ElderGrade
B

84.5/100

Above average

Essentia Health Grace Home

116 West Second Street, Graceville, MN 56240

CMS 5/5 stars #1 of 2 in Big Stone County (701) 671-4105
Certified beds
30
Occupancy
63%
Ownership
Non-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

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.

  • 1 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.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

26/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -4 for 1 actual-harm citation(s) in the last 3 years

Staffing

27.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 5.24 total nurse hours per resident per day (national median 3.77)
  • 1.27 RN hours per resident per day
  • Weekend staffing drops 21% against weekdays

Staff stability

12/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 36% of nursing staff left in the last year

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.42 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 1.27 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.50 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 36.00%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 11 citations

Last standard health inspection: March 5, 2026 (5 months ago). That inspection produced no citations — the findings below are older.

D Jul 1, 2025 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

G Feb 27, 2025 F0656 From a complaint

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.

Actual harm to a resident

F Jan 15, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D Jan 15, 2025 F0760

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

No actual harm, potential for more than minimal harm

F Dec 6, 2023 F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

F Dec 6, 2023 F0851

Administration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

No actual harm, potential for more than minimal harm

E Dec 6, 2023 F0576

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

E Dec 6, 2023 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of ESSENTIA HEALTH, which operates 6 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
ADAMS, MARC Individual CORPORATE DIRECTOR
CHRISTENSEN, JAMES Individual CORPORATE DIRECTOR
HEILMAN, TIM Individual CORPORATE DIRECTOR
KREJCI, MARK Individual CORPORATE DIRECTOR
LEWANDOWSKI, LAURIE Individual CORPORATE DIRECTOR
MERTZ, TAYLOR Individual CORPORATE DIRECTOR
PLADSON, KIMBERLY Individual CORPORATE DIRECTOR
SAINT GEORGES, ANDERSON Individual CORPORATE DIRECTOR
SCHMIDT, JAY Individual CORPORATE DIRECTOR
SMITH, BENJAMIN Individual CORPORATE DIRECTOR
ARVIN, DOUGLAS Individual CORPORATE OFFICER
BOREN, KEVIN Individual CORPORATE OFFICER

What families say

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Common questions about Essentia Health Grace Home

What is the ElderGrade for Essentia Health Grace Home? +

Essentia Health Grace Home holds an ElderGrade of B (84.5 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Essentia Health Grace Home? +

Residents receive an average of 4.42 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Essentia Health Grace Home been cited for harming residents? +

Yes. 1 of the 11 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.

Does Essentia Health Grace Home accept Medicaid? +

Yes, Essentia Health Grace Home 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.