Home / Minnesota / Breckenridge
St. Francis Home
2400 St. Francis Drive, Breckenridge, MN 56520 · Wilkin County · (218) 643-3000
80 certified beds, about 37 residents a day · Non profit - Church related · Medicare and Medicaid since 1984
CMS Care Compare ratings, data as of September 1, 2026 · CCN 245265 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 9, 2026, inspectors cited 2 health deficiencies (the Minnesota average is 7.1, the national average 9.2).
None of its 8 health citations since July 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 4.20 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 1.25 of those hours.
32.6% of nursing staff left within the year CMS measured (Minnesota average 42.2%).
CMS links it to Commonspirit Health, an affiliated group of 18 nursing homes.
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 8 health citations on file.
June 9, 2026Standard inspection · 2 citations · risk-based survey (a shorter visit CMS gives only to higher performing homes)
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview and document review, the facility failed to provide assistance with routine grooming cares which included oral cares for 1 of 2 residents (R34) reviewed for activities of daily living (ADLs) who required assistance with grooming and personal hygiene. Findings Include: R34's quarterly Minimum Data Set (MD) dated 4/28/26, identified R34 had severe cognitive impairment with diagnoses which included: Alzheimer's disease, anxiety and depression. R34's MDS identified R34 was dependent on staff for eating, oral hygiene, personal hygiene, and dressing. R34's care plan revised 5/13/26, identified R34 had self-care performance deficit related to Alzheimer's disease and dementia along with Impaired balance and weakness. R34 required total assistance of one with oral care and had own teeth in good condition. [...]
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and document review, the facility failed to ensure staff were completing hand hygiene and using proper personal protective equipment (PPE) according to the Centers for Disease Control (CDC) guidelines for enhanced barrier precautions (EBP) while performing activities of daily living (ADLs) for 1 of 1 residents (R2) observed for EBP.Findings Include:R2's quarterly Minimum Data Set (MD) dated 6/4/26, identified R2 had paraplegia (loss of control of lower part of the body) and multiple sclerosis (an auto immune disease that affects the central nervous system). R2's MDS further identified R2 had an indwelling catheter and colostomy. R2's MDS revealed R2 was dependent on staff for personal hygiene, dressing, and transfers. [...]
March 17, 2026Complaint inspection · 2 citations
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview, observation and document review, the facility failed to provide a comprehensive assessment by therapy for 1 of 3 residents (R3) to ensure the resident received treatment and care in accordance with professional standards of practice.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview, observation, record, and manufacturer's instruction review the facility failed to follow manufacturer's instruction for 1 of 3 (R4) residents during a transfer with a stand lift.
April 16, 2025Standard inspection · 0 citations
September 11, 2024Complaint inspection · 1 citation
- E Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interview and document review, the facility failed to ensure medications were administered according to the standard of practice for 8 of 13 residents (R1, R2, R4, R5, R7, R8, R9, R10) reviewed for medication administration.
July 17, 2024Standard inspection · 3 citations
- E Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Inspectors wroteBased on observation, interview, and document review, the facility failed to comprehensively assess, discuss risks and benefits, obtain informed consent and attempt alternatives prior to use of bed rails for 9 of 12 residents (R11, R14, R3, R19, R6, R7, R16, R22, R188 ) reviewed who were observed to have bed rails raised while in bed.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and document review, food and drinks were not served in a sanitary and clean manner for residents observed during dining observations in both dining rooms. This deficient practice had the potential to affect all residents who ate their meals in the dining rooms.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and document review, the facility failed to implement donning/doffing of personal protective equipment (PPE) practices for 2 of 2 residents (R9 and R32) and to ensure PPE was readily available for use to prevent the spread of infection for 1 of 2 residents (R9) observed for enhanced barrier precautions (EBP) (an infection control intervention designed to reduce transmission of multidrug-resistant organisms that employs targeted gown and glove use during high contact resident care activities).
Fire safety inspections
5 fire safety citations on file: 3 on June 9, 2026, 2 on April 16, 2025.
Every fire safety citation5 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Install corridor and hallway doors that block smoke.
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) | 4.20 | 4.19 | 3.86 |
| Registered nurses | 1.25 | 1.06 | 0.69 |
| All nursing staff on weekends | 3.70 | 3.71 | 3.42 |
| Nurse aides | 2.52 | ||
| Licensed practical nurses | 0.42 | ||
| Nursing staff turnover (share who left in a year) | 32.6% | 42.2% | 45.8% |
| Registered nurse turnover | 38.5% | 38.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.03 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 4.40 on weekdays and 3.70 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 19.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.51 in April to June 2025 to 4.20 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 | 4.20 | 1.25 | 4.40 | 3.70 | 19.8% | 0 of 90 | 37 |
| Oct to Dec 2025 | 4.21 | 1.45 | 4.47 | 3.56 | 17.3% | 0 of 92 | 38 |
| Jul to Sep 2025 | 4.28 | 1.30 | 4.49 | 3.74 | 21.4% | 0 of 92 | 37 |
| Apr to Jun 2025 | 4.51 | 1.39 | 4.76 | 3.89 | 17.1% | 0 of 91 | 36 |
| 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 | 18.6 | 18.2 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.4 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.8 | 4.0 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 15.8 | 20.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.1 | 5.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 19.1 | 17.1 | 15.4 |
Owners and operators
Legal business name: ST FRANCIS HOME. CMS links this home to Commonspirit Health, a group of 18 nursing homes averaging 2.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Commonspirit Health | 5% or greater direct ownership interest | Organization | 100% | 10/01/2022 |
| Nelson, David | W-2 managing employee | Individual | 04/25/2003 | |
| Ross, Jay | W-2 managing employee | Individual | 07/01/2022 | |
| Stowman, Amber | W-2 managing employee | Individual | 08/12/2018 | |
| Althoff, Tamera | Corporate director | Individual | 07/01/2014 | |
| Anderson, Daniel | Corporate director | Individual | 07/01/2016 | |
| Dohman, Gloria | Corporate director | Individual | 07/01/2015 | |
| Grossman, Charlene | Corporate director | Individual | 07/01/2014 | |
| Hansen, Carter | Corporate director | Individual | 07/01/2013 | |
| McCartney, Michael | Corporate director | Individual | 07/01/2012 | |
| Reinke, Doreen | Corporate director | Individual | 08/01/2018 | |
| Dean, Lloyd | Corporate officer | Individual | 06/01/2000 | |
| Nelson, David | Corporate officer | Individual | 04/25/2003 | |
| O'Quinn, Marvin | Corporate officer | Individual | 01/01/2009 | |
| Ross, Jay | Corporate officer | Individual | 07/01/2022 | |
| Stowman, Amber | Corporate officer | Individual | 08/12/2018 | |
| Catholic Health Initiatives | Operational/managerial control | Organization | 11/01/1995 | |
| St. Francis Medical Center | Operational/managerial control | Organization | 06/01/1984 |
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 4 problems in this area, most recently on June 9, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- 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 June 9, 2026: "Provide and implement an infection prevention and control program."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on September 11, 2024: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on July 17, 2024: "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 3.70 hours per resident per day, below the Minnesota average of 3.71.
Other nursing homes nearby
- St. Catherines Living Center Wahpeton, 1.2 mi · 2 of 5 stars · 7 citations
- St. Gerard's Community of Care Hankinson, 20.5 mi · 3 of 5 stars · 10 citations
- Mn Veterans Home-Fergus Falls Fergus Falls, 24.6 mi · 4 of 5 stars · 5 citations
- Lb Broen Home Fergus Falls, 24.9 mi · 2 of 5 stars · 11 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 St. Francis Home's Medicare star rating?
- CMS rates St. Francis 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 St. Francis Home get at its last inspection?
- 2 health deficiencies at the standard inspection on June 9, 2026. The Minnesota average is 7.1.
- Has St. Francis Home been fined?
- CMS lists no fines in the last three years.
- Does St. Francis 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 St. Francis Home?
- CMS lists 18 owners and managers, and links the home to Commonspirit Health. Legal business name: ST FRANCIS HOME.
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.