Nursing Care Index

Essentia Health Grace Home

Graceville, Big Stone County, Minnesota · CCN 245579 · Non-profit (Corporation) · part of Essentia Health (6 facilities, chain average 4.3 stars)

CMS rates Essentia Health Grace Home 5 of 5 overall as of August 2026. 30 certified beds, 19 residents a day on average. 11 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-stay3 / — of 5

Staffing

Total nurse staffing4.41926 hours per resident per day
Registered nurses1.27154 hours per resident per day
Weekend total3.50152 hours per resident per day
Nursing staff turnover36% (registered nurses 14.3%)
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
2025-07-01
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
2025-07-25
2025-02-27
complaint survey
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
G Actual harm that is not immediate jeopardy; isolated Past Non-Compliance
2025-02-20
2025-01-15 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
2025-02-28
2025-01-15 Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-02-28
2023-12-06 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
2024-01-25
2023-12-06 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
2024-01-25
2023-12-06 Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies · tag F0576
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-12-09
2023-12-06 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
2024-01-25
2023-12-06 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
2024-01-25
2023-12-06 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
2024-01-25
2023-12-06 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
2024-01-25

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.

NameRoleShareSince
Essentia Health
Organization
5% or greater direct ownership interest100%2023-07-01
Essentia Health
Organization
adp of the snf2025-01-29
Innovis Health LLC
Organization
adp of the snf2025-01-29
Innovis Health LLC
Organization
operational/managerial control2017-01-01
Arvin, Douglas
Individual
adp of the snf2023-05-18
Hurley, Alan
Individual
adp of the snf2023-05-18
Schmidt, Jay
Individual
adp of the snf2024-01-01
Stueve, Debra
Individual
adp of the snf2024-02-26
Adams, Marc
Individual
corporate director2026-01-01
Christensen, James
Individual
corporate director2020-01-01
Heilman, Tim
Individual
corporate director2020-01-01
Krejci, Mark
Individual
corporate director2026-01-01
Lewandowski, Laurie
Individual
corporate director2017-01-01
Mertz, Taylor
Individual
corporate director2022-05-17
Pladson, Kimberly
Individual
corporate director2025-01-01
Saint Georges, Anderson
Individual
corporate director2025-01-01
Schmidt, Jay
Individual
corporate director2024-01-01
Smith, Benjamin
Individual
corporate director2022-05-17
Arvin, Douglas
Individual
corporate officer2023-05-18
Boren, Kevin
Individual
corporate officer2025-09-29
Gefroh Ellison, Stefanie
Individual
corporate officer2024-08-12
Hurley, Alan
Individual
corporate officer2023-05-18
Watters, Michael
Individual
corporate officer2023-07-01
Arvin, Douglas
Individual
operational/managerial control2023-05-18
Hurley, Alan
Individual
operational/managerial control2023-05-18
Schmidt, Jay
Individual
operational/managerial control2024-01-01
Stueve, Debra
Individual
operational/managerial control2024-02-26

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 Big Stone County.