Moose Lake Village
Nursing Home · Moose Lake, MN
CMS certification number245491
Contact & location
710 South Kenwood AvenueMoose Lake, MN 55767
Carlton County
- Phone
- (218) 351-9400
- ZIP code
- 55767 – all care providers
Facility details
- Certified beds
- 60
- Residents per day
- 53.1 (89% occupied)
- Ownership
- Non profit - Corporation
- Legal name
- Augustana Mercy Care Center LLC
- Medicare certified since
- July 1, 1987
- Participates in
- Medicare and Medicaid
- Council
- Resident 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
- 4.64 (state 4.19 · U.S. 3.86)
- Registered nurses (RN)
- 0.80 (state 1.06 · U.S. 0.69)
- Licensed practical nurses
- 0.61 (state 0.61 · U.S. 0.86)
- Nurse aides
- 3.23 (state 2.52 · U.S. 2.32)
- Weekend total
- 4.14 (state 3.71 · U.S. 3.42)
- Nursing staff turnover
- 45.8 (state 42.2 · U.S. 45.8)%
- RN turnover
- 30.0 (state 38.6 · U.S. 42.9)%
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- July 9, 2026
- Health deficiencies (last cycle)
- 5.0 (state 7.0 · U.S. 9.3)
- From complaints
- 0
- Citations on record (3 years)
- 14 health · 14 fire safety
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-07-09 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Deficient, Provider has no plan of correction |
| 2026-07-09 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Deficient, Provider has no plan of correction |
| 2026-07-09 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Deficient, Provider has no plan of correction |
| 2026-07-09 | Allow residents to self-administer drugs if determined clinically appropriate. F0554 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Deficient, Provider has no plan of correction |
| 2026-07-09 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Deficient, Provider has no plan of correction |
| 2025-05-15 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-27 |
| 2025-05-15 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-27 |
| 2025-05-15 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. F0568 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-27 |
| 2025-05-15 | 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 |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-27 |
| 2025-05-15 | Provide care or services that was trauma informed and/or culturally competent. F0699 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-27 |
| 2025-05-15 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-27 |
| 2024-03-14 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-17 |
| 2024-03-14 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-17 |
| 2023-11-09 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-09 |
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
No federal fines or payment denials in the last three years.
Ownership & management
| Name | Role | Since |
|---|---|---|
| Cassia (organization) | 5%+ Direct Ownership Interest · 100% | |
| Dahl, Robert (individual) | Corporate Director · NOT APPLICABLE | |
| Kern, Matthew (individual) | Corporate Director · NOT APPLICABLE | |
| Stadtherr, Seelochani (individual) | Corporate Director · NOT APPLICABLE | |
| Youngquist, Kathryn (individual) | Corporate Director · NOT APPLICABLE | |
| Mackay, Marshall (individual) | Corporate Officer · NOT APPLICABLE | |
| Nye, Gerald (individual) | Corporate Officer · NOT APPLICABLE | |
| Parks, Charles (individual) | Corporate Officer · NOT APPLICABLE | |
| Ramsdale, Scott (individual) | Corporate Officer · NOT APPLICABLE | |
| Wilkerson, Gary (individual) | Corporate Officer · NOT APPLICABLE | |
| Cassia (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Smith, Shawna (individual) | W-2 Managing Employee · NOT APPLICABLE |
Frequently asked questions
What is the rating of Moose Lake Village?
Moose Lake Village has a 4-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 Moose Lake Village have?
It has 60 certified beds and cares for about 53 residents per day.
Has Moose Lake Village been fined?
CMS lists no federal fines or payment denials in the last three years.
What is the phone number of Moose Lake Village?
(218) 351-9400. The facility is located at 710 South Kenwood Avenue, Moose Lake, MN 55767.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.