Nursing Care Index

Emmanuel Nursing Home

Detroit Lakes, Becker County, Minnesota · CCN 245489 · Non-profit (Corporation) · part of Ecumen (5 facilities, chain average 3.4 stars)

CMS rates Emmanuel Nursing Home 3 of 5 overall as of August 2026. 57 certified beds, 50 residents a day on average. 20 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $53,847.

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★★☆☆☆ 2 of 5
Quality: long-stay / short-stay2 / 3 of 5

Staffing

Total nurse staffing4.56694 hours per resident per day
Registered nurses1.51763 hours per resident per day
Weekend total3.92913 hours per resident per day
Nursing staff turnover48.7% (registered nurses 30%)
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
2026-04-03
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
2026-04-29
2026-02-11 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
2026-02-23
2026-02-11 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
2026-02-23
2026-02-11 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
2026-02-23
2026-02-11 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
2026-02-23
2026-01-28
complaint survey
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Nutrition and Dietary Deficiencies · tag F0808
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has date of correction
2026-02-23
2025-02-20
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2025-03-12
2025-02-20
complaint survey
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · tag F0835
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-03-12
2025-01-30
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
2025-03-04
2024-12-18 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
2025-01-20
2024-12-18 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
2025-01-20
2024-12-18 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
2025-01-20
2023-10-04 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · tag F0725
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-11-05
2023-10-04 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
2023-11-05
2023-10-04 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
2023-11-05
2023-10-04 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
2023-11-05
2023-10-04 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
2023-11-05
2023-10-04 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
2023-11-05
2023-10-04 Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies · tag F0685
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-05
2023-10-04
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
2023-11-05

Fines and payment denials

DatePenaltyAmount
2026-01-28Fine$53,847

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
Cdl Homes, LLC
Organization
5% or greater direct ownership interest100%2004-06-28
Cdl Homes, LLC
Organization
adp of the snf2004-06-28
Cdl Homes, LLC
Organization
operational/managerial control2004-06-28
Andresen, Angelica
Individual
adp of the snf2020-07-27
Anzel, Joseph
Individual
adp of the snf2019-11-12
Bartnes, Janice
Individual
adp of the snf1998-05-11
Bohlen, Holly
Individual
adp of the snf2024-08-05
Cox, Nicole
Individual
adp of the snf2023-01-01
Dreyer, Douglas
Individual
adp of the snf2023-11-13
Gamst, Blaine
Individual
adp of the snf2024-10-04
Gillette, Melissa
Individual
adp of the snf2012-10-24
Haley, Tami
Individual
adp of the snf2012-10-01
Harrison, Douglas
Individual
adp of the snf2024-09-03
Horvath, Brian
Individual
adp of the snf2012-07-09
Hukriede, Christine
Individual
adp of the snf2004-11-05
Keller, Kerri
Individual
adp of the snf2013-03-06
Kemper, Monica
Individual
adp of the snf2019-02-01
Kendrick, Shelley
Individual
adp of the snf2013-05-22
Krolak, Jr., Thomas
Individual
adp of the snf2025-02-24
Laxdal Sommer, Emily
Individual
adp of the snf2014-09-16
Leffner, Jacqueline
Individual
adp of the snf2022-03-28
Mcalpine, James
Individual
adp of the snf2021-02-08
Mrosla, Danielle
Individual
adp of the snf2024-11-01
Okeson, Bridget
Individual
adp of the snf1999-03-12
Olson, Amy
Individual
adp of the snf2024-09-23
Olson, Danielle
Individual
adp of the snf2010-04-05
Osman, Amal
Individual
adp of the snf1995-11-14
Palmer, Tina
Individual
adp of the snf2024-02-29
Roath, Alvin
Individual
adp of the snf2017-04-12
Schuh, Susan
Individual
adp of the snf2016-02-16
Shovein, Angela
Individual
adp of the snf2024-04-05
Spearman, Jessica
Individual
adp of the snf2013-06-27
Stevens, Angela
Individual
adp of the snf2010-06-14
Thom, Jamie
Individual
adp of the snf2001-01-22
Vang, Kou
Individual
adp of the snf2020-10-05
Wik, Amanda
Individual
adp of the snf2016-11-30
Wilson, Maria
Individual
adp of the snf2023-09-08
Augustson, Jeanette
Individual
corporate director2022-05-18
Bergstrom, Susan
Individual
corporate director2025-02-25
Conlin, Jan
Individual
corporate director2024-01-09
Frey, Mary
Individual
corporate director2024-08-21
Getaweh, Sharlene
Individual
corporate director2025-02-25
Iserman, Brent
Individual
corporate director2025-02-25
Kull, Marcia
Individual
corporate director2022-01-01
Petraborg, John
Individual
corporate director2023-05-24
Plamann, Joy
Individual
corporate director2024-05-22
Schowalter, James
Individual
corporate director2025-05-21
Schuna, Peter
Individual
corporate director2024-05-22
Snyder, Nils
Individual
corporate director2024-08-21
Andresen, Angelica
Individual
corporate officer2023-05-24
Haley, Tami
Individual
corporate officer2022-05-18
Harrison, Douglas
Individual
corporate officer2025-01-16
Kendrick, Shelley
Individual
corporate officer2019-02-04
Laxdal Sommer, Emily
Individual
corporate officer2024-05-22
Mcalpine, James
Individual
corporate officer2021-05-20
Olson, Amy
Individual
corporate officer2025-05-21
Palmer, Tina
Individual
corporate officer2024-05-22
Andresen, Angelica
Individual
managing control - governing body2023-05-24
Augustson, Jeanette
Individual
managing control - governing body2022-05-18
Bergstrom, Susan
Individual
managing control - governing body2025-02-25
Conlin, Jan
Individual
managing control - governing body2024-01-09
Frey, Mary
Individual
managing control - governing body2024-08-21
Getaweh, Sharlene
Individual
managing control - governing body2025-02-25
Haley, Tami
Individual
managing control - governing body2022-05-18
Harrison, Douglas
Individual
managing control - governing body2025-01-16
Iserman, Brent
Individual
managing control - governing body2025-02-25
Kendrick, Shelley
Individual
managing control - governing body2019-02-04
Kull, Marcia
Individual
managing control - governing body2022-01-01
Laxdal Sommer, Emily
Individual
managing control - governing body2024-05-22
Mcalpine, James
Individual
managing control - governing body2021-05-20
Olson, Amy
Individual
managing control - governing body2025-05-21
Palmer, Tina
Individual
managing control - governing body2024-05-22
Petraborg, John
Individual
managing control - governing body2023-05-24
Plamann, Joy
Individual
managing control - governing body2024-05-22
Schowalter, James
Individual
managing control - governing body2025-05-21
Schuna, Peter
Individual
managing control - governing body2024-05-22
Snyder, Nils
Individual
managing control - governing body2024-08-21
Andresen, Angelica
Individual
operational/managerial control2020-07-27
Anzel, Joseph
Individual
operational/managerial control2019-11-12
Augustson, Jeanette
Individual
operational/managerial control2022-05-18
Beeson, Jennifer
Individual
operational/managerial control2019-09-24
Bergstrom, Susan
Individual
operational/managerial control2025-02-25
Bohlen, Holly
Individual
operational/managerial control2024-08-05
Conlin, Jan
Individual
operational/managerial control2024-01-09
Cox, Nicole
Individual
operational/managerial control2023-01-01
Dreyer, Douglas
Individual
operational/managerial control2023-11-13
Frey, Mary
Individual
operational/managerial control2024-08-21
Gamst, Blaine
Individual
operational/managerial control2024-10-04
Getaweh, Sharlene
Individual
operational/managerial control2025-02-25
Gillette, Melissa
Individual
operational/managerial control2012-10-24
Haley, Tami
Individual
operational/managerial control2012-10-01
Harrison, Douglas
Individual
operational/managerial control2024-09-03
Horvath, Brian
Individual
operational/managerial control2012-07-09
Iserman, Brent
Individual
operational/managerial control2025-02-25
Keller, Kerri
Individual
operational/managerial control2013-03-06
Kemper, Monica
Individual
operational/managerial control2019-02-01
Kendrick, Shelley
Individual
operational/managerial control2012-01-18
Krolak, Jr., Thomas
Individual
operational/managerial control2025-02-24
Kull, Marcia
Individual
operational/managerial control2022-01-01
Laxdal Sommer, Emily
Individual
operational/managerial control2024-05-22
Leffner, Jacqueline
Individual
operational/managerial control2022-03-28
Mcalpine, James
Individual
operational/managerial control2021-02-08
Mrosla, Danielle
Individual
operational/managerial control2024-11-01
Newland, Charles
Individual
operational/managerial control2019-09-24
Okeson, Bridget
Individual
operational/managerial control1999-03-12
Olson, Amy
Individual
operational/managerial control2024-09-23
Olson, Danielle
Individual
operational/managerial control2010-04-05
Osman, Amal
Individual
operational/managerial control1995-11-14
Palmer, Tina
Individual
operational/managerial control2024-02-29
Petraborg, John
Individual
operational/managerial control2013-02-21
Plamann, Joy
Individual
operational/managerial control2024-05-22
Roath, Alvin
Individual
operational/managerial control2017-04-12
Schowalter, James
Individual
operational/managerial control2024-05-22
Schuh, Susan
Individual
operational/managerial control2016-02-16
Schuna, Peter
Individual
operational/managerial control2024-05-22
Shovein, Angela
Individual
operational/managerial control2022-12-12
Snyder, Nils
Individual
operational/managerial control2024-08-21
Spearman, Jessica
Individual
operational/managerial control2013-06-27
Stevens, Angela
Individual
operational/managerial control2010-06-14
Thom, Jamie
Individual
operational/managerial control2001-01-22
Vang, Kou
Individual
operational/managerial control2020-10-05
Wik, Amanda
Individual
operational/managerial control2016-11-30
Wilson, Maria
Individual
operational/managerial control1998-08-11

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 Becker County.