Avera Granite Falls Care Center
250 JORDAN DRIVE, Granite Falls, MN, 56241
Yes. Federal inspectors cited 5 deficiencies against Avera Granite Falls Care Center in Granite Falls, Minnesota at its most recent standard inspection on 2025-09-10, 1 of them arising from complaints. 1 finding has been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 1 time, totalling $15,642. Medicare rates it 3 out of 5 overall.
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
The last 17 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2025-09-19 · from a complaint · Actual harm to a resident
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-09-10 · standard survey · No actual harm, potential for more than minimal harm
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies · F0882 · 2025-09-10 · standard survey · No actual harm, potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2025-09-10 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · F0883 · 2025-09-10 · standard survey · No actual harm, potential for more than minimal harm
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies · F0576 · 2024-07-17 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights Deficiencies · F0557 · 2024-07-17 · standard survey · No actual harm, potential for more than minimal harm
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0604 · 2024-07-17 · standard survey · No actual harm, potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · F0657 · 2024-07-17 · standard survey · No actual harm, potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2024-07-17 · standard survey · No actual harm, potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2024-07-17 · standard survey · No actual harm, potential for more than minimal harm
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care Deficiencies · F0678 · 2024-05-02 · from a complaint · Immediate jeopardy to resident health or safety
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2024-02-29 · from a complaint · No actual harm, potential for more than minimal harm
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Administration Deficiencies · F0773 · 2024-02-29 · from a complaint · No actual harm, potential for more than minimal harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · F0883 · 2023-08-10 · standard survey · No actual harm, potential for more than minimal harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · F0644 · 2023-08-10 · standard survey · No actual harm, potential for more than minimal harm
Ensure 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.
Pharmacy Service Deficiencies · F0761 · 2023-08-10 · standard survey · No actual harm, potential for more than minimal harm
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
What Medicare has fined this home
Who owns Avera Granite Falls Care Center
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| AVERA MARSHALL | Organization | 100% | since 01/01/2020 |
| AVERA HEALTH | Organization | NOT APPLICABLE | since 01/01/2020 |
| BARBER, DANIEL | Individual | NOT APPLICABLE | since 07/01/2024 |
| JENSEN, MARK | Individual | NOT APPLICABLE | since 07/01/2023 |
| KOENEN, LAVONNE | Individual | NOT APPLICABLE | since 07/01/2020 |
| RIOS AVENDANO, ROSA | Individual | NOT APPLICABLE | since 07/01/2023 |
| STREICH, LISA | Individual | NOT APPLICABLE | since 07/01/2024 |
| WELBIG, LUCILLE | Individual | NOT APPLICABLE | since 07/01/2023 |
| COUDRON, CHRISTY | Individual | NOT APPLICABLE | since 09/01/2020 |
| KOOIMAN, THOMAS | Individual | NOT APPLICABLE | since 01/01/2020 |
| LAUTT, JULIE | Individual | NOT APPLICABLE | since 03/01/2020 |
| STREIER, DEBRA | Individual | NOT APPLICABLE | since 02/01/2021 |
Part of the AVERA HEALTH group.
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 245243.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction