The home failed to ensure a doctor was available around the clock to provide or arrange emergency care. Cited March 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 713 — 42 CFR §483.30 — S/S: F
Nursing home report
SAUER HEALTH CARE
WINONA, MN · Medicare-certified · 61 beds
Needs attention
Non-profit
Data as of September 1, 2026
1 of 5 overall
SAUER HEALTH CARE (WINONA, MN) has a 1 out of 5 overall rating, with a lowest-overall-rating flag. It has a 2-star health inspection rating, 1-star quality measures rating, 4-star staffing rating, reported nurse staffing of 3.60 hours per resident per day versus the 4.1 federal benchmark, and no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.6029 hrs/resident/day
Quality measures
Last inspection: March 19, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6029.
Staffing detail
- Registered nurses
- 0.85
- Licensed practical nurses
- 0.35
- Nurse aides
- 2.40
- Weekend nursing
- 3.21
Hours per resident per day.
Total staff turnover: 43%
Registered nurse turnover: 50%
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
25%16.2%Improving
Residents with a fall causing major injury
5.3%7%Worsening
Residents with pressure ulcers (bedsores)
6.1%9.9%Worsening
Residents with a urinary tract infection
2.8%0%Improving
Residents who lost too much weight
6.2%5.6%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
15.2%20%Worsening
Residents whose ability to walk got worse
—13.6%—
Long-stay residents on antianxiety or sleep medication
0%18.9%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
3.3%3.3%No change
Residents with new or worsening incontinence
22.9%30%Worsening
Residents with depressive symptoms
2.9%2.7%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
—97.5%—
Long-stay residents given the pneumonia vaccine
100%97.7%Worsening
Short-stay residents given the seasonal flu vaccine
—94.4%—
Short-stay residents given the pneumonia vaccine
100%92.6%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2026 — 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 have enough qualified staff to properly provide food and nutrition services. Cited October 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 801 — 42 CFR §483.60 — S/S: F
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 December 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — 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 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 46.5 residents on an average day (76% of 61 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 59 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.