Moose Lake Village

710 SOUTH KENWOOD AVENUE
MOOSE LAKE, MN, 55767
2183519400
CCN: 245491
4
Overall
4
Health
4
Staffing
3
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
CASSIA5% OR GREATER DIRECT OWNERSHIP INTEREST100%
YOUNGQUIST, KATHRYNCORPORATE DIRECTORNOT APPLICABLE
DAHL, ROBERTCORPORATE DIRECTORNOT APPLICABLE
KERN, MATTHEWCORPORATE DIRECTORNOT APPLICABLE
STADTHERR, SEELOCHANICORPORATE DIRECTORNOT APPLICABLE
MACKAY, MARSHALLCORPORATE OFFICERNOT APPLICABLE
RAMSDALE, SCOTTCORPORATE OFFICERNOT APPLICABLE
WILKERSON, GARYCORPORATE OFFICERNOT APPLICABLE
NYE, GERALDCORPORATE OFFICERNOT APPLICABLE
PARKS, CHARLESCORPORATE OFFICERNOT APPLICABLE
CASSIAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SMITH, SHAWNAW-2 MANAGING EMPLOYEENOT APPLICABLE
Health Deficiencies (13)
2025-05-15 · Health
D
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.
E
F757 · Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
F699 · Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
E
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
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
F568 · Resident Rights Deficiencies
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
2024-03-14 · Health
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
F578 · Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
2023-11-09 · Health
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.
2023-05-12 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
4.78
3.68
RN Hrs/Resident/Day
0.72
0.54
LPN Hrs/Resident/Day
0.57
0.81
CNA Hrs/Resident/Day
3.48
2.33
PT Hrs/Resident/Day
0.03
0.12
Data as of 2026-03-01