Essentia Health Grace Home
116 West Second Street, Graceville, MN 56240 · Big Stone County · (701) 671-4105
30 certified beds, about 19 residents a day · Non profit - Corporation · Medicare and Medicaid since 1991
CMS Care Compare ratings, data as of September 1, 2026 · CCN 245579 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 5, 2026, inspectors cited 0 health deficiencies (the Minnesota average is 7.1, the national average 9.2).
Of 11 health citations since December 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 4.42 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 1.27 of those hours.
36.0% of nursing staff left within the year CMS measured (Minnesota average 42.2%).
CMS links it to Essentia Health, an affiliated group of 6 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.
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.
March 5, 2026Standard inspection · 0 citations
July 1, 2025Complaint inspection · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview and document review, the facility failed to assesses and develop interventions for residents at risk for elopement (leave the facility without staff knowledge) for 1 of 3 residents (R1) reviewed for elopement. Further, the facility failed to test wanderguard (tags that alarm when a resident elopes) tags per manufacturer's recommendations for 3 of 3 residents (R1, R2, and R3) reviewed for elopement.
February 27, 2025Complaint inspection · 1 citation
- G 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 observation, interview and document review, the facility failed to ensure care plan interventions were implemented for 1 of 3 resident (R1) reviewed who required the use of a transfer belt during transfers reviewed for falls. R1 sustained harm when staff failed to implement the use of a transfer belt during a transfer to the bathroom. R1 fell, sustained a bilateral nasal bone fracture, laceration on the forehead, was sent to the emergency department (ED) requiring medical treatment. The facility implemented corrective action prior to the survey so the deficient practice was issued at past non-compliance.
January 15, 2025Standard inspection · 2 citations
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and document review, the facility failed to implement appropriate donning/doffing of personal protective equipment (PPE) practices to prevent the spread of infection for 1 of 3 residents ( R21) observed for enhanced barrier precautions (EBP) (an infection control intervention designed to reduce transmission of multidrug-resistant organisms that employs targeted gown and glove use during high contact resident care activities). This deficient practice had the potential to affect all 22 residents residing in the facility.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on observation, interview and document review, the facility failed to ensure professional standards of practice were followed during medication set-up and administration of insulin with a Novolog insulin pen ( rapid-acting insulin, used to improve blood sugar control in people with diabetes mellitus) for 1 of 2 residents (R12) who received insulin without the pen primed according to manufacturer's recommendations.
December 6, 2023Standard inspection · 7 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure food stored in the refrigerators, were labeled, dated and discarded properly .This deficient practice had the potential to affect all 23 residents who were served food from the kitchen.
- F Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteBased on interview and document review, the facility failed to submit complete and accurate direct care staffing information, including information for agency and contract staff, based on payroll and other verifiable and auditable data, during 1 of 1 quarter reviewed (Quarter 2), to the Centers for Medicare and Medicaid Services (CMS) according to specifications established by CMS. This deficient practice had the potential to affect all 23 residents residing in the facility.
- E Ensure residents have reasonable access to and privacy in their use of communication methods.
Inspectors wroteBased on interview and document review, the facility failed to ensure resident mail was delivered on Saturdays for 4 of 4 residents (R2,R3, R4,R19) who voiced concerns with mail delivery. This deficient practice had the potential to affect all 23 residents residing in the facility.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and document review, the facility failed to ensure staff were completing hand hygiene and using proper personal protective equipment (PPE) according to the Centers for Disease Control (CDC) guidelines during a COVID-19 outbreak in the facility while delivering meal trays to 3 of 3 residents (R14, R17, R7). In addition, the facility failed to ensure proper medication handling for 1 of 3 residents (R15) reviewed for medication administration.
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure residents were assessed for the ability to self administer medications (SAM) for 1 of 1 residents (R23) reviewed for medication administration.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview and document review, the facility failed to provide assistance with personal hygiene for 1 of 1 residents( R11) reviewed for activities of daily living (ADL)'s.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on interview and document review, the facility failed to ensure 2 of 5 residents (R8 and R21) were offered or received pneumococcal vaccinations in accordance with the Center for Disease Control (CDC) recommendations.
Fire safety inspections
4 fire safety citations on file: 4 on December 6, 2023.
Every fire safety citation4 citations
- E Install corridor and hallway doors that block smoke.
- D Have exits that are accessible at all times.
- D Provide properly protected cooking facilities.
- D Ensure proper usage of power strips and extension cords.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 4.42 | 4.19 | 3.86 |
| Registered nurses | 1.27 | 1.06 | 0.69 |
| All nursing staff on weekends | 3.50 | 3.71 | 3.42 |
| Nurse aides | 2.32 | ||
| Licensed practical nurses | 0.83 | ||
| Nursing staff turnover (share who left in a year) | 36.0% | 42.2% | 45.8% |
| Registered nurse turnover | 14.3% | 38.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.23 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 4.79 on weekdays and 3.50 on weekends, 27% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 17.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.71 in April to June 2025 to 4.42 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 | 4.42 | 1.27 | 4.79 | 3.50 | 17.4% | 0 of 90 | 19 |
| Oct to Dec 2025 | 4.75 | 1.52 | 5.13 | 3.79 | 24.8% | 0 of 92 | 18 |
| Jul to Sep 2025 | 4.64 | 1.55 | 5.09 | 3.49 | 21.3% | 0 of 92 | 19 |
| Apr to Jun 2025 | 4.71 | 1.51 | 5.17 | 3.56 | 14.3% | 0 of 91 | 18 |
| 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.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
Official wage estimates for Minnesota
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Minnesota, all employers | |||
| CNAs (nursing assistants) | $22.44 | $19.39 to $23.72 | 29,120 |
| LPNs and LVNs | $30.65 | $28.83 to $34.26 | 12,840 |
| Registered nurses | $48.80 | $42.76 to $55.17 | 70,110 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 18.0 | 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 | 0.0 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 11.4 | 4.0 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 12.4 | 20.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.4 | 5.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 30.0 | 17.1 | 15.4 |
Short-term rehab results
For a stay to recover after a hospital visit, these are the results CMS publishes for Essentia Health Grace Home's Medicare short-stay residents. How to read these, and what Medicare pays for.
CMS reports none of these results for this home: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Owners and operators
Legal business name: GRACEVILLE HEALTH CENTER. CMS links this home to Essentia Health, a group of 6 nursing homes averaging 4.3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Essentia Health | 5% or greater direct ownership interest | Organization | 100% | 07/01/2023 |
| Adams, Marc | Corporate director | Individual | 01/01/2026 | |
| Christensen, James | Corporate director | Individual | 01/01/2020 | |
| Heilman, Tim | Corporate director | Individual | 01/01/2020 | |
| Krejci, Mark | Corporate director | Individual | 01/01/2026 | |
| Lewandowski, Laurie | Corporate director | Individual | 01/01/2017 | |
| Mertz, Taylor | Corporate director | Individual | 05/17/2022 | |
| Pladson, Kimberly | Corporate director | Individual | 01/01/2025 | |
| Saint Georges, Anderson | Corporate director | Individual | 01/01/2025 | |
| Schmidt, Jay | Corporate director | Individual | 01/01/2024 | |
| Smith, Benjamin | Corporate director | Individual | 05/17/2022 | |
| Arvin, Douglas | Corporate officer | Individual | 05/18/2023 | |
| Boren, Kevin | Corporate officer | Individual | 09/29/2025 | |
| Gefroh Ellison, Stefanie | Corporate officer | Individual | 08/12/2024 | |
| Hurley, Alan | Corporate officer | Individual | 05/18/2023 | |
| Watters, Michael | Corporate officer | Individual | 07/01/2023 | |
| Innovis Health LLC | Operational/managerial control | Organization | 01/01/2017 | |
| Arvin, Douglas | Operational/managerial control | Individual | 05/18/2023 | |
| Hurley, Alan | Operational/managerial control | Individual | 05/18/2023 | |
| Schmidt, Jay | Operational/managerial control | Individual | 01/01/2024 | |
| Stueve, Debra | Operational/managerial control | Individual | 02/26/2024 | |
| Essentia Health | Adp of the SNF | Organization | 01/29/2025 | |
| Innovis Health LLC | Adp of the SNF | Organization | 01/29/2025 | |
| Arvin, Douglas | Adp of the SNF | Individual | 05/18/2023 | |
| Hurley, Alan | Adp of the SNF | Individual | 05/18/2023 | |
| Schmidt, Jay | Adp of the SNF | Individual | 01/01/2024 | |
| Stueve, Debra | Adp of the SNF | Individual | 02/26/2024 |
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.
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on January 15, 2025: "Provide and implement an infection prevention and control program."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on July 1, 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 December 6, 2023: "Ensure residents have reasonable access to and privacy in their use of communication methods."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on February 27, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.50 hours per resident per day, below the Minnesota average of 3.71.
Other nursing homes nearby
- Traverse Care Center Wheaton, 16.8 mi · 5 of 5 stars · 11 citations
- Fairway View Neighborhoods Ortonville, 17.1 mi · 2 of 5 stars · 8 citations
- Browns Valley Health Center Browns Valley, 19.2 mi · 3 of 5 stars · 9 citations
- Wilmot Care Center Inc Wilmot, 23.2 mi · 1 of 5 stars · 18 citations
- West Wind Village Morris, 24.5 mi · 5 of 5 stars · 8 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.
- Resident advocate: Minnesota Office of Ombudsman for Long-Term Care, 1-800-657-3591. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- 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 Essentia Health Grace Home's Medicare star rating?
- CMS rates Essentia Health Grace Home 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Essentia Health Grace Home get at its last inspection?
- 0 health deficiencies at the standard inspection on March 5, 2026. The Minnesota average is 7.1.
- Has Essentia Health Grace Home been fined?
- CMS lists no fines in the last three years.
- Does Essentia Health Grace 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 Essentia Health Grace Home?
- CMS lists 27 owners and managers, and links the home to Essentia Health. Legal business name: GRACEVILLE HEALTH CENTER.
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.