Nursing homeActive
Essentia Health Homestead
115 10th Avenue Northeast, Deer River, MN 56636218246433632 certified beds · 21 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
7
since 2024
Deficiencies
15
● 2● 10● 3
Penalties · 3 yrs
$67,727
2 fines
Last survey
2026-05-18
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 1
Staffing 5
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Minnesota Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-05-18 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2026-04-22 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2026-03-31 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2025-12-17 | Complaint | 021 | CMS-2567 (Care Compare) | — |
| 2025-07-30 | Complaint | 110 | CMS-2567 (Care Compare) | — |
| 2025-03-12 | Standard | 140 | CMS-2567 (Care Compare) | — |
| 2024-05-16 | Standard | 020 | CMS-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.
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-04-23Record 245428-20260518-F689
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 2026-05-08Record 245428-20260422-F880
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-03-22Record 245428-20260331-F689
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity KHarm
Staffing
Pattern; immediate jeopardy to resident health or safety.Corrected 2026-01-16Record 245428-20251217-F726
F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-16Record 245428-20251217-F585
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 2026-01-16Record 245428-20251217-F689
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-25Record 245428-20250730-F609
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity CPaperwork
Abuse & neglect
Widespread; potential for minimal harm.Corrected 2025-08-25Record 245428-20250730-F607
F576Ensure residents have reasonable access to and privacy in their use of communication methods.Scope/severity FStandard
Dignity & rights
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-03-25Record 245428-20250312-F576
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 2025-03-28Record 245428-20250312-F758
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-28Record 245428-20250312-F761
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-03-28Record 245428-20250312-F851
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2025-03-25Record 245428-20250312-F732
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 2024-06-07Record 245428-20240516-F758
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 2024-06-07Record 245428-20240516-F880
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2026-03-31 | Civil money penalty | $27,378 | CMS · Penalties |
| 2025-12-17 | Civil money penalty | $40,349 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.71
Facility
Minnesota
National
Minnesota 1.06 · National 0.69
Total nurse hours per resident day4.97
Facility
Minnesota
National
Minnesota 4.19 · National 3.86
Weekend total nurse hours4.44
Facility
Minnesota
National
Minnesota 3.71 · National 3.42
Total nursing staff turnover50%
Facility
Minnesota
National
Minnesota 42% · National 46%
Registered nurse turnover40%
Facility
Minnesota
National
Minnesota 39% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Minnesota | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 8.1% | 5.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 0.0% | 4.0% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 18.8% | 17.1% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.2% | 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 | 7.7% | 18.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 3.0% | 4.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 9.1% | 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)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Essentia Health Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Meyer, Deborah Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| St Marys Duluth Clinic Health System Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Aronson Norr, Nancy Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Bachand, Adam Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Bergstrom, Amy Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Boren, Kevin Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Boren, Kevin Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Duininck, Troy Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Essentia Health Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Jamar, Thomas Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Loban, George Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Lund, Jared Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Lund, Jared Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Meyer, Deborah Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sertich, Anthony Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Skorupa, Krista Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Smith, Bruce Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| St Marys Duluth Clinic Health System Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Terch, Justin Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Urbanski, Rebecca Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Watters, Michael Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Yung, Anthony Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Part of a chain
Essentia Health — 6 facilities
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 Itasca.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Grand Village Grand Rapids | 12.7 mi | 2026-07-07 | 0180 |
| The Emeralds At Grand Rapids LLC Grand Rapids | 15.6 mi | 2026-06-17 | 1454 |
| Bigfork Valley Communities Bigfork | 28.7 mi | 2025-12-11 | 190 |
| Aicota Health Care Center Aitkin | 56.1 mi | 2026-01-09 | 2170 |
| Aitkin Health Services Aitkin | 56.6 mi | 2026-06-04 | 0322 |
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
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |