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Annandale Care Center Inc

500 Park Street East, Annandale, MN 55302 · Wright County · (320) 274-3737

42 certified beds, about 39 residents a day · Non profit - Corporation · Medicare and Medicaid since 1986

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 245364 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on August 13, 2025, inspectors cited 1 health deficiency (the Minnesota average is 7.1, the national average 9.2).

Of 5 health citations since July 2023, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.41 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 1.01 of those hours.

47.5% of nursing staff left within the year CMS measured (Minnesota average 42.2%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 5 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
4D
0E
0F
Potential for minimal harm
0A
0B
0C
August 13, 2025Standard inspection, Complaint inspection · 1 citation
  1. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 15, 2025
    Inspectors wroteBased on observation and interview the facility failed to label and properly dispose of expired medications reviewed in 1 of 2 medications carts. This had the potential to 17 out of 34 residents in the facility whose medications were stored in the cart.
June 17, 2025Complaint inspection · 1 citation
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 23, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to comprehensively assess environmental hazards and/or ensure the environment was free from accident hazards for 1 of 3 residents (R1) reviewed for falls. The facility's failures caused actual harm when R1 tripped and fell on a mechanical lift which resulted R1 suffering multiple rib fractures with hemothorax, unstable T11 fracture, and a large laceration to her elbow.
October 23, 2024Complaint inspection · 1 citation
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 15, 2024
    Inspectors wroteBased on interview and document review, the facility failed to ensure residents were free from falls for 2 of 3 residents (R1, R2) reviewed for falls.
May 15, 2024Standard inspection · 0 citations
July 26, 2023Standard inspection · 2 citations
  1. D
    Provide routine and 24-hour emergency dental care for each resident.
    F790 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 29, 2023
    Inspectors wroteBased on interview and document review, the facility failed to follow up with the dental provider after a dental evaluation was completed, and a need for a treatment had been identified for 1 of 1 residents (R25) reviewed for dental concerns.
  2. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 29, 2023
    Inspectors wroteBased on interview and document review, the facility failed to ensure 2 of 5 residents (R26 and R35) were offered, or received, the pneumococcal vaccine (PCV20) in accordance with the Centers for Disease Control (CDC) recommendations.

Fire safety inspections

11 fire safety citations on file: 7 on May 15, 2024, 4 on July 26, 2023.

Every fire safety citation11 citations
  1. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 15, 2024 · Corrected (the home has a date of correction)
  2. F
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · May 15, 2024 · Corrected (the home has a date of correction)
  3. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · May 15, 2024 · Corrected (the home has a date of correction)
  4. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · May 15, 2024 · Corrected (the home has a date of correction)
  5. E
    Install corridor and hallway doors that block smoke.
    K 363 · May 15, 2024 · Corrected (the home has a date of correction)
  6. E
    Ensure proper usage of power strips and extension cords.
    K 920 · May 15, 2024 · Corrected (the home has a date of correction)
  7. C
    Have simulated fire drills held at unexpected times.
    K 712 · May 15, 2024 · Corrected (the home has a date of correction)
  8. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · July 26, 2023 · Corrected (the home has a date of correction)
  9. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · July 26, 2023 · Corrected (the home has a date of correction)
  10. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · July 26, 2023 · Corrected (the home has a date of correction)
  11. D
    Provide properly protected cooking facilities.
    K 324 · July 26, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
June 17, 2025Payment Denial 6 days from July 17, 2025

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeMinnesotaUnited States
All nursing staff (RN, LPN and aides)4.414.193.86
Registered nurses1.011.060.69
All nursing staff on weekends3.703.713.42
Nurse aides2.60
Licensed practical nurses0.80
Nursing staff turnover (share who left in a year)47.5%42.2%45.8%
Registered nurse turnover45.5%38.6%42.9%
Administrators who left0

CMS expects 3.64 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.70 on weekdays and 3.70 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.65 in April to June 2025 to 4.41 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.411.014.703.70 0.8%0 of 9039
Oct to Dec 20254.410.884.683.74 0.3%0 of 9238
Jul to Sep 20254.600.954.873.89 0.6%0 of 9237
Apr to Jun 20254.651.155.023.72 0.8%0 of 9133
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Minnesota, Jan to Mar 20264.191.054.383.735.2%0.8% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeMinnesotaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
14.718.213.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
2.11.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.92.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.24.03.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.91.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
18.320.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.25.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
12.317.115.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
37.923.523.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
9.114.812.0

Owners and operators

Legal business name: ANNANDALE CARE CENTER.

NameRoleTypeShareSince
Brown, SheldonCorporate directorIndividual04/01/2024
Gruys, KatherineCorporate directorIndividual03/01/2023
Millner, RogerCorporate directorIndividual04/01/2013
Dircks, LindaCorporate officerIndividual04/01/2020
Manuel, AngelaCorporate officerIndividual04/01/2022
Miller, MarkCorporate officerIndividual04/01/2015
Niska, ElsaCorporate officerIndividual01/11/2023
Niska, ElsaOperational/managerial controlIndividual01/11/2023
Watkins, DouglasOperational/managerial controlIndividual05/01/2023
Niska, ElsaAdp of the SNFIndividual01/11/2023
Watkins, DouglasAdp of the SNFIndividual05/01/2023

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on June 17, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on August 13, 2025: "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."
  3. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on July 26, 2023: "Develop and implement policies and procedures for flu and pneumonia vaccinations."
  4. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.70 hours per resident per day, below the Minnesota average of 3.71.

Other nursing homes nearby

Minnesota contacts for a concern about a nursing home

These are the official offices in Minnesota. NursingHomeClear cannot take or act on complaints.

Common questions

What is Annandale Care Center Inc's Medicare star rating?
CMS rates Annandale Care Center Inc 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Annandale Care Center Inc get at its last inspection?
1 health deficiency at the standard inspection on August 13, 2025. The Minnesota average is 7.1.
Has Annandale Care Center Inc been fined?
CMS lists no fines in the last three years.
Does Annandale Care Center Inc accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Annandale Care Center Inc?
CMS lists 11 owners and managers. Legal business name: ANNANDALE CARE CENTER.

Sources

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