Average — CMS composite of the measures below.
The next survey window likely opens around March 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 St Rose Care Center during CMS and state inspections, most recent first.
Unqualified Dietary Services Supervisor: The facility failed to ensure the culinary services supervisor was qualified to serve as the director of food and nutrition services. During interview, the supervisor stated she was enrolled in a certified dietary manager course but had not completed it, and the facility did not ensure she had the required education or national certification for food service management and safety.
Expired and spoiled food was found in the main kitchen, including an unopened head of lettuce with browning and moisture, cottage cheese, snack Jello, and butterscotch baking chips past their expiration dates. The culinary services supervisor confirmed staff were expected to discard these items.
Staff failed to follow infection control practices during care for a resident and in the laundry room. A CNA removed a soiled brief, completed perineal care, and then applied clean brief and shorts without removing gloves or performing hand hygiene after contact with body fluids. In the laundry area, clean linen was left uncovered while soiled linen was transported past it and placed in washing machines, despite policy requiring clean and contaminated linen to remain separate.
Inaccurate MDS Coding for PASRR and Serious Mental Illness: The facility failed to accurately code MDS assessments for two residents with documented mental health conditions. One resident had schizophrenia, anxiety, and bipolar disorder with a PASRR Level II finding of serious mental illness, and another resident had anxiety disorder, mild intellectual disabilities, mixed obsessional thoughts and acts, and schizoaffective disorder with a PASRR outcome indicating a PASRR condition. In both cases, the annual MDS failed to code A1500 and A1510 correctly, and an administrative staff nurse confirmed the error.
A resident who was assessed not to self-administer meds and whose order required meds to be given whole and observed was found with two meds in a cup on the bedside table. The resident did not know what the meds were, and an admin nurse confirmed the resident was not supposed to have meds left at bedside.
A resident receiving IV ceftriaxone had a medication label that did not include the IV push route or the IV push rate. The physician order directed ceftriaxone to be given via IV push, and during observation an RN administered the medication by IV push and stated it is given over at least five minutes when asked about the administration time.
Unqualified Dietary Services Supervisor
Penalty
Summary
The facility failed to ensure that 1 of 1 culinary services supervisor was properly qualified to serve as the director of food and nutrition services. During an interview, the culinary services supervisor stated that she was currently enrolled in a certified dietary manager course but had not completed it. The report states that the facility did not ensure the culinary services supervisor completed the required education for a certified dietary manager, certified food service manager, or a national certification for food service management and safety from a national certifying body.
Expired and Spoiled Food Found in Kitchen Storage
Penalty
Summary
The facility failed to discard spoiled and expired food in 1 of 1 kitchen. Review of the facility policy titled Food Storage - Perishable, dated August 2019, stated that sanitary procedures would be maintained in perishable food storage to keep foods safe, wholesome, and appetizing and to prevent contamination. During observation of the main kitchen, surveyors found one unopened packaged head of lettuce with visible browning and moisture, one container of cottage cheese with an expiration date of 03/10/26, one snack Jello with an expiration date of 01/26/26, and butterscotch baking chips with an expiration date of May 2025. The culinary services supervisor confirmed that staff were expected to discard the expired and spoiled food items.
Infection Control Lapses in Resident Care and Laundry Handling
Penalty
Summary
Provide and implement an infection prevention and control program was deficient when staff failed to follow standard infection control practices during resident care and in the laundry area. During observation of Resident #3 in bed, two CNAs entered the room wearing gowns, gloves, and masks. After one CNA removed the resident’s soiled brief and completed perineal care, the CNA applied a clean brief and clean shorts without removing the soiled gloves or performing hand hygiene after contact with excretions/body fluids. An administrative nurse later confirmed that staff were expected to remove gloves and perform hand hygiene after contact with body fluids or excretions. The facility was also deficient in the laundry room. Observation showed an uncovered linen cart of clean linen next to the dryers while an unidentified staff member transported uncovered soiled linen past the clean linen and placed the soiled items in the washing machines. Facility policy stated clean linen must always be kept separate from contaminated linen and that a functional barrier must separate soiled and clean areas. An administrative nurse acknowledged that clean linen should be covered during the transport and handling of soiled linen in the same area.
Inaccurate MDS Coding for PASRR and Serious Mental Illness
Penalty
Summary
The facility failed to ensure accurate coding of the Minimum Data Set (MDS) for 2 of 12 sampled residents, Resident #2 and Resident #13. Review of the Long-Term Care Facility RAI User’s Manual stated that Section A1500 should be coded yes when PASRR Level II screening determines the resident has a serious mental illness, and Section A1510 should be coded for serious mental illness when the resident has been diagnosed with one. Resident #2’s record showed diagnoses of schizophrenia, generalized anxiety disorder, and bi-polar disorder. A PASRR Level II dated 08/08/2025 identified a serious mental health illness and no services required, but the annual MDS failed to code Section A1500 and A1510 for serious mental illness. Resident #13’s record showed diagnoses of anxiety disorder, mild intellectual disabilities, mixed obsessional thoughts and acts, and schizoaffective disorder. A comprehensive MDS coded A1500 as yes and A1510A as yes, but a Notice of PASRR Level II Outcome dated 09/12/25 stated the evaluation determined the resident had a PASRR condition and the facility should mark yes for A1500; the annual MDS again failed to code Section A1500 and A1510 for serious mental illness. An administrative staff nurse confirmed the inaccurate coding during interview on 04/01/26.
Medications Left at Bedside Despite Order for Observed Administration
Penalty
Summary
The facility failed to ensure compliance with provider orders for Resident #33, who had been assessed not to self-administer medications and whose record indicated the resident did not want to self-administer medications. The physician's order stated that medications were to be given whole and observed while the resident took them. During observation, two medications were found in a medication cup on the resident's bedside table, and the resident was unaware of what the medications were. An administrative nurse later confirmed that Resident #33 had been assessed to not have medications left at bedside.
IV Medication Label Missing Route and Administration Rate
Penalty
Summary
The facility failed to ensure accurate medication labeling for Resident #42, who was receiving intravenous ceftriaxone. Review of the facility policy titled Infusion Therapy Medication Administration stated to regulate the flow of medication infusion as prescribed. Review of the professional reference for Rocephin stated that for IV injection, Rocephin 1 g in 10 mL of sterile water for injections should be given over 2-4 minutes. The physician's order dated 03/26/26 directed ceftriaxone reconstituted solution, 1 gram, to administer 2000 mg via IV push once daily for 13 doses and to add 19.2 mL of sterile water diluent prior to administration. The medication label did not include the IV push route or the IV push rate. During observation on 03/30/2026 at 1:47 p.m., Nurse #1 administered ceftriaxone by IV push and stated that the medication is administered at least over five minutes when asked how long it is given.
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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 Lamoure
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Good Samaritan Society - Oakes | 17.7 mi | ★★★★★ | 11 | 1 |
| Prince Of Peace Care Center | 26.3 mi | ★★★★★ | 6 | 0 |
| Parkside Lutheran Home | 29.4 mi | ★★★★★ | 10 | 0 |
| North Dakota Veterans Home | 30.8 mi | ★★★★★ | 0 | 0 |
| Four Seasons Health Care Inc | 35.8 mi | ★★★★★ | 12 | 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.