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Green Pine Acres Nursing Home

427 Main Street Northeast, Menahga, MN 56464 · Wadena County · (218) 564-4101

65 certified beds, about 56 residents a day · Government - City · Medicare and Medicaid since 1991

CMS high performing icon 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 245563 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 28, 2026, inspectors cited 2 health deficiencies (the Minnesota average is 7.1, the national average 9.2).

None of its 7 health citations since April 2024 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 4.77 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 0.71 of those hours.

30.4% 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 7 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
6D
1E
0F
Potential for minimal harm
0A
0B
0C
January 28, 2026Standard inspection · 2 citations
  1. 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 · Corrected (the home has a date of correction) March 14, 2026
    Inspectors wroteBased on observation, interview and document review the facility failed to ensure medications were secured for 2 of 2 residents (R2, R4) observed unattended on the Transitional Care Unit (TCU). In addition, the facility failed to ensure safe refrigeration temperatures were maintained for 1 of 4 medication refrigerators (TCU Fridge C) reviewed for medication storage. This had the potential to affect residents residing on the TCU.
  2. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 13, 2026
    Inspectors wroteBased on observation, interview and document review, the facility failed to follow their policies, and or acceptable standards of practice, to ensure medication administration accuracy for 2 of 2 residents (R23, R66) reviewed for narcotic count accuracy.
March 19, 2025Standard inspection · 2 citations
  1. 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) May 1, 2025
    Inspectors wroteBased on observation, interview and document review, the facility failed to ensure the Minimum Data Set (MDS) was accurately coded to reflect range of motion status for 2 of 17 residents (R2, R29) who were in the sample.
  2. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 1, 2025
    Inspectors wroteBased on observation, interview and document review, the facility failed to ensure the use of motion sensor pager devices were assessed for range upon implementation and when identified the sensor did not alert staff to movement as intended for 1 of 2 residents (R60) reviewed for falls.
September 6, 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) October 4, 2024
    Inspectors wroteBased on interview and document review the facility failed to timely report an allegation of staff to resident abuse to the facility administrator and the state agency for 1 of 3 residents (R1) reviewed for abuse.
  2. D
    Respond appropriately to all alleged violations.
    F610 · 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) October 4, 2024
    Inspectors wroteBased on interview and document review the facility failed to implement immediate protection of residents (delayed three days) following an allegation of staff to resident sexual abuse for 1 of 3 residents reviewed for abuse.
April 17, 2024Standard inspection · 1 citation
  1. D
    Assess the resident when there is a significant change in condition
    F637 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 15, 2024
    Inspectors wroteBased on interview and document review, the facility failed to ensure a significant change in status assessment was completed for 1 of 2 residents (R56) reviewed for nutrition

Fire safety inspections

11 fire safety citations on file: 4 on January 28, 2026, 6 on March 19, 2025, 1 on April 17, 2024.

Every fire safety citation11 citations
  1. F
    Conduct testing and exercise requirements.
    E 39 · January 28, 2026 · Corrected (the home has a date of correction)
  2. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · January 28, 2026 · Corrected (the home has a date of correction)
  3. E
    Ensure proper usage of power strips and extension cords.
    K 920 · January 28, 2026 · Corrected (the home has a date of correction)
  4. D
    Provide properly protected cooking facilities.
    K 324 · January 28, 2026 · Corrected (the home has a date of correction)
  5. F
    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.
    K 222 · March 19, 2025 · Corrected (the home has a date of correction)
  6. F
    Have properly located and lighted "Exit" signs.
    K 293 · March 19, 2025 · Corrected (the home has a date of correction)
  7. F
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · March 19, 2025 · Corrected (the home has a date of correction)
  8. F
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · March 19, 2025 · Corrected (the home has a date of correction)
  9. F
    Have properly installed electrical wiring and gas equipment.
    K 511 · March 19, 2025 · Corrected (the home has a date of correction)
  10. F
    Ensure proper usage of power strips and extension cords.
    K 920 · March 19, 2025 · Corrected (the home has a date of correction)
  11. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · April 17, 2024 · 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)4.774.193.86
Registered nurses0.711.060.69
All nursing staff on weekends3.943.713.42
Nurse aides3.48
Licensed practical nurses0.58
Nursing staff turnover (share who left in a year)30.4%42.2%45.8%
Registered nurse turnover14.3%38.6%42.9%
Administrators who left0

CMS expects 3.48 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 5.11 on weekdays and 3.94 on weekends, 23% 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 4.56 in April to June 2025 to 4.77 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.770.715.113.94 0.0%0 of 9056
Oct to Dec 20254.700.645.003.95 0.0%0 of 9257
Jul to Sep 20254.630.564.933.87 0.0%0 of 9258
Apr to Jun 20254.560.584.893.73 0.0%0 of 9157
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
20.818.213.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
2.61.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
4.52.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.54.03.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
5.41.91.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
25.620.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.05.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
18.917.115.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
23.223.523.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
22.914.812.0

Owners and operators

Legal business name: GREEN PINE ACRES NURSING HOME.

NameRoleTypeShareSince
City of Menahga5% or greater direct ownership interestOrganization100%01/01/1966
Ahlf, LauraW-2 managing employeeIndividual07/23/2016
Ahlf, LauraCorporate directorIndividual07/23/2016

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 are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on January 28, 2026: "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."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on March 19, 2025: "Ensure each resident receives an accurate assessment."
  3. 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 September 6, 2024: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
  4. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on March 19, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."

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Common questions

What is Green Pine Acres Nursing Home's Medicare star rating?
CMS rates Green Pine Acres Nursing 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 Green Pine Acres Nursing Home get at its last inspection?
2 health deficiencies at the standard inspection on January 28, 2026. The Minnesota average is 7.1.
Has Green Pine Acres Nursing Home been fined?
CMS lists no fines in the last three years.
Does Green Pine Acres 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 Green Pine Acres Nursing Home?
CMS lists 3 owners and managers. Legal business name: GREEN PINE ACRES NURSING HOME.

Sources

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