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Home / Minnesota / Pine Island

Edenbrook Pine Haven

210 Northwest 3rd Street, Pine Island, MN 55963 · Goodhue County · (507) 356-8304

70 certified beds, about 56 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1986

Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 245359 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 17, 2026, inspectors cited 12 health deficiencies (the Minnesota average is 7.1, the national average 9.2).

Of 35 health citations since January 2024, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $14,898 in the last three years; the largest was $14,898, and the latest is dated January 23, 2024.

Nurses and nurse aides worked 4.47 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 1.11 of those hours.

73.6% 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 35 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
21D
7E
4F
Potential for minimal harm
0A
0B
2C
July 17, 2026Standard inspection, Complaint inspection · 12 citations
  1. F
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    F726 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · deficient, provider has September 14, 2026
    Inspectors wroteBased on interview and document review, the facility failed to ensure nursing staff were appropriately oriented and trained for safe medication administration. This resulted in widespread medication administration errors affecting 16 of 25 residents (R4, R7, R10, R12, R16, R18, R20, R23, R25, R27, R29, R30, R31, R37, R39, and R46) on 7/15/26.
  2. F
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    F835 · Administration · No actual harm, potential for more than minimal harm, widespread · deficient, provider has September 14, 2026
    Inspectors wroteBased on interview and record review, the facility administration team failed to provide oversight and implementation of a competency-based nursing orientation program. This administrative failure resulted in a new graduate nurse working independently without verified competencies, leading to a widespread medication error incident involving high-risk medications. This deficient practice had the potential to impact all residents residing at the facility.
  3. F
    Develop, implement, and/or maintain an effective training program for all new and existing staff members.
    F940 · Administration · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · deficient, provider has September 14, 2026
    Inspectors wroteBased on interview and record review, the facility failed to develop and implement a comprehensive, competency-based nursing orientation program, failed to maintain required competency records in newly hired employee files. This failure resulted in a new graduate nurse working independently without verified competencies, leading to a widespread medication error incident. This deficient practice had the potential to impact all residents who received nursing care at the facility.
  4. E
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    F565 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · deficient, provider has September 14, 2026
    Inspectors wroteBased on record review and interview, the facility failed to act upon grievances and recommendations made by the Resident Council regarding delayed call light response times and delayed resident care. This affected 9 of 9 residents who attended the Resident Council meeting.
  5. E
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · deficient, provider has September 14, 2026
    Inspectors wroteBased on interview and document review, the facility failed to ensure immediate provider notification occurred for 16 out of 25 (R4, R7, R10, R12, R16, R18, R20, R23, R25, R27, R29, R30, R31, R37, R39, and R46) ampled residents who experienced significant medication administration errors, treatment omissions, and missed clinical assessments on 7/15/26. Licensed nursing staff across the day, evening, and night shifts failed to contact the attending providers or conduct required physical assessments. In addition, the facility failed to notity the provider with a weight increase for 1 of 1 resident (R4) reviewed
  6. E
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · deficient, provider has September 14, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure residents were free from significant medication errors. Nursing staff administered medications up to 10 hours late or omitted them entirely, including critical medications such as insulin, anticoagulants, narcotics, and cardiovascular drugs. This affected 16 of 25 residents reviewed (R4, R7, R10, R12, R16, R18, R20, R23, R25, R27, R29, R30, R31, R37, R39, R46).
  7. E
    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, pattern · deficient, provider has September 14, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that discontinued and expired medications were locked and stored separately from active medications, and were disposed of in a timely manner, for 3 of 3 medication rooms reviewed (200/300-unit, 500-unit, and 600-unit medication storage rooms).
  8. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · deficient, provider has September 14, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure proper personal protective equipment was used for 5 of 5 residents (R7, R17, R35, R59, R1) reviewed for enhanced barrier precautions (EBP).
  9. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · deficient, provider has September 14, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a dignified dining experience was provided when staff stood assisting with meals for 3 of 3 residents (R29 ,R43, R37) reviewed for dignity.
  10. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · deficient, provider has September 14, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure care was provided in accordance with a resident's care plan for 1 of 1 residents (R22) reviewed for activities of daily living.
  11. C
    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
    F577 · Resident Rights · No actual harm, potential for minimal harm, widespread · deficient, provider has September 14, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the past 3 years of survey results were readily available and accessible to residents and visitors. This affected 9 of 9 residents reviewed for survey accessibility.
  12. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · deficient, provider has September 14, 2026
    Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure daily nurse staffing hours were consistently posted at the start of each shift. This had the potential to affect all residents, families, and visitors.
August 28, 2025Standard inspection · 6 citations
  1. E
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    F565 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 15, 2025
    Inspectors wroteBased on interview, and document review, the facility failed to prevent the loss of resident's personal clothing by not investigating the root cause of the missing items.
  2. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 15, 2025
    Inspectors wroteBased on observation, interview and document review, the facility failed to ensure a proper procedure was in place to identify a residents resuscitation wish was appropriately updated in the electronic medical record (EMR) in a timely manner based on a signed Physician Orders for Life Sustaining Treatment (POLST, a medical order indicating treatments a person would like to receive in case of serious illness and/or cardiac arrest) for 1 of 1 residents (R60) reviewed for advanced directives.
  3. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 15, 2025
    Inspectors wroteBased on observation, interview and document review, the facility failed to notify the physician in a timely manner for 1 of 1 resident (R5) who frequently refused important medications from certain staff.
  4. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 15, 2025
    Inspectors wroteBased on observation, interview and document review, the facility failed to assess and develop non-pharmacological interventions to promote comfort for 2 of 5 residents (R12, R16) reviewed for pain management.
  5. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 15, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure proper hand hygiene for 1 of 1 resident (R9) reviewed for contact precautions. In addition, the facility failed to ensure proper PPE usage for 2 of 2 (R20, R46) reviewed for enhanced barrier precautions.
  6. 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) October 15, 2025
    Inspectors wroteBased on interview and document review, the facility failed to ensure 1 of 5 sampled residents (R23) was offered and/or provided updated vaccinations for pneumococcal disease, in accordance with Centers for Disease Control (CDC).
December 24, 2024Complaint inspection · 2 citations
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 31, 2025
    Inspectors wroteBased on interview and record review the facility failed to ensure allegations of staff to resident physical abuse were immediately reported to the State Agency (SA) no later than 2 hours after the knowledge of the allegation of abuse, for 1 of 1 residents (R1) reviewed for abuse.
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · 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) January 31, 2025
    Inspectors wroteBased on observation, interview, and document review the facility failed to assess and monitor non-pressure related skin injury (bruises) for changes until resolved for 1 of 1 resident (R1), reviewed for abuse.
October 3, 2024Complaint inspection · 2 citations
  1. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · 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 8, 2024
    Inspectors wroteBased on observation, interview and document review the facility failed to ensure a physician order for oxygen was transcribed accurately to ensure adequate monitoring and oxygen administration and further failed to deliver oxygen as ordered for 1 of 1 residents (R5) reviewed for oxygen use.
  2. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 8, 2024
    Inspectors wroteBased on observation, interview, and document review the facility failed to ensure enhanced barrier precautions (EBP) were implemented for management of wound care to reduce the risk of infection to others for 1 of 1 resident (R6) who was reviewed for infection control and prevention.
July 17, 2024Standard inspection · 11 citations
  1. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 26, 2024
    Inspectors wroteBased on observation, interview and document review, the facility failed to ensure staff donned (put on) appropriate personal protective equipment (PPE) for enhanced barrier precautions (EBP), and contact precautions for 2 of 3 residents (R207, R48), and failed to ensure a clean laundry area was maintained. Additionally, the facility failed to ensure resident ice packs were stored separately from food storage on 2 of 4 unit refrigerators. This had the potential to impact the 29 residents who reside on those units.
  2. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 26, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a high temperature sanitizing dishwasher reached the rinse temperature required to sanitize of dishware used for resident service . Furthermore, the facility failed to ensure resident water/ice machines and the high temperature dishwasher were cleaned in 2 resident care units. This had the potential to impact all 29 residents who reside in the 500 and 600 care units.
  3. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 26, 2024
    Inspectors wroteBased on observation, interview, and document review the facility failed to determine if self-administration of medication was appropriate for 1 of 1 resident (R 25) reviewed who was left alone to administer a medication with out staff present.
  4. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 26, 2024
    Inspectors wroteBased on interview and document review, the facility failed to ensure a comprehensive and individualized care plan was developed for 1 of 2 residents (R3) reviewed for psychotropic medication use.
  5. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 26, 2024
    Inspectors wroteBased on observation, interview, and document review the facility failed to identify and monitor bruising for 1 of 1 residents (R37) observed for skin alterations and failed to ensure open wounds related to moisture associated skin damage (MASD, inflammation and skin deterioration due to moisture) were routinely assessed for healing for 1 of 1 residents (R22) reviewed for non-pressure wounds.
  6. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 26, 2024
    Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure proper catheter management for 1 of 1 resident (R207) reviewed for catheters.
  7. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 26, 2024
    Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure supplemental oxygen was delivered according to physician orders, and failed to ensure oxygen tubing was properly maintained per professional standards for 1 of 1 resident (R17) reviewed for respiratory care.
  8. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 26, 2024
    Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure collaboration with the dialysis facility for 1 of 1 resident (R14) reviewed for dialysis.
  9. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 26, 2024
    Inspectors wroteBased on interview and document review the pharmacist failed to identify and report a psychotropic medication (medication to stabilize mood) was increased without implementing non-pharmacological interventions and without indication the increased dose was clinically significant after a gradual dose reduction (GDR) for 1of 2 residents (R3) reviewed who required psychotropic medications. R3's quarterly Minimum Data Set (MDS) assessment, dated 4/23/24, indicated R3 had mild cognitive impairment and diagnoses of bipolar disorder (mood disorder that caused intense shifts in mood and behaviors). R3 had no behaviors, delusions, or refusal of cares. Furthermore, R3's MDS indicated R3 received psychotropic medications on a routine basis. [...]
  10. 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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 26, 2024
    Inspectors wroteBased on interview and record review the facility failed to ensure an increased dose of a psychotropic medication (medication to stabilize mood) was clinically indicated after a gradual dose reduction (GDR) after a for 1 of 2 residents (R3) reviewed who required psychotropic medications.
  11. 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) August 26, 2024
    Inspectors wroteBased on interview, and document review, the facility failed to ensure 2 of 5 residents (R48, R36) were offered or received pneumococcal vaccination in accordance to Center for Disease Control (CDC) recommendations.
January 23, 2024Complaint inspection · 2 citations
  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 · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observation, interview and document review, the facility failed to ensure a transfer belt to assist with a safe transfers for 1 of 3 residents (R1) reviewed for falls. This resulted in actual harm for R1 who fell when being transferred without a transfer belt, which which resulted in a fall with a pelvic fracture and subdural hematoma (brain bleed) requiring hospitalization. This deficient practice is being cited at past non-compliance related to corrective action taken to ensure proper use of transfer belt prior to the survey.
  2. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 16, 2024
    Inspectors wroteBased on observation, interview and document review, the facility failed to ensure care planned fall interventions were implemented as directed by the care plan for 1 of 3 residents (R3) reviewed for accidents.

Fire safety inspections

30 fire safety citations on file: 13 on July 17, 2026, 4 on August 28, 2025, 13 on July 17, 2024.

Every fire safety citation30 citations
  1. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · July 17, 2026 · deficient, provider has
  2. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 17, 2026 · deficient, provider has
  3. F
    Install corridor and hallway doors that block smoke.
    K 363 · July 17, 2026 · deficient, provider has
  4. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · July 17, 2026 · deficient, provider has
  5. F
    Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
    K 700 · July 17, 2026 · deficient, provider has
  6. F
    Provide a written emergency evacuation plan.
    K 711 · July 17, 2026 · deficient, provider has
  7. F
    Have simulated fire drills held at unexpected times.
    K 712 · July 17, 2026 · deficient, provider has
  8. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · July 17, 2026 · deficient, provider has
  9. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · July 17, 2026 · deficient, provider has
  10. F
    Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
    K 926 · July 17, 2026 · deficient, provider has
  11. D
    Ensure proper usage of power strips and extension cords.
    K 920 · July 17, 2026 · deficient, provider has
  12. C
    Follow proper procedures when the fire alarm was out of service for more than 4 hours.
    K 346 · July 17, 2026 · deficient, provider has
  13. C
    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
    K 354 · July 17, 2026 · deficient, provider has
  14. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 28, 2025 · Corrected (the home has a date of correction)
  15. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · August 28, 2025 · Corrected (the home has a date of correction)
  16. F
    Have simulated fire drills held at unexpected times.
    K 712 · August 28, 2025 · Corrected (the home has a date of correction)
  17. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · August 28, 2025 · Corrected (the home has a date of correction)
  18. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · July 17, 2024 · Corrected (the home has a date of correction)
  19. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 17, 2024 · Corrected (the home has a date of correction)
  20. F
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · July 17, 2024 · Corrected (the home has a date of correction)
  21. F
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · July 17, 2024 · Corrected (the home has a date of correction)
  22. F
    Install properly constructed and protected linen or trash chutes.
    K 541 · July 17, 2024 · Corrected (the home has a date of correction)
  23. F
    Have simulated fire drills held at unexpected times.
    K 712 · July 17, 2024 · Corrected (the home has a date of correction)
  24. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · July 17, 2024 · Corrected (the home has a date of correction)
  25. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · July 17, 2024 · Corrected (the home has a date of correction)
  26. F
    Have proper medical gas storage and administration areas.
    K 923 · July 17, 2024 · Corrected (the home has a date of correction)
  27. F
    Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
    K 926 · July 17, 2024 · Corrected (the home has a date of correction)
  28. E
    Ensure proper usage of power strips and extension cords.
    K 920 · July 17, 2024 · Corrected (the home has a date of correction)
  29. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · July 17, 2024 · Corrected (the home has a date of correction)
  30. C
    Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
    K 901 · July 17, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
January 23, 2024Fine $14,898

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)4.474.193.86
Registered nurses1.111.060.69
All nursing staff on weekends3.893.713.42
Nurse aides2.62
Licensed practical nurses0.74
Nursing staff turnover (share who left in a year)73.6%42.2%45.8%
Registered nurse turnover70.0%38.6%42.9%
Administrators who left2

CMS expects 3.58 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 3.89 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 19.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.33 in April to June 2025 to 4.47 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.471.114.703.89 19.5%0 of 9056
Oct to Dec 20254.331.304.563.72 31.4%0 of 9258
Jul to Sep 20254.871.455.114.24 27.2%0 of 9253
Apr to Jun 20254.331.094.553.76 26.1%0 of 9155
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
13.018.213.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
6.01.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.62.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
5.74.03.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.91.91.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
16.320.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
6.75.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
15.417.115.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
21.523.523.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
10.314.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.61.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.01.91.8

Owners and operators

Legal business name: Legal Business Name Not Available.

NameRoleTypeShareSince
Ownership data not available

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 residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 8 problems in this area, most recently on July 17, 2026: "Honor the resident's right to organize and participate in resident/family groups in the facility."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 8 problems in this area, most recently on August 28, 2025: "Provide safe, appropriate pain management for a resident who requires such services."
  3. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 6 problems in this area, most recently on July 17, 2026: "Provide and implement an infection prevention and control program."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on July 17, 2026: "Ensure that residents are free from significant medication errors."
  5. How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

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Common questions

What is Edenbrook Pine Haven's Medicare star rating?
CMS rates Edenbrook Pine Haven 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Edenbrook Pine Haven get at its last inspection?
12 health deficiencies at the standard inspection on July 17, 2026. The Minnesota average is 7.1.
Has Edenbrook Pine Haven been fined?
Yes. CMS lists 1 fine totaling $14,898 in the last three years.
Does Edenbrook Pine Haven 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 Edenbrook Pine Haven?
CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.

Sources

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