Zumbrota Care Center
433 MILL STREET, Zumbrota, MN, 55992
Yes. Federal inspectors cited 6 deficiencies against Zumbrota Care Center in Zumbrota, Minnesota at its most recent standard inspection on 2025-08-07, 4 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 $28,321. 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 20 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 · 2025-12-02 · from a complaint · No actual harm, potential for more than minimal harm
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 · 2025-11-26 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · F0690 · 2025-11-26 · from a complaint · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2025-08-07 · from a complaint · No actual harm, potential for more than minimal harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · F0582 · 2025-08-07 · standard survey · No actual harm, potential for more than minimal harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · F0628 · 2025-08-07 · standard survey · No actual harm, potential for minimal harm
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 · 2025-05-27 · from a complaint · Immediate jeopardy to resident health or safety
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Administration Deficiencies · F0836 · 2025-05-27 · from a complaint · No actual harm, potential for more than minimal harm
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Administration Deficiencies · F0838 · 2025-05-27 · from a complaint · No actual harm, potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2025-05-27 · from a complaint · No actual harm, potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2025-05-27 · from a complaint · No actual harm, potential for more than minimal harm
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · F0732 · 2025-05-27 · from a complaint · No actual harm, potential for minimal harm
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · F0851 · 2025-05-27 · from a complaint · No actual harm, potential for minimal harm
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary Deficiencies · F0801 · 2024-05-30 · standard survey · No actual harm, potential for more than minimal harm
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · F0851 · 2024-05-30 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2023-08-10 · standard survey · No actual harm, potential for more than minimal harm
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · F0835 · 2023-08-10 · standard survey · No actual harm, potential for more than minimal harm
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · F0865 · 2023-08-10 · standard survey · No actual harm, potential for more than minimal harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · F0867 · 2023-08-10 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 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 Zumbrota 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 |
|---|---|---|---|
| DECKER, CHAD | Individual | NOT APPLICABLE | since 01/01/2016 |
| EHLERS, DOUGLAS | Individual | NOT APPLICABLE | since 01/01/2023 |
| GOODNOUGH, JENNIFER | Individual | NOT APPLICABLE | since 01/01/2021 |
| GRAMM, TIMOTHY | Individual | NOT APPLICABLE | since 01/01/2023 |
| LAIR, MICHAEL | Individual | NOT APPLICABLE | since 01/01/2025 |
| LIENEMANN, STEVEN | Individual | NOT APPLICABLE | since 01/01/2025 |
| LUETMER, JOHN | Individual | NOT APPLICABLE | since 01/01/2021 |
| NELSON, PATRICK | Individual | NOT APPLICABLE | since 01/01/2020 |
| RENTZ, LAURA | Individual | NOT APPLICABLE | since 01/01/2024 |
| RENTZ, PAUL | Individual | NOT APPLICABLE | since 01/01/2021 |
| SCHNEIDER, TODD | Individual | NOT APPLICABLE | since 07/01/2013 |
| WIESE, LORRAINE | Individual | NOT APPLICABLE | since 07/25/2017 |
Part of the ST. FRANCIS HEALTH SERVICES group.
Ask Zumbrota Care Center a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 245376.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction