Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

ANNANDALE CARE CENTER INC

ANNANDALE, MN · 42 certified beds · Last Life Safety survey August 13, 2025

CMS Certification Number 245364 · first certified November 1986

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

11
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
8
Inspection & testing records
Of the citations on file

Position within MN

11 citations — more than 44% of the 338 certified nursing homes in MN. Compared within MN rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 0 citations; the earlier surveys in the window averaged 5.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: July 2026 to October 2026. This facility’s last Life Safety survey was August 2025. Facilities in MN are typically surveyed 11–14 months after the last one (median 13), measured over 613 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 11 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in MN, and nationally. Surveyors differ markedly between states, so the MN figure is the meaningful one.

This facility11MN median12National median11
Citations on file over three years, compared
MeasureCitations
This facility11
Median facility in MN12
Median facility nationally11

Survey history

Citations at each Life Safety survey
42023-0772024-0502025-08
Citations at each Life Safety survey
Survey dateCitations
July 26, 20234
May 15, 20247
August 13, 20250

Most-cited tags

Most-cited tags at this facility
K-03211K-03531K-03551K-09141K-03721K-05111K-03631K-07611
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12023-07-26
K-0353Inspect, test, and maintain automatic sprinkler systems.12024-05-15
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12024-05-15
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.12024-05-15
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12023-07-26
K-0511Have properly installed electrical wiring and gas equipment.12023-07-26
K-0363Install corridor and hallway doors that block smoke.12024-05-15
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12024-05-15

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 6
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Miscellaneous Deficiencies 2
  • Services Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies6
Gas, Vacuum, and Electrical Systems Deficiencies2
Miscellaneous Deficiencies2
Services Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

May 15, 2024 — 7 citations

Citations issued on May 15, 2024
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 20, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (June 20, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (June 20, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (June 20, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (June 20, 2024)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (June 20, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (June 20, 2024)

July 26, 2023 — 4 citations

Citations issued on July 26, 2023
TagWhat the surveyor checksStatus
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (September 29, 2023)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (September 29, 2023)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (September 29, 2023)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (September 29, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.