EVANSVILLE CARE CENTER
649 STATE STREET NORTHWEST
EVANSVILLE, MN, 56326
2189482219
CCN: 245510
5
Overall4
Health5
Staffing2
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| JOHNSON, ARLYNN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| BORGSTROM, BRANDON | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| EVINK, BRUCE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HOVLAND, SANDY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| LENARZ, JENNIFER | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| REQUE, DAWN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ROSTEN, BRADLEY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| RUPP, NICOLE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| STERNS, ARDEL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| WHITE, ERICA | OPERATIONAL/MANAGERIAL CONTROL | NOT 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/Day3.68
4.21
RN Hrs/Resident/Day0.54
1.39
LPN Hrs/Resident/Day0.81
0.36
CNA Hrs/Resident/Day2.33
2.46
PT Hrs/Resident/Day0.12
0.09
Data as of 2026-03-01