Minnesota › Itasca County › Deer River
Essentia Health Homestead
115 10th Avenue Northeast, Deer River, MN 56636
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 32 beds, Essentia Health Homestead serves Deer River in Itasca County, Minnesota and has taken Medicare and Medicaid residents since 1987.
CMS gives it 2 of 5 stars overall, below the Minnesota median of 3; the health inspection rating is 1, staffing 5 and quality measures 4.
Inspectors recorded 15 health deficiencies across the three most recent survey cycles (6, 7, 2 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 46.9 per 100 beds, more than the state median of 30.0.
CMS lists 2 penalties in the period covered: fines totalling $68K.
Reported nurse staffing is 5.0 hours per resident per day (1.7 RN), close to the Minnesota median of 4.2; nursing staff turnover is 50.0%.
Compared with county, state and nation
| Measure | This facility | Itasca Co. median | Minnesota median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 15 | 18 | 20 | 28.7 |
| Citations per 100 beds | 46.9 | 46.9 | 30.0 | 26.8 |
| Total nurse hours per resident day | 5.0 | 5.0 | 4.2 | 3.9 |
| RN hours per resident day | 1.7 | 1.7 | 1.0 | 0.7 |
| Nursing staff turnover | 50.0% | 48.9% | 40.0% | 45.8% |
| Fines listed | $67,727 | $65,900 | $0 | — |
County and state figures are medians across facilities (4 in the county, 338 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Minnesota average per facility for the same cycle, as published by CMS. Standard health survey dates: 22 Apr 2026, 12 Mar 2025.
Severity mix: K ×1 G ×2 D ×7 E ×1 F ×2 C ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 18 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 23 Apr 2026 |
| 22 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 8 May 2026 |
| 31 Mar 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 22 Mar 2026 |
| 17 Dec 2025 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | K | Complaint investigation | 16 Jan 2026 |
| 17 Dec 2025 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint investigation | 16 Jan 2026 |
| 17 Dec 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 16 Jan 2026 |
| 30 Jul 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 25 Aug 2025 |
| 30 Jul 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | C | Complaint investigation | 25 Aug 2025 |
| 12 Mar 2025 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | F | Standard survey | 25 Mar 2025 |
| 12 Mar 2025 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard survey | 28 Mar 2025 |
| 12 Mar 2025 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 28 Mar 2025 |
| 12 Mar 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 28 Mar 2025 |
| 12 Mar 2025 | F0732 | Post nurse staffing information every day. | C | Standard survey | 25 Mar 2025 |
| 16 May 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 7 Jun 2024 |
| 16 May 2024 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 7 Jun 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 31 Mar 2026 | Fine | $27,378 | |
| 17 Dec 2025 | Fine | $40,349 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Minnesota average. Turnover: nursing staff 50.0%, RNs 40.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Minnesota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 7.7% | 18.0% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 1.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.2% | 2.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 3.7% | 2.8% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 8.1% | 4.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 18.8% | 15.9% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Deer River Healthcare Center Inc. Chain: Essentia Health (6 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Essentia Health | 5% or greater direct ownership interest | 100% | 03/01/2025 |
| St Marys Duluth Clinic Health System | Operational/managerial control | NOT APPLICABLE | 09/01/2012 |
| Essentia Health | Adp of the snf | NOT APPLICABLE | 05/12/2025 |
| St Marys Duluth Clinic Health System | Adp of the snf | NOT APPLICABLE | 05/12/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Itasca County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Bigfork Valley Communities | Bigfork | 40 | 5 | 4 | 5 | 10 | 25.0 | — | 11 Dec 2025 |
| Grand Village | Grand Rapids | 82 | 5 | 4 | 5 | 18 | 22.0 | — | 14 May 2026 |
| The Emeralds At Grand Rapids LLC | Grand Rapids | 93 | 1 | 1 | 3 | 50 | 53.8 | $66K | 17 Jun 2026 |
All 4 facilities in Itasca County
Questions and answers
How many deficiencies has Essentia Health Homestead been cited for?
15 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Minnesota median is 20 per facility.
Has Essentia Health Homestead been fined?
Yes. CMS lists fines totalling $68K in the period covered.
How does staffing at Essentia Health Homestead compare?
Reported total nurse staffing is 5.0 hours per resident per day against a Minnesota median of 4.2 and a national average of 3.9.
Who operates Essentia Health Homestead?
It is part of the Essentia Health chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Essentia Health and St Marys Duluth Clinic Health System. Individual owners and managers are not listed on this site.
When was Essentia Health Homestead last inspected?
The most recent survey or investigation in the CMS record is dated 18 May 2026; the most recent standard health survey was 22 Apr 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.