Above average — CMS composite of the measures below.
The next survey window likely opens around January 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 Deerfield Care Center, Llc during CMS and state inspections, most recent first.
Improper Garbage Disposal and Open Dumpster in Garbage Room: Surveyors observed a broken compactor causing garbage bags to overflow, fall onto the floor, and remain scattered in the garbage room, with the dumpster left open inside the building. The MD stated the compactor had been broken since the prior week and staff were periodically picking up garbage from the chute; the NHA acknowledged the garbage on the floor could cause a pest control issue.
A resident with multiple chronic conditions and cognitive impairment was transferred to the ED/hospital multiple times, but the record did not contain the required written transfer notice, bed-hold information, appeal rights, or Ombudsman contact details. The chart also lacked documentation of communication with the receiving facility and did not show that the ER was notified in advance for the April transfers. The DON stated the facility sent the face sheet, MAR, TAR, and POLST and called report, but no formal transfer communication form was used.
A resident with MS, weakness, wheelchair dependence, osteoporosis, and dementia required a full-body mechanical lift with a yellow sling, but staff used a green sling during multiple transfers and while transporting the resident in a wheelchair. The CNA later noted the sling’s stripe should have been yellow, and the DON stated the sling choice should match the resident’s Quick Guide.
The facility failed to comply with food safety standards as kitchen staff had uncovered facial hair while preparing food, contrary to the facility's Hair Restraint Policy. Additionally, significant dust accumulation was observed on door hinges above food serving areas, indicating a lack of regular cleaning. Staff were unsure about the policy requirements, and the Dietary Manager expressed uncertainty about the policy's enforcement.
A facility failed to adhere to its infection prevention and control program when a CNA did not wear a gown while emptying a catheter bag for a resident on enhanced barrier precautions (EBP). The resident, with multiple medical conditions, was observed by a surveyor, leading to the CNA acknowledging the oversight and correcting it. The Nursing Home Administrator confirmed the expectation for staff to wear gowns during such care activities.
A resident with multiple health conditions and moderate cognitive impairment did not receive necessary oral care as per their care plan. Despite requiring substantial assistance, oral care was not provided due to a disruption in the morning routine, as observed by surveyors.
A resident with multiple serious health conditions experienced a delay in treatment for a whitish yellow film in the mouth, observed during a dental appointment. The facility failed to promptly chart and review the dental hygienist's note, investigate the concern, and contact the physician for treatment orders, resulting in an 18-day delay in administering Clotrimazole Lozenge for oral thrush.
A resident with multiple health conditions did not receive a prescribed dose of Torsemide due to a transcription error. The medication was ordered to be given for three days, but the MAR showed it was not administered on the third day. The Clinical Coordinator confirmed the error and attributed it to how the order was entered into the system.
The facility inaccurately coded MDS assessments for three residents, indicating no PASARR level 2 screens were completed, despite documentation showing otherwise. The NHA attributed the error to a misunderstanding by the centralized MDS nurse, who believed the MDS A1500 question should be answered 'no' if the level 2 screen determined no specialized services were needed.
Improper Garbage Disposal and Open Dumpster in Garbage Room
Penalty
Summary
The facility did not ensure garbage and refuse were properly disposed of in the outside garbage storage receptacles. Surveyor observation showed garbage falling out of the chute and onto the ground next to the dumpster, and the dumpster was open. Facility policies stated that the workplace would be maintained in a clean and sanitary condition and that proper bagging and containment of waste would be enforced. On 02/16/26, the garbage room was observed with several garbage bags lying on the floor because the compactor was broken. Garbage was overflowing in the compactor, bags were falling out onto the floor, the dumpster inside the building was open, and a pungent odor was noted in the room. Later that day, the same conditions remained, with multiple bags still falling out of the broken compactor, bags on the floor between the compactor and dumpster, the dumpster lid open, and a greasy, dirty substance observed on the floor next to the bags. The Maintenance Director stated the compactor had been broken since the prior week, a cylinder had blown, and staff were picking up garbage from the chute every couple of hours on weekdays and 2-3 times per day on weekends. The NHA stated the dumpster was not closed because it was inside the building and acknowledged the garbage on the floor could cause a pest control issue.
Missing transfer notices, bed-hold information, and receiving-facility communication
Penalty
Summary
The facility did not ensure that resident R23 received the required written transfer notice when transferred to the hospital, including the reason for transfer, the location of transfer, appeal rights, and the name, address, email, and telephone number of the Office of the State Long-Term Care Ombudsman. The record also did not contain the required written information about the duration of the bed-hold policy, the reserve bed payment policy, or the resident’s right to return to the facility. The medical record did not show that these notices were completed or documented in progress notes for the hospital transfers identified in the record. R23 was admitted with multiple sclerosis, paraplegia, age-related osteoporosis, hypertension, hyperlipidemia, type 2 diabetes, major depression, and dementia. The 12/9/25 MDS indicated R23 was cognitively impaired but had clear speech and often understood direct, simple directions. R23 was able to feed herself and complete oral hygiene with setup, but was dependent or required maximal assistance for other ADLs and for mobility and transfers from bed to chair via a full body mechanical lift. Record review showed R23 was transferred to the ED on 4/8/25 for malaise and fatigue and received lab work, IV antibiotics, and a portable chest x-ray, with a diagnosis of UTI. On 4/11/25, R23 was transferred again to the ED for swelling of the right eye and was hospitalized until 4/17/25 with preseptal cellulitis of the right eye. On 1/7/26, R23 was transferred to the ED for shortness of breath and was hospitalized until 1/11/26 with community acquired pneumonia. For these transfers, the record lacked written transfer notices, bed-hold documentation, documentation of communication with the receiving facility, and documentation that the ER was notified in advance for the April transfers. The DON stated there was no form used to communicate with the receiving facility and that the facility sent the face sheet, MAR, TAR, and POLST and called report.
Wrong-size mechanical lift sling used during resident transfers
Penalty
Summary
The facility did not ensure residents remained free of possible accidental hazards when staff used the wrong size mechanical full body lift sling for one resident. The resident, who had multiple sclerosis, muscle weakness, wheelchair dependence, osteoporosis, and dementia, was dependent on staff for all mobility and required a full body mechanical lift for transfers. The resident’s CNA Quick Guide directed staff to use a full lift with a yellow sling, and the resident’s weight placed her within the range for a yellow medium sling, but the guide did not specify which yellow sling type to use. During observation, CNAs transferred the resident using a green sling instead of the yellow sling listed on the care guide. The resident remained seated on the same green sling while being transported in the wheelchair and was later transferred again using that same green sling for care and repositioning. When the surveyor and CNA checked the sling under the resident, the sling was green but the stripe on it was identified as gray, and the CNA stated the stripe should have been yellow. The CNA also stated the slings were washed at night and may have been switched. The DON stated that therapy or nurses determine which lift and sling to use and that CNAs know what sling to use because it is listed on the Quick Guide. A CNA later stated the correct sling had been identified with help from the clinical coordinator. The observations and interviews showed that staff were using a sling that did not match the resident’s documented transfer guide during multiple transfers and cares.
Non-compliance with Food Safety Standards
Penalty
Summary
The facility failed to ensure that food was stored, prepared, distributed, and served in accordance with professional standards for food service safety. During an observation, it was noted that kitchen staff had exposed and uncovered facial hair while preparing food, which was against the facility's Hair Restraint Policy. The policy, dated June 2021, requires that beards must be covered with a beard bag before entering the kitchen or any area where food is being prepared. However, several dietary aides were observed with uncovered facial hair, and they were unsure about the specifics of the policy. The Dietary Manager also expressed uncertainty about the policy's requirements, indicating a lack of clarity and enforcement of the policy. Additionally, the facility did not maintain cleanliness in food preparation areas. The surveyor observed significant dust accumulation on door hinges located above food serving areas on both the second and third floors. Staff members, including a dietary aide and the Nursing Home Administrator, acknowledged the presence of dust and admitted that the area was not regularly cleaned. This lack of cleanliness in areas directly above food serving stations further demonstrated the facility's failure to adhere to professional standards for food service safety.
Infection Control Lapse in EBP Protocol
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by an incident involving a resident on enhanced barrier precautions (EBP). The resident, who has multiple medical conditions including hemiplegia, congestive heart failure, and vascular dementia, was observed by a surveyor during a routine procedure. A Certified Nursing Assistant (CNA) was seen emptying the resident's urine catheter bag without wearing a gown, which is a requirement under the facility's EBP policy. The policy mandates the use of gowns and gloves during high-contact care activities for residents with indwelling medical devices, even if they are not known to be colonized or infected with multidrug-resistant organisms. The CNA initially performed hand hygiene and applied gloves but neglected to wear a gown while handling the catheter bag. Upon being questioned by the surveyor, the CNA acknowledged the oversight and corrected the error by donning a gown and clean gloves before completing the task. The Nursing Home Administrator later confirmed that the expectation is for staff to wear gowns when providing care to residents on EBP. This incident highlights a lapse in adherence to the facility's infection control protocols, potentially affecting all residents on the unit.
Failure to Provide Necessary Oral Care for a Resident
Penalty
Summary
The facility failed to ensure that a resident, identified as R15, who is unable to carry out activities of daily living, received the necessary services to maintain good oral care. R15 has multiple diagnoses, including type 2 diabetes mellitus with diabetic polyneuropathy, morbid obesity, major depressive disorder, congestive heart failure, anxiety disorder, edema, venous insufficiency peripheral, post-traumatic stress disorder, weakness, polyosteoarthritis, pain in the left shoulder, reduced mobility, and chronic pain. The Minimum Data Set (MDS) assessment indicated that R15 requires substantial/maximal assistance from staff, with a Brief Interview for Mental Status (BIMS) score of 10 out of 15, indicating moderate cognitive impairment. The care plan for R15 included oral care twice daily with assistance from one staff member. On the day of the survey, the surveyor observed Certified Nursing Assistants (CNAs) C and D providing personal care to R15, including washing, clothing, and transferring R15 to a chair, as well as combing and braiding R15's hair. However, the surveyor did not observe oral care being provided to R15. When questioned, CNA C indicated that R15 typically performs oral care with assistance, but due to a disruption in the morning routine, oral care was not completed before breakfast. CNA C confirmed that oral care was also not completed after breakfast, resulting in a failure to provide the necessary oral care services as outlined in R15's care plan.
Delay in Treatment for Oral Condition
Penalty
Summary
The facility failed to ensure that a resident received timely treatment and care in accordance with professional standards of practice and the resident's care plan. A whitish yellow film was observed throughout the soft tissue in the resident's mouth during a dental appointment, but this finding was not promptly addressed. The dental hygienist noted the film and sent photos to the provider for review, intending to have a dentist examine the resident. However, there was no indication of a change in the resident's health condition in the progress notes following the dental appointment. The resident, who had multiple serious health conditions and was enrolled in hospice care, did not receive treatment for the oral condition until 18 days after the initial observation. The delay in treatment was due to the failure to chart and review the dental hygienist's note, investigate the concern, and contact the physician for treatment orders. The Clinical Coordinator acknowledged that the note should have been reviewed and addressed, but it was not, leading to a delay in administering Clotrimazole Lozenge for oral thrush.
Medication Administration Error Due to Transcription Mistake
Penalty
Summary
The facility failed to provide medications as ordered by the prescriber for one of the residents reviewed. The resident, who had multiple diagnoses including chronic obstructive pulmonary disease, congestive heart failure, and major depressive disorder, was under hospice care and had a physician's order for an increased dose of Torsemide 40 mg to be administered daily for three days. However, due to a transcription error, the medication was not administered on the third day as ordered. The Medication Administration Record (MAR) showed that the increased dose was given on the first two days, but there was no record of the medication being administered on the third day. The Clinical Coordinator acknowledged the transcription error during an interview with the surveyor and confirmed that the resident did not receive the medication as prescribed. The error was attributed to how the order was entered into the computer system, which led to the oversight. The Clinical Coordinator indicated that a medication error report would be completed, and the physician and hospice would be notified of the missed dose.
Inaccurate MDS Coding for PASARR Level 2 Screens
Penalty
Summary
The facility failed to accurately code the Minimum Data Set (MDS) assessments for three residents regarding the Preadmission Screening and Resident Review (PASARR) level 2 screens. Specifically, the MDS assessments for these residents incorrectly indicated that no PASARR level 2 screen had been completed, despite documentation showing that such screens were indeed completed. This error was identified for residents with serious mental illnesses, including schizophrenia, anxiety disorder, schizoaffective disorder, bipolar disorder, major depressive disorder, and post-traumatic stress disorder. The Nursing Home Administrator (NHA) acknowledged the coding errors during interviews with the surveyor. The NHA explained that the centralized MDS nurse, who is not on-site and based in Minnesota, may have misunderstood the MDS A1500 question. The misunderstanding arose from the belief that the question should be answered 'no' if the level 2 screen determined that the resident did not require specialized services for their mental illness. This led to the incorrect coding of the MDS assessments for the residents 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 New Richmond
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| St Croix Health Center | 1.1 mi | ★★★★★ | 10 | 0 |
| Hammond Health Services | 10.9 mi | ★★★★★ | 3 | 0 |
| The Estates At Linden Llc | 13.1 mi | ★★★★★ | 4 | 0 |
| Christian Community Home | 13.4 mi | ★★★★★ | 0 | 0 |
| Good Samaritan Society - Stillwater | 13.5 mi | ★★★★★ | 9 | 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.