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

WEST WIND VILLAGE

MORRIS, MN · 45 certified beds · Last Life Safety survey May 6, 2026

CMS Certification Number 245262 · first certified September 1983

Ownership

Operated by ST. FRANCIS HEALTH SERVICES · 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
2
Tags cited more than once
Across separate surveys
7
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

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

The latest survey found 3 citations; the earlier surveys in the window averaged 6. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens April 2027 — about 6 months from now. This facility’s last Life Safety survey was May 2026. 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

1 inspection-and-testing tag has 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.

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-0880 Provide and implement an infection prevention and control program.
  • 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 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
32024-0592025-0732026-05
Citations at each Life Safety survey
Survey dateCitations
May 1, 20243
July 30, 20259
May 6, 20263

Most-cited tags

Most-cited tags at this facility
K-03533K-02222K-03241K-02261K-02711K-07611K-03631K-09141
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.32026-05-06
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.22026-05-06
K-0324Provide properly protected cooking facilities.12024-05-01
K-0226Have horizontal exits used in accordance with safety requirements.12025-07-30
K-0271Have exits that are accessible at all times.12025-07-30
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12025-07-30
K-0363Install corridor and hallway doors that block smoke.12025-07-30
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.12025-07-30

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 7
  • Egress Deficiencies 4
  • Miscellaneous Deficiencies 2
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies7
Egress Deficiencies4
Miscellaneous Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies2

Every citation on file

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

May 6, 2026 — 3 citations

Citations issued on May 6, 2026
TagWhat the surveyor checksStatus
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 (June 3, 2026)
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 (June 3, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 3, 2026)

July 30, 2025 — 9 citations

Citations issued on July 30, 2025
TagWhat the surveyor checksStatus
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 (September 30, 2025)
K-0226Have horizontal exits used in accordance with safety requirements.Deficient, Provider has date of correction (September 30, 2025)
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (September 30, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (September 30, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (September 30, 2025)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (September 30, 2025)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (September 30, 2025)
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 (September 30, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (September 30, 2025)

May 1, 2024 — 3 citations

Citations issued on May 1, 2024
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (May 27, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 27, 2024)
K-0753Have restrictions on the use of highly flammable decorations.Deficient, Provider has date of correction (May 27, 2024)

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