Lake Winona Manor
Winona, Winona County, Minnesota · CCN 245240 · Non-profit (Corporation) · not part of a chain
CMS rates Lake Winona Manor 5 of 5 overall as of August 2026. 80 certified beds, 64 residents a day on average. 24 citations on record from the current inspection cycles, 1 involving actual harm; no fines on record.
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 | ★★★★★ 5 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★★★★★ 5 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 2 / 4 of 5 |
Staffing
| Total nurse staffing | 4.28164 hours per resident per day |
|---|---|
| Registered nurses | 0.67296 hours per resident per day |
| Weekend total | 3.76166 hours per resident per day |
| Nursing staff turnover | 34.1% (registered nurses 0%) |
| 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 |
|---|---|---|---|
| 2026-03-05 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · tag F0554 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-24 |
| 2026-03-05 | Give residents a notice of rights, rules, services and charges. Resident Rights Deficiencies · tag F0572 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2026-03-24 |
| 2026-03-05 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · tag F0577 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2026-03-24 |
| 2025-12-18 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 | Past Non-Compliance 2025-11-13 |
| 2024-12-05 complaint survey |
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 2025-01-09 |
| 2024-12-05 complaint survey |
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 2025-01-09 |
| 2024-12-05 complaint survey |
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 2025-01-09 |
| 2024-12-05 complaint survey |
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 date of correction 2025-01-09 |
| 2024-12-05 complaint survey |
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · tag F0700 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-09 |
| 2024-03-12 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 2024-04-06 |
| 2023-10-26 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · tag F0881 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2023-12-01 |
| 2023-10-26 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · tag F0565 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-11-21 |
| 2023-10-26 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-12-01 |
| 2023-10-26 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · tag F0637 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-12-01 |
| 2023-10-26 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-12-01 |
| 2023-10-26 | 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 2023-12-01 |
| 2023-10-26 | 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 2023-12-01 |
| 2023-10-26 | 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 date of correction 2023-12-01 |
| 2023-10-26 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-12-01 |
| 2023-10-26 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · tag F0757 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-12-01 |
| 2023-10-26 | 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 2023-12-01 |
| 2023-10-26 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-12-01 |
| 2023-10-26 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · tag F0732 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2023-12-01 |
| 2023-10-26 | Assure the security of all personal funds of residents deposited with the facility. Resident Rights Deficiencies · tag F0570 |
B No actual harm, with potential for minimal harm; pattern | Deficient, Provider has date of correction 2023-10-27 |
Fines and payment denials
No fines or payment denials on record since 2023.
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 |
|---|---|---|---|
| Winona Health Services Organization | 5% or greater direct ownership interest | 100% | 2011-07-01 |
| Baker, Rodney Individual | corporate director | — | 2014-01-01 |
| Blue, Steven Individual | corporate director | — | 2007-01-01 |
| Broghammer, Matthew Individual | corporate director | — | 2007-01-01 |
| Brosnahan, Jan Individual | corporate director | — | 2011-08-01 |
| Burke, Sandra Individual | corporate director | — | 2016-01-01 |
| Decker, Vicky Individual | corporate director | — | 2007-01-01 |
| Evans, Greg Individual | corporate director | — | 2016-06-01 |
| Gilmer, David Individual | corporate director | — | 2018-08-01 |
| Hammel, Katrina Individual | corporate director | — | 2019-02-01 |
| Heising-Schultz, Rachelle Individual | corporate director | — | 2007-01-01 |
| Miller, Hugh Individual | corporate director | — | 1993-01-01 |
| Modjeski, Nicholas Individual | corporate director | — | 2017-12-01 |
| Mogren, Kenneth Individual | corporate director | — | 2007-01-01 |
| Paulson, Todd Individual | corporate director | — | 2018-08-01 |
| Said, Fatima Individual | corporate director | — | 2018-08-01 |
| Semling, Brian Individual | corporate director | — | 2016-11-01 |
| Wagner, Mark Individual | corporate director | — | 2007-01-01 |
| Whyte, Brett Individual | corporate director | — | 2016-10-18 |
| Williams, Robert Individual | corporate director | — | 2016-11-01 |
| Brosnahan, Jan Individual | operational/managerial control | — | 2013-09-24 |
| Ceplecha, Audrey Individual | operational/managerial control | — | 2021-11-01 |
| Heising-Schultz, Rachelle Individual | operational/managerial control | — | 2002-07-01 |
| Hoeg, Robin Individual | operational/managerial control | — | 2014-07-01 |
| Atkinson, Linda Individual | w-2 managing employee | — | 2018-11-05 |
| Ceplecha, Audrey Individual | w-2 managing employee | — | 2021-11-01 |
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 Lake Winona Manor.
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 Winona County.