Nursing Care Index

Essentia Health Homestead

Deer River, Itasca County, Minnesota · CCN 245428 · Non-profit (Corporation) · part of Essentia Health (6 facilities, chain average 4.3 stars)

CMS rates Essentia Health Homestead 2 of 5 overall as of August 2026. 32 certified beds, 21 residents a day on average. 15 citations on record from the current inspection cycles, 1 at immediate jeopardy; 2 fines totalling $67,727.

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★☆☆☆☆ 1 of 5
Staffing★★★★★ 5 of 5
Quality measures★★★★☆ 4 of 5
Quality: long-stay / short-stay4 / — of 5

Staffing

Total nurse staffing4.97344 hours per resident per day
Registered nurses1.70529 hours per resident per day
Weekend total4.43946 hours per resident per day
Nursing staff turnover50% (registered nurses 40%)
Administrators who left0

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.

SurveyFindingSeverityStatus
2026-05-18
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
2026-04-23
2026-04-22 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
2026-05-08
2026-03-31
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
2026-03-22
2025-12-17
complaint survey
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · tag F0726
K Immediate jeopardy to resident health or safety; pattern Deficient, Provider has date of correction
2026-01-16
2025-12-17
complaint survey
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights Deficiencies · tag F0585
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-01-16
2025-12-17
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
2026-01-16
2025-07-30
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
2025-08-25
2025-07-30
complaint survey
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2025-08-25
2025-03-12 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
2025-03-25
2025-03-12 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
2025-03-28
2025-03-12 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
2025-03-28
2025-03-12 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
2025-03-28
2025-03-12 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
2025-03-25
2024-05-16 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
2024-06-07
2024-05-16 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
2024-06-07

Fines and payment denials

DatePenaltyAmount
2026-03-31Fine$27,378
2025-12-17Fine$40,349

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.

NameRoleShareSince
Essentia Health
Organization
5% or greater direct ownership interest100%2025-03-01
Essentia Health
Organization
adp of the snf2025-05-12
St Marys Duluth Clinic Health System
Organization
adp of the snf2025-05-12
St Marys Duluth Clinic Health System
Organization
operational/managerial control2012-09-01
Boren, Kevin
Individual
adp of the snf2022-04-04
Lund, Jared
Individual
adp of the snf2024-01-01
Meyer, Deborah
Individual
adp of the snf2019-07-22
Aronson Norr, Nancy
Individual
corporate director2025-01-01
Bachand, Adam
Individual
corporate director2025-01-01
Bergstrom, Amy
Individual
corporate director2024-01-01
Duininck, Troy
Individual
corporate director2023-01-01
Jamar, Thomas
Individual
corporate director2023-01-01
Loban, George
Individual
corporate director2024-01-01
Lund, Jared
Individual
corporate director2024-01-01
Smith, Bruce
Individual
corporate director2026-01-01
Terch, Justin
Individual
corporate director2025-10-22
Urbanski, Rebecca
Individual
corporate director2025-01-01
Watters, Michael
Individual
corporate director2023-07-01
Yung, Anthony
Individual
corporate director2023-01-01
Boren, Kevin
Individual
corporate officer2022-04-04
Sertich, Anthony
Individual
corporate officer2021-01-01
Skorupa, Krista
Individual
corporate officer2024-05-06
Meyer, Deborah
Individual
operational/managerial control2019-07-22

What changed

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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 Itasca County.