Above average — CMS composite of the measures below.
The next survey window likely opens around October 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 Lakeview Methodist Health Care Center during CMS and state inspections, most recent first.
Grievance forms were not posted in prominent, accessible locations throughout the facility, and residents reported they did not know how to submit concerns anonymously. Residents said the forms could only be obtained by asking staff, while SS confirmed the designated wing locations were empty and there was no designated anonymous submission site. The administrator stated the forms were expected to be at the end of each wing, but they were no longer there.
A resident with cognitive impairment, depression, and significant vision loss did not have an activities care plan despite expressing preferences for music, reading, news, religious services, fresh air, and group activities. Staff and family reported she mostly stayed in her room sleeping, was not consistently seen at activities, and had no music device in her room; the AD confirmed the activities plan was missing, and the DON stated all residents should have an activities care plan.
A resident with impaired cognition, depression, and significant visual impairment had no activities care plan despite expressing interest in music, reading, news, religious services, fresh air, and group activities. Staff and family reported the resident mostly stayed in her room sleeping, and interviews showed uncertainty about whether she was being invited to activities. The AD confirmed the activities plan was missing, while the DON stated all residents should have an activities care plan and that visual impairment resources should be included.
A resident with TBI, Parkinson’s disease, dementia, severe cognitive impairment, and total dependence for ADLs did not receive PROM consistently despite orders for restorative nursing measures every shift. The care plan did not identify the resident’s right-hand contracture or include hand-specific interventions, and staff observed the hand clenched with no palm protection in place. EMR documentation showed PROM was completed only part of the time, refusals were not communicated to nursing, and OT had not evaluated the resident for years.
Improper Handling of Urinary Drainage Bag Tubing: A resident with an indwelling catheter had an overnight urinary drainage bag left hanging in the shower, with the tubing laying on the shower floor and no protective cap over the insertion tip. Staff, including an NA and the interim IP, stated the setup was not supposed to be left that way and that the tubing should not touch a dirty surface; the resident had a history of UTI and bacteremia, and staff said they had been trained on proper handling of urinary drainage bags.
Missing Documentation for Influenza Vaccine Refusals: The facility failed to document influenza vaccine refusals for two residents with the required education on vaccine benefits and risks, along with the name and date of the resident or representative who refused. One resident had Parkinson’s disease with intact cognition and used a walker or wheelchair, and the other had dementia with moderately impaired cognition and used a wheelchair. In both records, the EMR showed the flu vaccine was refused, but no supporting refusal documentation could be located by the RN/MDS nurse, and the DON was informed of the findings.
Missing COVID-19 Vaccine Refusal Documentation: The facility failed to document required COVID-19 vaccine refusal information for a resident with Parkinson's disease and intact cognition. The EMR showed the vaccine was refused, but there was no record of when it was offered, education on benefits and risks, or the name/date of the resident or representative who refused. The RN/MDS nurse confirmed the missing documentation, and the DON stated the COVID-19 immunization was not on the facility standing orders.
The facility failed to ensure beverageware was completely dry before storing, risking bacterial growth. Observations revealed stacked cups with visible condensation, and a dietary aide confirmed moisture presence. The dietary manager stated staff should allow beverageware to air dry completely and avoid stacking. The administrator acknowledged the need for monitoring to ensure policy adherence.
A facility failed to assess a resident for self-administration of medications, resulting in prescription creams being left at the bedside without proper evaluation. The resident, who required extensive assistance and had multiple diagnoses, was observed with miconazole nitrate ointment and diclofenac sodium gel within reach. Interviews with an LPN and the DON confirmed the lack of assessment, contrary to the facility's policy requiring an interdisciplinary team evaluation and a physician's order.
The facility failed to ensure accurate MDS assessments for two residents. One resident with dementia had a wanderguard not documented in the MDS, and another resident's discharge was incorrectly coded as a hospital transfer instead of to a family member's home. The MDS coordinator acknowledged these errors, and the DON expected accurate coding per the RAI manual.
A facility failed to revise a care plan for a resident with a stage III pressure ulcer, lacking specific interventions like heel protectors and repositioning. Observations showed the resident often without prescribed protective measures, and staff interviews revealed inconsistent documentation and adherence to the care plan. The DON confirmed the absence of required documentation and daily skin assessments.
The facility failed to prevent and manage pressure ulcers for two residents, leading to deficiencies in care. One resident with Parkinson's disease had a stage III ulcer that was not present on admission, and interventions like heel protectors were inconsistently applied. Another resident with diabetes developed a stage III ulcer due to a tight shoe, and weekly skin audits were not consistently performed. Staff interviews confirmed lapses in documentation and adherence to care plans, contributing to the deficiency.
A resident with rheumatoid arthritis and other conditions was found using an unauthorized electric heating pad in their room, contrary to the facility's policy and medical orders. The resident's care plan included alternative pain relief methods, but the Aqua-K pad specified in the orders was not used. Facility staff, including the DON, were unaware of the heating pad's presence, and no policy on heating pad use was provided.
Two residents with severe cognitive impairment and multiple diagnoses consented to the pneumococcal vaccine, but the facility failed to administer it as per CDC recommendations. The infection preventionist and another RN were responsible for ensuring vaccinations, but both confirmed the vaccines were not given. The DON stated the facility followed CDC guidance, and the policy required offering the vaccine within thirty days of admission.
The facility failed to deliver resident mail on Saturdays, affecting all residents. Several residents raised concerns during a Resident Council meeting about not receiving mail on Saturdays. The activity director confirmed that mail was not delivered on Saturdays due to staff absence after 1:00 p.m., and the post office delivered mail after this time. The staffing coordinator noted the lack of a secure location for Saturday mail delivery, leading to mail being held at the post office. The administrator was unaware of the issue, despite the facility's policy requiring mail delivery within 24 hours, including Saturdays.
A resident with bilateral urostomies did not receive urostomy care as per physician's orders, with missed treatments documented in the TAR and issues like leaking bags noted in progress notes. Observations showed undated and uninitialed ostomy bags, and interviews with nursing staff revealed lapses in following expected protocols for dressing changes.
Grievance Forms Not Posted in Accessible Locations
Penalty
Summary
The facility failed to ensure grievance forms were posted in prominent locations throughout the facility for residents and resident representatives to file grievances, including anonymously. During the resident council meeting, residents stated they were not aware of any method to submit concerns anonymously and reported that grievance forms were not readily available, but instead could only be obtained by asking staff. One resident stated grievance forms had previously been available in multiple locations throughout the facility but were no longer accessible to residents without requesting them from staff. During a facility tour, social services staff confirmed there were no grievance forms in the designated areas accessible to all residents at the end of each wing on the first and second floors. The staff member stated the forms had previously been available in those locations but was unsure when they were removed. The staff member also stated grievance forms were available near the front entrance, but acknowledged that this location was not accessible to all residents, and confirmed there was no designated location for anonymous submission of grievance forms. The administrator later stated the facility was expected to have grievance forms available at the end of each wing and was unaware they were no longer there. The facility policy stated residents, resident representatives, family members, or appointed advocates may file grievances without fear of threat or reprisal and that grievance procedures are posted near the main entrance.
Missing Activities Care Plan and Inconsistent Activity Engagement
Penalty
Summary
The facility failed to develop and implement a care plan for activities for one resident who was admitted with moderately impaired cognition, required assistance with transfers, bathing, dressing, eating, and oral hygiene, and had diagnoses including anemia, heart failure, pneumonia, macular degeneration, and depression. The resident’s admission MDS indicated she valued favorite activities, keeping up with the news, religious services, going outside for fresh air, reading material, music, and group activities, but the baseline/comprehensive care plan did not include her activities, interests, or activity-related interventions. The comprehensive CAA also did not address activities, and the activity assessment noted she was content to stay in her room resting in a recliner and watching television, with supportive daughters who visited when they could and an interest in music. During observations and interviews, the resident was repeatedly found asleep or dozing in her room with the TV off and no music device visible. A family member stated the facility knew about the resident’s vision issues but did not think anything was being done to address them, and said the resident’s recliner was too far from the TV for her to see it. Staff interviews indicated the resident tended to stay in her room, sleep most of the time, and was not known to attend activities; one nurse assistant was unsure whether activities staff were inviting her. Activity participation documentation showed only brief attendance at a few activities and one refusal, while the activities director confirmed there was no activities care plan and said she must have missed it. The DON stated all residents should have a care plan for activities and that resources for visually impaired residents should be part of that plan.
Failure to Care Plan and Provide Individualized Activities
Penalty
Summary
The facility failed to ensure individualized activities were care planned and provided for one resident who was admitted with moderately impaired cognition, anemia, heart failure, pneumonia, macular degeneration with significant visual impairment, and depression. The resident’s MDS indicated that it was somewhat important to do favorite activities, keep up with the news, participate in religious services, go outside for fresh air, have reading material, listen to music, and do things with groups of people. However, the baseline/comprehensive care plan did not include the resident’s activities, interests, or activity-related interventions, and the CAA for visual impairment addressed only vision monitoring and room organization, not activities. An activity assessment noted the resident was content to stay in her room resting in a recliner and watching television, and that she enjoyed music and would continue to be invited to small groups. Observations and interviews showed the resident spent much of the time in her room asleep or dozing, with the TV off and no music device visible. Family members stated they did not believe the resident was going to activities and were unsure whether staff were inviting her, and one family member said the facility had been aware of the resident’s vision issues but did not think anything was being done to address them. Staff interviews reflected uncertainty about whether the resident was being invited to activities, and the activity participation record showed only a few documented attendances or refusals. The activities director confirmed there was no activities plan of care for the resident and stated she must have missed it, while the DON stated all residents should have an activities care plan and that resources for visually impaired residents should be part of it.
Failure to Provide Consistent PROM and Address Hand Contracture
Penalty
Summary
The facility failed to provide routine passive range of motion (PROM) consistently for a resident with traumatic brain injury, Parkinson’s disease, dementia, severe cognitive impairment, and total dependence for ADLs. The resident’s physician orders allowed restorative nursing measures such as PROM after licensed nurse assessment, and the care plan stated PROM was to be completed with morning and evening cares as tolerated, with staff to monitor, document, and report contracture formation. However, the care plan did not identify the resident’s right hand contracture or include interventions to reduce complications related to the contracture, such as a hand splint, palm protection, or focused PROM to the hand. Documentation in the EMR showed PROM was ordered every shift, but over a 30-day period it was documented as completed only 27 of 90 opportunities, with 10 refusals and 29 entries marked not applicable. During interviews, a family member stated the resident did not receive PROM exercises to his extremities. A nurse stated she believed exercises would be posted in the resident’s closet, but no exercises were posted there. During observation, the resident’s right-hand fingers were clenched, the left hand was loosely open, and the knees were flexed. Staff stated the resident could not straighten his legs anymore and that his right hand could not be opened; the palm was moist after a shower, the fingernails were moderately long, and staff stated they did not usually place anything in the right palm to protect the skin. The occupational therapist stated the resident had not been seen for OT and had not been evaluated in at least three years. The resident care coordinator acknowledged awareness of the right-hand contracture but confirmed nothing specific was in the care plan for it and stated there should have been. She also stated PROM should be done every shift, but the documentation did not reflect that, and refusals were not being communicated to nursing staff. The DON stated the resident had become stiffer over time and acknowledged the facility should have identified the issue and involved OT. The facility’s restorative nursing and ROM policies stated residents should receive appropriate restorative care, that ROM should be provided to maintain mobility and prevent contractures, and that staff should inform the nurse of changes in ability or discomfort.
Improper Handling of Urinary Drainage Bag Tubing
Penalty
Summary
Provide and implement an infection prevention and control program was deficient when the facility failed to ensure basic infection control practices were followed for one resident with an indwelling urinary catheter. The resident had diagnoses including stroke, obstructive and reflux uropathy, bacteremia, and a history of UTIs. The resident’s MDS indicated intact cognition, clear speech, and that the resident usually understood and could understand, and the resident ambulated with supervision or touch assistance or used a wheelchair. Physician orders included an indwelling catheter, and the care plan identified catheter care per facility policy. During observation, the resident was wearing a urinary leg bag while an overnight urinary drainage bag was hanging from a handicap bar in the shower. The distal end of the drainage tubing was laying on the shower floor with no protective cap over the insertion tip. A NA stated the setup should not have been there and that the tubing should not touch a dirty surface because it could cause an infection. Later observations again showed the overnight drainage bag hanging in the shower, and at another time the tubing was again observed laying on the shower floor with no protective cap. RN staff, including the interim infection preventionist, stated the setup was not supposed to be left like that and should have been placed in the small clear waste bag tied to the bar. Staff interviews indicated they had been trained on proper handling of urinary drainage bags, and the DON stated NAs would be re-educated on proper handling after the issue was reported.
Missing Documentation for Influenza Vaccine Refusals
Penalty
Summary
The facility failed to ensure documentation for influenza vaccine refusals for 2 of 5 residents, R65 and R5, included education on the benefits and risks of the vaccine and the name and date of the resident or representative who refused it. R65’s record showed a diagnosis of Parkinson’s disease, intact cognition, clear speech, and use of a walker or wheelchair for mobility. Although the EMR immunization section indicated the influenza vaccine had been refused, there was no additional documentation showing when it was offered, whether education was provided, or whether there was an allergy or contraindication. RN-B, who was also the MDS nurse, provided documentation of refusal for R65’s pneumococcal vaccine but stated there was no documentation for influenza vaccine refusal. R5’s record showed a diagnosis of dementia, moderately impaired cognition, clear speech, and wheelchair use for mobility. The EMR immunization section also indicated the influenza vaccine had been refused, but there was no additional documentation showing when it was offered, whether education was provided about the benefit and risk, or whether there was an allergy or contraindication. RN-B stated she could not locate documentation of refusal for the influenza vaccine and said the infection preventionist, who oversaw the vaccine program, was on leave of absence. The DON stated she had been informed of the findings by staff. The facility’s influenza vaccination policy stated that all residents would be offered the influenza vaccine annually and that refusals by residents or family would be documented in the immunization tab of the EMR.
Missing COVID-19 Vaccine Refusal Documentation
Penalty
Summary
The facility failed to ensure documentation for one resident who refused the COVID-19 vaccine included education about the benefits and risks of the vaccine, as well as the name and date of the resident or representative who refused it. The resident, R65, had a face sheet showing admission to the facility and a diagnosis of Parkinson's disease. The admission MDS indicated intact cognition, clear speech, ability to understand and be understood, and use of a walker or wheelchair for mobility. R65's physician orders did not include COVID-19 immunization. Review of the EMR immunization section showed the COVID-19 vaccine had been refused, but there was no additional documentation showing when it was offered, whether education had been provided about benefits and risks, or whether there was an allergy or contraindication. During interview, the RN/MDS nurse provided refusal documentation for the pneumococcal vaccine but stated there was no documentation for refusal of the COVID-19 vaccine. The DON stated she had been informed of the findings, and later noted that COVID-19 immunization was not on the facility standing orders and was being added. The facility COVID-19 vaccine policy required documentation of education on benefits and potential side effects and documentation of acceptance, refusal, or medical contraindication.
Improper Drying of Beverageware
Penalty
Summary
The facility failed to ensure that beverageware was completely dry before storing, which could lead to bacterial growth. During an observation, multiple beverageware items, including clear plastic cups, light blue plastic cups, and thermal coffee cups, were found stacked on trays with visible condensation inside the cups. A dietary aide confirmed the presence of moisture in the cups and explained that the beverageware was placed on a rubber shelf-liner to air dry after being removed from the dishwasher. However, the aide acknowledged that moisture remaining in the cups could lead to bacterial growth. The dietary manager confirmed that staff were instructed to allow beverageware to air dry completely before storing and to avoid stacking the cups. The facility's Dishwashing Machine Use policy required food service staff to be trained in all steps of dishwashing machine use, including allowing items to air dry after a complete cycle. The administrator acknowledged the need for monitoring by dietary leadership staff to ensure adherence to policies, especially with four kitchenettes in the facility.
Failure to Assess Resident for Self-Administration of Medications
Penalty
Summary
The facility failed to ensure that a resident, identified as R264, was appropriately assessed and deemed suitable to self-administer medications. R264's medical records indicated diagnoses including a bloodstream infection, muscle spasm of the back, and lack of blood flow to the muscle. The care plan noted that R264 required extensive staff assistance for various activities and was at risk for ineffective coping related to health status. Despite these needs, R264 was observed with two prescription creams, miconazole nitrate ointment and diclofenac sodium gel, at the bedside without an assessment for self-administration of medication being completed. During observations, the creams were noted to be within reach of R264, who was sleeping in bed. Interviews with an LPN and the DON confirmed that no assessment had been conducted to determine R264's ability to self-administer medications. The facility's policy required an interdisciplinary team assessment and a physician's order before allowing self-administration, which was not followed in this case. The LPN removed the medications from R264's room after acknowledging the oversight.
Inaccurate MDS Assessments for Residents
Penalty
Summary
The facility failed to ensure accurate assessments in the Minimum Data Set (MDS) for two residents. One resident, diagnosed with dementia and senile degeneration of the brain, was observed wearing a wanderguard bracelet, which was not documented in the MDS under alarms. During an observation, the resident was seen propelling herself in a wheelchair and attempting to exit the unit, indicating the need for an elopement alarm. The MDS coordinator confirmed the omission and acknowledged the inaccuracy in the resident's MDS. Another resident's discharge MDS was inaccurately coded, indicating a planned discharge to a short-term general hospital, while the discharge summary stated the resident was discharged to a family member's home. The MDS coordinator admitted the error in coding, and the Director of Nursing (DON) expressed the expectation for accurate MDS coding in accordance with the Resident Assessment Instrument (RAI) manual. The facility's policy on MDS completion and accuracy was requested but not provided.
Failure to Revise Care Plan for Pressure Ulcer Prevention
Penalty
Summary
The facility failed to revise a care plan to address pressure ulcer risk and preventative measures for a resident diagnosed with Parkinson's disease, lymphedema, and a high body mass index. The resident had a stage III pressure ulcer on the left lateral malleolus, which was not present upon admission. The care plan, last revised on 6/28/24, included general interventions for pressure ulcer management but lacked specific measures such as the use of an air mattress, repositioning, chair cushion, and foot/heel protector. Observations and interviews revealed that the resident was often found lying in bed without the prescribed heel/foot protector or rolled towel for positioning, despite having an air mattress on the bed. The resident reported having a sore near the heel that required daily dressing changes, which was not consistently applied. The wound care nurse confirmed the absence of the heel/foot protector and dressing during an examination and noted that the pressure ulcer had improved but required ongoing protection. Interviews with staff indicated a lack of documentation and adherence to the care plan, with nursing assistants responsible for applying the heel protectors but not consistently documenting their use. The Director of Nursing acknowledged the absence of documentation for the heel/foot boot and confirmed that skin assessments were not completed daily as required. The facility's policies emphasized the need for individualized care plans and pressure ulcer prevention, which were not adequately implemented for this resident.
Inadequate Pressure Ulcer Management and Documentation
Penalty
Summary
The facility failed to comprehensively assess and implement interventions to prevent the development of new pressure ulcers for two residents, R31 and R48. R31, diagnosed with Parkinson's disease and lymphedema, had a stage III pressure ulcer on the left lateral malleolus that was not present upon admission. Despite having physician orders for pressure reduction interventions, such as applying a rolled towel and using a heel/foot protector, these measures were not consistently implemented. Observations revealed that R31's heel/foot protector was often not in use, and skin assessments were not completed weekly as required by facility protocol. R48, with diagnoses including type two diabetes mellitus and chronic kidney disease, also had a stage III pressure ulcer that developed after admission. The ulcer was reportedly caused by a tight shoe, and although it was believed to be healed, the treatment orders remained active. Weekly skin audits and wound assessments were not consistently performed, with significant gaps in documentation. The facility's policy required weekly body/skin audits and documentation, which were not adhered to, contributing to the deficiency. Interviews with staff, including the DON and wound care nurse, confirmed the lack of consistent documentation and adherence to care plans. The DON acknowledged that skin assessments were not completed as required, and the heel/foot protector was not documented in the task list until recently. This lack of consistent care and documentation led to the development and inadequate management of pressure ulcers for both residents.
Unauthorized Use of Electric Heating Pad in Resident's Room
Penalty
Summary
The facility failed to ensure that a resident, identified as R314, was free from potential injury due to the use of an unauthorized electric heating pad. R314, who has diagnoses of rheumatoid arthritis, disc degeneration, and age-related osteoporosis, was observed using a Walgreen's brand electric heating pad in her room. The resident's care plan included alternative pain relief methods such as warm blankets and massages, and the medical orders specified the use of an Aqua-K pad for pain relief. However, the treatment administration record indicated that the Aqua-K pad had not been used in the preceding months, and the electric heating pad was not part of the approved treatment plan. Interviews with facility staff, including an LPN, an RN, the maintenance director, and the DON, revealed that none were aware of the presence of the heating pad in R314's room. The DON stated that electric heating pads brought from home were not allowed due to the risk of injury, such as burns or electrical shock, and expected staff to have reported its presence. The facility's policy on the use of heating pads was requested but not provided, indicating a lack of documented guidelines or enforcement regarding the use of such devices in the facility.
Failure to Administer Pneumococcal Vaccine to Consenting Residents
Penalty
Summary
The facility failed to administer the pneumococcal vaccine to two residents, despite having obtained their consent, in accordance with CDC recommendations. Resident 36, who had severe cognitive impairment and diagnoses including stroke, hypertension, and Parkinson's Disease, consented to the Pneumovax vaccine on May 13, 2024, but there was no record of the vaccine being administered. Similarly, Resident 58, also with severe cognitive impairment and diagnoses such as anemia, coronary artery disease, and dementia, consented to the vaccine on September 16, 2024, but did not receive it. Interviews with facility staff revealed that the registered nurse responsible for infection prevention and another registered nurse were tasked with ensuring vaccinations were administered. Both confirmed that the residents had consented to the vaccine, but it was not administered as expected. The director of nursing also confirmed that the facility followed CDC guidance and was responsible for ensuring vaccinations were given once consent was obtained. The facility's policy stated that residents should be assessed for vaccine eligibility upon admission and offered the vaccine within thirty days unless contraindicated or previously vaccinated.
Failure to Deliver Resident Mail on Saturdays
Penalty
Summary
The facility failed to ensure that residents had access to their mail on Saturdays, affecting all 61 residents. During a Resident Council meeting, several residents expressed concerns about not receiving mail on Saturdays, with mail only being delivered from Monday to Friday. The activity director confirmed that mail was not delivered on Saturdays because the activity staff, responsible for mail delivery, were not present after 1:00 p.m., and the post office delivered mail after this time. Consequently, mail was not distributed to residents on Saturdays. The staffing coordinator explained that the facility lacked a secure location for the post office to deliver mail on Saturdays, leading to the suspension of Saturday mail delivery. The mail was held at the post office to prevent packages and personal mail from being left unsecured. The facility's administrator was unaware of this issue and expected residents to receive mail on Saturdays if delivered by the post office. The facility's policy stated that mail should be delivered to residents within 24 hours of delivery, including Saturdays.
Failure to Follow Urostomy Care Orders
Penalty
Summary
The facility failed to adhere to physician's orders for urostomy bag changes for a resident with bilateral urostomies, as observed in the treatment administration records (TAR) and progress notes. The resident, who had a history of bladder cancer, renal insufficiency, and other significant health issues, required urostomy care twice weekly as per physician's orders. However, the TAR indicated that the urostomy care was not completed on two occasions, and there was no documentation explaining the missed treatments. Additionally, progress notes revealed issues with the urostomy bags, such as leaking and improper positioning, which were not addressed in a timely manner. During an observation, it was noted that the resident's ostomy bags were not dated or initialed, contrary to the facility's expectations for dressing changes. Interviews with the assistant director of nursing (ADON) and the director of nursing (DON) confirmed that the expected protocol was not followed. The ADON admitted to possibly forgetting to sign off on a urostomy pouch change, and the DON emphasized the importance of completing and documenting treatments as scheduled. The facility's policy on urostomy bag changes was reviewed, but the deficiency in following the prescribed care and documentation was evident.
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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 Fairmont
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Truman Senior Living | 13.1 mi | ★★★★★ | 13 | 0 |
| Seasons Healthcare | 14.4 mi | — | 0 | 0 |
| Valley Vue Care Center | 17.1 mi | ★★★★★ | 4 | 0 |
| St Lukes Lutheran Care Center | 18.9 mi | ★★★★★ | 0 | 0 |
| Estherville Community Care Center | 23.9 mi | ★★★★★ | 18 | 0 |
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