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Minnewaska Community Health Services

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Minnewaska Community Health Services is a non profit - church related facility in STARBUCK, MN with 39 certified beds and a 1-star overall CMS rating. The facility has 23 deficiency records on file. Total penalties: $31K.

605 MAIN STREET, STARBUCK, MN 56381

Phone: 3202392217

Overall Rating

1/5

Health Inspection

1/5

Staffing

4/5

Quality Measures

3/5

Long-Stay Quality

3/5

Facility Information

Provider Number
245537
Ownership
Non profit - Church related
Provider Type
Medicare and Medicaid
Beds
39
Residents
29
In Hospital
No
County
Pope
Last Inspection
Mar 25, 2025

Staffing Data

RN Hours
0.78 (nat'l avg: 0.68)
LPN Hours
0.77
CNA Hours
2.41
Total Nursing Hours
3.96 (nat'l avg: 3.89)
PT Hours
0.00
Nursing Turnover
62.5%
RN Turnover
0.0%

What the CMS Record Reveals About Minnewaska Community Health Services

Minnewaska Community Health Services operates 39 certified beds in STARBUCK, MN with approximately 29 residents currently in care, and carries a CMS overall rating of 1 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 (1★), staffing levels (4★), 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 23 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $31K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.96 total nursing hours per resident day (national average 3.89), with RN coverage at 0.78 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Church related" ownership and operating as a "Medicare and Medicaid" provider, Minnewaska Community Health Services 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 62.5%, above the level where continuity of care typically begins to suffer. 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 (23 most recent)

D — Isolated - Minimal harm Nov 24, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Nov 28, 2025

D — Isolated - Minimal harm Jul 1, 2025 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 18, 2025

E — Pattern - Minimal harm Mar 28, 2025 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Apr 14, 2025

D — Isolated - Minimal harm Mar 25, 2025 Tag: 0919

Make sure that a working call system is available in each resident's bathroom and bathing area.

Category: Environmental Deficiencies

Corrected: Apr 16, 2025

E — Pattern - Minimal harm Mar 25, 2025 Tag: 0912

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Category: Environmental Deficiencies

F — Widespread - Minimal harm Mar 25, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 23, 2025

F — Widespread - Minimal harm Mar 25, 2025 Tag: 0851

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Category: Administration Deficiencies

Corrected: Mar 27, 2025

F — Widespread - Minimal harm Mar 25, 2025 Tag: 0812

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: Apr 17, 2025

D — Isolated - Minimal harm Mar 25, 2025 Tag: 0689

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: Apr 15, 2025

J — Isolated - Jeopardy Mar 25, 2025 Tag: 0578

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Category: Resident Rights Deficiencies

Corrected: Mar 26, 2025

D — Isolated - Minimal harm Jan 16, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Feb 6, 2025

D — Isolated - Minimal harm Jan 24, 2024 Tag: 0625

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Category: Resident Rights Deficiencies

Corrected: Feb 9, 2024

D — Isolated - Minimal harm Jan 24, 2024 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Feb 9, 2024

E — Pattern - Minimal harm Jan 24, 2024 Tag: 0912

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Category: Environmental Deficiencies

Corrected: Mar 6, 2024

E — Pattern - Minimal harm Jan 24, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 15, 2024

F — Widespread - Minimal harm Jan 24, 2024 Tag: 0851

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Category: Administration Deficiencies

Corrected: Feb 9, 2024

J — Isolated - Jeopardy Sep 21, 2023 Tag: 0689

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: Sep 14, 2023

B — Pattern - No harm Oct 27, 2022 Tag: 0912

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Category: Environmental Deficiencies

Corrected: Nov 23, 2022

D — Isolated - Minimal harm Oct 27, 2022 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Nov 21, 2022

D — Isolated - Minimal harm Oct 27, 2022 Tag: 0677

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 18, 2022

D — Isolated - Minimal harm Oct 27, 2022 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 21, 2022

C — Widespread - No harm Oct 27, 2022 Tag: 0584

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Category: Resident Rights Deficiencies

Corrected: Nov 21, 2022

C — Widespread - No harm Oct 27, 2022 Tag: 0577

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Category: Resident Rights Deficiencies

Corrected: Oct 28, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 22.6% Yes
Percentage of long-stay residents who lose too much weight Long Stay 3.0% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.1% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 5.2% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 2.0% 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 7.8% 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 97.3% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 22.3% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 12.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 96.9% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 3.1% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 36.1% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 2.3% Yes

Penalty History 2 penalties totaling $31K

Date Type Amount
Mar 25, 2025 Fine $17K
Sep 21, 2023 Fine $14K

Frequently Asked Questions

What is the overall CMS rating for Minnewaska Community Health Services?
Minnewaska Community Health Services has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (4★), and quality measures (3★).
What are the staffing levels at Minnewaska Community Health Services?
Minnewaska Community Health Services reports 3.96 total nursing hours per resident day (national average: 3.89). RN hours are 0.78 per resident day (national average: 0.68). Nursing staff turnover is 62.5%.
How many beds does Minnewaska Community Health Services have?
Minnewaska Community Health Services has 39 certified beds with approximately 29 residents. The facility is located at 605 MAIN STREET, STARBUCK, MN 56381.
Does Minnewaska Community Health Services have any deficiencies on record?
Yes, Minnewaska Community Health Services has 23 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has Minnewaska Community Health Services received any fines or penalties?
Yes, Minnewaska Community Health Services has received 2 penalties totaling $31K.
Who owns Minnewaska Community Health Services?
Minnewaska Community Health Services is classified as "Non profit - Church related" ownership. The facility type is "Medicare and Medicaid".
When was Minnewaska Community Health Services last inspected?
The most recent health inspection for Minnewaska Community Health Services was on Mar 25, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Minnewaska Community Health Services?
Minnewaska Community Health Services is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

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.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial