ElderGrade
C

64/100

Average

Essentia Health Homestead

115 10Th Avenue Northeast, Deer River, MN 56636

CMS 2/5 stars #3 of 4 in Itasca County (218) 246-4336
Certified beds
32
Occupancy
65%
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.

  • 3 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.

  • $67,727 in federal fines

    CMS has fined this facility across 2 penalty action(s).

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

12/30

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

  • -10 for 1 immediate-jeopardy citation(s) in the last 3 years
  • -8 for 2 actual-harm citation(s) in the last 3 years

Staffing

29/30

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

  • 5.68 total nurse hours per resident per day (national median 3.77)
  • 1.71 RN hours per resident per day
  • Weekend staffing drops 11% against weekdays

Staff stability

9/15

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

  • 50% of nursing staff left in the last year

Resident outcomes

12/15

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

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

Enforcement history

5/10

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

  • $67,727 in federal fines across 2 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

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 4.97 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 1.71 hrs
National average 0.69 hrs Better than average

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

Weekend nurse hours 4.44 hrs
National average 3.42 hrs Better than average

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

Nursing staff turnover 50.00%
National average 45.80% Below average

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

Recent inspection findings

All 15 citations

Last standard health inspection: April 22, 2026 (4 months ago).

G May 18, 2026 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.

Actual harm to a resident

D Apr 22, 2026 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

G Mar 31, 2026 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.

Actual harm to a resident

K Dec 17, 2025 F0726 From a complaint

Nursing and Physician Services Deficiencies

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Immediate jeopardy to resident health or safety

D Dec 17, 2025 F0585 From a complaint

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

No actual harm, potential for more than minimal harm

D Dec 17, 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

D Jul 30, 2025 F0609 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

No actual harm, potential for more than minimal harm

C Jul 30, 2025 F0607 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

No actual harm, minimal potential

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
ARONSON NORR, NANCY Individual CORPORATE DIRECTOR
BACHAND, ADAM Individual CORPORATE DIRECTOR
BERGSTROM, AMY Individual CORPORATE DIRECTOR
DUININCK, TROY Individual CORPORATE DIRECTOR
JAMAR, THOMAS Individual CORPORATE DIRECTOR
LOBAN, GEORGE Individual CORPORATE DIRECTOR
LUND, JARED Individual CORPORATE DIRECTOR
SMITH, BRUCE Individual CORPORATE DIRECTOR
TERCH, JUSTIN Individual CORPORATE DIRECTOR
URBANSKI, REBECCA Individual CORPORATE DIRECTOR
WATTERS, MICHAEL Individual CORPORATE DIRECTOR
YUNG, ANTHONY Individual CORPORATE DIRECTOR

What families say

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Common questions about Essentia Health Homestead

What is the ElderGrade for Essentia Health Homestead? +

Essentia Health Homestead 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.

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

Residents receive an average of 4.97 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Essentia Health Homestead been cited for harming residents? +

Yes. 3 of the 15 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 Homestead accept Medicaid? +

Yes, Essentia Health Homestead 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.