The nursing home failed to ensure residents were free from significant medication errors. Cited August 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: J
Nursing home report
ST JOHNS ON FOUNTAIN LAKE
ALBERT LEA, MN · Medicare-certified · 84 beds
Needs attention
Non-profit
3 of 5 overall
ST JOHNS ON FOUNTAIN LAKE (ALBERT LEA, MN) has a 3-star overall rating, with a low 2-star health inspection rating but strong staffing at 5 stars; reported nurse staffing is 4.46 hours per resident per day, above the 4.1 federal benchmark. It also had $16,448 in fines in the last 24 months and a recent federal penalty, with recent inspection concerns including medication errors, accident hazards, and pressure ulcer care.
Facility ratings
Health inspections
Staffing
4.4565 hrs/resident/day
Quality measures
Last inspection: December 3, 2025Penalties, last 24 months: $16,448recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.4565.
Staffing detail
- Registered nurses
- 0.78
- Licensed practical nurses
- 0.97
- Nurse aides
- 2.71
- Weekend nursing
- 4.02
Hours per resident per day.
Total staff turnover: 32%
Registered nurse turnover: 24%
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
12.2%16.2%Worsening
Residents with a fall causing major injury
8.6%3.8%Improving
Residents with pressure ulcers (bedsores)
11.6%1.5%Improving
Residents with a urinary tract infection
3.4%5.8%Worsening
Residents who lost too much weight
0%6.8%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
23.9%11.9%Improving
Residents whose ability to walk got worse
—33.6%—
Long-stay residents on antianxiety or sleep medication
10.6%9.1%Improving
Short-stay residents newly given an antipsychotic
0%1.3%Worsening
Residents with a long-term catheter
1.1%0%Improving
Residents with new or worsening incontinence
29.4%31.9%Worsening
Residents with depressive symptoms
0%0%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
—98.5%—
Long-stay residents given the pneumonia vaccine
87.9%100%Improving
Short-stay residents given the seasonal flu vaccine
—96%—
Short-stay residents given the pneumonia vaccine
91.8%86.7%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited January 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — 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 November 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $16,448 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $16,448 in total fines.
- $16,448
Federal fine
Jul 26, 2024
Operator & ownership
- Ownership
- Non profit - Church related
- Occupancy
- 75.2 residents on an average day (90% of 84 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 8 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.