Nursing homeActive

Sauer Health Care

1635 West Service Drive, Winona, MN 55987507454554061 certified beds · 47 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
19
0190
Penalties · 3 yrs
none on file
Last survey
2026-03-19
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 2
Staffing 4
Quality 1
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Minnesota Department of Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-03-19Complaint050CMS-2567 (Care Compare)
2026-01-07Standard070CMS-2567 (Care Compare)
2024-12-19Standard020CMS-2567 (Care Compare)
2023-10-19Standard050CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Minnesota Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-03-19Complaint survey · 5 deficienciesOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-24Record 245102-20260319-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-10Record 245102-20260319-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-30Record 245102-20260319-F690
F713Provide or arrange emergency care by a doctor 24 hours a day.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-04-10Record 245102-20260319-F713
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-05Record 245102-20260319-F725
2026-01-07Standard survey · 7 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-09Record 245102-20260107-F550
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-09Record 245102-20260107-F605
F637Assess the resident when there is a significant change in conditionScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-09Record 245102-20260107-F637
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-09Record 245102-20260107-F657
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-09Record 245102-20260107-F756
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-02-09Record 245102-20260107-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-09Record 245102-20260107-F880
2024-12-19Standard survey · 2 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-15Record 245102-20241219-F689
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-15Record 245102-20241219-F880
2023-10-19Standard survey · 5 deficienciesOfficial report
F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-15Record 245102-20231019-F636
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-15Record 245102-20231019-F641
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-15Record 245102-20231019-F689
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-15Record 245102-20231019-F758
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-11-15Record 245102-20231019-F801

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.85
Facility
Minnesota
National
Minnesota 1.06 · National 0.69
Total nurse hours per resident day3.60
Facility
Minnesota
National
Minnesota 4.19 · National 3.86
Weekend total nurse hours3.21
Facility
Minnesota
National
Minnesota 3.71 · National 3.42
Total nursing staff turnover43%
Facility
Minnesota
National
Minnesota 42% · National 46%
Registered nurse turnover50%
Facility
Minnesota
National
Minnesota 39% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityMinnesotaNational
Percentage of long-stay residents with pressure ulcers
lower is better
9.3%5.2%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
7.5%4.0%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
22.0%17.1%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
3.2%2.6%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.1%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
15.0%18.2%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
4.5%4.1%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
11.7%12.5%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Forsyth, Jennifer
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Johnson, Stacy
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Kaehler, Cynthia
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Matzke, Dean
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Muras, Jessica
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Curran, John
Individual
CORPORATE DIRECTORNOT APPLICABLE
Digby, Linda
Individual
CORPORATE DIRECTORNOT APPLICABLE
Forsyth, Jennifer
Individual
ADP OF THE SNFNOT APPLICABLE
Holmay, Steven
Individual
CORPORATE DIRECTORNOT APPLICABLE
Johnson, Stacy
Individual
ADP OF THE SNFNOT APPLICABLE
Kaehler, Cynthia
Individual
ADP OF THE SNFNOT APPLICABLE
Klinger, Bernard
Individual
CORPORATE DIRECTORNOT APPLICABLE
Matzke, Dean
Individual
ADP OF THE SNFNOT APPLICABLE
Muras, Jessica
Individual
ADP OF THE SNFNOT APPLICABLE
Muras, Jessica
Individual
CORPORATE OFFICERNOT APPLICABLE
Roessler, Donald
Individual
CORPORATE DIRECTORNOT APPLICABLE
Ruppert, Annie
Individual
CORPORATE DIRECTORNOT APPLICABLE
Schaefer, Gregory
Individual
CORPORATE DIRECTORNOT APPLICABLE

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Minnesota.

No county cost figures on file for Winona.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Sainte Anne Extended Healthcare
Winona
0.5 mi2026-05-210202
Lake Winona Manor
Winona
3.3 mi2026-03-054191
Good Shepherd Lutheran Home
Rushford
17.9 mi2026-05-12140
Valley View Healthcare & Rehab
Houston
20.8 mi2025-05-29041
Marinuka Manor
Galesville
17.2 mi2026-02-11180
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01