Fair Meadow Nursing Home
300 Garfield Avenue Southeast, Fertile, MN 56540 · Polk County · (218) 945-6194
42 certified beds, about 39 residents a day · Non profit - Other · Medicare and Medicaid since 1991
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 245545 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 10, 2025, inspectors cited 8 health deficiencies (the Minnesota average is 7.1, the national average 9.2).
None of its 17 health citations since June 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 5.24 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 0.65 of those hours.
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.
106/23
408/24
110/24
809/25
307/26
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 17 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
15D
1E
0F
Potential for minimal harm
0A
1B
0C
July 15, 2026Complaint inspection · 3 citations
- 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 report an allegation of an injury of unknown origin to the State Agency (SA) within two hours for 1 of 1 resident (R1) investigated for injury of unknown origin.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on interviews and document review the facility failed to thoroughly investigate an allegation of injury of unknown origin for 1 of 1 residents (R1) who was sent to the emergency department (ED) for evaluation for left leg swelling, bruising and complaints of pain.
- 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 interviews and document review the facility failed to update the care plan and implement care planned interventions for 1 of 3 residents (R1) reviewed for care plan updates and implementation.
September 10, 2025Standard inspection · 8 citations
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observation, interview, and document review, the facility failed to comprehensively assess for ability or safety and then care plan the self-administration of medication for 1 of 1 resident (R36) observed to have medication prepared by staff and then left with him to take on his own.
- D Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspectors wroteBased on observation, interview and document review, the facility failed to ensure a defined perimeter mattress (DPM) was not used in a manner to restrain residents while in bed for 1 of 3 residents (R14) reviewed for restraints.
- 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 ensure interventions for safe transfers were implemented for 1 of 5 residents (R23) observed during staff assisted transfers.
- 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.
Inspectors wroteBased on observation, interview and document review, the facility failed to ensure a physician order for indwelling urinary catheter for 1 of 1 residents (R21) reviewed for urinary catheter.
- D Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Inspectors wroteBased on interview and document review, the facility failed to ensure long term residents received routine physician visits consistently every 60 days as required for 1 of 5 residents (R2) reviewed for unnecessary medications.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, interview and document review, the facility failed to ensure medications were administered in accordance with physician orders which resulted in a medication error rate 9.09% (percent) for 1 of 7 residents (R11) observed to receive mediations during the survey.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on interview and document review, the facility failed to perform timely tracking and trending of potential infectious symptoms to prevent the spread of transmissible organisms in a timely and ongoing manner; including a failure to implement timely transmission-based precautions (TBP) and testing for respiratory illness according to the Centers for Disease Control (CDC) for 3 of 3 residents (R10, R21, R39) who were displaying COVID-19 symptoms.
- B Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Inspectors wroteBased on interview and document review, the facility failed to ensure a complete medical record was maintained to include the physician progress notes during routine visits for 4 of 14 residents (R2, R10, R32, R39) reviewed in the sample .
October 21, 2024Complaint inspection · 1 citation
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on interview and document review the facility failed to thoroughly investigate an allegation of neglect of care for 1 of 3 residents (R1) reviewed for safety during staff assisted transfers with a mechanical stand device.
August 27, 2024Standard inspection · 4 citations
- E Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on interview and document review, the facility failed to provide education on immunizations per Center for Disease Control and Prevention (CDC) guidance for 3 of 5 residents (R15, R22, R24) reviewed for immunizations.
- D Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspectors wroteBased observation, interview and document review, the facility failed to ensure a comprehensive reassessment was completed to ensure seat belt use was still warrented for identified medical symptoms; and failed to release the seatbelt according to care planned interventions for 1 of 1 residents (R9) reviewed for restraints.
- 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 record review the facility failed to comprehensively assess and develop interventions for safety while using a golf cart off campus for 1 of 1 (R23) resident reviewed for safe use of a motorized golf cart.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and document review, the facility failed to use personal protective equipment and follow hand hygeine guidelines for a resident known to have a multi-drug resistant organism (MDRO) for 1 of 1 residents (R5) reviewed for activities of daily living (ADLs).
June 14, 2023Standard inspection · 1 citation
- D Implement a program that monitors antibiotic use.
Inspectors wroteBased on interview and document review the facility failed to implement antibiotic stewardship for 1 of 3 residents (R31) reviewed for appropriate use of antibiotics.
Fire safety inspections
17 fire safety citations on file: 2 on September 10, 2025, 8 on August 27, 2024, 7 on June 14, 2023.
Every fire safety citation17 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Install corridor and hallway doors that block smoke.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Have simulated fire drills held at unexpected times.
- D Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- D Have power receptacles that are properly grounded.
- D Ensure proper usage of power strips and extension cords.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Have properly installed electrical wiring and gas equipment.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
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) | 5.24 | 4.19 | 3.86 |
| Registered nurses | 0.65 | 1.06 | 0.69 |
| All nursing staff on weekends | 4.11 | 3.71 | 3.42 |
| Nurse aides | 3.58 | ||
| Licensed practical nurses | 1.01 | ||
| Nursing staff turnover (share who left in a year) | not reported | 42.2% | 45.8% |
| Registered nurse turnover | not reported | 38.6% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.24 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 5.70 on weekdays and 4.11 on weekends, 28% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 31.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.50 in April to June 2025 to 5.24 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 | 5.24 | 0.65 | 5.70 | 4.11 | 31.0% | 0 of 90 | 39 |
| Jul to Sep 2025 | 5.33 | 0.52 | 5.76 | 4.24 | 29.0% | 0 of 92 | 39 |
| Apr to Jun 2025 | 5.50 | 0.48 | 6.00 | 4.27 | 24.6% | 1 of 91 | 38 |
| 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 | 20.4 | 18.2 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 3.4 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 6.5 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.5 | 4.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 7.9 | 1.9 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.4 | 20.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.0 | 5.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 26.2 | 17.1 | 15.4 |
Owners and operators
Legal business name: VILLAGE OF FERTILE.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Village of Fertile | 5% or greater direct ownership interest | Organization | 100% | 01/01/1991 |
| Larson, Sandra | Contracted managing employee | Individual | 04/29/2024 | |
| White, Cheryl | Contracted managing employee | Individual | 07/01/2023 | |
| Liden, Lisa | W-2 managing employee | Individual | 06/21/2023 | |
| Bosman, Amanda | Corporate director | Individual | 09/12/2022 | |
| Kiefert, Mary | Corporate director | Individual | 10/11/2021 | |
| Massmann, Matthew | Corporate director | Individual | 06/08/2020 | |
| Todahl, Eileen | Corporate director | Individual | 12/10/2024 | |
| Wilkens, Daniel | Corporate director | Individual | 01/01/2017 | |
| Village of Fertile | Adp of the SNF | Organization | 01/06/2025 | |
| Larson, Sandra | Adp of the SNF | Individual | 01/06/2025 | |
| White, Cheryl | Adp of the SNF | Individual | 01/06/2025 |
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 are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 5 problems in this area, most recently on July 15, 2026: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 4 problems in this area, most recently on September 10, 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 3 problems in this area, most recently on September 10, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 2 problems in this area, most recently on September 10, 2025: "Ensure that the resident and his/her doctor meet face-to-face at all required visits."
Other nursing homes nearby
- Benedictine Care Community Ada, 19.8 mi · 1 of 5 stars · 28 citations
- McIntosh Senior Living McIntosh, 20 mi · 5 of 5 stars · 2 citations
- Mahnomen Health Center Mahnomen, 20.7 mi · 2 of 5 stars · 15 citations
- Villa St. Vincent Crookston, 22.5 mi · 1 of 5 stars · 25 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 Fair Meadow Nursing Home's Medicare star rating?
- CMS rates Fair Meadow Nursing Home 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Fair Meadow Nursing Home get at its last inspection?
- 8 health deficiencies at the standard inspection on September 10, 2025. The Minnesota average is 7.1.
- Has Fair Meadow Nursing Home been fined?
- CMS lists no fines in the last three years.
- Does Fair Meadow Nursing 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 Fair Meadow Nursing Home?
- CMS lists 12 owners and managers. Legal business name: VILLAGE OF FERTILE.
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.