Above average — CMS composite of the measures below.
The next survey window likely opens around February 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 Pelican Valley Health Center during CMS and state inspections, most recent first.
Failure to Maintain EBP for a Resident With an IJC A resident with ESRD, diabetes, and mild cognitive impairment had an internal jugular dialysis catheter and care plan directions for EBP. During toileting and transfer assistance, the resident’s room had no EBP sign and no gowns available, and the NA did not wear a gown because the precautions had been removed when dialysis was placed on hold. The IP and DON confirmed the resident still required EBP for high-contact care because the catheter remained in place.
The facility failed to maintain ice machines in a sanitary manner, with a thick white powder build-up observed on machines in the kitchen and 300 wing. Despite monthly cleaning, the build-up persisted, raising concerns from the IP and DON about potential food-borne illness risks for residents who rely on these machines for drinking water.
The facility failed to sanitize mechanical lifts between uses, as observed with multiple residents. Staff, including NAs and LPNs, did not follow the facility's policy to clean lifts between residents, leading to potential cross-contamination. Interviews revealed inconsistencies in staff understanding and practice regarding lift sanitization.
Failure to Maintain Enhanced Barrier Precautions for Resident With Dialysis Catheter
Penalty
Summary
The facility failed to ensure enhanced barrier precautions (EBP) were implemented for a resident with an indwelling medical device. The resident had mild cognitive impairment, heart failure, end-stage renal disease, and diabetes, and required extensive assistance with personal hygiene, dressing, and toileting. The resident’s care plan directed staff to use EBP because of a venous access site for dialysis, and the resident had an internal jugular catheter for hemodialysis with a dressing covering the site. During observation, the resident was assisted to the toilet and later transferred from the toilet to a wheelchair by a nursing assistant. The resident’s room did not have an EBP sign on the door, and no gowns were located outside the door or in the room. The nursing assistant verified she did not wear a gown during toileting because there were no signs or gowns indicating the resident was on EBP. She stated the sign and gowns had been removed when dialysis was put on hold and the dressing covered the dialysis site. The infection preventionist verified the resident still should have been on EBP because the internal jugular catheter remained in place, and that staff should have worn gowns during toileting and other high-contact care. The infection preventionist also verified the EBP sign and gowns were not present on the resident’s door during the observations. The director of nursing confirmed staff should have used EBP for high-contact activities such as toileting because the resident had an internal jugular catheter.
Ice Machine Sanitation Deficiency
Penalty
Summary
The facility failed to maintain the ice machines located in the kitchen and on the 300 wing in a sanitary manner, which had the potential to affect all 32 residents who received water from these machines. Observations revealed a thick white hard powder substance approximately one-fourth of an inch in height around the entire inside and outside of the ice spouts on both machines. The dining room ice machine was observed to have been cleaned by 1/7/25, but the 300 wing machine continued to have the build-up as of 1/8/25. Interviews with the dining director and environmental services director (ESD) confirmed the presence of the build-up, and the ESD noted that the water spouts were removed and cleaned monthly, but the build-up persisted. The infection preventionist (IP) and director of nursing (DON) both indicated that the ice machines should be kept clean to prevent potential food-borne illness, as they are the source of drinking water for residents. The facility's cleaning log showed that the ice machines were fully cleaned every three months, with the exterior cleaned monthly. However, the manual for the ice machines suggested cleaning when the clean light was on or if the unit had not been cleaned for at least six months. The ESD acknowledged that the water spouts would still have build-up even after cleaning, and the IP and DON expressed concerns about the potential for residents to become ill due to the build-up.
Failure to Sanitize Mechanical Lifts Between Uses
Penalty
Summary
The facility failed to maintain sanitary conditions for mechanical lifts used by residents, as observed during multiple instances. Nursing assistants and LPNs were seen using mechanical lifts to transfer residents without sanitizing the equipment before or after use. This was observed with four residents, where the lifts were placed back in storage or moved to other rooms without being cleaned. The staff involved, including nursing assistants and LPNs, either did not sanitize the lifts due to a lack of nearby sanitizing wipes or were uncertain about the sanitization protocol. Interviews with staff revealed a lack of consistent practice in sanitizing mechanical lifts between uses. Some staff believed that sanitization was done by the night shift, while others were unsure of the correct procedure. The infection preventionist and the director of nursing confirmed that the facility's policy required mechanical lifts to be sanitized between residents to prevent cross-contamination. However, the policy was not being followed, as evidenced by the observations and staff interviews.
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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 Pelican Rapids
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Valley Care And Rehab Llc | 16.5 mi | ★★★★★ | 3 | 0 |
| Mn Veterans Home Fergus Falls | 18.5 mi | ★★★★★ | 8 | 1 |
| Emmanuel Nursing Home | 20 mi | ★★★★★ | 9 | 1 |
| Essentia Health Oak Crossing | 20.1 mi | ★★★★★ | 8 | 0 |
| Lb Broen Home | 20.3 mi | ★★★★★ | 5 | 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.