Mayo Clinic Health System - Lake City
500 West Grant Street, Lake City, MN 55041
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Follow this homeMayo Clinic Health System - Lake City is a nursing home in Lake City, Minnesota. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating2 of 5
- Last standard health inspectionAugust 20, 2026 (2 months ago)
- Health citations since November 6, 202327 (Minnesota average 23)
- Fines in the past three years2, $145,117 in total
- CMS flagsCMS abuse icon
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CMS flags
CMS abuse icon
CMS adds this icon when it cites a home for abuse that hurt a resident in the past year. It also adds it when it cites a home for abuse that could have hurt someone, in each of the past two years.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 8, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 1 of 5.
Health inspection on August 20, 2026
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on September 22, 2026.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on September 22, 2026.
CMS has cited this home for F0689 3 times since 2025.
Fire safety inspection on August 20, 2026
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0761. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
CMS lists it as corrected on September 22, 2026.
Citation K0712. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on September 22, 2026.
CMS has cited this home for K0712 2 times since 2024.
Health inspection on July 31, 2026
3 citationsCMS lists this as a complaint inspection.
Show the 3 citations
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on September 9, 2026.
CMS has cited this home for F0684 2 times since 2024.
Citation F0775. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep complete, dated laboratory records in the resident's record.
CMS lists it as corrected on September 9, 2026.
Citation F0842. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on September 9, 2026.
CMS has cited this home for F0842 2 times since 2026.
CMS update of June 24, 2026
Star rating
The CMS overall star rating changed from 5 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 2 of 5.
CMS abuse icon
CMS added its abuse icon to this home.
CMS update of May 27, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 4 of 5.
CMS update of April 29, 2026
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
Staffing
Total nurse staffing reported to CMS went from 5.1 to 4.5 hours per resident per day.
Health inspection on April 20, 2026
4 citationsCMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
47 of 337 Minnesota homes (14%) got a citation at the immediate jeopardy level in 2026.
CMS fine of $112,978 on April 20, 2026.
Show the 4 citations
Citation F0600. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on May 15, 2026.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on May 15, 2026.
CMS has cited this home for F0609 2 times since 2023.
Citation F0610. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Respond appropriately to all alleged violations.
CMS lists it as corrected on May 15, 2026.
Citation F0842. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on May 15, 2026.
CMS update of March 25, 2026
Fine
CMS changed the fine from April 3, 2025 from $49,445 to $32,139.
CMS update of February 25, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 3 of 5.
Health inspection on December 4, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on December 19, 2025.
Health inspection on July 31, 2025
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on September 8, 2025.
CMS has cited this home for F0880 2 times since 2024.
Fire safety inspection on July 31, 2025
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0920. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on September 8, 2025.
CMS update of July 30, 2025
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of June 25, 2025
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 2 of 5.
CMS update of April 30, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
Health inspection on April 3, 2025
1 citationCMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
68 of 337 Minnesota homes (20%) got a citation at the actual harm level in 2025.
CMS fine of $32,139 on April 3, 2025.
Show the 1 citation
Citation F0689. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on May 1, 2025.
CMS update of February 26, 2025
Star rating
The CMS overall star rating changed from 2 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.
Health inspection on December 18, 2024
1 citationCMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
62 of 337 Minnesota homes (18%) got a citation at the actual harm level in 2024.
Show the 1 citation
Citation F0760. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on December 10, 2024.
CMS update of August 29, 2024
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 2 of 5.
CMS update of July 31, 2024
Staffing
Total nurse staffing reported to CMS went from 4.5 to 3.8 hours per resident per day.
Health inspection on June 13, 2024
9 citationsCMS lists this as a standard inspection.
Show the 9 citations
Citation F0582. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
CMS lists it as corrected on August 9, 2024.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on August 9, 2024.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on August 9, 2024.
Citation F0686. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on August 9, 2024.
Citation F0740. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
CMS lists it as corrected on August 9, 2024.
Citation F0744. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
CMS lists it as corrected on August 9, 2024.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on August 9, 2024.
Citation F0883. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS lists it as corrected on August 9, 2024.
Citation F0576. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Ensure residents have reasonable access to and privacy in their use of communication methods.
CMS lists it as corrected on August 9, 2024.
Fire safety inspection on June 13, 2024
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0324. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on July 31, 2024.
Citation K0712. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on July 31, 2024.
CMS update of April 25, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 5 of 5 to 4 of 5.
CMS update of February 29, 2024
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 3 of 5.
CMS update of January 31, 2024
Fine
CMS changed the fine from January 3, 2023 from $19,460 to $12,649.
Health inspection on November 6, 2023
5 citationsCMS lists this as a complaint inspection.
Show the 5 citations
Citation F0552. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that residents are fully informed and understand their health status, care and treatments.
CMS lists it as corrected on November 27, 2023.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on November 27, 2023.
Citation F0623. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
CMS lists it as corrected on November 27, 2023.
Citation F0625. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
CMS lists it as corrected on November 27, 2023.
Citation F0626. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
CMS lists it as corrected on November 27, 2023.
CMS star ratings
- 2 of 5CMS overall star rating
- 1 of 5CMS health inspection star rating
- 5 of 5CMS staffing star rating
- 4 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (651) 345-1144
- Last standard health inspection
- August 20, 2026 (2 months ago)
- Certified beds
- 90
- Residents per day, on average
- 60.7
- Ownership type
- Non profit - Corporation
- Legal business name
- Mayo Clinic Health System-Lake City
- Chain
- Not listed by CMS
- Takes part in
- Medicare and Medicaid
More health citations than the Minnesota average (27 vs 23).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- EBENEZER MANAGEMENT SERVICES INCOperational/managerial control · not applicable · since 10/25/2005
- MAYO CLINICOperational/managerial control · not applicable · since 01/01/1998
- ANDERSON, BRETTOperational/managerial control · not applicable · since 07/01/2024
- FOSS, RANDYOperational/managerial control · not applicable · since 01/01/2025
- HARNISCH, MACKENZIEOperational/managerial control · not applicable · since 01/01/2018
Show 1 more
- WILLETT, TODDOperational/managerial control · not applicable · since 10/01/2016
Questions
When was Mayo Clinic Health System - Lake City last inspected?
CMS lists August 20, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Mayo Clinic Health System - Lake City have?
CMS lists 27 health citations since November 6, 2023. CMS also calls these deficiencies.
Has Mayo Clinic Health System - Lake City been fined?
CMS lists 2 fines in the past three years, $145,117 in total.
What is the CMS star rating of Mayo Clinic Health System - Lake City?
Its CMS overall star rating is 2 of 5.
Is Mayo Clinic Health System - Lake City a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.