St Johns On Fountain Lake is an average performer in CMS ratings, earning a C grade with a score of 57/100. Located in Albert Lea, Minnesota, the facility meets baseline standards across most quality metrics.
Staffing levels at St Johns On Fountain Lake exceed national averages, with 4.88 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.97 hours per resident per day also exceeds the national average of 0.7 hours.
Recent CMS inspections identified 30 deficiencies at St Johns On Fountain Lake, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.88 | 3.8 | Above Average |
| Registered Nurses (RN) | 0.97 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 1.01 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.91 | 2.4 | Above Average |
| Weekend Total Nursing | 4.34 | 3.8 | Above Average |
| Weekend RN Hours | 0.42 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Dec 2, 2025 · Nutrition and Dietary Deficiencies
- Tag 0554 Severity DAllow residents to self-administer drugs if determined clinically appropriate.Dec 2, 2025 · Resident Rights Deficiencies
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Dec 2, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0679 Severity DProvide activities to meet all resident's needs.Dec 2, 2025 · Quality of Life and Care Deficiencies
- Tag 0686 Severity DProvide appropriate pressure ulcer care and prevent new ulcers from developing.Dec 2, 2025 · Quality of Life and Care 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 | 7.7% | 4.5% | Worse |
| Falls with major injury | 6.9% | 3.0% | Worse |
| On antipsychotic medication | 15.7% | 14.5% | Average |
| Urinary tract infections | 3.9% | 2.5% | Worse |
| ADL decline (daily activities) | 15.8% | 14.0% | Worse |
| Excessive weight loss | 2.1% | 7.5% | Better |
| New/worsened incontinence | 25.8% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $16,448
How This Grade Was Calculated
This facility's grade of C is based on a score of 57 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 5★ → 20 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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