PELICAN VALLEY HEALTH CENTER
211 EAST MILL AVENUE
PELICAN RAPIDS, MN, 56572
2188632991
CCN: 245373
5
Overall4
Health5
Staffing4
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| PELICAN VALLEY HEALTH CENTER | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| ERICKSON, SHANNON | CORPORATE DIRECTOR | NOT APPLICABLE |
| AHLF, TYLER | CORPORATE DIRECTOR | NOT APPLICABLE |
| BRUGGEMAN, SUSAN | CORPORATE DIRECTOR | NOT APPLICABLE |
| KNORR, BRADLEY | CORPORATE DIRECTOR | NOT APPLICABLE |
| PATTERSON, PATRICK | CORPORATE DIRECTOR | NOT APPLICABLE |
| EVENSON, BRIAN | CORPORATE OFFICER | NOT APPLICABLE |
| SLOTTEN, DAVID | CORPORATE OFFICER | NOT APPLICABLE |
| BRATLIEN, RICHARD | CORPORATE OFFICER | NOT APPLICABLE |
| SJOSTROM, MARK | CORPORATE OFFICER | NOT APPLICABLE |
| URMAN, ANGELA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ANDERSON, MARK | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| KNUTE NELSON | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GUGISBERG, MARNIE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| AHLF, TYLER | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
Health Deficiencies (9)
2025-01-08 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
2023-11-08 · Health
D
F883 · Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
F
F881 · Infection Control Deficiencies
Implement a program that monitors antibiotic use.
F
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.
2023-02-22 · Health
D
F886 · Infection Control Deficiencies
Perform COVID19 testing on residents and staff.
D
F645 · Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
4.80
RN Hrs/Resident/Day0.54
1.16
LPN Hrs/Resident/Day0.81
0.68
CNA Hrs/Resident/Day2.33
2.96
PT Hrs/Resident/Day0.12
0.03
Data as of 2026-03-01