Gundersen St Elizabeth's Care Center in Wabasha, MN has a 3-star overall rating, with stronger health inspections (4 stars) but low staffing (1 star) and quality measures (2 stars). It had no fines in the last 24 months.
Last inspection: May 21, 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: 30%
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
11.4%Worsening
Residents with a fall causing major injury
2.9%Improving
Residents with pressure ulcers (bedsores)
6.1%Improving
Residents with a urinary tract infection
1.5%Steady
Residents who lost too much weight
6.5%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
26.3%Worsening
Residents whose ability to walk got worse
23.8%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
6.4%Steady
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
1.8%Worsening
Residents with new or worsening incontinence
23.4%Worsening
Residents with depressive symptoms
1.9%Steady
Long-stay residents given the seasonal flu vaccine
95.9%Steady
Long-stay residents given the pneumonia vaccine
94.2%Worsening
Short-stay residents given the seasonal flu vaccine
89.7%Steady
Short-stay residents given the pneumonia vaccine
82.7%Worsening
What the inspectors found
The home failed to assess bed rail safety, review the risks and benefits, get informed consent, or properly install and maintain the rail. Cited May 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 700 — 42 CFR §483.25(n) — S/S: E
The home failed to prevent unnecessary mind-altering medications or ensure medicines did not limit a resident’s ability to function. Cited May 2025 — limited pattern, potential for harm.
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F-Tag 605 — 42 CFR §483.12 — S/S: E
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited May 2025 — isolated incident, potential for harm.
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F-Tag 726 — 42 CFR §483.35 — S/S: D
The home failed to provide care or services that were trauma-informed and culturally competent. Cited May 2025 — isolated incident, potential for harm.
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F-Tag 699 — 42 CFR §483.25 — S/S: D
The home failed to notify the resident and family in time before a transfer or discharge, including their right to appeal. Cited April 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 623 — 42 CFR §483.15 — S/S: D
Recent history
INSPECTION
Health inspection found 5 health deficiencies.
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INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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Operator & ownership
Ownership
Non profit - Corporation
Occupancy
76.3 residents on an average day (76% of 100 beds)
Resident voice
Resident council
Medicare history
Certified for 40 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.