Above average — CMS composite of the measures below.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Frazee Care Center during CMS and state inspections, most recent first.
Expired Surety Bond for Resident Trust Funds: The facility failed to keep a current surety bond in place for resident trust accounts. The AA confirmed the resident personal funds totaled $24,809.91 for 26 residents and acknowledged the bond had expired after the responsible employee left. The facility policy addressed safeguarding and accounting for resident funds, but did not specify maintaining a current bond for the total amount held.
A facility failed to implement interventions for a resident at high risk for falls, as wheelchair foot pedals were not stored properly, leading to repeated falls. Additionally, water temperatures in four resident rooms exceeded safe limits, posing burn risks. Staff confirmed these lapses, which violated facility policies on safety and care plan adherence.
A resident with severe cognitive impairment and dental issues was inaccurately coded in the MDS, failing to reflect significant changes in their dental status. Despite assessments indicating the presence of natural teeth and dental decay, documentation inaccurately recorded the resident as having only upper dentures. Facility staff confirmed the inaccuracies, highlighting a failure to meet documentation standards.
A resident with severe cognitive impairment and no natural teeth required follow-up dental care for likely root tips and decay. Despite the resident's and family member's request for a dental appointment, the facility failed to schedule it. Staff interviews confirmed the delay was due to paperwork, and the facility's policy on dental services was not followed.
Expired Surety Bond for Resident Trust Funds
Penalty
Summary
The facility failed to ensure the surety bond for residents’ personal funds remained current and sufficient to cover the total amount of resident trust funds held by the facility. During interview and document review, the assistant administrator confirmed the residents’ personal funds accounts totaled $24,809.91 and that 26 residents had personal fund accounts at the facility. The assistant administrator also confirmed the facility’s surety bond for residents’ personal funds had expired and stated corporate office had not renewed it after the employee responsible had left. Review of the Hartford Fire Insurance Company surety document showed a $50,000 bond was in effect for a limited period and then ended. The facility’s Resident Trust Account policy stated the facility would hold, safeguard, manage, and account for resident personal funds, maintain separate accounting, and deposit personal funds over $100 into an interest-bearing account. The policy did not identify the need to maintain a current surety bond for the total amount of residents’ accounts.
Failure to Implement Fall Interventions and Maintain Safe Water Temperatures
Penalty
Summary
The facility failed to implement necessary interventions for a resident who had repeated falls and was at high risk for further incidents. The resident, who had moderate cognitive impairment and required supervision for toileting and transfers, experienced multiple falls over several months. Despite having a care plan that included specific interventions such as using a front-wheeled walker and ensuring wheelchair foot pedals were stored in a bag to prevent tripping, these measures were not consistently followed. Observations revealed that the resident's wheelchair foot pedals were not removed and stored as required, contributing to the risk of falls. Additionally, the facility did not maintain a safe environment regarding water temperatures in resident rooms. During a survey, it was found that the water temperatures in four resident rooms exceeded the federal guideline of 120 degrees Fahrenheit, posing a risk of burns to the residents. The maintenance director confirmed that the water temperatures were too high and acknowledged that adjustments to the aerators might have contributed to the excessive temperatures. Interviews with staff, including nursing assistants, registered nurses, and the director of nursing, confirmed the lapses in following care plan interventions and maintaining safe water temperatures. The facility's policies emphasized the importance of updating care plans with new interventions after falls and ensuring water temperatures were within safe limits, but these were not adhered to, leading to the identified deficiencies.
Inaccurate MDS Coding for Dental Issues
Penalty
Summary
The facility failed to accurately code the oral/dental section of the Minimum Data Set (MDS) for a resident with identified dental issues. The resident, who had severe cognitive impairment and diagnoses including Alzheimer's disease, anxiety, and depression, was noted in various assessments to have no natural teeth and wore upper dentures. However, a significant change in the resident's dental status was identified on 8/22/24, indicating the presence of likely root tips in the upper right and decay in the upper left, with the resident expressing a desire to see a dentist for broken teeth. Despite this, subsequent documentation on 11/4/24 inaccurately recorded the resident as having only upper dentures and no natural teeth. Interviews with facility staff, including a registered nurse and the director of nursing, confirmed the inaccuracies in the MDS and the Dental/Oral Data Collection Tool. The registered nurse acknowledged that the MDS assessments were completed off-site and confirmed that her assessment on 11/4/24 was not accurate, as the resident had two upper natural teeth requiring treatment. The director of nursing also confirmed the inaccuracies and stated that the expectation was for assessments and MDS to be completed accurately, as per the facility's policy on nursing documentation.
Failure to Arrange Follow-Up Dental Care for Resident
Penalty
Summary
The facility failed to arrange follow-up dental care for a resident with severe cognitive impairment and multiple diagnoses, including Alzheimer's disease, anxiety, and depression. The resident, who had no natural teeth and wore upper dentures, was identified as needing to see a dentist for likely root tips and decay. Despite the resident's and family member's expressed desire for a dental appointment, the facility did not schedule the necessary follow-up with a dentist. Interviews with facility staff, including a registered nurse, social services director, and director of nursing, confirmed that the resident's request for a dental appointment was acknowledged but not acted upon. The social services director admitted that the process was delayed due to paperwork, and the director of nursing expected such requests to be followed up within a couple of weeks. However, no appointment was scheduled, and the facility's policy on providing or obtaining dental services was not adhered to.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Illustrative
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Nursing homes near Frazee
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Emmanuel Nursing Home | 8.3 mi | ★★★★★ | 9 | 1 |
| Essentia Health Oak Crossing | 8.9 mi | ★★★★★ | 8 | 0 |
| Perham Living | 10.7 mi | ★★★★★ | 7 | 0 |
| Sunnyside Care Center | 19.5 mi | ★★★★★ | 3 | 0 |
| Pelican Valley Health Center | 20.7 mi | ★★★★★ | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.