Nursing HomeInspections

Zumbrota Care Center

Nursing home in Zumbrota, MN

Medicare & Medicaid certified3★ overall (CMS)

Call (507) 732-8400Send a messageMap ↗

Public-record details

Address
433 Mill Street, Zumbrota, MN 55992
Phone
(507) 732-8400
Listed under
Nonprofit
Medicare CCN
245376
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
2 of 5
Staffing rating
5 of 5
Quality measures rating
4 of 5
Certified beds
42
Average residents per day
34
Ownership
Nonprofit, corporation
Legal business name
Zumbrota Health Services
Chain
St. Francis Health Services (14 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Dec 1, 1986
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 245376. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 7, 2025. CMS lists 24 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 10, 2023 to Dec 2, 2025): 12 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Dec 2, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 26, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 26, 2025Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 7, 2025Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights		C
Potential for minimal harm, widespread
Aug 7, 2025Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights		D
Potential for more than minimal harm, isolated
Aug 7, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · complaint inspection		F
Potential for more than minimal harm, widespread
May 27, 2025Post nurse staffing information every day.
Nursing and Physician Services · complaint inspection		C
Potential for minimal harm, widespread
May 27, 2025Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration · complaint inspection		C
Potential for minimal harm, widespread
May 27, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
May 27, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
May 27, 2025Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws,…
Administration · complaint inspection		F
Potential for more than minimal harm, widespread
May 27, 2025Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights…
Administration · complaint inspection		F
Potential for more than minimal harm, widespread

Showing the 12 most recent of 24. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $28,321 and 1 denial of Medicare payment for new admissions in the last three years.

May 27, 2025Fine: $28,321
May 27, 2025Payment denial for 367 days from Jun 25, 2025

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.66 hours
Registered nurse (RN) time per resident per day
1.48 hours
Nurse aide time per resident per day
1.85 hours
Total nurse staffing on weekends
3.13 hours
Nursing staff turnover (yearly)
41%
RN turnover (yearly)
11%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.