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

PELICAN VALLEY HEALTH CENTER

PELICAN RAPIDS, MN · 28 certified beds · Last Life Safety survey March 25, 2026

CMS Certification Number 245373 · first certified December 1986

Ownership

Operated by VIVIE · Government - Hospital district

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

13
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
7
Inspection & testing records
Of the citations on file

Position within MN

13 citations — more than 55% 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 1 citation; 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 February 2027 — about 5 months from now. This facility’s last Life Safety survey was March 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

Emergency preparedness

1 of the 13 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 13 Life Safety citations above. The Physical Environment Index

  • 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 facility13MN median12National median11
Citations on file over three years, compared
MeasureCitations
This facility13
Median facility in MN12
Median facility nationally11

Survey history

Citations at each Life Safety survey
92023-1132025-0112026-03
Citations at each Life Safety survey
Survey dateCitations
November 8, 20239
January 8, 20253
March 25, 20261

Most-cited tags

Most-cited tags at this facility
K-09202K-05211E-00411K-03451K-03531K-03241K-05111K-09181
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0920Ensure proper usage of power strips and extension cords.22026-03-25
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12023-11-08
E-0041Implement emergency and standby power systems.12023-11-08
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12023-11-08
K-0353Inspect, test, and maintain automatic sprinkler systems.12023-11-08
K-0324Provide properly protected cooking facilities.12023-11-08
K-0511Have properly installed electrical wiring and gas equipment.12023-11-08
K-0918Have generator or other power source capable of supplying service within 10 seconds.12023-11-08

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Egress Deficiencies 2
  • Services Deficiencies 2
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies4
Egress Deficiencies2
Services Deficiencies2
Emergency Preparedness Deficiencies1

Every citation on file

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

March 25, 2026 — 1 citation

Citations issued on March 25, 2026
TagWhat the surveyor checksStatus
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (April 15, 2026)

January 8, 2025 — 3 citations

Citations issued on January 8, 2025
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (January 29, 2025)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (January 29, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (January 29, 2025)

November 8, 2023 — 9 citations

Citations issued on November 8, 2023
TagWhat the surveyor checksStatus
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (December 12, 2023)
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (December 12, 2023)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (December 12, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (December 12, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 12, 2023)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (December 12, 2023)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (December 12, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (December 12, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (December 12, 2023)

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