Home / Minnesota / Springfield
St. John Lutheran Home
201 South County Road 5, Springfield, MN 56087 · Brown County · (507) 723-3200
65 certified beds, about 49 residents a day · Non profit - Church related · Medicare and Medicaid since 1988
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 245407 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 3, 2026, inspectors cited 4 health deficiencies (the Minnesota average is 7.1, the national average 9.2).
None of its 14 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 3.92 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 0.82 of those hours.
34.0% 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.
404/24
605/25
406/26
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 14 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
1E
4F
Potential for minimal harm
0A
2B
0C
June 3, 2026Standard inspection · 4 citations
- F 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, the facility failed to ensure kitchen and walk-in cooler was clean and free of food-like debris. In addition, kitchen staff failed to consistently log dishwasher temps to ensure proper sanitation and failed to date meat when placed in the walk-in cooler to thaw. This had the potential to affect all 51 residents.
- F Have a plan that describes the process for conducting QAPI and QAA activities.
Inspectors wroteBased on interview and document review, the facility failed to ensure data submitted to the Quality Assurance Program Improvement (QAPI) committee was analyzed and documented to ensure areas identified had oversight for their perspective outcomes brought forth. This had the potential to affect all 51 residents.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on interview and document review, the facility failed to follow physician orders to measure a pressure ulcer weekly and follow their policy and procedure on documenting pressure ulcer care for 1 of 1 sampled resident (R8).
- D Implement a program that monitors antibiotic use.
Inspectors wroteBased on interview and document review, the facility failed to perform antibiotic stewardship to include a system for monitoring and reducing antibiotic resistance. In addition, the facility failed to follow their policy on antibiotic stewardship and conduct an antibiotic timeout (ATO) for 1 of 3 sampled residents (R52).
May 14, 2025Standard inspection, Complaint inspection · 6 citations
- F Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation, interview, and document review the facility failed to ensure the kitchen ceiling tiles were kept in a clean and sanitary manner and free of dust and debris. This had the potential to affect all 46 residents residing in the facility.
- E Provide and implement an infection prevention and control program.
Inspectors wroteDuring an interview on 5/13/25 at 1:11 p.m., on first floor, NA-A stated staff carried soiled laundry, including resident clothing, bed linens and towels, from resident rooms by hand, down the hallway to a hamper in the tub room if it was soiled resident clothing, or the utility room if it was soiled bed linens or towels. NA-A stated she would do this even if there were a small amount of BM (bowel movement) on the laundry. NA-A stated staff did not place soiled laundry in bags first before carrying it to the hampers. NA-A stated she was careful not to let soiled laundry touch her uniform. Further, NA-A stated she had done that as long as she had worked at the facility. Review of NA-A's orientation checklist dated 8/9/24, did not include instruction on transporting soiled laundry. [...]
- 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 observation, interview and document review the facility failed to ensure a comprehensive care plan was developed and implemented to include of post-traumatic stress disorder (PTSD) triggers and interventions for 2 of 2 residents (R10 and R23) who had a diagnosis of PTSD.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and document review, the facility failed to ensure accuracy of measured weights for 1 of 1 resident (R29) reviewed for nutrition.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and document review the facility failed to ensure staff were following manufacturer's guidelines with continuous positive airway pressure (CPAP) machine with daily maintenance and weekly cleaning for 1 of 1 resident (R23) reviewed for respiratory care and treatments.
- D Provide care or services that was trauma informed and/or culturally competent.
Inspectors wroteBased on interview, observation, and record review the facility failed to identify and document the trauma-related history, post-traumatic stress disorder (PTSD), known triggers and lacked a system or process for completing trauma assessments for 2 of 2 residents (R10 and R23) with a known history of PTSD.
April 17, 2024Standard inspection · 4 citations
- F 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, the facility failed to follow manufacturer's instructions for cleaning and sanitizing 1 of 1 ice machines used for resident consumption. This had the potential to affect all 49 residents who resided in the facility.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation and interview, the facility failed to ensure basic infection control measures were followed when 1 of 1 resident (R41's) urinary drainage bag was observed resting on the floor.
- B Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on interview and document review the facility failed to ensure written transfer notices were provided to the resident or resident representative following a facility-initiated transfer to the hospital for 2 of 2 residents (R25, R28) reviewed for hospitalization. This had the potential to affect all 49 residents residing in the facility.
- B Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on interview and document review, the facility failed to provide notification to the resident and/or resident representative of the facility's bed hold policy at the time of an emergency transfer for 2 of 2 residents (R25, R28) who were transferred to an acute care facility on an emergency basis.
Fire safety inspections
16 fire safety citations on file: 6 on June 3, 2026, 6 on May 14, 2025, 4 on April 17, 2024.
Every fire safety citation16 citations
- 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 Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Provide properly protected cooking facilities.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Provide a written emergency evacuation plan.
- E Install corridor and hallway doors that block smoke.
- E Inspect, test, and maintain automatic sprinkler systems.
- D Have simulated fire drills held at unexpected times.
- D Have generator or other power source capable of supplying service within 10 seconds.
- D Have proper medical gas storage and administration areas.
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) | 3.92 | 4.19 | 3.86 |
| Registered nurses | 0.82 | 1.06 | 0.69 |
| All nursing staff on weekends | 3.65 | 3.71 | 3.42 |
| Nurse aides | 2.60 | ||
| Licensed practical nurses | 0.49 | ||
| Nursing staff turnover (share who left in a year) | 34.0% | 42.2% | 45.8% |
| Registered nurse turnover | 25.0% | 38.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.04 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 4.02 on weekdays and 3.65 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 22.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.16 in April to June 2025 to 3.92 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 | 3.92 | 0.82 | 4.02 | 3.65 | 22.4% | 0 of 90 | 49 |
| Oct to Dec 2025 | 4.16 | 0.82 | 4.27 | 3.88 | 22.0% | 0 of 92 | 48 |
| Jul to Sep 2025 | 4.31 | 0.85 | 4.48 | 3.85 | 24.3% | 0 of 92 | 46 |
| Apr to Jun 2025 | 4.16 | 0.80 | 4.32 | 3.77 | 22.6% | 0 of 91 | 48 |
| 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 | 20.0 | 18.2 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 4.2 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 5.5 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.0 | 4.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 6.8 | 1.9 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 17.4 | 20.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.3 | 5.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 12.4 | 17.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 31.6 | 23.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.0 | 14.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.9 | 1.8 |
Owners and operators
Legal business name: ST JOHN LUTHERAN HOME.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Asmus, Justin | Corporate director | Individual | 05/23/2022 | |
| Beyer, Lindsey | Corporate director | Individual | 05/23/2022 | |
| Groff, Janet | Corporate director | Individual | 05/23/2022 | |
| Lerner, Bracey | Corporate director | Individual | 05/23/2022 | |
| Mattson, Tricia | Corporate director | Individual | 05/23/2022 | |
| Meine, Maxine | Corporate director | Individual | 05/23/2022 | |
| Meyer, Willis | Corporate director | Individual | 05/23/2022 | |
| Rosales, Melissa | Corporate director | Individual | 05/23/2022 | |
| Voge, Karen | Corporate director | Individual | 05/23/2022 | |
| Wellner, Denise | Corporate director | Individual | 05/23/2022 | |
| Wendt, Pamela | Corporate director | Individual | 05/23/2022 | |
| Beyer, Lindsey | Operational/managerial control | Individual | 05/23/2022 | |
| Rosales, Melissa | Operational/managerial control | Individual | 05/23/2022 |
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 3, 2026: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on June 3, 2026: "Implement a program that monitors antibiotic use."
- 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 June 3, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on April 17, 2024: "Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.65 hours per resident per day, below the Minnesota average of 3.71.
Other nursing homes nearby
- Gil-Mor Manor Morgan, 12.3 mi · 2 of 5 stars · 29 citations
- Sleepy Eye Rehabilitati Center Sleepy Eye, 12.4 mi · 4 of 5 stars · 17 citations
- Divine Providence Community Home Sleepy Eye, 12.9 mi · 2 of 5 stars · 14 citations
- Valley View Manor Healthcare Center Lamberton, 14.6 mi · 1 of 5 stars · 45 citations
- Wabasso Restorative Care Center Wabasso, 18.2 mi · 1 of 5 stars · 70 citations
- Franklin Restorative Care Center Franklin, 20 mi · 1 of 5 stars · 45 citations
- Good Samaritan Society - Mountain Lake Mountain Lake, 20.5 mi · 4 of 5 stars · 14 citations
- River Valley Health and Rehabilitation Center LLC Redwood Falls, 21.9 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 St. John Lutheran Home's Medicare star rating?
- CMS rates St. John Lutheran Home 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did St. John Lutheran Home get at its last inspection?
- 4 health deficiencies at the standard inspection on June 3, 2026. The Minnesota average is 7.1.
- Has St. John Lutheran Home been fined?
- CMS lists no fines in the last three years.
- Does St. John Lutheran 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. John Lutheran Home?
- CMS lists 13 owners and managers. Legal business name: ST JOHN LUTHERAN 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.