Warroad Care Center
Nursing Home · Warroad, MN
CMS certification number245329
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
1401 Lake Street NorthwestWarroad, MN 56763
Roseau County
- Phone
- (218) 386-1235
- ZIP code
- 56763 – all care providers
Facility details
- Certified beds
- 49
- Residents per day
- 46.3 (94% occupied)
- Ownership
- Non profit - Corporation
- Legal name
- Warroad Care Center, INC.
- Medicare certified since
- August 1, 1986
- Participates in
- Medicare and Medicaid
- Council
- Both council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 5.00 (state 4.19 · U.S. 3.86)
- Registered nurses (RN)
- 0.84 (state 1.06 · U.S. 0.69)
- Licensed practical nurses
- 0.65 (state 0.61 · U.S. 0.86)
- Nurse aides
- 3.51 (state 2.52 · U.S. 2.32)
- Weekend total
- 4.36 (state 3.71 · U.S. 3.42)
- Nursing staff turnover
- —
- RN turnover
- —
Inspections
- Last standard inspection
- December 18, 2025
- Health deficiencies (last cycle)
- 7.0 (state 7.0 · U.S. 9.3)
- From complaints
- 2
- Citations on record (3 years)
- 48 health · 24 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2025-12-18 | 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. F0726 · Nursing and Physician Services Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-02-02 |
| 2025-12-18 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-02-02 |
| 2025-12-18 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-02-02 |
| 2025-12-18 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-02 |
| 2025-12-18 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. F0887 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-02 |
| 2025-12-04 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-09 |
| 2025-12-04 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-09 |
| 2025-03-27 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-07 |
| 2024-11-06 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
J Immediate jeopardy to resident health or safety |
Corrected 2024-12-20 |
| 2024-11-06 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
J Immediate jeopardy to resident health or safety |
Corrected 2024-12-20 |
| 2024-11-06 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-12-20 |
| 2024-11-06 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. F0838 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-12-11 |
| 2024-11-06 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. F0841 · Nursing and Physician Services Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-12-11 |
| 2024-11-06 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-12-20 |
| 2024-11-06 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-12-20 |
| 2024-11-06 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-12-20 |
| 2024-11-06 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. F0940 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-12-20 |
| 2024-11-06 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. F0941 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-12-20 |
| 2024-11-06 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. F0942 · Resident Rights Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-12-20 |
| 2024-11-06 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. F0943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-12-20 |
| 2024-11-06 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. F0944 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-12-20 |
| 2024-11-06 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. F0945 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-12-20 |
| 2024-11-06 | Provide training in compliance and ethics. F0946 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-12-20 |
| 2024-11-06 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. F0947 · Nursing and Physician Services Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-12-20 |
| 2024-11-06 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. F0949 · Administration Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-12-20 |
| 2024-11-06 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. F0688 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-20 |
| 2024-11-06 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-20 |
| 2024-11-06 | 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. F0585 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-20 |
| 2024-11-06 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-20 |
| 2024-11-06 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-20 |
| 2024-11-06 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-11 |
| 2024-11-06 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-11 |
| 2024-11-06 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-20 |
| 2024-11-06 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. F0840 · Administration Deficiencies |
C No actual harm, potential for minimal harm |
Corrected 2024-12-20 |
| 2024-11-06 | Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. F0843 · Administration Deficiencies |
C No actual harm, potential for minimal harm |
Corrected 2024-12-11 |
| 2024-07-17 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-09 |
| 2024-07-17 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-09 |
| 2024-06-13 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. F0803 · Nutrition and Dietary Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-07-11 |
| 2023-12-06 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-22 |
| 2023-12-06 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-22 |
| 2023-12-06 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. F0744 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-22 |
| 2023-11-29 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-12-22 |
| 2023-11-29 | Allow residents to self-administer drugs if determined clinically appropriate. F0554 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-22 |
| 2023-11-29 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. F0740 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-22 |
| 2023-11-29 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies |
C No actual harm, potential for minimal harm |
Corrected 2023-12-22 |
| 2023-11-22 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2023-12-15 |
| 2023-11-22 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-15 |
| 2023-09-08 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2023-10-20 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
11 penalties in the last three years, including $280,774 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-11-06 | Payment Denial | 15 days payment denial |
| 2024-11-06 | Fine | $145,889 |
| 2024-06-13 | Payment Denial | 5 days payment denial |
| 2024-06-13 | Fine | $16,187 |
| 2024-01-02 | Fine | $3,529 |
| 2023-12-11 | Fine | $8,469 |
| 2023-11-22 | Payment Denial | 1 days payment denial |
| 2023-11-22 | Fine | $11,180 |
| 2023-11-06 | Fine | $5,293 |
| 2023-09-08 | Payment Denial | 15 days payment denial |
| 2023-09-08 | Fine | $90,227 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Bertilrud, Mark (individual) | Corporate Director · NOT APPLICABLE | |
| Casperson, Tom (individual) | Corporate Officer · NOT APPLICABLE | |
| Doyle, Ronda (individual) | Corporate Officer · NOT APPLICABLE | |
| Erickson, Deborah (individual) | Corporate Officer · NOT APPLICABLE | |
| Evans, Robert (individual) | Corporate Officer · NOT APPLICABLE | |
| Griffin, Miki (individual) | Corporate Officer · NOT APPLICABLE | |
| Marvin, Maureen (individual) | Corporate Officer · NOT APPLICABLE | |
| Musgrove, Donnie (individual) | Corporate Officer · NOT APPLICABLE | |
| Schaible, Brian (individual) | Corporate Officer · NOT APPLICABLE | |
| Bertilrud, Mark (individual) | W-2 Managing Employee · NOT APPLICABLE |
Frequently asked questions
What is the rating of Warroad Care Center?
Warroad Care Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in Minnesota.
How many beds does Warroad Care Center have?
It has 49 certified beds and cares for about 46 residents per day.
Has Warroad Care Center been fined?
Yes. CMS lists 11 penalties totaling $280,774 in the last three years.
What is the phone number of Warroad Care Center?
(218) 386-1235. The facility is located at 1401 Lake Street Northwest, Warroad, MN 56763.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.