Gundersen Harmony Care Center
815 Main Avenue South, Harmony, MN 55939 · Fillmore County · (507) 886-6544
42 certified beds, about 36 residents a day · Non profit - Corporation · Medicare and Medicaid since 1988
CMS Care Compare ratings, data as of September 1, 2026 · CCN 245528 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 6, 2026, inspectors cited 0 health deficiencies (the Minnesota average is 7.1, the national average 9.2).
Of 4 health citations since October 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $12,649 in the last three years; the largest was $12,649, and the latest is dated October 11, 2023.
Nurses and nurse aides worked 3.38 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 0.80 of those hours.
51.4% 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.
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 4 health citations on file.
May 6, 2026Standard inspection · 0 citations · risk-based survey (a shorter visit CMS gives only to higher performing homes)
April 10, 2025Standard 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 record review, the facility failed to comprehensively reassess, implement appropriate person-centered interventions and analyze falls to help prevent future falls and potential injury for 2 of 2 residents (R22, R7). In addition, the facility failed to assess for proper use of a heating pad for 1 of 1 residents (R28) reviewed for accidents.
February 29, 2024Standard inspection · 1 citation
- 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.
Inspectors wroteBased on interview and document review, the facility failed to ensure resident current wishes for resuscitation status were accurately documented in the medical record in a timely manner for 1 of 16 (R184) resident reviewed for advanced directives.
October 11, 2023Complaint inspection · 2 citations
- J Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure resident-to-resident sexual abuse were identified timely, and implement appropriate actions to prevent ongoing abuse for 1 of 1 resident (R1) who had severe cognitive impairment and unable to give consent. This deficient practice resulted in an immediate jeopardy (IJ) for R1, a reasonable person would have experienced severe psychosocial harm-dehumanization, and humiliation as a result of the sexual abuse. The IJ began on 5/13/23, when the facility failed to implement protection measures after staff observed R2 inappropriately touching R1's perineal area (in-between legs) which subsequently resulted in R2 continued inappropriately touching of R1. The administrator and clinical manager (CM)-A were notified of the IJ on 10/11/23 at 1:13 p.m. [...]
- 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 ensure the State Agency (SA) were notified within 2 hours of staff witnessing three allegations of resident-to-resident sexual abuse for 1 of 1 residents (R1) when R2 inappropriately placed his hands in between R1's legs.
Fire safety inspections
11 fire safety citations on file: 5 on May 6, 2026, 3 on April 10, 2025, 3 on February 29, 2024.
Every fire safety citation11 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have simulated fire drills held at unexpected times.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Have proper medical gas storage and administration areas.
- C Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Ensure proper usage of power strips and extension cords.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have simulated fire drills held at unexpected times.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| October 11, 2023 | Fine | $12,649 |
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.
| Measure | This home | Minnesota | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.38 | 4.19 | 3.86 |
| Registered nurses | 0.80 | 1.06 | 0.69 |
| All nursing staff on weekends | 2.92 | 3.71 | 3.42 |
| Nurse aides | 1.94 | ||
| Licensed practical nurses | 0.64 | ||
| Nursing staff turnover (share who left in a year) | 51.4% | 42.2% | 45.8% |
| Registered nurse turnover | 54.5% | 38.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 2.94 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 3.56 on weekdays and 2.92 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 22.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.77 in April to June 2025 to 3.38 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 | 3.38 | 0.80 | 3.56 | 2.92 | 22.3% | 0 of 90 | 36 |
| Oct to Dec 2025 | 3.68 | 1.21 | 3.90 | 3.14 | 35.3% | 0 of 92 | 34 |
| Jul to Sep 2025 | 3.60 | 1.22 | 3.81 | 3.06 | 29.9% | 0 of 92 | 32 |
| Apr to Jun 2025 | 3.77 | 1.22 | 4.05 | 3.08 | 19.9% | 0 of 91 | 32 |
| 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 | 22.4 | 18.2 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.6 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 6.0 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 4.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.9 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 15.7 | 20.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.9 | 5.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.0 | 17.1 | 15.4 |
Owners and operators
Legal business name: HARMONY COMMUNITY HEALTHCARE INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Gundersen Lutheran Health System Inc | 5% or greater direct ownership interest | Organization | 100% | 01/01/2013 |
| Bellin Gundersen Health System Inc | 5% or greater indirect ownership interest | Organization | 100% | 11/30/2022 |
| Bakalars, Vickie | Managing control - governing body | Individual | 02/01/2017 | |
| Melde, Sarah | Managing control - governing body | Individual | 01/01/2024 | |
| Pericak, Amanda | Managing control - governing body | Individual | 04/01/2022 | |
| Skaalen, Christopher | Managing control - governing body | Individual | 01/24/2018 | |
| Bakalars, Vickie | Corporate director | Individual | 02/01/2017 | |
| Johnson, Charles | Corporate director | Individual | 01/23/2019 | |
| Melde, Sarah | Corporate director | Individual | 01/01/2024 | |
| Pericak, Amanda | Corporate director | Individual | 04/01/2022 | |
| Skaalen, Christopher | Corporate director | Individual | 01/24/2018 | |
| Solberg, Penny | Corporate director | Individual | 01/01/2026 | |
| Boland, Linda | Corporate officer | Individual | 01/01/2025 | |
| Lenz, Susan | Corporate officer | Individual | 01/01/2025 | |
| Moser, Brenda | Corporate officer | Individual | 01/01/2025 | |
| Ness, Charles | Corporate officer | Individual | 07/31/2025 | |
| Rankin, Tracer | Corporate officer | Individual | 01/01/2025 | |
| Sauer, Leanne | Corporate officer | Individual | 01/01/2025 | |
| Schuster, Kraig | Corporate officer | Individual | 01/01/2025 | |
| Bellin Gundersen Health System Inc | Operational/managerial control | Organization | 11/30/2022 | |
| Gundersen Lutheran Health System Inc | Operational/managerial control | Organization | 01/01/2013 | |
| Berg, Randi | Operational/managerial control | Individual | 01/01/2025 | |
| Boland, Linda | Operational/managerial control | Individual | 01/01/2025 | |
| Branum, Mark | Operational/managerial control | Individual | 01/01/2025 | |
| Enright, Carrie | Operational/managerial control | Individual | 01/01/2025 | |
| Foster, Karen | Operational/managerial control | Individual | 01/01/2025 | |
| Johnson, Debra | Operational/managerial control | Individual | 01/01/2025 | |
| Johnson, Rodney | Operational/managerial control | Individual | 01/01/2025 | |
| Lenz, Susan | Operational/managerial control | Individual | 01/01/2025 | |
| Moser, Brenda | Operational/managerial control | Individual | 01/01/2025 | |
| Sauer, Leanne | Operational/managerial control | Individual | 01/01/2025 | |
| Schuster, Kraig | Operational/managerial control | Individual | 01/01/2025 | |
| Berg, Randi | Adp of the SNF | Individual | 01/01/2025 | |
| Boland, Linda | Adp of the SNF | Individual | 01/01/2025 | |
| Branum, Mark | Adp of the SNF | Individual | 01/01/2025 | |
| Enright, Carrie | Adp of the SNF | Individual | 01/01/2025 | |
| Foster, Karen | Adp of the SNF | Individual | 01/01/2025 | |
| Johnson, Debra | Adp of the SNF | Individual | 01/01/2025 | |
| Johnson, Rodney | Adp of the SNF | Individual | 01/01/2025 | |
| Lenz, Susan | Adp of the SNF | Individual | 01/01/2025 | |
| Moser, Brenda | Adp of the SNF | Individual | 01/01/2025 | |
| Ness, Charles | Adp of the SNF | Individual | 08/05/2025 | |
| Rankin, Tracer | Adp of the SNF | Individual | 01/01/2025 | |
| Sauer, Leanne | Adp of the SNF | Individual | 01/01/2025 | |
| Schuster, Kraig | Adp of the SNF | Individual | 01/01/2025 |
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 2 problems in this area, most recently on October 11, 2023: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- 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 April 10, 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 1 problem in this area, most recently on February 29, 2024: "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."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.92 hours per resident per day, below the Minnesota average of 3.71.
Other nursing homes nearby
- Green Lea Senior Living Mabel, 7.6 mi · 1 of 5 stars · 38 citations
- Evans Senior Living Community Cresco, 12.4 mi · 5 of 5 stars · 1 citation
- The Highlands Decorah, 19 mi · 2 of 5 stars · 26 citations
- Tweeten Lutheran Health Care Center Spring Grove, 19.1 mi · 1 of 5 stars · 37 citations
- Ostrander Care and Rehab Ostrander, 21.4 mi · 5 of 5 stars · 9 citations
- Good Shepherd Lutheran Home Rushford, 21.5 mi · 5 of 5 stars · 5 citations
- Wellington Place Decorah, 21.7 mi · 4 of 5 stars · 3 citations
- Spring Valley Care Center Spring Valley, 21.8 mi · 3 of 5 stars · 21 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 Gundersen Harmony Care Center's Medicare star rating?
- CMS rates Gundersen Harmony Care Center 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Gundersen Harmony Care Center get at its last inspection?
- 0 health deficiencies at the standard inspection on May 6, 2026. The Minnesota average is 7.1.
- Has Gundersen Harmony Care Center been fined?
- Yes. CMS lists 1 fine totaling $12,649 in the last three years.
- Does Gundersen Harmony 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 Gundersen Harmony Care Center?
- CMS lists 45 owners and managers. Legal business name: HARMONY COMMUNITY HEALTHCARE INC.
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.