Avera Morningside Heights Care Center
Open-data reference.
Avera Morningside Heights Care Center is a non profit - corporation facility in MARSHALL, MN with 76 certified beds and a 3-star overall CMS rating. The facility has 16 deficiency records on file.
300 SOUTH BRUCE STREET, MARSHALL, MN 56258
Phone: 5075379394
Overall Rating
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 245228
- Ownership
- Non profit - Corporation
- Provider Type
- Medicare and Medicaid
- Beds
- 76
- Residents
- 73
- In Hospital
- Yes
- County
- Lyon
- Last Inspection
- Dec 3, 2025
Staffing Data
- RN Hours
- 0.94 (nat'l avg: 0.68)
- LPN Hours
- 0.41
- CNA Hours
- 3.64
- Total Nursing Hours
- 5.00 (nat'l avg: 3.89)
- PT Hours
- 0.04
- Nursing Turnover
- 25.8%
- RN Turnover
- 25.0%
What the CMS Record Reveals About Avera Morningside Heights Care Center
Avera Morningside Heights Care Center operates 76 certified beds in MARSHALL, MN with approximately 73 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (5★), and quality measures (3★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
The inspection file contains 16 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 5.00 total nursing hours per resident day (national average 3.89), with RN coverage at 0.94 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.
Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider embedded within a hospital campus, Avera Morningside Heights Care Center falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 25.8%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.
Deficiency History (16 most recent)
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Category: Infection Control Deficiencies
Corrected: Jan 6, 2026
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jan 6, 2026
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Category: Administration Deficiencies
Corrected: Jan 6, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Sep 21, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Nov 25, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Nov 25, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 25, 2024
Implement a program that monitors antibiotic use.
Category: Infection Control Deficiencies
Corrected: Jan 4, 2024
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jan 4, 2024
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Category: Administration Deficiencies
Corrected: Jan 4, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Jan 4, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 4, 2024
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.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 4, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 4, 2024
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 4, 2024
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jan 4, 2024
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 26.5% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 4.6% | No |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.2% | Yes |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 0.8% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.8% | Yes |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 100.0% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 88.1% | No |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.1% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 29.8% | Yes |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 15.0% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 97.0% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 70.0% | No |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 8.4% | Yes |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 29.3% | No |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.2% | Yes |
Penalty History
| Date | Type | Amount |
|---|---|---|
| Nov 30, 2023 | Payment Denial | - |
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County Health Data
Health outcomes, access, and quality metrics for Lyon on PlainHealth
Frequently Asked Questions
What is the overall CMS rating for Avera Morningside Heights Care Center?
What are the staffing levels at Avera Morningside Heights Care Center?
How many beds does Avera Morningside Heights Care Center have?
Does Avera Morningside Heights Care Center have any deficiencies on record?
Has Avera Morningside Heights Care Center received any fines or penalties?
Who owns Avera Morningside Heights Care Center?
When was Avera Morningside Heights Care Center last inspected?
What quality measures are tracked for Avera Morningside Heights Care Center?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.
Read our methodology — how this data is sourced, computed, and verified.