Gundersen St Elizabeth'S Care Center faces challenges in its CMS ratings, earning a D grade with a score of 54/100. The facility ranks in the 42th percentile among Minnesota nursing homes, suggesting significant room for improvement.
Recent inspections identified 8 deficiencies at Gundersen St Elizabeth'S Care Center. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 20 / 25 pts
4 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures
🏥 Staffing Details
Staffing hours data not available for this facility.
🔍 Inspection & Deficiency History
8
Total Deficiencies
May 20, 2025
Most Recent Inspection
⚪ 2 Minor 🟠 6 Moderate
View recent deficiencies (5 shown)
- Tag 0700 Severity ETry 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 theseMay 20, 2025 · Quality of Life and Care Deficiencies
- Tag 0605 Severity EPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.May 20, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0726 Severity DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.May 20, 2025 · Nursing and Physician Services Deficiencies
- Tag 0699 Severity DProvide care or services that was trauma informed and/or culturally competent.May 20, 2025 · Quality of Life and Care Deficiencies
- Tag 0623 Severity DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including aApr 3, 2024 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 5.0% | 4.5% | Worse |
| Falls with major injury | 3.7% | 3.0% | Worse |
| On antipsychotic medication | 11.1% | 14.5% | Better |
| Urinary tract infections | 3.4% | 2.5% | Worse |
| ADL decline (daily activities) | 25.2% | 14.0% | Worse |
| Excessive weight loss | 5.3% | 7.5% | Better |
| New/worsened incontinence | 24.7% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of D is based on a score of 54 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 4★ → 20 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
Ownership
Non profit - Corporation
Certified Beds
100
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
May 20, 2025
Deficiencies (Cycle 1)
5
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