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

MILACA ELIM MEADOWS HEALTH CARE CENTER

MILACA, MN · 70 certified beds · Last Life Safety survey December 18, 2025

CMS Certification Number 245422 · first certified February 1987

Ownership

Operated by CASSIA · Non profit - Corporation

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

15
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

Position within MN

15 citations — more than 64% 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

When is the next survey likely?

The window opens November 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

Emergency preparedness

1 of the 15 citations on file is 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)

3 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 15 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.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0908 Keep all essential equipment working safely.

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 facility15MN median12National median11
Citations on file over three years, compared
MeasureCitations
This facility15
Median facility in MN12
Median facility nationally11

Survey history

Citations at each Life Safety survey
152023-1102025-0102025-12
Citations at each Life Safety survey
Survey dateCitations
November 29, 202315
January 9, 20250
December 18, 20250

Most-cited tags

Most-cited tags at this facility
K-02111K-09181K-02221K-03311K-07531K-09201K-09301K-03721
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12023-11-29
K-0918Have generator or other power source capable of supplying service within 10 seconds.12023-11-29
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.12023-11-29
K-0331Construct fire resistant interior walls.12023-11-29
K-0753Have restrictions on the use of highly flammable decorations.12023-11-29
K-0920Ensure proper usage of power strips and extension cords.12023-11-29
K-0930Ensure proper storage of liquid oxygen.12023-11-29
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12023-11-29

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 6
  • Egress Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Emergency Preparedness Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies6
Egress Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies3
Emergency Preparedness Deficiencies1
Miscellaneous Deficiencies1

Every citation on file

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

November 29, 2023 — 15 citations

Citations issued on November 29, 2023
TagWhat the surveyor checksStatus
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (December 29, 2023)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Waiver has been granted
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (December 4, 2023)
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (December 15, 2023)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (January 5, 2024)
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 (December 12, 2023)
K-0331Construct fire resistant interior walls.Deficient, Provider has date of correction (February 1, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (February 1, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 5, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (January 5, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (January 5, 2024)
K-0753Have restrictions on the use of highly flammable decorations.Deficient, Provider has date of correction (November 27, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (January 4, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (December 14, 2023)
K-0930Ensure proper storage of liquid oxygen.Deficient, Provider has date of correction (December 22, 2023)

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