The nursing home failed to protect residents from abuse and neglect by others. Cited October 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
GUNDERSEN HARMONY CARE CENTER
HARMONY, MN · Medicare-certified · 42 beds
In good standing
Non-profit
5 of 5 overall
Gundersen Harmony Care Center in Harmony, MN has an overall 5-star rating, with 5 stars for health inspections and staffing and 4 stars for quality measures. It reported 3.68 nurse hours per resident per day versus the federal benchmark of 4.1, had no fines in the last 24 months, and recent inspection citations included abuse prevention, accident hazards/supervision, and resident rights.
Facility ratings
Health inspections
Staffing
3.6846 hrs/resident/day
Quality measures
Last inspection: April 10, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6846.
Staffing detail
- Registered nurses
- 1.21
- Licensed practical nurses
- 0.39
- Nurse aides
- 2.09
- Weekend nursing
- 3.14
Hours per resident per day.
Total staff turnover: 49%
Registered nurse turnover: 33%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
6.4%Worsening
Residents with a fall causing major injury
0%Steady
Residents with pressure ulcers (bedsores)
2.2%Improving
Residents with a urinary tract infection
4.5%Worsening
Residents who lost too much weight
1.1%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
24.4%Improving
Residents whose ability to walk got worse
20.2%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
5.6%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
1.7%Worsening
Residents with new or worsening incontinence
22.9%Worsening
Residents with depressive symptoms
5.5%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
94.5%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: D
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited February 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 578 — 42 CFR §483.10 — S/S: D
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited October 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $12,649 in total fines.
- $12,649
Federal fine
Oct 11, 2023
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 33.7 residents on an average day (80% of 42 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 38 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.