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

WOODLYN HEIGHTS HEALTHCARE CENTER

INVER GROVE HEIGHTS, MN · 79 certified beds · Last Life Safety survey December 31, 2025

CMS Certification Number 245320 · first certified July 1986

Ownership

Operated by ACCURA HEALTHCARE · For profit - Corporation

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

21
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
5
Tags cited more than once
Across separate surveys
14
Inspection & testing records
Of the citations on file

Position within MN

21 citations — more than 84% 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

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

The latest survey found 4 citations; the earlier surveys in the window averaged 8.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens December 2026 — about 2 months from now. This facility’s last Life Safety survey was December 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

4 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

2 of the 21 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

7 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 21 Life Safety citations above. The Physical Environment Index

  • F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

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 facility21MN median12National median11
Citations on file over three years, compared
MeasureCitations
This facility21
Median facility in MN12
Median facility nationally11

Survey history

Citations at each Life Safety survey
142024-0332024-1242025-12
Citations at each Life Safety survey
Survey dateCitations
March 14, 202414
December 5, 20243
December 31, 20254

Most-cited tags

Most-cited tags at this facility
K-09232K-09182K-03452K-03532K-03472E-00411K-03241K-07121
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0923Have proper medical gas storage and administration areas.22024-12-05
K-0918Have generator or other power source capable of supplying service within 10 seconds.22025-12-31
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22024-12-05
K-0353Inspect, test, and maintain automatic sprinkler systems.22024-12-05
K-0347Properly provide smoke detection systems in areas open to corridors.22025-12-31
E-0041Implement emergency and standby power systems.12024-03-14
K-0324Provide properly protected cooking facilities.12024-03-14
K-0712Have simulated fire drills held at unexpected times.12024-03-14

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 9
  • Gas, Vacuum, and Electrical Systems Deficiencies 5
  • Emergency Preparedness Deficiencies 2
  • Miscellaneous Deficiencies 2
  • Other 3
Citations by CMS category
CategoryCitations
Smoke Deficiencies9
Gas, Vacuum, and Electrical Systems Deficiencies5
Emergency Preparedness Deficiencies2
Miscellaneous Deficiencies2
Services Deficiencies2
Egress Deficiencies1

Every citation on file

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

December 31, 2025 — 4 citations

Citations issued on December 31, 2025
TagWhat the surveyor checksStatus
E-0007Address patient/client population and determine types of services needed.Deficient, Provider has date of correction (January 30, 2026)
K-0347Properly provide smoke detection systems in areas open to corridors.Deficient, Provider has date of correction (February 2, 2026)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (February 2, 2026)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (February 2, 2026)

December 5, 2024 — 3 citations

Citations issued on December 5, 2024
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (December 29, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 29, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (December 29, 2024)

March 14, 2024 — 14 citations

Citations issued on March 14, 2024
TagWhat the surveyor checksStatus
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (April 7, 2024)
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (May 1, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (May 1, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (May 1, 2024)
K-0347Properly provide smoke detection systems in areas open to corridors.Deficient, Provider has date of correction (May 1, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 1, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (May 1, 2024)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (May 1, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (May 1, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (May 1, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (May 1, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (May 1, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (May 1, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (May 1, 2024)

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