Boundary Waters Care Center
200 WEST CONAN STREET
ELY, MN, 55731
2183658705
CCN: 245138
5
Overall5
Health5
Staffing5
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| MASLOSKI, ADAM | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE |
| FORSMAN, MICHAEL | CORPORATE DIRECTOR | NOT APPLICABLE |
| LOBE, JONEENE | CORPORATE DIRECTOR | NOT APPLICABLE |
| PEKURI, ROGER | CORPORATE DIRECTOR | NOT APPLICABLE |
| LOBE, JONEENE | CORPORATE OFFICER | NOT APPLICABLE |
| PEKURI, ROGER | CORPORATE OFFICER | NOT APPLICABLE |
| HEALTH DIMENSIONS CONSULTING INC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| TOME, HELEN | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
Penalties (1)
| Date | Type | Amount |
|---|---|---|
| 2023-04-20 | Fine | $10K |
Health Deficiencies (11)
2024-10-16 · Health
D
F825 · Quality of Life and Care Deficiencies
Provide or get specialized rehabilitative services as required for a resident.
F
F809 · Nutrition and Dietary Deficiencies
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F688 · Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
F580 · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2024-01-25 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F
F583 · Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
D
F582 · Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
4.03
RN Hrs/Resident/Day0.54
1.23
LPN Hrs/Resident/Day0.81
0.34
CNA Hrs/Resident/Day2.33
2.46
PT Hrs/Resident/Day0.12
0.01
Data as of 2026-03-01