Avera Morningside Heights Care Center
Marshall, Lyon County, Minnesota · CCN 245228 · Non-profit (Corporation) · part of Avera Health (13 facilities, chain average 3.7 stars)
CMS rates Avera Morningside Heights Care Center 3 of 5 overall as of August 2026. 76 certified beds, 72 residents a day on average. 17 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $17,345 and 1 payment denial.
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 | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★★★★★ 5 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 2 / 5 of 5 |
Staffing
| Total nurse staffing | 4.79989 hours per resident per day |
|---|---|
| Registered nurses | 1.01139 hours per resident per day |
| Weekend total | 4.46033 hours per resident per day |
| Nursing staff turnover | 24.4% (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 |
|---|---|---|---|
| 2026-03-24 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 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2026-04-21 |
| 2025-12-03 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · tag F0868 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2026-01-06 |
| 2025-12-03 | 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 date of correction 2026-01-06 |
| 2025-12-03 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · tag F0882 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2026-01-06 |
| 2025-09-24 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance 2025-09-21 |
| 2024-10-30 | 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 date of correction 2024-11-25 |
| 2024-10-30 | 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 date of correction 2024-11-25 |
| 2024-10-30 | 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 date of correction 2024-11-25 |
| 2023-11-30 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-01-04 |
| 2023-11-30 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · tag F0867 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-01-04 |
| 2023-11-30 | 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 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-01-04 |
| 2023-11-30 | 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 date of correction 2024-01-04 |
| 2023-11-30 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-01-04 |
| 2023-11-30 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · tag F0881 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-01-04 |
| 2023-11-30 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-04 |
| 2023-11-30 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · tag F0678 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-04 |
| 2023-11-30 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · tag F0688 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-04 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-09-24 | Fine | $17,345 |
| 2023-11-30 | Payment denial for 6 days from 2024-01-04 | — |
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 |
|---|---|---|---|
| Avera Health Organization | 5% or greater direct ownership interest | 100% | 2009-11-01 |
| Deutz, Tracy Individual | adp of the snf | — | 2025-12-16 |
| Walker, Victoria Individual | adp of the snf | — | 2026-02-09 |
| Hennen, Sharon Individual | corporate director | — | 2023-07-01 |
| Koenen, Lavonne Individual | corporate director | — | 2020-07-01 |
| Lorang, Thomas Individual | corporate director | — | 2024-07-01 |
| Louwagie, Curtis Individual | corporate director | — | 2018-07-01 |
| Novak, Karie Individual | corporate director | — | 2024-07-01 |
| O'Leary, Tim Individual | corporate director | — | 2023-07-01 |
| Sieling, Amanda Individual | corporate director | — | 2018-07-01 |
| Vroman, Jill Individual | corporate director | — | 2023-07-01 |
| Zimmerman, Jodelle Individual | corporate director | — | 2018-07-01 |
| Coudron, Christy Individual | corporate officer | — | 2020-09-01 |
| Lautt, Julie Individual | corporate officer | — | 2020-03-01 |
| Streier, Debra Individual | corporate officer | — | 2021-02-01 |
| Deutz, Tracy Individual | operational/managerial control | — | 2024-12-14 |
| Walker, Victoria Individual | operational/managerial control | — | 2020-08-01 |
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 Avera Morningside Heights Care Center.
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 Lyon County.