Nursing homeActive

Essentia Health Grace Home

116 West Second Street, Graceville, MN 56240701671410530 certified beds · 19 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
5
since 2023
Deficiencies
11
0101
Penalties · 3 yrs
none on file
Last survey
2026-03-05
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 4
Staffing 5
Quality 3
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
2026-03-05Standard000CMS-2567 (Care Compare)
2025-07-01Complaint010CMS-2567 (Care Compare)
2025-02-27Complaint001CMS-2567 (Care Compare)
2025-01-15Standard020CMS-2567 (Care Compare)
2023-12-06Standard070CMS-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.

2025-07-01Complaint survey · 1 deficiencyOfficial 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 2025-07-25Record 245579-20250701-F689
2025-02-27Complaint survey · 1 deficiencyOfficial report
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity GHarm
Care planningRecords
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-02-20Record 245579-20250227-F656
2025-01-15Standard survey · 2 deficienciesOfficial report
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-28Record 245579-20250115-F760
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-02-28Record 245579-20250115-F880
2023-12-06Standard survey · 7 deficienciesOfficial report
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-25Record 245579-20231206-F554
F576Ensure residents have reasonable access to and privacy in their use of communication methods.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-09Record 245579-20231206-F576
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-25Record 245579-20231206-F677
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 2024-01-25Record 245579-20231206-F812
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 2024-01-25Record 245579-20231206-F851
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 2024-01-25Record 245579-20231206-F880
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-25Record 245579-20231206-F883

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day1.27
Facility
Minnesota
National
Minnesota 1.06 · National 0.69
Total nurse hours per resident day4.42
Facility
Minnesota
National
Minnesota 4.19 · National 3.86
Weekend total nurse hours3.50
Facility
Minnesota
National
Minnesota 3.71 · National 3.42
Total nursing staff turnover36%
Facility
Minnesota
National
Minnesota 42% · National 46%
Registered nurse turnover14%
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
5.4%5.2%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
11.4%4.0%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
30.0%17.1%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.0%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
18.0%18.2%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
0.0%4.1%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
23.1%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)
EntityRoleInterestSinceRegistry
Essentia Health
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Arvin, Douglas
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Hurley, Alan
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Innovis Health LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Schmidt, Jay
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Stueve, Debra
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Adams, Marc
Individual
CORPORATE DIRECTORNOT APPLICABLE
Arvin, Douglas
Individual
ADP OF THE SNFNOT APPLICABLE
Arvin, Douglas
Individual
CORPORATE OFFICERNOT APPLICABLE
Boren, Kevin
Individual
CORPORATE OFFICERNOT APPLICABLE
Christensen, James
Individual
CORPORATE DIRECTORNOT APPLICABLE
Essentia Health
Organization
ADP OF THE SNFNOT APPLICABLE
Gefroh Ellison, Stefanie
Individual
CORPORATE OFFICERNOT APPLICABLE
Heilman, Tim
Individual
CORPORATE DIRECTORNOT APPLICABLE
Hurley, Alan
Individual
ADP OF THE SNFNOT APPLICABLE
Hurley, Alan
Individual
CORPORATE OFFICERNOT APPLICABLE
Innovis Health LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Krejci, Mark
Individual
CORPORATE DIRECTORNOT APPLICABLE
Lewandowski, Laurie
Individual
CORPORATE DIRECTORNOT APPLICABLE
Mertz, Taylor
Individual
CORPORATE DIRECTORNOT APPLICABLE
Pladson, Kimberly
Individual
CORPORATE DIRECTORNOT APPLICABLE
Saint Georges, Anderson
Individual
CORPORATE DIRECTORNOT APPLICABLE
Schmidt, Jay
Individual
ADP OF THE SNFNOT APPLICABLE
Schmidt, Jay
Individual
CORPORATE DIRECTORNOT APPLICABLE
Smith, Benjamin
Individual
CORPORATE DIRECTORNOT APPLICABLE
Stueve, Debra
Individual
ADP OF THE SNFNOT APPLICABLE
Watters, Michael
Individual
CORPORATE OFFICERNOT APPLICABLE
Part of a chain
Essentia Health6 facilities
View chain record

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 Big Stone.

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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