correction · 2026-07-092026-06-04 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has plan of correction · 2026-07-092026-06-04 · FIREK0741Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Correction field: Deficient, Provider has plan of correction · 2026-07-092026-06-04 · FIREK0781Severity D · isolated; potential for more than minimal harm
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Correction field: Deficient, Provider has plan of correction · 2026-07-092025-07-10 · HEALTHF0600Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2025-08-06 · complaint2025-07-10 · 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 · 2025-08-06 · complaint2025-07-10 · HEALTHF0760Severity G · isolated actual harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Past Non-Compliance · 2025-07-02 · complaint2025-06-05 · 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 · 2025-07-02 · complaint2025-03-27 · HEALTHF0585Severity D · isolated; 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 · 2025-05-052025-03-27 · HEALTHF0758Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Correction field: Deficient, Provider has date of correction · 2025-05-052025-03-27 · 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 · 2025-05-052025-03-27 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2025-05-0503 / 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 |
|---|---|---|---|
| 2024-07-31 | Fine | $29,234 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- HULST, JUDYIndividual · CONTRACTED MANAGING EMPLOYEENOT APPLICABLE · since 10/01/2008
- FREBERG, KENTONIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/01/2013
- HANSON, JORGINEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/01/2018
- HARBOTT, STEPHANIEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/01/2012
- JAHANNECK, DANIELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/01/2011
- JOHNSON, LYNNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/01/2018
- KOENIG, KARIIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2011
- MILLER, KARIIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/01/2011
- MJOEN, MARLYSIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/01/2012
- NICHOLAS, LEROYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2017
- PRZYBILLA, STEVENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2015
- RING, BRUCEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2016
- SLOTTEN, GREGORYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/01/2018
- WHALEN, ANITAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2010
- BERGIEN, TRICIAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 11/16/2016
- JOHNSON, WENDALLIndividual · CORPORATE OFFICERNOT APPLICABLE · since 08/01/2011
- RYMANOWSKI, KEVINIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2008
- SNYDER, JAMESIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2010
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 hours3.96per resident day
RN hours0.71per resident day
Weekend nurse hours3.44per resident day
Staff turnover42.3%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.