Starfile / Minnesota

EDENBROOK PINE HAVEN

210 NORTHWEST 3RD STREET, PINE ISLAND, MN 55963 · CCN 245359

Inspection history vs Minnesota & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$14,898

Number of fines

1

Number of penalties

1

Payment denials

0

Inspection citations (28)1 actual harm

1. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2025-08-28 · Health · corrected 2025-10-15

   Potential for more than minimal harm

2. DF0578Honor 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.2025-08-28 · Health · corrected 2025-10-15

   Potential for more than minimal harm

3. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-08-28 · Health · corrected 2025-10-15

   Potential for more than minimal harm

4. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-08-28 · Health · corrected 2025-10-15

   Potential for more than minimal harm

5. DF0880Provide and implement an infection prevention and control program.2025-08-28 · Health · corrected 2025-10-15

   Potential for more than minimal harm

6. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-08-28 · Health · corrected 2025-10-15

   Potential for more than minimal harm

7. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-12-24 · Health · corrected 2025-01-31

   Potential for more than minimal harm

8. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-24 · Health · corrected 2025-01-31

   Potential for more than minimal harm

9. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-10-03 · Health · corrected 2024-11-08

   Potential for more than minimal harm

10. DF0880Provide and implement an infection prevention and control program.2024-10-03 · Health · corrected 2024-11-08

    Potential for more than minimal harm

11. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-07-17 · Health · corrected 2024-08-26

    Potential for more than minimal harm

12. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-07-17 · Health · corrected 2024-08-26

    Potential for more than minimal harm

13. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-07-17 · Health · corrected 2024-08-26

    Potential for more than minimal harm

14. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-07-17 · Health · corrected 2024-08-26

    Potential for more than minimal harm

15. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-07-17 · Health · corrected 2024-08-26

    Potential for more than minimal harm

16. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-07-17 · Health · corrected 2024-08-26

    Potential for more than minimal harm

17. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-07-17 · Health · corrected 2024-08-26

    Potential for more than minimal harm

18. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-07-17 · Health · corrected 2024-08-26

    Potential for more than minimal harm

19. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-07-17 · Health · corrected 2024-08-26

    Potential for more than minimal harm

20. FF0880Provide and implement an infection prevention and control program.2024-07-17 · Health · corrected 2024-08-26

    Potential for more than minimal harm

21. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-07-17 · Health · corrected 2024-08-26

    Potential for more than minimal harm

22. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-01-23 · Health · corrected 2024-02-16

    Potential for more than minimal harm

23. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-23 · Health · corrected 2024-01-17

    Actual harm

24. DF0625Notify 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.2023-08-24 · Health · corrected 2023-10-04

    Potential for more than minimal harm

25. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-08-24 · Health · corrected 2023-10-04

    Potential for more than minimal harm

26. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-08-24 · Health · corrected 2023-10-04

    Potential for more than minimal harm

27. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-08-24 · Health · corrected 2023-09-22

    Potential for more than minimal harm

28. FF0880Provide and implement an infection prevention and control program.2023-08-24 · Health · corrected 2023-10-03

    Potential for more than minimal harm

Ownership

No ownership records.

Other facilities in PINE ISLAND

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.