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 Pierz Villa Inc during CMS and state inspections, most recent first.
Unsanitary Ice Machine Maintenance: An ice machine used for resident ice was observed with slimy brownish green and brownish black buildup on internal surfaces and the pump area. The DD stated she did not know when it was last cleaned or serviced and said maintenance was responsible, while the MD said he cleaned it but not on a routine schedule and was unsure how often it needed deep cleaning or sanitizing. A handwritten PM log showed several cleaning dates with filter changes noted, but the facility policy was not provided.
Failure to complete a SAM assessment for a resident with an order for ipratropium-albuterol nebulizer treatments. A TMA set up the nebulizer, placed the mask on the resident, turned on the machine, and left the resident alone while it ran; later, the TMA returned to check the medication, remove the mask, and have the resident rinse her mouth. The CM confirmed no SAM was completed, and the DON stated the assessment should have been done on admission before the treatment was given.
Failure to Provide Resident Trust Account Statements: A resident who managed his own finances stated he had a personal funds account but did not receive account statements and did not know how much money was available. The AA could not locate any system showing statements were being sent, and the Admin stated there had been a delay and that statements had not been mailed for months despite the facility policy calling for monthly statements to the responsible party.
A resident’s SNFABN was not provided within the required 48 hours before Medicare Part A services ended. The record showed the notice listed services ending on 8/14/25, but it was not signed until much later. The MDSC said the facility had trouble identifying the correct payer source and later had the resident sign a new SNFABN after the original could not be located; the Admin stated beneficiary notices were expected 48 hours before services ended so residents are aware of payment changes and possible liability.
A resident experienced multiple syncopal episodes during transfers with an e-z stand lift, yet the facility failed to conduct necessary assessments or document vital signs after each episode. The resident's care plan lacked interventions to guide staff in safely managing these episodes. Interviews with staff confirmed the absence of required assessments and care plan guidance, and a policy on assessments was not provided.
The facility failed to submit accurate direct care staffing information to CMS for Quarter 1. The PBJ Report identified dates with insufficient licensed nurse coverage, but timecards showed nurses worked 24 hours. The issue arose from the scheduling system automatically deducting a half-hour break from 12-hour shifts, leading to inaccurate data submission.
The facility failed to ensure that four residents were appropriately vaccinated against pneumococcal disease upon admission and did not offer updated vaccinations per CDC recommendations. The documentation for these residents did not show any evidence of being offered the updated PCV-15 or PCV-20 vaccines, and RN-A relied on external pharmacies for vaccine eligibility without initiating the necessary steps.
Unsanitary Ice Machine Maintenance
Penalty
Summary
The facility failed to ensure 1 of 2 ice dispensers for resident use was maintained in a clean and sanitary manner. During the kitchen tour, an ice machine in the kitchen was observed to be approximately half full of ice, and the mechanism where ice cubes were formed had a slimy brownish green substance coating the tray. The interior motor mechanism also had a slimy brownish black substance on the pump and the wall immediately adjacent to the pump. The Dietary Director stated she threw out all the ice and was deep cleaning the unit, and said cleaning and maintenance of the ice machines was the responsibility of the maintenance department. She could not identify when the ice machine had last been cleaned or serviced. The Maintenance Director stated he cleaned and serviced the ice machine, but not on a routine schedule, and was unsure how often it needed to be deep cleaned or sanitized. A handwritten ice machine PM document showed cleaning dates of 1/30/25, 5/6/25, 9/2/25, and 12/16/25, with handwritten notes indicating filter change on each date. Facility policy for ice machine cleaning and maintenance was requested but not received.
Failure to Complete SAM Assessment for Nebulizer Treatment
Penalty
Summary
The facility failed to ensure a self-administration of medications (SAM) assessment was completed for one resident who had a physician order for ipratropium-albuterol nebulizer treatments. The resident was admitted with diagnoses including sepsis syndrome, congestive heart failure, respiratory failure, influenza A, and pneumonia, and had an order for ipratropium-albuterol 0.5-2.5 mg/3 ml inhalation four times a day. During an observation, a TMA set up the resident’s oral medications and nebulizer treatment, placed the medication in the nebulizer cup, attached the face mask to the resident, turned on the machine, and left the resident alone while the nebulizer was running. The TMA later returned to check that the medication had been dispensed, turned off the machine, removed the mask, and had the resident rinse her mouth. The CM stated no SAM had been completed for the resident, and the DON stated the nurse should have completed the assessment upon admission before medications were given and before staff left the resident alone with the nebulizer running.
Failure to Provide Resident Trust Account Statements
Penalty
Summary
The facility failed to ensure resident trust account statements were provided on at least a quarterly basis for 1 of 1 residents reviewed for personal fund accounts. R34’s face sheet indicated he was his own person and could make his own financial and medical decisions. During interview, R34 stated he had a personal funds account at the facility but had not received any statements for the account. He said he made his own financial decisions, was his own responsible party, could get money from the account, and had “no idea” how much money he had available because he did not receive a statement showing that information. During interviews with facility staff, the administrative assistant stated she was aware there had previously been a tracking system to ensure statements were sent, but she could not locate any system showing statements were being sent to residents or their representatives and was unsure when statements were last sent. The Administrator stated there had been a delay in the system and it had been a few months since statements were sent to residents or their representatives. She stated she became aware of the situation in July but acknowledged statements were not sent until September 2025, and that R34 requested and received a statement in December 2025 when he requested money from his personal funds account. A facility policy titled Resident Personal Funds stated resident personal funds would be deposited into a separate account at the facility’s financial institution, managed by the business office, and that a monthly statement would be mailed to the responsible party.
Failure to Provide Timely SNFABN Notice
Penalty
Summary
The facility failed to ensure the Skilled Nursing Facility Advance Beneficiary Notice of Non-coverage (SNFABN-10055) was provided to one resident reviewed for beneficiary notifications. Record review showed the resident’s Medicare Part A discharge MDS indicated a Medicare Part A discharge date of 8/13/25, but the SNFABN stated that services would end on 8/14/25 and was not given until 9/22/25, outside the required 48 hours prior to the end of services. The MDS Coordinator stated the facility had difficulty identifying the correct payer source, later located the resident’s SNFABN, and then had the resident sign a new SNFABN on 9/22/25 after the original form could not be found. The Administrator stated the expectation was that beneficiary notices be provided 48 hours prior to the end of services so residents are aware of payment changes and potential responsibility for payment.
Failure to Assess and Re-assess Resident After Syncopal Episodes
Penalty
Summary
The facility failed to comprehensively assess or re-assess a resident, identified as R40, who experienced multiple syncopal episodes during transfers with an e-z stand lift. R40, who was cognitively intact and dependent on staff for various activities, had a history of pulmonary embolism, generalized weakness, and restless leg syndrome. Despite experiencing syncopal episodes on several occasions, the medical record lacked evidence of assessments, vital signs being taken, or re-assessment for transfer status after each episode. Additionally, the care plan did not include interventions to guide staff in safely transferring the resident in the event of a syncopal episode. Interviews with the registered nurse (RN-A) and the director of nursing (DON) revealed that the facility's protocol required immediate evaluation, vital signs assessment, and re-assessment for transfer safety following a syncopal episode. Both RN-A and DON confirmed that R40's medical record did not contain the necessary assessments or vital signs documentation after the episodes. Furthermore, the care plan did not provide specific guidance for staff regarding R40's history of syncopal episodes. A policy on assessments was requested but not provided, indicating a lack of adherence to established procedures for ensuring resident safety.
Inaccurate Staffing Data Submission
Penalty
Summary
The facility failed to submit complete and accurate direct care staffing information to the Centers for Medicare and Medicaid Services (CMS) for Quarter 1. The Payroll Based Journal (PBJ) Report 1705D identified specific dates where there was a failure to have licensed nurse coverage for 24 hours per day. However, a review of the nursing staff's timecards for those dates showed that licensed nursing staff had indeed worked 24 hours each day. The inaccuracy was due to the facility's scheduling system, which automatically deducted a half-hour break from the 12-hour shifts, making it appear that nurses only worked 11.5 hours. This discrepancy led to the submission of inaccurate data to CMS.
Failure to Offer Updated Pneumococcal Vaccinations
Penalty
Summary
The facility failed to ensure that four residents were appropriately vaccinated against pneumococcal disease upon admission and did not offer updated vaccinations per CDC recommendations. Specifically, residents R20, R25, R29, and R34 had received previous pneumococcal vaccinations (PCV-13 and PPSV-23) but were not offered the updated PCV-15 or PCV-20 vaccines as recommended by the CDC guidelines. The documentation for these residents did not show any evidence of being offered the updated vaccines, which is a requirement for ensuring they are protected against pneumococcal disease. During an interview, RN-A stated that she relied on external pharmacies to determine vaccine eligibility and had not initiated the necessary steps to educate, obtain consent or declination, or administer the updated pneumococcal vaccines for the affected residents. The facility's policy, dated April 2023, indicated that pneumonia vaccinations should be offered to all residents per CDC recommendations, but this was not followed in the cases of R20, R25, R29, and R34.
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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 Pierz
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Little Falls Care Center | 11.7 mi | ★★★★★ | 6 | 0 |
| St Ottos Care Center | 12.5 mi | ★★★★★ | 1 | 0 |
| Cura Of Onamia | 21.9 mi | ★★★★★ | 6 | 0 |
| Sartell Therapy Suites | 23.6 mi | — | 0 | 0 |
| The Gardens At Foley Llc | 23.8 mi | ★★★★★ | 10 | 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.