Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Actual harm to a resident
64/100
Average
250 Jordan Drive, Granite Falls, MN 56241
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
2 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$15,642 in federal fines
CMS has fined this facility across 1 penalty action(s).
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: September 10, 2025 (11 months ago).
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Actual harm to a resident
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
No actual harm, potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
No actual harm, potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
No actual harm, potential for more than minimal harm
Part of AVERA HEALTH, which operates 13 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| AVERA HEALTH | Organization | INDIRECT OWNERSHIP INTEREST | — |
| BARBER, DANIEL | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| JENSEN, MARK | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| KOENEN, LAVONNE | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| RIOS AVENDANO, ROSA | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| STREICH, LISA | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| WELBIG, LUCILLE | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| COUDRON, CHRISTY | Individual | CORPORATE OFFICER | — |
| KOOIMAN, THOMAS | Individual | CORPORATE OFFICER | — |
| LAUTT, JULIE | Individual | CORPORATE OFFICER | — |
| STREIER, DEBRA | Individual | CORPORATE OFFICER | — |
| CARTER, DARRELL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
No family reviews yet for Avera Granite Falls Care Center. If you or a relative have experience of this home, other families would find it useful.
Be the first to reviewEvery review is confirmed by email and read by a moderator before it appears. We remove reviews written by or for a facility. If something is wrong right now, report a concern — that routes you to your state ombudsman, who can actually intervene.
Avera Granite Falls Care Center holds an ElderGrade of C (64 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.81 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 2 of the 17 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Avera Granite Falls Care Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.