Cornerstone Villa

1000 FOREST STREET
BUHL, MN, 55713
2182583253
CCN: 245612
3
Overall
3
Health
3
Staffing
3
Quality
Special 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
NameRole%
CARLSON, DONALDCORPORATE DIRECTORNOT APPLICABLE
CHAMBERLIN, KETTICORPORATE DIRECTORNOT APPLICABLE
EDSTROM, RINACORPORATE DIRECTORNOT APPLICABLE
KUNKEL, CASSIDIECORPORATE DIRECTORNOT APPLICABLE
CHAMBERLIN, KETTICORPORATE OFFICERNOT APPLICABLE
KUNKEL, CASSIDIECORPORATE OFFICERNOT APPLICABLE
CARLSON, DONALDOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SAUTER, LEAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CHAMBERLIN, KETTIOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
DOBSON, JEFFOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
EDSTROM, RINAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
FOX, DEANOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
KUNKEL, CASSIDIEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Penalties (3)
DateTypeAmount
2025-01-07Fine$13K
2023-08-28Fine$3K
2023-08-07Fine$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/Day
3.84
3.68
RN Hrs/Resident/Day
0.85
0.54
LPN Hrs/Resident/Day
0.46
0.81
CNA Hrs/Resident/Day
2.53
2.33
PT Hrs/Resident/Day
0.00
0.12
Data as of 2026-03-01