What is Sauer Health Care's Medicare star rating?

CMS rates Sauer Health Care 1 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 1 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Sauer Health Care get at its last inspection?

7 health deficiencies at the standard inspection on January 7, 2026. The Minnesota average is 7.1.

Has Sauer Health Care been fined?

CMS lists no fines in the last three years.

Does Sauer Health Care 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 Sauer Health Care?

CMS lists 18 owners and managers. Legal business name: SAUER HEALTH CARE.

Sauer Health Care: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on January 7, 2026, inspectors cited 7 health deficiencies (the Minnesota average is 7.1, the national average 9.2).

None of its 19 health citations since October 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 3.60 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 0.85 of those hours.

43.1% 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.

510/23

212/24

701/26

503/26

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 19 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

15D

Potential for minimal harm

March 19, 2026Complaint inspection · 5 citations

F

Provide or arrange emergency care by a doctor 24 hours a day.

F713 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) April 10, 2026

Inspectors wroteBased on interview and document review, the facility failed to ensure the provision of 24-hour on-call physician services to respond to 1 of 1 resident (R2) needs, including non-emergent situations that did not require transfer to an alternative setting. This had the potential to affect all 47 residents residing in the facility.
D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 24, 2026

Inspectors wroteBased on observation, interview, and record review, the facility failed to assess, monitor, and timely notify the physician of a change in condition following a fall for 1 of 3 residents (R2) reviewed for falls, who was receiving anticoagulant (blood thinning) medication and at increased risk for bleeding.
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 · found on a complaint visit · Corrected (the home has a date of correction) April 10, 2026

Inspectors wroteBased on observation, interview and document review the facility failed to comprehensively assess sling/harness sizes according to manufacturer's instructions to ensure safe transfers for 2 of 2 residents (R4 and R1) who utilized mechanical lifts sit to stand lift and full body mechanical lifts for 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.

F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 30, 2026

Inspectors wroteBased on observation, interview, and document review, the facility failed to identify, assess, and implement an individualized toileting program to maintain or improve bladder continence, for 1 of 1 resident (R2) reviewed for falls.
D

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 5, 2026

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure sufficient staff were available to meet resident needs for 1 of 1 resident (R4) resulting in a pattern of delayed call light responses and care for R4

January 7, 2026Standard inspection · 7 citations

F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 9, 2026

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure food stored in the refrigerator were labeled, dated and free of expired foods. This deficient practice had the potential to affect all residents, staff and visitors who received food from facility kitchen.
D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 9, 2026

Inspectors wroteBased on observation, interview and document review, the facility failed to ensure dignity was maintained who utilized a urinary catheter (tube from bladder to a bag outside the body). In addition, the facility failed to accommodate resident needs by ensuring the call light was accessible for 1 of 1 resident (R6) reviewed for resident rights.
D

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 9, 2026

Inspectors wroteBased on interview and record review the facility failed to complete medication side effect monitoring for 2 of 5 resident (R5 and R45) reviewed for unnecessary medications who received antipsychotics.
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) February 9, 2026

Inspectors wroteBased on interview and document review, the facility failed to ensure a Significant Change in Status Assessment (SCSA) Minimum Data Set (MDS) (comprehensive assessment) was completed in a timely manner when hospice services were initiated for 1 of 1 resident (R6) reviewed for hospice care.
D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 9, 2026

Inspectors wroteBased on interview, observation and document review, the facility failed to monitor, review and update the care plan with specific person-centered interventions after a fall for 1 of 1 resident (R23) reviewed for accidents.
D

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 9, 2026

Inspectors wroteBased on interview and record review, the facility failed to ensure the pharmacy consultant identified irregularities in monthly drug regimen reviews for 2 of 5 (R5 and R45) residents reviewed for unnecessary medications who received antipsychotic medications. R5 R5's quarterly MDS assessment dated [DATE], identified R5 with intact cognition, required substantial assistance for toileting and personal hygiene and did not reject cares. In addition, R5 with diagnoses of heart failure, arthritis, dementia, depression, and was taking antipsychotics. R5's physician orders dated 9/17/25, identified Quetiapine Fumarate (Seroquel) Oral Tablet 50 MG, Give 50 mg by mouth at bedtime related to Major Depressive Disorder. R5's care plan identified R5 uses an antipsychotic, Seroquel, to help manage her hallucinations related to major depressive disorder with severe psychotic features. [...]
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) February 9, 2026

Inspectors wroteBased on observation and interview, the facility failed to ensure enhanced barrier precautions (EBP) were implemented in accordance with Centers for Disease Control (CDC) recommendations to reduce the risk of infection for 2 of 2 residents (R55, R22) reviewed for infection control.

December 19, 2024Standard inspection · 2 citations

E

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 15, 2025

Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure appropriate use of personal protective equipment (PPE) when going from room to room of residents with (R24, R36) and without (R6, R16) COVID-19 positive diagnoses.
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) January 15, 2025

Inspectors wroteBased on observation, interview and document review, the facility failed to implement appropriate, person-centered interventions to prevent further falls and potential injury for 1 of 1 resident (R20) reviewed for accidents.

October 19, 2023Standard inspection · 5 citations

F

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

F801 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) November 15, 2023

Inspectors wroteBased on interview and document review, the facility failed to employ either a full-time registered dietitian (RD) or a qualified dietary manager (DM) to carry out the functions of the food and nutrition service since 8/21/23, which had the potential to affect all 40 residents who resided in the facility.
D

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

F636 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 15, 2023

Inspectors wroteBased on interview and document review, the facility failed to ensure the comprehensive assessment was developed, completed, and implemented for one of one resident (R26) reviewed for assessments.
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) November 15, 2023

Inspectors wroteBased on interview and document review, the facility failed to ensure the Minimum Data Set (MDS) assessments completely and accurately reflected oxygen usage, activity prefereces, and hospice status for R26. Additionally, the facility failed to ensure the comprehensive assessment was completed for R26.
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) November 15, 2023

Inspectors wroteBased on observation, interview, and document review, the facility failed to implement safety prevention interventions for 1 of 1 resident (R31) reviewed for safety.
D

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 15, 2023

Inspectors wroteBased on interview and document review, the facility failed to ensure gradual dose reductions (GDR) were attempted, or an adequate medical justification for the use of psychotropic medications for 1 of 5 residents (R31) reviewed for unnecessary medications.

Fire safety inspections

6 fire safety citations on file: 3 on January 7, 2026, 1 on December 19, 2024, 2 on October 19, 2023.

Every fire safety citation6 citations

F
Install smoke barrier doors that can resist smoke for at least 20 minutes.

K 374 · January 7, 2026 · Corrected (the home has a date of correction)
F
Have simulated fire drills held at unexpected times.

K 712 · January 7, 2026 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · January 7, 2026 · Corrected (the home has a date of correction)
F
Install smoke barrier doors that can resist smoke for at least 20 minutes.

K 374 · December 19, 2024 · Corrected (the home has a date of correction)
F
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · October 19, 2023 · Corrected (the home has a date of correction)
D
Properly select, install, inspect, or maintain portable fire extinguishes.

K 355 · October 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.

Measure	This home	Minnesota	United States
All nursing staff (RN, LPN and aides)	3.60	4.19	3.86
Registered nurses	0.85	1.06	0.69
All nursing staff on weekends	3.21	3.71	3.42
Nurse aides	2.40
Licensed practical nurses	0.35
Nursing staff turnover (share who left in a year)	43.1%	42.2%	45.8%
Registered nurse turnover	50.0%	38.6%	42.9%
Administrators who left	0

CMS expects 3.26 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 3.76 on weekdays and 3.21 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 10.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.14 in April to June 2025 to 3.60 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	3.60	0.85	3.76	3.21	10.7%	0 of 90	47
Oct to Dec 2025	3.49	0.74	3.65	3.07	0.9%	0 of 92	46
Jul to Sep 2025	3.93	0.85	4.14	3.41	2.8%	0 of 92	43
Apr to Jun 2025	4.14	0.59	4.30	3.74	2.8%	0 of 91	43
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	15.0	18.2	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	2.6	1.9	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	3.2	2.6	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	7.5	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	13.6	20.5	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	9.3	5.2	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	21.9	17.1	15.4

Owners and operators

Legal business name: SAUER HEALTH CARE.

Name	Role	Type	Since
Curran, John	Corporate director	Individual	11/15/2021
Digby, Linda	Corporate director	Individual	07/20/2015
Holmay, Steven	Corporate director	Individual	01/01/2016
Klinger, Bernard	Corporate director	Individual	01/18/2022
Roessler, Donald	Corporate director	Individual	11/15/2005
Ruppert, Annie	Corporate director	Individual	01/24/2023
Schaefer, Gregory	Corporate director	Individual	05/28/2024
Muras, Jessica	Corporate officer	Individual	08/19/2023
Forsyth, Jennifer	Operational/managerial control	Individual	07/01/2022
Johnson, Stacy	Operational/managerial control	Individual	09/27/2021
Kaehler, Cynthia	Operational/managerial control	Individual	11/23/2020
Matzke, Dean	Operational/managerial control	Individual	10/31/1984
Muras, Jessica	Operational/managerial control	Individual	08/19/2023
Forsyth, Jennifer	Adp of the SNF	Individual	07/01/2022
Johnson, Stacy	Adp of the SNF	Individual	09/27/2021
Kaehler, Cynthia	Adp of the SNF	Individual	11/23/2020
Matzke, Dean	Adp of the SNF	Individual	10/31/1984
Muras, Jessica	Adp of the SNF	Individual	08/19/2023

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 do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on March 19, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on January 7, 2026: "Assess the resident when there is a significant change in condition"
How many nurses and aides work each shift, nights and weekends included?Inspectors cited 2 problems in this area, most recently on March 19, 2026: "Provide or arrange emergency care by a doctor 24 hours a day."
Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on January 7, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.21 hours per resident per day, below the Minnesota average of 3.71.

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Marinuka Manor
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Good Shepherd Lutheran Home
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Whitewater Health Services
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Valley View Healthcare & Rehab
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La Crescent Health Services
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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 Sauer Health Care's Medicare star rating?: CMS rates Sauer Health Care 1 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Sauer Health Care get at its last inspection?: 7 health deficiencies at the standard inspection on January 7, 2026. The Minnesota average is 7.1.
Has Sauer Health Care been fined?: CMS lists no fines in the last three years.
Does Sauer Health Care 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 Sauer Health Care?: CMS lists 18 owners and managers. Legal business name: SAUER HEALTH CARE.

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.