The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
EDENBROOK PINE HAVEN
PINE ISLAND, MN · Medicare-certified · 70 beds
In good standing
Non-profit
Data as of July 1, 2026
2 of 5 overall
Edenbrook Pine Haven has a 2-star overall rating. Its staffing is low at 1 star, health inspections are 3 stars, quality measures are 2 stars, and there were no fines in the last 24 months; recent inspection issues included accident hazards/supervision, infection prevention and control, and food handling standards.
Facility ratings
Health inspections
Staffing
Quality measures
Last inspection: August 28, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports not reported.
Staffing detail
Total staff turnover: 74%
Registered nurse turnover: 70%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
20%12.5%Improving
Residents with a fall causing major injury
3.8%6%Worsening
Residents with pressure ulcers (bedsores)
7.3%5%Improving
Residents with a urinary tract infection
3.8%2%Improving
Residents who lost too much weight
10.3%2.8%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
15.8%11.1%Improving
Residents whose ability to walk got worse
—16.3%—
Long-stay residents on antianxiety or sleep medication
7.7%5.4%Improving
Short-stay residents newly given an antipsychotic
9.5%0%Improving
Residents with a long-term catheter
6.9%7.9%Worsening
Residents with new or worsening incontinence
27.4%34.2%Worsening
Residents with depressive symptoms
2.2%2.2%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—94.4%—
Long-stay residents given the pneumonia vaccine
57.7%94%Improving
Short-stay residents given the seasonal flu vaccine
—87.7%—
Short-stay residents given the pneumonia vaccine
90.4%88.2%Worsening
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited July 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to protect residents’ right to organize and take part in resident and family groups. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 565 — 42 CFR §483.10 — S/S: E
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 578 — 42 CFR §483.10 — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $14,898 in total fines.
- $14,898
Federal fine
Jan 23, 2024
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 56.4 residents on an average day (81% of 70 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 39 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.