Home / Minnesota / Worthington
The Shores of Worthington
1307 South Shore Drive, Worthington, MN 56187 · Nobles County · (507) 376-3175
69 certified beds, about 52 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1992
Special Focus Facility candidate CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 245596 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 30, 2026, inspectors cited 6 health deficiencies (the Minnesota average is 7.1, the national average 9.2).
Of 61 health citations since December 2023, 5 were rated as actual harm or immediate jeopardy to residents (4 immediate jeopardy).
CMS lists 4 fines totaling $152,203 in the last three years; the largest was $107,550, and the latest is dated February 19, 2026.
Nurses and nurse aides worked 3.76 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 1.07 of those hours.
57.9% of nursing staff left within the year CMS measured (Minnesota average 42.2%).
CMS links it to Ephram Lahasky, an affiliated group of 22 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.
1512/23
205/24
108/24
612/24
101/25
2303/25
404/25
302/26
604/26
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 61 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
3J
0K
1L
Actual harm
1G
0H
0I
Potential for more than minimal harm
35D
5E
16F
Potential for minimal harm
0A
0B
0C
April 30, 2026Standard inspection, Complaint inspection · 6 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 appropriately maintain and clean 4 of 4 freezers in the facility kitchen. The facility also failed to ensure staff followed infection control practices when handling and preparing food and ensure food preparation equipment was allowed to dry prior to stacking and returning to the storage rack. This had the potential to affect all 49 residents in the facility.
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on interview and document review, the facility failed to ensure 4 of 5 sampled staff (nursing assistant (NA)-E, NA-F, AND NA-M) and dietary aide ((DA)-B) completed tuberculosis (TB) screening and testing upon hire. This had the potential to affect all 58 residents in the facility.
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on interview and document review, the facility failed to notify the Office of Ombudsman of a discharge for 1 of 2 sampled residents (R5).
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on interview and document review, the facility failed to revise the care plan for 1 of 1 sampled resident (R6) reviewed for pressure ulcers.
- D Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation the facility failed to provide meals that were attractive and palatable during 1 of 1 observed meal service.
- D Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Inspectors wroteBased on interview and document review, the facility failed to ensure 1 of 5 staff had initial and annual Alzheimer's and dementia training.
February 19, 2026Complaint inspection · 3 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 protect 1 of 10 residents (R1) reviewed for sexual abuse, from sexual abuse by another resident (R2) who had a known history of sexually inappropriate behaviors. This resulted in an Immediate Jeopardy (IJ) when R1, who had severe cognitive impairment was sexually abused by R2 and was unable to independently protect herself from unwanted sexual contact. The IJ began on 2/5/26, when staff found R2 in a resident common area with his hand under R1's shirt touching her breast while she was resting in a recliner. R2 was placed on 1:1 supervision on 2/6/26; however, he was removed from 1:1 supervision on 2/11/26 and placed on 30-minute safety checks. [...]
- F Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Inspectors wroteBased on interview and document review the facility failed to designate a physician to serve as Medical Director. This deficient practice had the potential to affect all 52 residents currently residing at the facility.
- F Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspectors wroteBased on interview and document review the facility failed to incorporate a Medical Director into the Quality Assurance Performance Improvement (QAPI) committee. This deficient practice had the potential to affect all 52 residents currently residing at the facility.
April 11, 2025Complaint inspection · 4 citations
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, and record review the facility failed to comprehensively assess and treat impaired skin integrity for 1of 1 residents (R3) who had acute dermatitis.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview, and record review the facility failed to monitor and complete comprehensive skin assessments, evaluate the effectiveness of interventions, and provide physician ordered treatments as prescribed to prevent or negate the risk of deterioration or new ulcer development for 1 of 3 residents (R1) who was at risk for pressure ulcers and had a history of pressure ulcers.
- 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.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure appropriate care and services were provided to prevent urinary tract infections to the extent possible for 1 of 2 residents (R1) who had an indwelling urinary catheter.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review the facility failed to perform appropriate hand hygiene during cares for 4 of 4 residents (R3, R4, R5, and R10) observed for personal cares.
March 4, 2025Standard inspection · 23 citations
- F 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 interview and document review, the facility failed to ensure 9 of 15 sampled residents (R1, R5, R7, R8, R18, R20, R28, R41, and R42) care plans were developed and able to be revised as necessary. This has the potential to affect all 56 residents.
- 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 the ice machine, kitchen and food prep areas were kept clean and sanitary. This has the ability to affect all 56 residents.
- F Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Inspectors wroteBased on interview and document review, 1 of 1 Governing Body failed to provied appropriate oversight to ensure deficient practice had been corrected and coompliance achieved. Refer to F636, F656, F684, F758, F812, F842, F865, F880, F882, and F944.
- F Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Inspectors wroteBased on interview and document review the facility failed to implement 1 of 1 facility assessment protocol related to ensuring staff competencies were identified and completed respective to staff duties performed. This has the ability to affect all 56 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 1 of 1 Quality Assurance Performance 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 56 residents.
- F Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on interview and document review, the facility's Quality Assurance and Performance Improvement (QAPI) committee failed to identify facility specific concerns, implement an action plan to correct the identified concerns or to ensure the committee participated in the development and oversight of implementation of systems, and to ensure quality of life and quality of care were maintained for 57 residents residing in the facility.
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased off document and interview, the facility failed to ensure 1 of 1 resident (R41) with a highly infectious disease (Hepatitis C) was placed into the infection control (IC) surveillance data for monitoring. In addition, the facility failed to ensure oversight of the IC program was maintained for tracking, trending, and analysis of data to prevent potential spread of infection. The facility also failed to include staff return to work information in surveillance to identify if they were appropriately vetted before their return for 1 of 3 months (January 2025) reviewed. This has the potential to affect all 56 residents.
- F Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Inspectors wroteBased off document and interview, the facility failed to ensure oversight of the IC program was maintained to provide appropriate oversight for tracking, trending, and analysis of data to prevent potential spread of infection. This had the ability to affect all 56 residents. Based off document and interview, the facility failed to ensure 1 of 1 resident (R41) with a highly infectious disease (Hepatitis C) was placed into the infection control (IC) surveillance data for monitoring. In addition, the facility failed to ensure oversight of the IC program was maintained for tracking, trending, and analysis of data to prevent potential spread of infection. The facility also failed to include staff return to work information in surveillance to identify if they were appropriately vetted before their return for 1 of 3 months (January 2025) reviewed. [...]
- F Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Inspectors wroteBased on interview and document review, the facility failed to provide mandatory training on 1 of 1 facility specific Quality Assurance Performance Improvement (QAPI) Program to include goals and various elements of the program, how the facility intends to implement the program, staff's role in the facility's QAPI program, or how to communicate concerns, problems, or opportunities for improvement to the facility's QAPI program. This had the ability to affect all 57 residents.
- E Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on interview and document review the facility failed to include the run/communication report from dialysis in the facility medical record for 2 of 2 residents (R18 and R42) reviewed for dialysis, in addition the facility failed to transcribe physician order for 1 of 1 resident (R44) following an appointment.
- 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 the physician signed a Provider Order for Life-Sustaining Treatment (POLST) order for 1 of 15 residents (R37) following admission.
- D Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on interview and document review, the facility failed to ensure 1 of 1 resident (R41) was accurately and comprehensively assessed when R41 exhibited behaviors or refusal of all cares, medication, treatment and evaluation.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on interview and record review, the facility failed to accurately and thoroughly assess 1 of 1 resident (R40) for a history of trauma related to a diagnosis of Post-Traumatic Stress Syndrome (PTSD).
- D Ensure a qualified health professional conducts resident assessments.
Inspectors wroteBased on interview and document review, the facility failed to ensure 1 of 1 resident (R41) was accurately and comprehensively assessed as certified when it was R41 exhibited behaviors and refusal of all cares, medication, treatment and evaluation.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on observation, interview and document review, the facility failed to notify the State Mental Health Authority ([NAME] County) for 1 of 1 resident with a diagnosis of major neurocognitive disorder with known behaviors and inpatient psychiatric stay 3 months prior to admission.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, interview, and document review, the facility failed to revise 2 of 2 residents (R7 and R44) care plan after receiving new orders directing facility to ensure R44's legs were elevated as much as possible and to reposition R7 at least every 2 hours.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, and document review, the facility failed to implement physician orders for 1 of 1 resident (R44).
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on interview and document review the facility failed to assess weight loss to determine the cause for 1 of 4 residents (R8) reviewed for nutrition.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on observation, interview and document review, the facility failed to consistently monitor and assess a resident for potential complications related to dialysis treatment post treatment for 2 of 2 resident (R18 and R42) reviewed for dialysis.
- D Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Inspectors wroteBased on interview and document review, the facility failed to notify the medical director for 1 of 1 resident (R41) who exhibited increased and ongoing behaviors since shortly after admission, with no mental health intervention to receive appropriate treatment and services and had questionable mental ability to refuse cares and treatment.
- 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.
Inspectors wroteBased on observation, interview, and record review, the facility failed to include an appropriate diagnosis for the use of an antipsychotic medication for 1 of 5 residents (R6) reviewed for unnecessary medication.
- D 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.
Inspectors wroteBased on observation, interview and document review the facility failed to ensure controlled medications were reconciled according to the facility protocol to prevent potential diversion for 1 of 1 emergency kits reviewed.
- D Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Inspectors wroteBased on interview, and document review the facility failed to ensure 1 of 1 resident (R18) received ordered therapeutic diet to maintain or improve their nutritional status.
January 15, 2025Complaint inspection · 1 citation
- L Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and document review the facility failed to implement infection control strategies for respiratory protection to mitigate the risk and spread of Respiratory Syncytial Virus (causes infections of the respiratory tract) (RSV). As a result, the facility developed an outbreak where 13 residents (R4, R10, R5, R1, R14, R3, R2, R7, R8, R15, R13, R16, and R12) tested positive for RSV, and 7 residents were suspected to have RSV (R17, R19, R18, R21, R20, R6, R9); 3 residents (R4, R5, and R10) had to be seen in the emergency room, and 2 residents (R7, and R8) were hospitalized with RSV. These practices resulted in an immediate jeopardy (IJ) due to the likelihood of spread to the remaining 48 residents in the facility. The IJ began on 12/28/24, when the facility failed to implement infection control strategies to mitigate the risk and spread of RSV in the facility. [...]
December 12, 2024Complaint inspection · 6 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview and document review the facility failed to complete comprehensive fall analysis and implement individualized interventions to prevent re-current falls and/or mitigate the risk for falls with major injury for 2 of 3 residents (R7, R5) reviewed for falls. The facility's failures resulted in actual harm for R7 when she sustained left tibial fracture that required surgical repair.
- E Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Inspectors wroteBased on interview and document review, the facility failed to ensure 4 of 4 nursing assistants (NA-T, NA-D, NA-G, and NA-U) reviewed were deemed competent to complete cares for residents. This had the potential to affect all 45 residents residing in the facility.
- 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 alleged violations involving abuse/neglect were reported to the State Agency (SA) timely for 2 of 2 resident (R5, R7) reviewed for abuse/neglect.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on interview and document review the facility failed to accurately comprehensively assess pressure ulcers in order to determine, develop, and implement individualized interventions to reduce the risk and/or prevent new pressure ulcers and/or deterioration of existing pressure ulcers for 2 of 3 residents (R3, R4) reviewed for pressure ulcers.
- D Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Inspectors wroteBased on interview and document review, the facility failed to have a clear communication process between hospice and the facility of a change in hospice services to be provided and to designate a member of the facility's interdisciplinary team to coordinate care to the resident by the facility and hospice staff for 1 of 1 (R5) resident who received hospice services.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, interview and documents review the facility failed to ensure enhanced barrier precautions (EBP-where gown and gloves used for high contact resident care activities) was used for 1 of 1 resident (R7). In addition, the facility failed to ensure handwashing/hand hygiene was implemented for 2 of 2 residents (R7, R9) observed for handwashing/hand hygiene.
August 29, 2024Complaint inspection · 1 citation
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview, observation and document review the facility failed to safely use a mechanical lift per manufactures recommendations to transfer 1 of 1 resident (R1), who required a mechanical lift for transfers. This resulted in an immediate jeopardy (IJ) when R1 fell from a full body mechanical lift causing R1 to suffer three fractures to his thoracic and lumbar spine (T1, T6, and L1) requiring hopsital admission. In addition, the facility failed to ensure a system for completed comprehensive assessments for sling size and/or care plan developement and/or the care plan was followed for for 8 of 8 residents (R1, R2, R3, R5, R6, R7, R8, R9) reviewed who required full body mechanical lifts. The IJ began on 8/25/24 when staff failed to ensure lift sling was properly secured prior to the transfer causing R1 to fall from the mechanical lift. [...]
May 1, 2024Complaint inspection · 2 citations
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview and record review the facility failed to comprehensively assess and implement interventions to provide adequate supervision for 1 of 1 residents (R1) who had a history of exit seeking behaviors. R1's elopement from the facility in an unlocked motor vehicle, resulted in an immediate jeopardy (IJ). The facility implemented immediate corrective action and was issued as past non-compliance. The immediate Jeopardy (IJ) began on 4/22/24, when R1 exited the facility and staff did not respond timely to the activation of a door alarm by R1's WanderGuard bracelet. R1 got into an unlocked vehicle and drove around the city for 1.5 hours until police stopped him. The Director of Nursing (DON), Assistant Director of Nursing (ADON), Social Service Designee (SSD), were notified of the IJ on 5/1/24 at 5:30 p.m. [...]
- D 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 provide timely discharge notification in writing to the resident/resident representative, and the Ombudsman for 1 of 1 residents (R1) reviewed for discharge.
December 21, 2023Standard inspection, Complaint inspection · 15 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 expired foods were disposed of, ensure staff followed their process to log cooked food temperatures to ensure appropriate oversight of cooked foods, and monitor refrigerator and freezer temperatures as indicated per policy. The facility also failed to log the results of their chemical test strips and dishwasher per policy to ensure dishes were sanitized correctly. In addition, the facility failed to ensure the dry storage area was maintained in a clean, sanitary manner and in was in good repair. This had the potential to affect all 31 residents.
- F Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on interview and document review, the facility's Quality Assurance and Performance Improvement (QAPI) committee failed to identify facility specific concerns, implement action plans for improvement, or ensure the committee participated in the development and oversight of implementation of systems, to ensure quality of life and quality of care were maintained for 31 of 31 residents residing in the facility.
- F Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Inspectors wroteBased on interview and document review, the facility failed to provide mandatory training on the facility's Quality Assurance Program Improvement (QAPI) Program that included facility specific goals, elements of the program, how the facility intended to implement the program, in addition to the staff's role in the facility QAPI program. The facility also failed to provide education on how staff could communicate concerns, problems, or opportunities for improvement to the facility's QAPI program. In addition, the current December 5, 2019, facility policy failed to identify the mandatory component of providing staff education on the facility specific QAPI program.
- E Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview and document review the facility failed to have a method to identify when oxygen tubing needed to be changed for 4 of 4 residents (R18, R25, R27, and R183). The policy also failed to include documentation of the frequency for oxygen equipment changes for residents receiving oxygen.
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wrote6) Interview on 12/18/23 at 5:10 p.m., with R25 revealed she had to wait 15 to 30 minutes for staff response to the call light when needing assistance to the bathroom. R25 stated she didn't feel important when having to wait for assistance from staff. R25's 9/22/23, quarterly Minimum Data Set (MDS) identified R25 had mildly impaired cognition. R25 had diagnosis of hemiplegia (total or complete paralysis on one side of the body). R25 was dependent on staff for toileting and cares. R25 had impairment bilaterally in lower extremities. R25 had no toileting program and was frequently incontinent of bladder and always incontinent of bowel and took scheduled pain medication in the last 5 days. [...]
- E Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on observation and interview the facility failed to ensure privacy of resident medical information for 1 of 2 facility medication carts which involved 10 of 31 residents (R2, R24, R22, R11, R28, R15, R1, R26, R183, and R19). This had the potential to be viewed by any resident and visitor passing by on the C wing unit.
- 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 report an allegation of potential abuse timely to the facility management staff and the State Agency for 1 of 1 resident (R8) reviewed.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure the Minimum Data Set (MDS) assessment accurately reflected the status and needs for 1 of 1 resident (R9) for depression.
- 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 have an integrated hospice care plan for 1 of 1 resident (R27).
- D Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspectors wroteBased on observation, interview, and document review the facility failed to ensure staff sanitized a gastronomy tube (G-tube) port prior to initializing enteral feeding (nutrition provided thru a tube directly into the stomach) for 1 of 1 resident (R14) during 2 of 2 observations.
- 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.
Inspectors wroteBased on interview and document review the facility failed to comprehensively assess and identify target behaviors and non-pharmacological interventions for scheduled antidepressant and antipsychotic medication for 1 of 5 residents (R23) reviewed for unnecessary medication usage.
- D Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure coordinated hospice services were documented as scheduled for 1 of 1 resident (R27), have a clear communication process for hospice to notify the facility of their updates, for the facility to notify the hospice of changes to R27's health status, need of potential transfers for care, or delineation of hospice services to be provided.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and document review, that facility failed to use appropriate infection control technique during 1 of 1 dressing change for resident (R28). In addition, the facility failed to ensure appropriate Infection control (IC) signage was posted outside 2 of 6 resident (R8, and R 103 x 2) rooms that had been placed on transmission-based precautions (TBP).
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on interview and document review, the facility failed to offer and provide the most recent Centers for Disease Control (CDC) education regarding the potential risks and benefits of the pneumococcal vaccine for 2 of 5 residents (R8, R9) reviewed for immunizations. Furthermore, the facility failed to have a method or system to ensure the facility offer or provided any initial or updated vaccine to residents per Centers for Disease Control (CDC) vaccination recommendations.
- D Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Inspectors wroteBased on interview and record review, the facility failed to ensure that 1 of 1 agency staff (nursing assistant (NA)-G) was oriented to the facility policies and procedures including Abuse, Neglect, Exploitation or Misappropriation, Reporting, and Investigating.
Fire safety inspections
28 fire safety citations on file: 12 on April 30, 2026, 14 on March 4, 2025, 2 on December 21, 2023.
Every fire safety citation28 citations
- F Provide properly protected cooking facilities.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F Provide a written emergency evacuation plan.
- F Have a battery powered remote alarm panel in a location accessible by operating personnel.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Conduct risk assessment and an All-Hazards approach.
- F Establish procedures for tracking staff and patients during an emergency.
- F Establish policies and procedures for volunteers.
- F Provide a means of sharing information on occupancy/needs.
- F Conduct testing and exercise requirements.
- F Provide properly protected cooking facilities.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- E Install corridor and hallway doors that block smoke.
- D Have exits that are accessible at all times.
- D Meet requirements for the installation and maintenance of electrical systems.
- F Conduct testing and exercise requirements.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| February 19, 2026 | Fine | $15,940 |
| December 12, 2024 | Fine | $107,550 |
| December 12, 2024 | Payment Denial | 28 days from January 10, 2025 |
| August 29, 2024 | Fine | $19,725 |
| May 1, 2024 | Fine | $8,988 |
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) | 3.76 | 4.19 | 3.86 |
| Registered nurses | 1.07 | 1.06 | 0.69 |
| All nursing staff on weekends | 3.64 | 3.71 | 3.42 |
| Nurse aides | 2.31 | ||
| Licensed practical nurses | 0.37 | ||
| Nursing staff turnover (share who left in a year) | 57.9% | 42.2% | 45.8% |
| Registered nurse turnover | 61.5% | 38.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.49 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 3.81 on weekdays and 3.64 on weekends, 4% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 40.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.76 in April to June 2025 to 3.76 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 | 3.76 | 1.07 | 3.81 | 3.64 | 40.3% | 0 of 90 | 52 |
| Oct to Dec 2025 | 3.65 | 1.05 | 3.73 | 3.45 | 36.0% | 0 of 92 | 53 |
| Jul to Sep 2025 | 3.74 | 1.09 | 3.84 | 3.48 | 25.3% | 0 of 92 | 52 |
| Apr to Jun 2025 | 3.76 | 1.11 | 3.91 | 3.38 | 20.5% | 0 of 91 | 54 |
| 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 | 21.6 | 18.2 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.0 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.1 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.2 | 4.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.3 | 1.9 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.6 | 20.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 9.2 | 5.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 24.6 | 17.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.7 | 23.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 3.8 | 14.8 | 12.0 |
Owners and operators
Legal business name: SOUTHSHORE OPERATIONS, LLC. CMS links this home to Ephram Lahasky, a group of 22 nursing homes averaging 1.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Cbay Worthington Holdings LLC | 5% or greater direct ownership interest | Organization | 13% | 03/14/2016 |
| Mb Worthington Holdings, LLC | 5% or greater direct ownership interest | Organization | 21% | 03/14/2016 |
| Katz, Abe | 5% or greater direct ownership interest | Individual | 21% | 03/14/2016 |
| Atchison, Barbara | W-2 managing employee | Individual | 04/01/2016 | |
| Kessler, Scott | W-2 managing employee | Individual | 08/21/2017 |
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 14 problems in this area, most recently on April 11, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 12 problems in this area, most recently on April 30, 2026: "Provide behavior health training consistent with the requirements and as determined by a facility assessment."
- When is the care plan meeting, and can family attend it?Inspectors cited 10 problems in this area, most recently on April 30, 2026: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 8 problems in this area, most recently on April 30, 2026: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.64 hours per resident per day, below the Minnesota average of 3.71.
Other nursing homes nearby
- Osceola Senior Living Sibley, 15.4 mi · 5 of 5 stars · 6 citations
- Sibley Specialty Care Sibley, 16.4 mi · 5 of 5 stars · 11 citations
- Maple Lawn Senior Care Fulda, 18.3 mi · 3 of 5 stars · 17 citations
- Parkview Manor Nursing Home Ellsworth, 21.2 mi · 1 of 5 stars · 21 citations
- Colonial Manor Nursing Home Lakefield, 22.7 mi · 1 of 5 stars · 34 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 The Shores of Worthington's Medicare star rating?
- CMS rates The Shores of Worthington 1 out of 5 stars overall, with 1 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did The Shores of Worthington get at its last inspection?
- 6 health deficiencies at the standard inspection on April 30, 2026. The Minnesota average is 7.1.
- Has The Shores of Worthington been fined?
- Yes. CMS lists 4 fines totaling $152,203 in the last three years.
- Does The Shores of Worthington 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 The Shores of Worthington?
- CMS lists 5 owners and managers, and links the home to Ephram Lahasky. Legal business name: SOUTHSHORE OPERATIONS, LLC.
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.