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Evansville Care Center

649 State Street Northwest, Evansville, MN 56326 · Douglas County · (218) 948-2219

27 certified beds, about 23 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1988

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 245510 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 21, 2026, inspectors cited 2 health deficiencies (the Minnesota average is 7.1, the national average 9.2).

None of its 8 health citations since December 2023 was rated as actual harm or immediate jeopardy.

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

Nurses and nurse aides worked 3.92 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 1.29 of those hours.

16.0% 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 8 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
0E
1F
Potential for minimal harm
0A
0B
0C
January 21, 2026Standard inspection · 2 citations
  1. F
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    F867 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 20, 2026
    Inspectors wroteBased on interview and document review the facility failed to ensure the Quality Assessment and Assurance (QAA)/Quality Assurance Process improvement (QAPI) committee was effective in implementing appropriate action plans to correct quality deficiencies identified in previous surveys related to careplans which resulted in deficiencies identified during this survey. This deficient practice had the potential to affect all 24 residents residing in the facility.
  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 · Corrected (the home has a date of correction) February 20, 2026
    Inspectors wroteBased on interview, document review, and observation, the facility failed to ensure a comprehensive care plan was developed, and maintained to ensure appropriate care was provided for 2 of 12 (R21, R20) residents reviewed for comprehensive care plan. R20 R20's quarterly Minimum Data Set (MDS) dated [DATE], identified R20 was cognitively intact and had diagnoses which included heart failure, arthritis, and seizure disorder. Indicated R20 was independent with activities of daily living (ADLs). R20s quarterly care area assessment (CAA) dated [DATE], had cognitive lose/dementia, behavioral issues, and issues with psychosocial wellbeing. R20's care plan dated [DATE], indicated resident had the potential for social emotional disturbances related to a diagnosis of cognitive communication deficit. [...]
November 20, 2024Standard inspection · 3 citations
  1. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 17, 2024
    Inspectors wroteBased on interview and document review, the facility failed to ensure the required Notice of Medicare Non-coverage (NOMNC) form-10123 was provided 48 hours prior to discharge for 2 of 3 residents (R22 and R78), and Skilled Nursing Facility Advanced Beneficiary Notice (SNFABN) form-10055 was provided timely to 1 of 3 residents (R17) reviewed for liability notices and resident rights.
  2. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 17, 2024
    Inspectors wroteBased on observation, interview and document review, the facility failed to ensure accurate coding to reflect resident status on the Minimum Data Set (MDS) for 1 of 1 residents (R17) reviewed for assessments.
  3. 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) December 17, 2024
    Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure a comprehensive, person-centered care plan was developed for 2 of 2 residents (R21, R17) reviewed for care planning.
December 19, 2023Standard inspection · 3 citations
  1. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 31, 2024
    Inspectors wroteBased on observation, interview and document review, the facility failed to provide assistance with personal hygiene for 1 of 2 residents( R11) reviewed for activities of daily living (ADL)'s.
  2. 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) January 31, 2024
    Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure personal laundry was transported in a manner that prevented risk of contamination for 2 of 3 hallways observed for linen transportation.
  3. 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) January 31, 2024
    Inspectors wroteBased on interview and document review, the facility failed to ensure 2 of 5 residents (R3 and R13) were offered or received pneumococcal vaccinations in accordance with the Center for Disease Control (CDC) recommendations.

Fire safety inspections

11 fire safety citations on file: 3 on January 21, 2026, 2 on November 20, 2024, 6 on December 19, 2023.

Every fire safety citation11 citations
  1. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · January 21, 2026 · Corrected (the home has a date of correction)
  2. D
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · January 21, 2026 · Corrected (the home has a date of correction)
  3. D
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · January 21, 2026 · Corrected (the home has a date of correction)
  4. E
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · November 20, 2024 · Corrected (the home has a date of correction)
  5. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · November 20, 2024 · Corrected (the home has a date of correction)
  6. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · December 19, 2023 · Corrected (the home has a date of correction)
  7. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · December 19, 2023 · Corrected (the home has a date of correction)
  8. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · December 19, 2023 · Corrected (the home has a date of correction)
  9. D
    Install proper backup exit lighting.
    K 281 · December 19, 2023 · Corrected (the home has a date of correction)
  10. D
    Install corridor and hallway doors that block smoke.
    K 363 · December 19, 2023 · Corrected (the home has a date of correction)
  11. C
    Implement emergency and standby power systems.
    E 41 · December 19, 2023 · Corrected (the home has a date of correction)

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.

MeasureThis homeMinnesotaUnited States
All nursing staff (RN, LPN and aides)3.924.193.86
Registered nurses1.291.060.69
All nursing staff on weekends3.253.713.42
Nurse aides2.29
Licensed practical nurses0.33
Nursing staff turnover (share who left in a year)16.0%42.2%45.8%
Registered nurse turnover12.5%38.6%42.9%
Administrators who left0

CMS expects 3.40 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 4.19 on weekdays and 3.25 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.26 in April to June 2025 to 3.92 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.921.294.193.25 3.0%0 of 9023
Oct to Dec 20253.861.294.123.20 0.0%0 of 9224
Jul to Sep 20254.211.394.523.42 0.0%0 of 9222
Apr to Jun 20254.261.544.633.35 0.0%0 of 9122
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
19.718.213.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.41.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.32.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.94.03.2
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
23.520.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.05.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
7.017.115.4

Owners and operators

Legal business name: EVANSVILLE CARE CAMPUS LLC.

NameRoleTypeShareSince
Johnson, ShawnDirect ownership interestIndividual04/08/2024
Borgstrom, BrandonOperational/managerial controlIndividual03/15/2010
Evink, BruceOperational/managerial controlIndividual01/01/2017
Hovland, SandyOperational/managerial controlIndividual12/23/2024
Lenarz, JenniferOperational/managerial controlIndividual01/02/2017
Reque, DawnOperational/managerial controlIndividual12/20/2024
Rosten, BradleyOperational/managerial controlIndividual12/20/2024
Rupp, NicoleOperational/managerial controlIndividual12/20/2024
Sterns, ArdelOperational/managerial controlIndividual12/20/2024
White, EricaOperational/managerial controlIndividual12/20/2024
Johnson, LanceIndividual is an owner, partner or trustee of any ADP of the SNFIndividual02/23/2026
Aj & Sj Properties LLCAdp of the SNFOrganization09/23/2009
Borgstrom, BrandonAdp of the SNFIndividual03/15/2010
Evink, BruceAdp of the SNFIndividual01/29/2025
Johnson, ShawnAdp of the SNFIndividual05/20/2025

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.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on January 21, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  2. 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 December 19, 2023: "Provide and implement an infection prevention and control program."
  3. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on January 21, 2026: "Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on November 20, 2024: "Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.25 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 Evansville Care Center's Medicare star rating?
CMS rates Evansville Care Center 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 Evansville Care Center get at its last inspection?
2 health deficiencies at the standard inspection on January 21, 2026. The Minnesota average is 7.1.
Has Evansville Care Center been fined?
CMS lists no fines in the last three years.
Does Evansville Care Center 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 Evansville Care Center?
CMS lists 15 owners and managers. Legal business name: EVANSVILLE CARE CAMPUS LLC.

Sources

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