Home / Minnesota / Cold Spring
Assumption Home
715 North First Street, Cold Spring, MN 56320 · Stearns County · (320) 685-3693
76 certified beds, about 73 residents a day · Non profit - Church related · Medicare and Medicaid since 1987
Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 245446 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on November 20, 2025, inspectors cited 7 health deficiencies (the Minnesota average is 7.1, the national average 9.2).
Of 11 health citations since November 2023, 2 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $17,345 in the last three years; the largest was $17,345, and the latest is dated November 20, 2025.
Nurses and nurse aides worked 4.01 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 0.68 of those hours.
44.1% of nursing staff left within the year CMS measured (Minnesota average 42.2%).
CMS links it to Benedictine Health System, an affiliated group of 23 nursing homes.
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.
211/23
105/24
108/24
011/24
711/25
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 11 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
6D
2E
0F
Potential for minimal harm
0A
1B
0C
November 20, 2025Standard inspection · 7 citations
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview and document review the facility failed to ensure the appropriate size sling was used and the straps on the EZ Way sling were secured to the mechanical EZ Way smart lift during transfer of 1 of 2 residents (R13) reviewed for mechanical lift transfers. This failure resulted in Immediate Jeopardy to resident health and safety when the loop for the lift sling was not secured properly causing it to come undone. This resulted in R13 sliding out of the sling and falling to the floor. R13 and sustained an abrasion to the posterior head (right side). The Immediate Jeopardy began on 8/3/25 when R13 slid out of the lift sling. The administrator was notified of the immediate jeopardy at 9:02 a.m. on 11/20/25. The immediate jeopardy was removed on 8/12/25, prior to survey and was therefore issued at Past Noncompliance.
- E Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff assisted residents with eating in a manner that supported dignity for 5 of 5 residents (R2, R13, R43, R44, and R51) reviewed for dining assistance. Specifically, staff stood over residents while feeding them, rather than assisting them at eye level, which compromised dignity and created the potential for discomfort, decreased meal satisfaction, and a lack of person-centered dining support.
- E Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on interview and record review, the facility failed to ensure the pneumococcal conjugate vaccine (PCV20) was offered to 4 of 5 residents (R34, R37, R39, and R48) reviewed for pneumococcal immunization. Specifically, each resident had signed consent for pneumococcal vaccination; however, the facility failed to assess eligibility and offer PCV20 in accordance with CDC and facility immunization guidelines. This failure resulted in missed vaccination opportunities and increased the risk for preventable pneumococcal disease.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and record review, the facility failed to report to the State Agency (SA), as required by federal regulations, a fall involving a mechanical lift transfer, an incident that may indicate potential neglect. This deficient practice affected 1 of 1 residents (R13) reviewed for fall from mechanical lift, however it had the potential to affect all residents requiring the use of mechanical lift for transfers.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interview and record review, the facility failed to ensure a comprehensive, person-centered care plan was developed and maintained to address a resident's cardiac condition and implanted pacemaker for 1 of 1 resident (R10) reviewed for cardiac devices. The failure to include the resident's pacemaker in the care plan created the potential for inadequate monitoring, delayed identification of complications, inappropriate interventions during emergencies, and failure to communicate essential information to direct care staff.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff provided timely and adequate assistance with eating for 1 of 5 residents (R2) reviewed for dining assistance. Specifically, staff failed to assist a dependent resident within an appropriate timeframe, resulting in the resident's meal becoming cold before assistance was provided. This deficient practice created the potential for reduced nutritional intake, decreased meal satisfaction, and compromised dignity.
- D 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.
Inspectors wroteBased on interview and record review, the facility failed to ensure a COVID-19 booster vaccination was administered as consented for 1 of 5 residents (R37) reviewed for immunization. Specifically, the facility obtained documented consent for a COVID-19 booster but failed to administer the vaccine, resulting in a missed immunization opportunity and potential increased risk for preventable illness.
November 7, 2024Standard inspection · 0 citations
August 14, 2024Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview and document review, the facility failed to ensure a full body mechanical lift was used per manufacturers recommendations for 1 of 3 residents (R1) reviewed for mechanical lift use. This resulted in actual harm for R1 when staff failed to ensure the lift sling was secured prior to transfer causing R1 to fall from the lift causing pain and a fractured clavicle.
May 14, 2024Complaint inspection · 1 citation
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and document review, the facility failed to ensure an allegation of staff to resident abuse was reported immediately (within two hours) to the State Agency (SA) for 1 of 2 residents (R1) reviewed for abuse.
November 1, 2023Standard inspection · 2 citations
- D 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.
Inspectors wroteBased on observation, interview, and document review, the facility failed to monitor labs with the use of an antipsychotic medication for 1 of 5 residents (R17) reviewed for unnecessary medications.
- B Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on interview and document review, the facility failed to ensure the long-term care (LTC) Ombudsman was notified of hospitalizations (i.e., facility-initiated discharges) for 4 of 4 residents (R8, R56, R61 and R166) reviewed for hospitalization.
Fire safety inspections
5 fire safety citations on file: 5 on November 7, 2024.
Every fire safety citation5 citations
- E Have approved installation, maintenance and testing program for fire alarm systems.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Provide properly protected cooking facilities.
- D Inspect, test, and maintain automatic sprinkler systems.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| November 20, 2025 | Fine | $17,345 |
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.
| Measure | This home | Minnesota | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.01 | 4.19 | 3.86 |
| Registered nurses | 0.68 | 1.06 | 0.69 |
| All nursing staff on weekends | 3.54 | 3.71 | 3.42 |
| Nurse aides | 2.52 | ||
| Licensed practical nurses | 0.80 | ||
| Nursing staff turnover (share who left in a year) | 44.1% | 42.2% | 45.8% |
| Registered nurse turnover | 10.0% | 38.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.28 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 4.20 on weekdays and 3.54 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.26 in April to June 2025 to 4.01 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.01 | 0.68 | 4.20 | 3.54 | 0.0% | 0 of 90 | 73 |
| Oct to Dec 2025 | 4.07 | 0.67 | 4.26 | 3.58 | 0.0% | 0 of 92 | 72 |
| Jul to Sep 2025 | 4.01 | 0.65 | 4.18 | 3.58 | 0.0% | 0 of 92 | 73 |
| Apr to Jun 2025 | 4.26 | 0.78 | 4.44 | 3.81 | 0.0% | 0 of 91 | 71 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Minnesota, Jan to Mar 2026 | 4.19 | 1.05 | 4.38 | 3.73 | 5.2% | 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.
| Measure | This home | Minnesota | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 22.8 | 18.2 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.0 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.8 | 4.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.9 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.7 | 20.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.8 | 5.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.9 | 17.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.3 | 23.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 4.2 | 14.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.9 | 1.8 |
Owners and operators
Legal business name: ASSUMPTION HOME, INC.. CMS links this home to Benedictine Health System, a group of 23 nursing homes averaging 2.8 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Carley, Gerald | Corporate director | Individual | 01/01/2024 | |
| Frie, Adam | Corporate director | Individual | 01/01/2024 | |
| Holthaus, Nicole | Corporate director | Individual | 01/01/2024 | |
| Knudson, Kyle | Corporate director | Individual | 10/24/2024 | |
| Peterson, Anneliese | Corporate director | Individual | 01/01/2024 | |
| Rymanowski, Kevin | Corporate director | Individual | 01/01/2024 | |
| Scheierl, Leroy | Corporate director | Individual | 01/01/2024 | |
| Stang, Merilee | Corporate director | Individual | 01/01/2024 | |
| Bergien, Tricia | Corporate officer | Individual | 01/01/2024 | |
| Benedictine Health System | Operational/managerial control | Organization | 01/01/2024 | |
| Major, Anne | Operational/managerial control | Individual | 04/29/2024 | |
| Watkins, Douglas | Operational/managerial control | Individual | 04/01/2025 | |
| Benedictine Health System | Adp of the SNF | Organization | 01/01/2024 | |
| Major, Anne | Adp of the SNF | Individual | 12/08/2025 | |
| Watkins, Douglas | Adp of the SNF | Individual | 04/01/2025 |
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.
- 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 November 20, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on November 20, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on November 20, 2025: "Develop and implement policies and procedures for flu and pneumonia vaccinations."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on November 20, 2025: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.54 hours per resident per day, below the Minnesota average of 3.71.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Cura of Watkins Watkins, 9.5 mi · 5 of 5 stars · 5 citations
- Sterling Park Health Care Center Waite Park, 12.5 mi · 2 of 5 stars · 19 citations
- Benedictine Living Community Mother of Mercy Albany, 14.2 mi · 2 of 5 stars · 31 citations
- Cura of Paynesville Paynesville, 14.7 mi · 4 of 5 stars · 6 citations
- St. Benedicts Care Center Saint Cloud, 16.1 mi · 3 of 5 stars · 16 citations
- Good Shepherd Lutheran Home Sauk Rapids, 16.1 mi · 5 of 5 stars · 24 citations
- Edenbrook of St. Cloud Saint Cloud, 16.2 mi · 3 of 5 stars · 35 citations
- Country Manor Healthcare and Rehab Center Sartell, 16.2 mi · 5 of 5 stars · 4 citations
Minnesota contacts for a concern about a nursing home
These are the official offices in Minnesota. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Minnesota Department of Health, Health Regulation Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
- State inspection reports: MDH Nursing and Boarding Care Home Survey and Complaint Inspection Findings, where Minnesota publishes its own records on licensed homes.
Common questions
- What is Assumption Home's Medicare star rating?
- CMS rates Assumption Home 5 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Assumption Home get at its last inspection?
- 7 health deficiencies at the standard inspection on November 20, 2025. The Minnesota average is 7.1.
- Has Assumption Home been fined?
- Yes. CMS lists 1 fine totaling $17,345 in the last three years.
- Does Assumption Home 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 Assumption Home?
- CMS lists 15 owners and managers, and links the home to Benedictine Health System. Legal business name: ASSUMPTION HOME, INC..
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.