Avera Granite Falls Care Center
Granite Falls, Yellow Medcine County, Minnesota · CCN 245243 · Non-profit (Church related) · part of Avera Health (13 facilities, chain average 3.7 stars)
CMS rates Avera Granite Falls Care Center 3 of 5 overall as of August 2026. 48 certified beds, 46 residents a day on average. 17 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $15,642.
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 | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 4 / — of 5 |
Staffing
| Total nurse staffing | 3.81388 hours per resident per day |
|---|---|
| Registered nurses | 0.82465 hours per resident per day |
| Weekend total | 3.42638 hours per resident per day |
| Nursing staff turnover | 25% (registered nurses 25%) |
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 |
|---|---|---|---|
| 2025-09-19 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 |
G Actual harm that is not immediate jeopardy; isolated | Past Non-Compliance 2025-09-12 |
| 2025-09-10 | 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 2025-11-26 |
| 2025-09-10 | 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 2025-11-26 |
| 2025-09-10 | 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 2025-11-26 |
| 2025-09-10 | 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 2025-11-26 |
| 2024-07-17 | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · tag F0576 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-08-08 |
| 2024-07-17 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · tag F0557 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-08-08 |
| 2024-07-17 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0604 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-08 |
| 2024-07-17 | 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 2024-08-08 |
| 2024-07-17 | 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 2024-08-20 |
| 2024-07-17 | 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 2024-08-08 |
| 2024-05-02 complaint survey |
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 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance 2024-04-30 |
| 2024-02-29 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 2024-03-21 |
| 2024-02-29 complaint survey |
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Administration Deficiencies · tag F0773 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-21 |
| 2023-08-10 | 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 date of correction 2023-09-06 |
| 2023-08-10 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · tag F0644 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-06 |
| 2023-08-10 | 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. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-06 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-05-02 | Fine | $15,642 |
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 Marshall Organization | 5% or greater direct ownership interest | 100% | 2020-01-01 |
| Avera Health Organization | indirect ownership interest | — | 2020-01-01 |
| Carter, Darrell Individual | adp of the snf | — | 2025-12-16 |
| Kooiman, Thomas Individual | adp of the snf | — | 2025-12-16 |
| Lautt, Julie Individual | adp of the snf | — | 2020-03-01 |
| Coudron, Christy Individual | corporate officer | — | 2020-09-01 |
| Kooiman, Thomas Individual | corporate officer | — | 2020-01-01 |
| Lautt, Julie Individual | corporate officer | — | 2020-03-01 |
| Streier, Debra Individual | corporate officer | — | 2021-02-01 |
| Barber, Daniel Individual | managing control - governing body | — | 2024-07-01 |
| Jensen, Mark Individual | managing control - governing body | — | 2023-07-01 |
| Koenen, Lavonne Individual | managing control - governing body | — | 2020-07-01 |
| Rios Avendano, Rosa Individual | managing control - governing body | — | 2023-07-01 |
| Streich, Lisa Individual | managing control - governing body | — | 2024-07-01 |
| Welbig, Lucille Individual | managing control - governing body | — | 2023-07-01 |
| Carter, Darrell Individual | operational/managerial control | — | 2020-01-01 |
| Kooiman, Thomas Individual | operational/managerial control | — | 2020-01-01 |
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 Granite Falls 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 Yellow Medcine County.