Above average — CMS composite of the measures below.
The next survey window likely opens around April 2027
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 Good Shepherd Lutheran Home during CMS and state inspections, most recent first.
Failure to provide routine nail care. A resident with severe cognitive impairment who was dependent on staff for personal hygiene was supposed to receive weekly bath and nail care per the care plan, but the EMR did not show it was provided. Staff observed long fingernails extending past the fingertips with dark matter under the nails, and later the nails remained unchanged with part of a fingernail broken off. An LPN confirmed the nails should have been completed the prior week, and an RN stated the condition was unacceptable.
Failure to Notify Ombudsman of Hospitalizations, Discharges, and Transfers: Social services did not send the required monthly notices to the LTC Ombudsman regarding resident hospitalizations, discharges, and transfers. The ombudsman reported receiving no notices for 2025 or 2026, and the administrator confirmed the notices had not been sent for over a year. The facility policy reviewed did not address the process for ombudsman notification.
A resident with a history of hypertension and other conditions experienced a fall and subsequent high blood pressure reading of 200/72. Despite this, the facility failed to recheck vital signs or monitor rectal bleeding, leading to the resident being hospitalized for hemorrhagic shock and gastrointestinal hemorrhage. Interviews revealed a lack of adherence to protocols for monitoring high blood pressure and responding to falls.
Failure to Provide Routine Nail Care
Penalty
Summary
The facility failed to ensure routine personal hygiene, specifically nail care, was provided for a resident who was dependent on staff for ADLs. The resident’s MDS assessment identified severe cognitive impairment and dependence for personal hygiene, including nail care. The care plan stated that bath and nail care would be offered weekly by the nurse aide, but the EMR did not show weekly nail care provided with baths. A bath day sheet indicated the resident’s nails were cleaned and did not need clipping, yet during observation the resident was seen with long fingernails extending past the fingertips and curving downward with visible dark matter under the nails. On a later observation, the fingernails remained long and part of a fingernail was broken off on the right hand. An LPN confirmed the nails were long and should have been completed the prior week, and an RN/case manager stated the condition was unacceptable.
Failure to Notify Ombudsman of Hospitalizations, Discharges, and Transfers
Penalty
Summary
The facility failed to notify the Office of the State Long-Term Care Ombudsman of resident hospitalizations, discharges, and transfers for calendar years 2025 and 2026. During interview, the ombudsman stated she had not received any hospitalization, discharge, or transfer notices for 2025 and none for 2026. Social services staff stated they were responsible for sending these notifications monthly and confirmed they were behind in submitting them. The administrator stated social services was responsible for the monthly notices, confirmed the notices had not been sent for over a year, and stated the ombudsman is a resource for residents if they feel they have been wrongly hospitalized, discharged, or transferred. A facility policy titled Discharge Planning dated 12/25 was reviewed and did not address the process for sending ombudsman notifications.
Failure to Monitor High Blood Pressure and Rectal Bleeding
Penalty
Summary
The facility failed to comprehensively assess and monitor a resident's high blood pressure and rectal bleeding, leading to a significant health event. The resident, who had a history of hypertension, cancer, diabetes, and other conditions, experienced a fall while attempting to transfer from the toilet to a wheelchair. Following the fall, a blood pressure reading of 200/72 was recorded, which is significantly higher than the normal range. Despite this elevated reading, there was no documented follow-up or rechecking of the resident's vital signs until a large amount of rectal bleeding was observed. The nursing assistant and LPN involved in the incident noted blood in the toilet and on the resident's brief, but the LPN did not document any further vital signs or assessments after the initial fall. The resident was eventually sent to the hospital after experiencing significant rectal bleeding, where they were diagnosed with hemorrhagic shock and gastrointestinal hemorrhage. The facility's procedures for monitoring blood pressure and responding to falls were not adequately followed, as evidenced by the lack of documentation and failure to notify the medical doctor of the elevated blood pressure. Interviews with facility staff revealed a lack of understanding and adherence to protocols for monitoring high blood pressure and responding to falls. The director of nursing and medical doctor both indicated that the blood pressure reading should have prompted immediate re-evaluation and notification. However, the facility's guidelines did not provide clear instructions for handling high blood pressure in residents not on specific medications, contributing to the oversight in care.
What surveyors are citing around you — mapped
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Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
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What surveyors actually found near you
We read the 102 citations issued within 25 miles in the last 12 months — including the 3 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Rushford
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Valley View Healthcare & Rehab | 10 mi | ★★★★★ | 0 | 0 |
| Lake Winona Manor | 17.6 mi | ★★★★★ | 4 | 0 |
| Tweeten Lutheran Health Care Center | 17.6 mi | ★★★★★ | 22 | 0 |
| Sauer Health Care | 17.9 mi | ★★★★★ | 15 | 0 |
| Saint Anne Extended Healthcare | 18.1 mi | ★★★★★ | 14 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.