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 Halstad Living Center during CMS and state inspections, most recent first.
Wet steam table pans were found stacked before fully air drying, with water dripping from two pans onto the pans below. The DM stated the pans should have been completely dry before storage and that staff may have been in a hurry. The administrator stated dishes were expected to be dry before storage, and the facility policy and FDA Food Code required dishes and prep equipment to drain and air dry before being stacked or stored.
The facility did not submit complete and accurate direct care staffing information to CMS for one quarter due to a clerical error in the PBJ submission, resulting in the rejection of all staffing data for that period. Although internal records showed appropriate RN and licensed nursing coverage, the error led to inaccurate reporting, potentially affecting all residents.
The facility did not maintain three years of survey results in an accessible location for residents and visitors, with several required survey reports missing from the designated binder. The administrator confirmed the absence of these documents and no policy on posting survey results was provided.
The facility failed to ensure proper hand hygiene and PPE use for three residents, did not have PPE readily available for a resident on enhanced barrier precautions, and improperly managed catheter drainage bags for another resident. These deficiencies were confirmed by staff and violated the facility's infection control policies.
The facility failed to ensure that four residents, aged 75 to 94, were offered or received the PCV20 vaccine in accordance with CDC recommendations. Despite a policy requiring adherence to CDC guidelines, the residents' medical records lacked documentation of the necessary vaccinations, a deficiency confirmed by the infection preventionist and the DON.
The facility failed to obtain informed consent and provide education to a resident's representative on the risks and benefits of psychotropic medications. The resident, with severe cognitive impairment and multiple diagnoses, was receiving antipsychotic and antidepressant medications without documented consent or education. Interviews confirmed the facility did not follow its policy to educate and obtain consent before starting the medication.
Wet Steam Table Pans Stored Before Drying
Penalty
Summary
The facility failed to store steam table pans in a sanitary manner. During observation on 5/12/26 at 10:34 a.m., a stack of five 10-inch by 12-inch steam table pans was seen, and when the pans were separated, two of them had water dripping from them onto the pans below. The dietary manager stated that after washing, the pans were supposed to completely air dry and should not have been stored wet, and that staff may have been in a hurry and not allowed the pans to fully air dry. The administrator later stated that all dishes in the kitchen were expected to be completely dry before storage, and that storing dishes while still wet could allow germs and bacteria to grow and then be passed on to residents. The facility policy stated dishes and food prep equipment were not to be towel dried and were to be stored in a clean, dry area after drying, and the FDA Food Code stated dishes and prep equipment must be allowed to drain and air dry before being stacked or stored.
Failure to Submit Accurate Staffing Data to CMS
Penalty
Summary
The facility failed to submit complete and accurate direct care staffing information to CMS for the first quarter, as required by federal regulations. Specifically, the Payroll Based Journal (PBJ) report for the quarter indicated excessively low weekend staffing, a one-star staffing rating, no RN hours for every day in the quarter, and a lack of licensed nursing coverage 24 hours per day. However, a review of staff timecards for the same period verified that the facility did not have excessively low weekend staffing, had RN coverage for at least 8 hours per day, and maintained licensed nursing coverage 24 hours per day. This discrepancy was due to a clerical error in the PBJ submission process, where staff hours were incorrectly entered as exceeding 24 hours in a single day, resulting in the rejection of all staffing data for the quarter. During an interview, the administrator confirmed responsibility for submitting the PBJ reports and was unaware that the facility was triggering deficiencies in the PBJ report. The administrator acknowledged the clerical error and stated that it caused all PBJ data to be rejected for the quarter. Facility policy required the administrator to review validation reports and ensure corrections were made before the quarterly deadline, but this process was not effectively followed, leading to the submission of incomplete and inaccurate staffing data. This deficiency had the potential to affect all 43 residents in the facility.
Survey Results Not Readily Accessible to Residents and Visitors
Penalty
Summary
The facility failed to ensure that three years of survey results were readily accessible for residents and visitors. During an observation, survey results were found in a binder placed in a plastic bin attached to the wall, but the binder only contained results from a recertification survey dated 8/23/23. A review of survey results from 11/22 to 6/2/25 revealed that several abbreviated and recertification survey results were missing from the binder, specifically those from 11/15/22, 12/22/22, 9/21/23, and 4/17/24. During an interview, the administrator confirmed that survey results prior to and after 8/23/23 were not included in the binder and were not accessible to residents or visitors. No policy on posting survey results was provided when requested.
Infection Control and PPE Deficiencies
Penalty
Summary
The facility failed to ensure appropriate hand hygiene and the proper use of personal protective equipment (PPE) for three residents observed. Specifically, a housekeeper aide was seen distributing laundry from an uncovered cart and did not perform hand hygiene between rooms. Additionally, a nursing assistant carried soiled bed linen with bare hands and did not sanitize her hands before handling clean linen. These actions were confirmed by the staff involved and the housekeeping director, who acknowledged the lapses in protocol. The facility also failed to ensure that PPE was readily available for a resident on enhanced barrier precautions. During an observation, no PPE was found near the resident's room, despite the resident having a venous ulcer and requiring moderate assistance with activities of daily living. Furthermore, two nursing assistants were observed performing a hoyer lift transfer and assisting with dressing a resident without wearing any PPE, even though the resident was on enhanced barrier precautions. Both nursing assistants confirmed their misunderstanding of the PPE requirements. Additionally, the facility did not properly manage catheter drainage bags for a resident reviewed for catheter care. The urinary drainage bag was observed touching the floor multiple times and lacked a privacy covering. This was confirmed by a licensed practical nurse and the infection preventionist, who acknowledged that the catheter bag should not have been touching the floor due to the risk of bacterial contamination. The facility's policies on hand hygiene, handling clean and soiled linen, and catheter care were not followed, leading to these deficiencies.
Failure to Offer Pneumococcal Vaccinations per CDC Guidelines
Penalty
Summary
The facility failed to ensure that four residents, aged 75 to 94, were offered or received pneumococcal vaccinations in accordance with CDC recommendations. Specifically, the medical records for these residents lacked documentation that they had been offered or received the PCV20 vaccine based on shared clinical decision-making. The residents had previously received PPSV23 and PCV13 vaccines, but there was no evidence of follow-up for the PCV20 vaccine as recommended by the CDC guidelines. This deficiency was confirmed through interviews with the infection preventionist and the director of nursing, who both acknowledged that the residents had not been offered or received the necessary vaccinations. The facility's policy, revised in April 2024, stated that residents should be offered pneumococcal immunizations in accordance with current CDC guidelines unless medically contraindicated or already immunized. Despite this policy, the facility did not adhere to the CDC recommendations for offering the PCV20 vaccine to residents who had previously received PPSV23 and PCV13. The lack of documentation and follow-up for these vaccinations was identified during a review of the residents' medical records and confirmed by facility staff during interviews.
Failure to Obtain Informed Consent and Provide Education for Psychotropic Medication
Penalty
Summary
The facility failed to obtain informed consent and provide education to the resident representative on the risks and benefits regarding the use of psychotropic medications for one resident. The resident, who had severe cognitive impairment and diagnoses including non-traumatic brain dysfunction, dementia with behavior disturbance, and paranoid personality disorder, was receiving antipsychotic and antidepressant medications. The care plan directed staff to discuss the ongoing need for psychotropic medication with the resident's family and MD and to educate them on the risks and benefits. However, the medical record lacked evidence of consent from the resident's representative and documentation of education provided regarding the psychotropic medication's risks and benefits. During interviews, a registered nurse confirmed that the facility had not received consent from the resident's representative and had not provided the necessary education. The Director of Nursing stated that the expectation was to provide education on risks and benefits and obtain consent before starting the psychotropic medication. The facility's policy indicated that residents and/or representatives should be educated on the risks and benefits of psychotropic drug use and alternative treatments, and a consent form should be reviewed with them. This policy was not followed in the case of the resident in question.
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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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Nursing homes near Halstad
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Sanford Hillsboro Care Center | 11.6 mi | ★★★★★ | 0 | 0 |
| Benedictine Care Community | 14.1 mi | ★★★★★ | 31 | 1 |
| Luther Memorial Home | 25.3 mi | ★★★★★ | 3 | 0 |
| Fair Meadow Nursing Home | 28.1 mi | ★★★★★ | 12 | 0 |
| Bethany On 42nd | 30.3 mi | ★★★★★ | 0 | 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.