Cornerstone Villa
1000 FOREST STREET
BUHL, MN, 55713
2182583253
CCN: 245612
3
Overall3
Health3
Staffing3
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (3)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
ALLIED HOME CARE SERVICES, INC
1128b8
Excluded 2009-12-20
LJ HOME HEALTH SERVICES, INC
1128b8
Excluded 2002-07-18
TRANS HOME CARE SERVICES INC
1128b8
Excluded 2009-02-19
Ownership
| Name | Role | % |
|---|---|---|
| CARLSON, DONALD | CORPORATE DIRECTOR | NOT APPLICABLE |
| CHAMBERLIN, KETTI | CORPORATE DIRECTOR | NOT APPLICABLE |
| EDSTROM, RINA | CORPORATE DIRECTOR | NOT APPLICABLE |
| KUNKEL, CASSIDIE | CORPORATE DIRECTOR | NOT APPLICABLE |
| CHAMBERLIN, KETTI | CORPORATE OFFICER | NOT APPLICABLE |
| KUNKEL, CASSIDIE | CORPORATE OFFICER | NOT APPLICABLE |
| CARLSON, DONALD | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SAUTER, LEA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CHAMBERLIN, KETTI | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| DOBSON, JEFF | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| EDSTROM, RINA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FOX, DEAN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| KUNKEL, CASSIDIE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Penalties (3)
| Date | Type | Amount |
|---|---|---|
| 2025-01-07 | Fine | $13K |
| 2023-08-28 | Fine | $3K |
| 2023-08-07 | Fine | $6K |
Health Deficiencies (20)
2025-12-04 · Health
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F761 · Pharmacy Service Deficiencies
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.
D
F698 · Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
F554 · Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
2025-01-07 · Health
J
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.
2024-10-31 · Health
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F851 · Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F758 · Pharmacy Service Deficiencies
Implement 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.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
2023-11-17 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F801 · Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
D
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
D
F758 · Pharmacy Service Deficiencies
Implement 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.
F
F727 · Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
D
F698 · Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
F637 · Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
E
F625 · Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
3.84
RN Hrs/Resident/Day0.54
0.85
LPN Hrs/Resident/Day0.81
0.46
CNA Hrs/Resident/Day2.33
2.53
PT Hrs/Resident/Day0.12
0.00
Data as of 2026-03-01