Moose Lake Village
710 SOUTH KENWOOD AVENUE, MOOSE LAKE, MN 55767 · CCN 245491
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 60
- Avg residents/day
- 53.1
- Phone
- 2183519400
Inspection history vs Minnesota & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Minnesota avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-05-15 | 6 | 8.1 | 9.5 | -2.1 better |
| 2 | 2024-03-14 | 2 | 7.8 | 9.8 | -5.8 better |
| 3 | 2023-05-12 | 5 | 7.4 | 9.3 | -2.4 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 2 |
| Resident assessment and care planning | 1 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.78 | 46.1% |
| RN staffing (reported) | 0.72 | 50.0% |
| Total nurse staffing (adjusted) | 5.34 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Inspection citations (13)
- DF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.2025-05-15 · Health · corrected 2025-06-27
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-05-15 · Health · corrected 2025-06-27
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-15 · Health · corrected 2025-06-27
Potential for more than minimal harm
- DF0699Provide care or services that was trauma informed and/or culturally competent.2025-05-15 · Health · corrected 2025-06-27
Potential for more than minimal harm
- EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-05-15 · Health · corrected 2025-06-27
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-05-15 · Health · corrected 2025-06-27
Potential for more than minimal harm
- 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.2024-03-14 · Health · corrected 2024-04-17
Potential for more than minimal harm
- DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2024-03-14 · Health · corrected 2024-04-17
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-11-09 · Health · corrected 2024-01-09
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-05-12 · Health · corrected 2023-07-12
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-05-12 · Health · corrected 2023-07-12
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-05-12 · Health · corrected 2023-07-12
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-05-12 · Health · corrected 2023-08-11
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CASSIA | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2018-01-01 |
| CASSIA | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-01-01 |
| DAHL, ROBERT | Individual | CORPORATE DIRECTOR | — | 2018-01-01 |
| KERN, MATTHEW | Individual | CORPORATE DIRECTOR | — | 2018-01-01 |
| STADTHERR, SEELOCHANI | Individual | CORPORATE DIRECTOR | — | 2018-01-01 |
| YOUNGQUIST, KATHRYN | Individual | CORPORATE DIRECTOR | — | 2018-01-01 |
| MACKAY, MARSHALL | Individual | CORPORATE OFFICER | — | 2018-01-01 |
| NYE, GERALD | Individual | CORPORATE OFFICER | — | 2018-01-01 |
| PARKS, CHARLES | Individual | CORPORATE OFFICER | — | 2018-01-01 |
| RAMSDALE, SCOTT | Individual | CORPORATE OFFICER | — | 2018-01-01 |
| WILKERSON, GARY | Individual | CORPORATE OFFICER | — | 2018-01-01 |
| SMITH, SHAWNA | Individual | W-2 MANAGING EMPLOYEE | — | 2018-01-01 |
Other facilities in MOOSE LAKE
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.