Map showing the location of Zumbrota Care Center in ZUMBROTA, Minnesota
433 MILL STREET, ZUMBROTA, MN, 55992

Overall Score

CMS Five-Star Quality Rating
2/5Below averageCMS Five-Star overall rating
  1. Much below average
  2. Below average
  3. Average
  4. Above average
  5. Much above average

Where it ranks

  • MinnesotaAbove only 18% of peers337 rated homes · average 3.2★
  • United StatesAbove only 20% of peers14,574 rated homes · average 3.0★

How the rating is built

  • Health inspectionsStarting point1★−1.8 vs MN avg
  • StaffingCan add or remove a star5★+0.9 vs MN avg
  • Quality measuresCan add or remove a star4★+0.8 vs MN avg

CMS starts from the health inspection stars, then adds or subtracts a star for staffing and for quality measures. Stars are assigned relative to other facilities in the same state.

Ratings & measures

Tap a row to see what it means
Health inspection ratingCMS stars from the last three on-site inspection cycles1★Lowest tier among peersMN avg2.8★U.S. avg2.8★
What is health inspection rating?

Stars assigned from the last three standard surveys and every complaint investigation in that window, weighted toward the most recent and the most serious findings. CMS assigns these stars relative to other facilities in the same state.

Why it matters

It carries the most weight in the overall rating and is the only domain based on what trained inspectors saw on site rather than what the facility reported.

Staffing ratingCMS stars from payroll-reported hours and turnover5★Above 56% of peersMN avg4.1★U.S. avg2.9★
What is staffing rating?

Nurse and aide hours per resident day from payroll records CMS collects every quarter, adjusted for how much care residents need, plus staff turnover and weekend coverage.

Why it matters

More hours and lower turnover are the strongest predictors of fewer falls, pressure sores, and avoidable hospital stays.

Quality measures ratingCMS stars from clinical outcomes and resident assessments4★Above 61% of peersMN avg3.2★U.S. avg3.6★
What is quality measures rating?

Clinical outcomes from resident assessments and Medicare claims: falls with injury, pressure ulcers, hospitalizations, antipsychotic use, and more, for both short-stay and long-stay residents.

Why it matters

It shows whether care is working, but part of it comes from the facility’s own assessments, so read it alongside the inspection results.

Total nurse hoursPer resident per day, all nursing staff3.89hrsAbove only 35% of peersMN avg4.23Benchmark4.10
What is total nurse hours?

All licensed nurse and aide hours worked, divided by the number of residents, on an average day. Reported from payroll, not self-reported.

Why it matters

Federal research links 4.1 hours a day to fewer avoidable harms. Below about 3 hours, residents wait longer for help with basics like toileting and repositioning.

RN hoursPer resident per day, registered nurses only1.53hrsAbove 88% of peersMN avg1.06Benchmark0.75
What is rn hours?

Registered nurse hours only. RNs assess residents, manage medications, and catch changes in condition; LPNs and aides deliver most hands-on care.

Why it matters

RN coverage is the staffing measure most tied to fewer hospital transfers and infections, and it is where thinly staffed facilities cut first.

Nursing staff turnoverShare of nursing staff who left within a year · lower is better48%Above only 32% of peersMN avg42%RN turnover36%
What is nursing staff turnover?

The share of nursing staff who left within the past year, from the same payroll data.

Why it matters

High turnover means residents are cared for by people who do not know them, and it is one of the strongest predictors of inspection problems.

Fines in the last three yearsCivil money penalties imposed by CMS · lower is better$0Above only 41% of peersMN avg$19,953Fines · denials0 · 0
What is fines in the last three years?

Civil money penalties CMS imposed after serious or uncorrected deficiencies, and denials of Medicare payment for new admissions.

Why it matters

Penalties follow the worst inspection findings. A recent fine is the clearest sign that inspectors found real harm.

Inspection history

Last three inspection cycles
24citations
7inspection dates
0actual harm (G–I)
1immediate jeopardy (J–L)
Dec 2, 2025most recent

Citations by monthMar 2022 – Dec 2025

  • No actual harm (D–F)
  • Actual harm (G–I)
  • Immediate jeopardy (J–L)
  • $Fine or payment denial

Click a month or a year to filter the findings below. Arrow keys move between months; Esc clears.

Dec 2, 20251 citationCycle 1worst D · no actual harm
  1. F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and CareD · isolatedCorrected Dec 4, 2025
Nov 26, 20252 citationsCycle 1worst D · no actual harm
  1. F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and CareD · isolatedCorrected Dec 1, 2025
  2. F690Provide 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 CareD · isolatedCorrected Dec 1, 2025
Aug 7, 20251 citationCycle 1worst F · no actual harm
  1. F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and DietaryF · widespreadCorrected Sep 19, 2025
May 27, 20257 citationsCycle 1worst J · immediate jeopardy
  1. F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and ExploitationD · isolatedCorrected Jun 27, 2025
  2. F641Ensure each resident receives an accurate assessment.Resident Assessment and Care PlanningD · isolatedCorrected Jun 20, 2025
  3. F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and CareJ · isolatedCorrected Jun 30, 2025
  4. F732Post nurse staffing information every day.Nursing and Physician ServicesC · widespreadCorrected Jun 16, 2025
  5. F836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.AdministrationF · widespreadCorrected May 29, 2025
  6. F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.AdministrationF · widespreadCorrected Jun 16, 2025
  7. F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.AdministrationC · widespreadCorrected Jun 19, 2025
May 30, 20242 citationsCycle 1worst F · no actual harm
  1. F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Nutrition and DietaryF · widespreadCorrected Jul 2, 2024
  2. F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.AdministrationF · widespreadCorrected Jul 2, 2024
Aug 10, 20239 citationsCycle 2worst F · no actual harm
  1. F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and DietaryF · widespreadCorrected Oct 20, 2023
  2. F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.AdministrationF · widespreadCorrected Oct 20, 2023
  3. F865Have a plan that describes the process for conducting QAPI and QAA activities.AdministrationF · widespreadCorrected Oct 20, 2023
  4. F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.AdministrationF · widespreadCorrected Oct 20, 2023
  5. F880Provide and implement an infection prevention and control program.Infection ControlF · widespreadCorrected Oct 20, 2023
  6. F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Infection ControlD · isolatedCorrected Oct 20, 2023
  7. F908Keep all essential equipment working safely.EnvironmentalF · widespreadCorrected Oct 20, 2023
  8. F924Put firmly secured handrails on each side of hallways.EnvironmentalF · widespreadCorrected Oct 20, 2023
  9. F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.Nutrition and DietaryE · patternCorrected Oct 20, 2023
Mar 23, 20222 citationsCycle 3worst F · no actual harm
  1. F641Ensure each resident receives an accurate assessment.Resident Assessment and Care PlanningB · patternCorrected Apr 30, 2022
  2. F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and DietaryF · widespreadCorrected Apr 30, 2022

Staffing

From quarterly payroll reports

Hours per resident per day

  • All nursing staffRNs, LPNs and aides combined3.89hrsAbove only 35% of peers−0.34 vs MN avg
  • Registered nursesRN hours only1.53hrsAbove 88% of peers+0.47 vs MN avg
  • Licensed practical nursesLPN hours0.36hrs
  • Nurse aidesCNA hours2.00hrs
  • Weekend nursingAll staff on Saturdays and Sundays3.12hrs
  • Minnesota average
  • Research benchmark (4.10 total, 0.75 RN)

Turnover & capacity

  • Nursing staff turnoverShare who left within a year · lower is better48%Above only 32% of peersMN avg 42%
  • RN turnoverRegistered nurses only36%Not ranked by CMS
  • Administrators who leftIn the past year1Leadership changed
  • Occupancy40 certified beds · ~33 residents a day82%Above only 38% of peersMN avg 83%

Fines & penalties

Roughly the past three years

Enforcement summary

  • $0In fines
  • 0Fines
  • 0Payment denials
  • $19,953MN avg in fines
Above only 41% of peersFewer fines than 41% of rated homes in Minnesota

Actions on record

No fines or payment denialsNothing on record in the current reporting window. Minnesota facilities average 1.0 penalties.

Ownership

As filed with CMS

Structure

Ownership type
Non profit - Church related
Chain
St. Francis Health Services14 facilities in the chain2.9★ chain average
Certification
Medicare and Medicaid
Location type
Rural
Ownership change
None in the last 12 months

People and entities on file

Direct owners (5%+)
  • St. Francis Health Services of Morris, INC
Operational or managerial control
  • St. Francis Health Services of Morris, INC
  • Scot Allen
  • Luverne Hoffman
  • William Moncrief
  • Carol Raw
Corporate directors
  • Mark Berlinger
  • Daniel Dripps
  • Katie Erdman
  • Vivian Heltemes
  • Luverne Hoffman
  • Stephanie Knobloch
  • Steven Lienemann
  • Elizabeth Meichsner
  • +6 more
Corporate officers
  • William Moncrief
Managing employees
  • Scot Allen
  • Luverne Hoffman
  • William Moncrief
  • Carol Raw

Person Organization

Sources & notes

Public data, updated quarterly

Data sources

  • CMS Care Compare · Provider InformationStar ratings, staffing hours, turnover, penalties and flags · processed February 2026.
  • CMS Health CitationsEvery deficiency from the last three inspection cycles, with scope, severity and inspection cycle.
  • CMS Penalties and Ownership filesCivil money penalties, payment denials, and the owners and managers on file.

Notes

  • CMS Certification Number 245376 · 433 MILL STREET, ZUMBROTA, MN, 55992.
  • Percentiles compare this facility with every rated nursing home in Minnesota and Goodhue County. Turnover and fines are inverted so a high percentile is always good.
  • This is an informational summary of public data, not medical, legal, or placement advice. Facilities cannot pay to change it; a facility that believes a record is wrong can dispute it with CMS.

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