Aitkin Health Services
Aitkin, Aitkin County, Minnesota · CCN 245119 · Non-profit (Church related) · part of St. Francis Health Services (14 facilities, chain average 2.8 stars)
CMS rates Aitkin Health Services 2 of 5 overall as of August 2026. 42 certified beds, 33 residents a day on average. 34 citations on record from the current inspection cycles, 2 involving actual harm; 1 fine totalling $8,824.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★☆☆☆ 2 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★★★★★ 5 of 5 |
| Quality measures | ★☆☆☆☆ 1 of 5 |
| Quality: long-stay / short-stay | 1 / — of 5 |
Staffing
| Total nurse staffing | 4.21113 hours per resident per day |
|---|---|
| Registered nurses | 1.1892 hours per resident per day |
| Weekend total | 3.79095 hours per resident per day |
| Nursing staff turnover | 48.8% (registered nurses 33.3%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-06-04 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has plan of correction 2026-07-24 |
| 2026-06-04 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has plan of correction 2026-07-24 |
| 2026-06-04 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has plan of correction 2026-07-24 |
| 2026-06-04 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · tag F0887 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has plan of correction 2026-07-24 |
| 2026-06-04 complaint survey |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has plan of correction 2026-07-24 |
| 2026-06-04 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has plan of correction 2026-07-24 |
| 2026-06-04 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has plan of correction 2026-07-24 |
| 2026-06-04 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · tag F0685 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has plan of correction 2026-07-24 |
| 2026-06-04 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has plan of correction 2026-07-24 |
| 2026-06-04 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has plan of correction 2026-07-24 |
| 2026-06-04 | 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. Quality of Life and Care Deficiencies · tag F0693 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has plan of correction 2026-07-24 |
| 2026-06-04 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has plan of correction 2026-07-24 |
| 2025-05-15 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · tag F0582 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-18 |
| 2025-05-15 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0605 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-18 |
| 2025-05-15 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-18 |
| 2025-04-30 complaint survey |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-20 |
| 2025-03-19 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-18 |
| 2024-12-12 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-12-30 |
| 2024-07-10 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-08-05 |
| 2024-07-10 complaint survey |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-05 |
| 2024-07-10 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-05 |
| 2024-07-10 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-05 |
| 2024-07-10 complaint survey |
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. Resident Rights Deficiencies · tag F0625 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-05 |
| 2024-04-24 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-17 |
| 2024-03-07 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-20 |
| 2024-03-07 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-20 |
| 2024-03-07 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · tag F0756 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-20 |
| 2024-03-07 | 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. Pharmacy Service Deficiencies · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-20 |
| 2024-01-12 complaint survey |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · tag F0740 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-16 |
| 2024-01-12 complaint survey |
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. Pharmacy Service Deficiencies · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-16 |
| 2023-12-21 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-02 |
| 2023-12-21 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-02 |
| 2023-09-08 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-20 |
| 2023-09-08 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-20 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-12-12 | Fine | $8,824 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Big Stone Therapies, Inc. Organization | adp of the snf | — | 2025-10-22 |
| Eide Bailly LLP Organization | adp of the snf | — | 2025-10-22 |
| St. Francis Health Services Of Morris, Inc. Organization | adp of the snf | — | 2025-09-18 |
| St. Francis Health Services Of Morris, Inc. Organization | direct ownership interest | — | 2005-08-16 |
| Big Stone Therapies, Inc. Organization | operational/managerial control | — | 2015-02-03 |
| Eide Bailly LLP Organization | operational/managerial control | — | 2023-01-03 |
| St. Francis Health Services Of Morris, Inc. Organization | operational/managerial control | — | 2006-05-26 |
| Arnold, Jill Individual | adp of the snf | — | 2021-09-15 |
| Bach, Curtis Individual | adp of the snf | — | 2024-08-28 |
| Bakke, Christine Individual | adp of the snf | — | 2019-09-30 |
| Caspers, Megan Individual | adp of the snf | — | 2018-03-26 |
| Copeman, Jeffrey Individual | adp of the snf | — | 2025-01-01 |
| Dionisopoulos, Mary Individual | adp of the snf | — | 2024-04-30 |
| Dripps, Daniel Individual | adp of the snf | — | 2016-01-01 |
| Ehlers, Douglas Individual | adp of the snf | — | 2023-01-01 |
| Flynn, Jennifer Individual | adp of the snf | — | 2017-01-19 |
| Goodnough, Jennifer Individual | adp of the snf | — | 2021-01-01 |
| Gramm, Timothy Individual | adp of the snf | — | 2023-01-01 |
| Hanneken, Michelle Individual | adp of the snf | — | 2022-07-20 |
| Hauver, Richard Individual | adp of the snf | — | 2025-01-01 |
| Hejhal, Roxanne Individual | adp of the snf | — | 2023-05-08 |
| Henderson, Jeffery Individual | adp of the snf | — | 2022-06-23 |
| Hofmann, Reed Individual | adp of the snf | — | 2023-05-08 |
| Huseth, Kendra Individual | adp of the snf | — | 2024-02-26 |
| Jonas, Carrieann Individual | adp of the snf | — | 2019-03-21 |
| Lair, Michael Individual | adp of the snf | — | 2025-01-01 |
| Lienemann, Steven Individual | adp of the snf | — | 2025-01-01 |
| Luetmer, John Individual | adp of the snf | — | 2021-01-01 |
| Marlow, Jina Individual | adp of the snf | — | 2022-06-06 |
| Nelson, Patrick Individual | adp of the snf | — | 2020-01-01 |
| Pegel, Betsy Individual | adp of the snf | — | 2024-08-08 |
| Peterson-Devries, Cami Individual | adp of the snf | — | 2022-05-08 |
| Radaich, Bobbie Individual | adp of the snf | — | 2017-02-09 |
| Raw, Carol Individual | adp of the snf | — | 2005-08-16 |
| Rentz, Laura Individual | adp of the snf | — | 2024-01-01 |
| Rentz, Mark Individual | adp of the snf | — | 2024-04-22 |
| Rentz, Paul Individual | adp of the snf | — | 2021-01-01 |
| Ryan, Ben Individual | adp of the snf | — | 2012-12-27 |
| Sanford, Melinda Individual | adp of the snf | — | 2015-05-27 |
| Schneider, Todd Individual | adp of the snf | — | 2013-07-01 |
| Stock, Kelsey Individual | adp of the snf | — | 2022-06-01 |
| Thompson, Renee Individual | adp of the snf | — | 2024-09-22 |
| Tomoson, April Individual | adp of the snf | — | 2021-07-12 |
| Vian, Deanna Individual | adp of the snf | — | 2024-08-19 |
| Walker, Amy Individual | adp of the snf | — | 2024-05-13 |
| Wiese, Lorraine Individual | adp of the snf | — | 2017-07-25 |
| Bach, Curtis Individual | corporate director | — | 2024-08-28 |
| Dripps, Daniel Individual | corporate director | — | 2016-01-01 |
| Ehlers, Douglas Individual | corporate director | — | 2023-01-01 |
| Goodnough, Jennifer Individual | corporate director | — | 2021-01-01 |
| Gramm, Timothy Individual | corporate director | — | 2023-01-01 |
| Lair, Michael Individual | corporate director | — | 2025-01-01 |
| Lienemann, Steven Individual | corporate director | — | 2025-01-01 |
| Luetmer, John Individual | corporate director | — | 2021-01-01 |
| Nelson, Patrick Individual | corporate director | — | 2020-01-01 |
| Peterson-Devries, Cami Individual | corporate director | — | 2022-05-08 |
| Raw, Carol Individual | corporate director | — | 2005-08-16 |
| Rentz, Laura Individual | corporate director | — | 2024-01-01 |
| Rentz, Paul Individual | corporate director | — | 2021-01-01 |
| Schneider, Todd Individual | corporate director | — | 2013-07-01 |
| Wiese, Lorraine Individual | corporate director | — | 2017-07-25 |
| Bach, Curtis Individual | corporate officer | — | 2024-08-28 |
| Peterson-Devries, Cami Individual | corporate officer | — | 2022-05-08 |
| Raw, Carol Individual | corporate officer | — | 2005-08-16 |
| Raw, Carol Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-12-05 |
| Dripps, Daniel Individual | managing control - governing body | — | 2016-01-01 |
| Ehlers, Douglas Individual | managing control - governing body | — | 2023-01-01 |
| Goodnough, Jennifer Individual | managing control - governing body | — | 2021-01-01 |
| Gramm, Timothy Individual | managing control - governing body | — | 2023-01-01 |
| Lair, Michael Individual | managing control - governing body | — | 2025-01-01 |
| Lienemann, Steven Individual | managing control - governing body | — | 2025-01-01 |
| Luetmer, John Individual | managing control - governing body | — | 2021-01-01 |
| Nelson, Patrick Individual | managing control - governing body | — | 2020-01-01 |
| Rentz, Laura Individual | managing control - governing body | — | 2024-01-01 |
| Rentz, Paul Individual | managing control - governing body | — | 2021-01-01 |
| Schneider, Todd Individual | managing control - governing body | — | 2013-07-01 |
| Wiese, Lorraine Individual | managing control - governing body | — | 2017-07-25 |
| Arnold, Jill Individual | operational/managerial control | — | 2021-09-15 |
| Bach, Curtis Individual | operational/managerial control | — | 2024-08-24 |
| Bakke, Christine Individual | operational/managerial control | — | 2019-09-30 |
| Caspers, Megan Individual | operational/managerial control | — | 2018-03-26 |
| Copeman, Jeffrey Individual | operational/managerial control | — | 2025-01-01 |
| Dionisopoulos, Mary Individual | operational/managerial control | — | 2024-04-30 |
| Flynn, Jennifer Individual | operational/managerial control | — | 2017-01-19 |
| Hanneken, Michelle Individual | operational/managerial control | — | 2022-07-20 |
| Hauver, Richard Individual | operational/managerial control | — | 2025-01-01 |
| Hejhal, Roxanne Individual | operational/managerial control | — | 2023-04-10 |
| Henderson, Jeffery Individual | operational/managerial control | — | 2022-06-23 |
| Hofmann, Reed Individual | operational/managerial control | — | 2023-05-08 |
| Huseth, Kendra Individual | operational/managerial control | — | 2024-02-26 |
| Jonas, Carrieann Individual | operational/managerial control | — | 2019-03-21 |
| Marlow, Jina Individual | operational/managerial control | — | 2022-06-06 |
| Pegel, Betsy Individual | operational/managerial control | — | 2024-08-08 |
| Peterson-Devries, Cami Individual | operational/managerial control | — | 2022-05-08 |
| Radaich, Bobbie Individual | operational/managerial control | — | 2017-02-09 |
| Raw, Carol Individual | operational/managerial control | — | 2005-08-16 |
| Rentz, Mark Individual | operational/managerial control | — | 2024-04-22 |
| Ryan, Ben Individual | operational/managerial control | — | 2012-12-27 |
| Sanford, Melinda Individual | operational/managerial control | — | 2015-05-27 |
| Stock, Kelsey Individual | operational/managerial control | — | 2022-06-01 |
| Thompson, Renee Individual | operational/managerial control | — | 2024-09-22 |
| Tomoson, April Individual | operational/managerial control | — | 2021-07-12 |
| Vian, Deanna Individual | operational/managerial control | — | 2024-08-19 |
| Walker, Amy Individual | operational/managerial control | — | 2024-05-13 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Aitkin Health Services.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Aitkin County.