ANNANDALE CARE CENTER INC – Nursing Home, ANNANDALE, Minnesota
Medicare and Medicaid
CMS quality ratings
Overall
Health inspection
Quality of care
Staffing
RN staffing
Last cited survey: 13 August 2025 · 15 health and 33 fire safety citations on file
Source: CMS Care Compare nursing home data. Ratings are updated when CMS publishes new inspection results.
Main info
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Location
500 PARK STREET EAST
ANNANDALE, MN 55302
Phone: (320) 274-3737
Compare to MN average
See how this facility compares to the MN state average among rated nursing homes (365 homes). Peer best shows the highest rating among similar homes in the same city.
| Metric | This facility | MN average | Peer best (city) |
|---|---|---|---|
| Overall CMS stars | 4 | 3.18 | 5 |
| Health inspection | 4 | 2.83 | 5 |
| Staffing | 4 | 4.11 | 5 |
| Quality measures | 4 | 3.26 | 5 |
| Certified beds | 42 | 69.8 | — |
| Citations on file (health + fire) | 48 | ~7.9 health* | — |
- ADAMS HEALTH CARE CENTER — 5★ overall
- AICOTA HEALTH CARE CENTER — 2★ overall
- ANOKA REHABILITATION AND LIVING CENTER — 4★ overall
- APPLE VALLEY VILLAGE HEALTH CARE CENTER — 5★ overall
- AUBURN HOME IN WACONIA — 1★ overall
* State deficiency average uses CMS rating-cycle health deficiency counts.
Owners information
| Name | Role Description | Type | Ownership Percentage | Association Date |
|---|---|---|---|---|
| MILLNER, ROGER | CORPORATE DIRECTOR | Individual | 0.00 | 04/01/2013 |
| NISKA, ELSA | CORPORATE OFFICER | Individual | 0.00 | 01/11/2023 |
| NISKA, ELSA | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 01/11/2023 |
| NISKA, ELSA | ADP OF THE SNF | Individual | - | 01/11/2023 |
| BROWN, SHELDON | CORPORATE DIRECTOR | Individual | 0.00 | 04/01/2024 |
| MANUEL, ANGELA | CORPORATE OFFICER | Individual | 33.00 | 04/01/2022 |
| DIRCKS, LINDA | CORPORATE OFFICER | Individual | 33.00 | 04/01/2020 |
| WATKINS, DOUGLAS | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 05/01/2023 |
| WATKINS, DOUGLAS | ADP OF THE SNF | Individual | - | 05/01/2023 |
| MILLER, MARK | CORPORATE OFFICER | Individual | 34.00 | 04/01/2015 |
| GRUYS, KATHERINE | CORPORATE DIRECTOR | Individual | 0.00 | 03/01/2023 |
Inspections & deficiencies
CMS inspection citations for this nursing home. Filter by type or recency, and use severity chips to spot higher-risk findings.
48 citations on file · Latest survey: 13 August 2025 · 15 health · 33 fire safety
Health deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2025-08-13 | F761 | D — Minimal harm, isolated | Health | 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. |
| 2025-08-13 | F761 | D — Minimal harm, isolated | Health | 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. |
| 2025-08-13 | F761 | D — Minimal harm, isolated | Health | 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. |
| 2025-06-17 | F689 | G — Actual harm, isolated | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2025-06-17 | F689 | G — Actual harm, isolated | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2025-06-17 | F689 | G — Actual harm, isolated | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2024-10-23 | F689 | D — Minimal harm, isolated | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2024-10-23 | F689 | D — Minimal harm, isolated | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2024-10-23 | F689 | D — Minimal harm, isolated | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2023-07-26 | F883 | D — Minimal harm, isolated | Health | Develop and implement policies and procedures for flu and pneumonia vaccinations. |
| 2023-07-26 | F883 | D — Minimal harm, isolated | Health | Develop and implement policies and procedures for flu and pneumonia vaccinations. |
| 2023-07-26 | F883 | D — Minimal harm, isolated | Health | Develop and implement policies and procedures for flu and pneumonia vaccinations. |
| 2023-07-26 | F790 | D — Minimal harm, isolated | Health | Provide routine and 24-hour emergency dental care for each resident. |
| 2023-07-26 | F790 | D — Minimal harm, isolated | Health | Provide routine and 24-hour emergency dental care for each resident. |
| 2023-07-26 | F790 | D — Minimal harm, isolated | Health | Provide routine and 24-hour emergency dental care for each resident. |
Fire safety deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2024-05-15 | K353 | F — Minimal harm, widespread | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2024-05-15 | K355 | F — Minimal harm, widespread | Fire Safety | Properly select, install, inspect, or maintain portable fire extinguishes. |
| 2024-05-15 | K363 | E — Minimal harm, pattern | Fire Safety | Install corridor and hallway doors that block smoke. |
| 2024-05-15 | K712 | C — No actual harm, widespread | Fire Safety | Have simulated fire drills held at unexpected times. |
| 2024-05-15 | K761 | F — Minimal harm, widespread | Fire Safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. |
| 2024-05-15 | K914 | F — Minimal harm, widespread | Fire Safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. |
| 2024-05-15 | K920 | E — Minimal harm, pattern | Fire Safety | Ensure proper usage of power strips and extension cords. |
| 2024-05-15 | K363 | E — Minimal harm, pattern | Fire Safety | Install corridor and hallway doors that block smoke. |
| 2024-05-15 | K712 | C — No actual harm, widespread | Fire Safety | Have simulated fire drills held at unexpected times. |
| 2024-05-15 | K761 | F — Minimal harm, widespread | Fire Safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. |
| 2024-05-15 | K914 | F — Minimal harm, widespread | Fire Safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. |
| 2024-05-15 | K920 | E — Minimal harm, pattern | Fire Safety | Ensure proper usage of power strips and extension cords. |
| 2024-05-15 | K353 | F — Minimal harm, widespread | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2024-05-15 | K355 | F — Minimal harm, widespread | Fire Safety | Properly select, install, inspect, or maintain portable fire extinguishes. |
| 2024-05-15 | K363 | E — Minimal harm, pattern | Fire Safety | Install corridor and hallway doors that block smoke. |
| 2024-05-15 | K712 | C — No actual harm, widespread | Fire Safety | Have simulated fire drills held at unexpected times. |
| 2024-05-15 | K761 | F — Minimal harm, widespread | Fire Safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. |
| 2024-05-15 | K914 | F — Minimal harm, widespread | Fire Safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. |
| 2024-05-15 | K920 | E — Minimal harm, pattern | Fire Safety | Ensure proper usage of power strips and extension cords. |
| 2024-05-15 | K353 | F — Minimal harm, widespread | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
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Additional information
Full CMS quality rating tables
Quality Ratings
| Name | Value |
|---|---|
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| Quality of Resident Care Rating | 4 |
| Quality of Resident Care Rating (Long Stay) | 5 |
| Quality of Resident Care Rating (Short Stay) | 4 |
| Staffing Rating | 4 |
| RN Staffing Rating | 5 |
| Reported CNA Staffing Hours per Resident per Day | 2.26667 |
| Reported LPN Staffing Hours per Resident per Day | 0.87837 |
| Reported RN Staffing Hours per Resident per Day | 0.87837 |
| Reported Licensed Staffing Hours per Resident per Day | 1.75675 |
| Reported Total Nurse Staffing Hours per Resident per Day | 4.4146 |
| Reported Physical Therapist Staffing Hours per Resident per Day | 0.08918 |
| Casemix CNA Staffing Hours per Resident per Day | 2.17985 |
| Casemix LPN Staffing Hours per Resident per Day | 0.66391 |
| Casemix RN Staffing Hours per Resident per Day | 0.29777 |
| Casemix Total Nurse Staffing Hours per Resident per Day | 3.14153 |
| Adjusted CNA Staffing Hours per Resident per Day | 2.14665 |
| Adjusted LPN Staffing Hours per Resident per Day | 0.94852 |
| Adjusted RN Staffing Hours per Resident per Day | 0.94852 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 4.76716 |
Health Inspection and Deficiency Ratings
| Name | Value |
|---|---|
Date of Standard Health Survey (Cycle 1) | 2019-02-28 |
Date of Standard Health Survey (Cycle 2) | 2018-01-05 |
Total Number of Health Deficiencies (Cycle 1) | 2 |
Number of Standard Health Deficiencies (Cycle 1) | 2 |
Health Deficiency Score (Cycle 1) | 4 |
Number of Health Revisits (Cycle 1) | 1 |
Health Revisit Score (Cycle 1) | 0 |
Total Health Score (Cycle 1) | 4 |
Total Number of Health Deficiencies (Cycle 2) | 6 |
Number of Standard Health Deficiencies (Cycle 2) | 5 |
Number of Complaint Health Deficiencies (Cycle 2) | 1 |
Health Deficiency Score (Cycle 2) | 36 |
Number of Health Revisits (Cycle 2) | 1 |
Total Health Score (Cycle 2) | 36 |
Date of Standard Health Survey (Cycle 3) | 2017-05-04 |
Total Number of Health Deficiencies (Cycle 3) | 4 |
Number of Standard Health Deficiencies (Cycle 3) | 4 |
Number of Health Revisits (Cycle 3) | 1 |
Health Deficiency Score (Cycle 3) | 24 |
Total Health Score (Cycle 3) | 24 |
Total Weighted Health Survey Score | 19 |
Complaints, Fines, and Penalties
| Name | Value |
|---|---|
Number of Facility Reported Incidents | 5 |
Number of Payment Denials | 1 |
Total Number of Penalties | 1 |
Cited for Abuse | |
Most Recent Health Inspection More Than 2 Years Ago | |
Provider Changed Ownership in Last 12 Months | |
With a Resident and Family Council | Both |
Automatic Sprinkler Systems in All Required Areas | Yes |
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