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

GUNDERSEN ST ELIZABETH'S CARE CENTER

WABASHA, MN · 100 certified beds · Last Life Safety survey June 10, 2026

CMS Certification Number 245487 · first certified February 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.

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

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 1 citation; the earlier surveys in the window averaged 7. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens May 2027 — about 7 months from now. This facility’s last Life Safety survey was June 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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2 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

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

E-0035

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 15 Life Safety citations above. The Physical Environment Index

F-0880 Provide and implement an infection prevention and control program.
F-0909 Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

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.

Citations on file over three years, compared
Measure	Citations
This facility	15
Median facility in MN	12
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
April 4, 2024	8
May 21, 2025	6
June 10, 2026	1

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0353	Inspect, test, and maintain automatic sprinkler systems.	3	2026-06-10
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	2	2025-05-21
K-0324	Provide properly protected cooking facilities.	2	2025-05-21
K-0271	Have exits that are accessible at all times.	1	2024-04-04
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	1	2025-05-21
E-0035	Provide family notifications of emergency plan.	1	2025-05-21
K-0712	Have simulated fire drills held at unexpected times.	1	2025-05-21
K-0923	Have proper medical gas storage and administration areas.	1	2024-04-04

What the citations cover

Citations by CMS category

Smoke Deficiencies 10
Gas, Vacuum, and Electrical Systems Deficiencies 2
Egress Deficiencies 1
Emergency Preparedness Deficiencies 1
Other 1

Citations by CMS category
Category	Citations
Smoke Deficiencies	10
Gas, Vacuum, and Electrical Systems Deficiencies	2
Egress Deficiencies	1
Emergency Preparedness Deficiencies	1
Miscellaneous Deficiencies	1

Every citation on file

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

June 10, 2026 — 1 citation

Citations issued on June 10, 2026
Tag	What the surveyor checks	Status
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (July 10, 2026)

May 21, 2025 — 6 citations

Citations issued on May 21, 2025
Tag	What the surveyor checks	Status
E-0035	Provide family notifications of emergency plan.	Deficient, Provider has date of correction (July 31, 2025)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (July 11, 2025)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (July 31, 2025)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (June 10, 2025)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (June 30, 2025)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (June 13, 2025)

April 4, 2024 — 8 citations

Citations issued on April 4, 2024
Tag	What the surveyor checks	Status
K-0271	Have exits that are accessible at all times.	Deficient, Provider has date of correction (May 31, 2024)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (May 31, 2024)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (May 31, 2024)
K-0346	Follow proper procedures when the fire alarm was out of service for more than 4 hours.	Deficient, Provider has date of correction (April 20, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (April 20, 2024)
K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.	Deficient, Provider has date of correction (April 20, 2024)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (May 1, 2024)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (April 3, 2024)

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