EVANSVILLE CARE CENTER

649 STATE STREET NORTHWEST
EVANSVILLE, MN, 56326
2189482219
CCN: 245510
5
Overall
4
Health
5
Staffing
2
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
JOHNSON, ARLYNN5% OR GREATER DIRECT OWNERSHIP INTEREST100%
BORGSTROM, BRANDONOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
EVINK, BRUCEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HOVLAND, SANDYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
LENARZ, JENNIFEROPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
REQUE, DAWNOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ROSTEN, BRADLEYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
RUPP, NICOLEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
STERNS, ARDELOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WHITE, ERICAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (8)
2026-01-21 · Health
F
F867 · Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2024-11-20 · Health
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
D
F582 · Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
2023-12-19 · Health
D
F883 · Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
4.21
3.68
RN Hrs/Resident/Day
1.39
0.54
LPN Hrs/Resident/Day
0.36
0.81
CNA Hrs/Resident/Day
2.46
2.33
PT Hrs/Resident/Day
0.09
0.12
Data as of 2026-03-01