St Marks Living
Austin, Mower County, Minnesota · CCN 245369 · Non-profit (Corporation) · not part of a chain
CMS rates St Marks Living 1 of 5 overall as of August 2026. 45 certified beds, 35 residents a day on average. 30 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $127,000 and 2 payment denials.
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 | ★☆☆☆☆ 1 of 5 |
|---|---|
| Health inspections | ★☆☆☆☆ 1 of 5 |
| Staffing | ★★★★☆ 4 of 5 |
| Quality measures | ★★☆☆☆ 2 of 5 |
| Quality: long-stay / short-stay | 1 / 4 of 5 |
Staffing
| Total nurse staffing | 4.69501 hours per resident per day |
|---|---|
| Registered nurses | 0.68984 hours per resident per day |
| Weekend total | 4.3887 hours per resident per day |
| Nursing staff turnover | 51.8% (registered nurses 66.7%) |
| 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 |
|---|---|---|---|
| 2026-06-16 | 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 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has plan of correction 2026-08-13 |
| 2026-06-16 | 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 2026-08-13 |
| 2026-06-16 | 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 plan of correction 2026-08-13 |
| 2026-06-16 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · tag F0921 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has plan of correction 2026-08-13 |
| 2026-06-16 | 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 plan of correction 2026-08-13 |
| 2026-06-16 | 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 2026-08-13 |
| 2026-03-02 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 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2026-04-02 |
| 2026-03-02 complaint survey |
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 2026-04-02 |
| 2026-03-02 complaint survey |
Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2026-04-02 |
| 2026-03-02 complaint survey |
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 2026-04-02 |
| 2026-03-02 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 2026-05-07 |
| 2026-03-02 complaint survey |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-07 |
| 2025-04-03 | 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 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-05-09 |
| 2025-04-03 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · tag F0851 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-05-09 |
| 2025-04-03 | 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 2025-05-09 |
| 2025-04-03 | 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 2025-05-09 |
| 2025-04-03 | 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 2025-05-09 |
| 2025-04-03 | 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 2025-05-09 |
| 2025-04-03 | 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 2025-05-09 |
| 2025-04-03 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · tag F0699 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-09 |
| 2025-04-03 | 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 2025-05-09 |
| 2025-03-19 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 2025-04-11 |
| 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 2025-04-11 |
| 2025-02-21 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 |
G Actual harm that is not immediate jeopardy; isolated | Past Non-Compliance 2025-02-03 |
| 2025-02-21 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 2025-03-28 |
| 2025-02-21 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 2025-03-28 |
| 2025-02-21 complaint survey |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-28 |
| 2023-12-21 | 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 2024-01-11 |
| 2023-12-21 | 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 2024-01-18 |
| 2023-12-21 | 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 2024-01-11 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2026-03-02 | Payment denial for 35 days from 2026-04-02 | — |
| 2026-03-02 | Fine | $127,000 |
| 2025-02-21 | Payment denial for 1 days from 2025-05-21 | — |
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 |
|---|---|---|---|
| Partners Senior Living Options LLC Organization | operational/managerial control | — | 2024-06-01 |
| Alvarado, Megan Individual | adp of the snf | — | 2024-11-11 |
| Ellefson, Crystal Individual | adp of the snf | — | 2024-06-01 |
| Langbehn, Jennifer Individual | adp of the snf | — | 2024-06-01 |
| Ritter, Craig Individual | adp of the snf | — | 2024-06-01 |
| Rocheleau, Kimberly Individual | adp of the snf | — | 2024-06-01 |
| Rocheleau, Paula Individual | adp of the snf | — | 2024-06-01 |
| Nelson, Harlan Individual | corporate director | — | 2024-06-01 |
| Johnson, Bradley Individual | corporate officer | — | 2008-03-17 |
| Braaten, James Individual | managing control - governing body | — | 2019-03-18 |
| Brandenburg, Emily Individual | managing control - governing body | — | 2025-11-01 |
| Dahlback, Duane Individual | managing control - governing body | — | 2024-06-01 |
| Donahue, Nancy Individual | managing control - governing body | — | 2021-06-01 |
| Gray, John Jr. Individual | managing control - governing body | — | 2024-06-01 |
| Gullickson, Gayle Individual | managing control - governing body | — | 2024-06-01 |
| Johnson, Bradley Individual | managing control - governing body | — | 2008-03-17 |
| Nelson, Harlan Individual | managing control - governing body | — | 2024-06-01 |
| Simonson, Connie Individual | managing control - governing body | — | 2021-06-01 |
| Alvarado, Megan Individual | operational/managerial control | — | 2024-11-11 |
| Ellefson, Crystal Individual | operational/managerial control | — | 2024-06-01 |
| Langbehn, Jennifer Individual | operational/managerial control | — | 2024-06-01 |
| Ritter, Craig Individual | operational/managerial control | — | 2024-06-01 |
| Rocheleau, Kimberly Individual | operational/managerial control | — | 2024-06-01 |
| Rocheleau, Paula Individual | operational/managerial control | — | 2024-06-01 |
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 St Marks Living.
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 Mower County.