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 Dove Healthcare - Osseo during CMS and state inspections, most recent first.
Medication storage was not maintained according to policy because LTC and rehab medication refrigerators were observed unlocked and temperature logs were incomplete. Staff stated temperatures should be checked every shift or at least daily, but multiple dates had no documentation. Temperature-sensitive items, including insulin pens, vaccines, ophthalmic drops, suppositories, and lorazepam solution, were stored in the refrigerators, and an expired lorazepam vial was found in a lock box. A scheduled medication was also stored in an unlocked refrigerator.
The facility had infection control failures involving clean linen handling, diabetic care, and shared equipment. A Laundry Aide folded clean linen while it touched the aide’s chin and chest, an RN did not wipe the insulin pen end before attaching a needle and did not disinfect the glucometer after use, and CNAs used a Sara Steady lift with two residents without disinfecting it before or after use.
Inconsistent restorative ROM services due to lack of trained backup staff. The facility did not ensure residents with limited ROM received consistent restorative care to maintain mobility and ROM. Multiple residents with conditions such as Alzheimer’s disease, contractures, stroke history, weakness, osteoporosis, and heart failure had care plans for ROM, hand bike, NUSTEP, walking, dressing/grooming, and group exercise programs, but records showed repeated missed sessions and frequent NA/unavailable documentation. The CNA stated she was the only person trained to provide restorative care, and the DON and NHA acknowledged that when she was absent, residents did not receive the planned restorative services.
A resident with a lumbar fracture, osteoporosis, stroke history, macular degeneration, and moderate cognitive impairment required one-assist sit-to-stand transfers with a gait belt. During toileting, a CNA used a Sara Steady but did not tighten or use the gait belt during the stand transfer, and instead lifted the resident by the shoulder/arm after the resident could not reach the device bars from a low toilet.
Medication Refrigerators Left Unlocked and Temperature Logs Incomplete
Penalty
Summary
Drugs and biologicals were not stored in accordance with accepted professional principles because medication refrigerator temperatures were not consistently monitored and several refrigerators were left unlocked. The facility policy stated refrigerated medications were to be stored under proper temperature controls, with temperatures maintained between 36 and 46 degrees F and recorded daily by the charge nurse or designee. Survey review found multiple missed temperature checks in both the long-term care and short-term rehab medication refrigerators, including dates when no temperatures were documented at all. Staff members interviewed during the survey stated temperatures should be checked every shift or at least daily, but the logs reviewed were incomplete. The surveyor observed temperature-sensitive medications stored in the refrigerators, including insulin pens, vaccines, ophthalmic solutions, suppositories, and lorazepam solution. In the long-term care refrigerator, medications included unopened insulin pens for multiple residents, unopened stock vaccines, and Tylenol suppositories. In the short-term rehab refrigerator, medications included stock vaccines, tuberculin solution, lorazepam solution, and insulin pens for residents. The surveyor and nursing staff reviewed the logs and inventoried the contents of both refrigerators, confirming that the refrigerators were being used to store stock and resident-specific medications requiring temperature control. The survey also found that the medication refrigerators were unlocked when observed. RN G, RN K, and ADON C were each observed accessing the refrigerators while they were unlocked, and staff stated the refrigerators should have been locked. In addition, an opened vial of lorazepam solution that had expired was found in a lock box in the long-term care medication area, and ADON C stated it should have been removed. The report also noted that a scheduled medication was being stored in the unlocked refrigerator. The facility policy required Schedule II drugs and backup stock of Schedule III, IV, and V medications to be stored under double-lock and key, but lorazepam solution was found in the refrigerator without being secured in a lock box.
Infection Control Failures During Linen Handling, Diabetic Care, and Lift Use
Penalty
Summary
The facility did not establish an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. During observation, a Laundry Aide was seen folding a bath blanket by holding the center of the linen with the aide’s chin and resting it against the aide’s chest, causing the clean linen to touch the aide’s clothing. When interviewed, the Laundry Aide stated the linen should not have been used with the chin, and the Environmental Services Director stated clean linen should not touch clothing and should be kept clean while being folded and delivered. During diabetic care, a Registered Nurse obtained a blood glucose reading and administered insulin to a resident. The nurse did not wipe the insulin pen end with alcohol before attaching the needle, despite the facility’s procedure stating the rubber seal should be wiped before needle attachment. After completing the task, the nurse placed the glucometer back into its case and into the medication cart without wiping or disinfecting it after use. When interviewed, the nurse stated wiping the insulin pen end was not generally practiced, then acknowledged that the pen end is supposed to be wiped and that glucometers are supposed to be wiped off. The facility also failed to disinfect a non-mechanical lift between resident uses. A CNA brought a Sara Steady into one resident’s room without disinfecting it before use, and after the resident’s toileting, the CNA did not clean the device before leaving it in the room or hallway. The same device was later moved to another resident’s room and again used without being disinfected beforehand. The DON stated all equipment is to be disinfected both before and after resident use and that it cannot be assumed cleaning was done prior to use.
Inconsistent restorative ROM services due to lack of trained backup staff
Penalty
Summary
The facility did not ensure residents with limited ROM received restorative services to maintain or prevent further reduction in ROM for 6 of 6 residents receiving restorative services. The report states the facility had only one trained restorative aide and no backup aide when that aide was not working, and that residents did not receive consistent restorative services. The facility policy required maintenance and restorative services to maintain or improve resident abilities, and the CMS guidance cited in the report stated that care plans must include specific interventions to maintain or improve ROM. For one resident with Alzheimer’s disease, diabetes, gait abnormalities, arthritis of both knees, muscle weakness, pain, heart disease, major depression, and anxiety, the care plan included NUSTEP, dressing/grooming, and walking programs. Review of documentation showed repeated missed restorative sessions over 13 weeks, with many entries marked not applicable or refused. The resident stated that most days he did not get to exercise and that staff did not have anyone to take him. The report noted that if NA/not applicable was being used as not available, there was no evidence that timing or restorative offerings had been evaluated to accommodate resident choices. For another resident with Alzheimer’s disease, right knee contracture, chronic pain, reduced mobility, osteoarthritis, dementia, and anxiety, the care plan included active ROM, hand bike, dressing/grooming, and group exercise programs. Documentation showed multiple missed sessions and many entries marked not applicable, unavailable, or not refused. The resident stated the exercises were to help maintain upper body strength and that the restorative CNA had been on vacation, with no one else assisting when the CNA was gone. The DON stated that no one received restorative when the CNA was absent, and the NHA stated the planned backup CNA had not been trained before the restorative CNA went on vacation. Similar patterns were documented for other residents, including residents with stroke history, limited mobility, osteoporosis, low back pain, weakness, heart failure, and impaired balance. Their restorative plans included arm bike, hand bike, NUSTEP, ROM, dressing/grooming, and group exercise programs, but records showed repeated missed interventions and frequent use of not applicable. During interviews, the CNA stated she was the only person technically trained to do restorative care, and the DON and NHA acknowledged that residents did not receive the planned restorative services consistently because there was no trained backup and charting practices allowed restorative to be documented in ways that did not reflect consistent delivery.
Unsafe Transfer Assistance and Improper Use of Gait Belt
Penalty
Summary
The facility did not ensure that each resident received adequate assistance devices to prevent accidents or injury and promote safe transfers for one resident reviewed for accident prevention. The resident had diagnoses including a wedge compression fracture of the fifth lumbar vertebra, age-related osteoporosis, cerebral infarction, and macular degeneration, and the MDS assessment indicated moderate cognitive impairment with a BIMS score of 8/15. The care plan directed one-assist non-mechanical sit-to-stand transfers with a gait belt. During observation, a CNA assisted the resident with toileting using a Sara Steady device and placed a gait belt around the resident’s waist while the resident was seated in a recliner. The resident was transported to the toilet and placed on a low toilet without a high-rise seat, which required the resident to bend low to sit. After toileting, the resident could not reach far enough to grasp the Sara Steady bars to stand because of the low toilet height, and the CNA lifted the resident by the shoulder/arm to help the resident stand. The CNA did not use the gait belt already in place during the transfer, and the belt was loose and not effectively tightened. The DON stated that a gait belt was to always be used for manual or non-mechanical transfers and that no body part of a resident should be pulled on during lifting or transferring.
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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 Osseo
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Augusta Health And Rehabilitation | 7.6 mi | ★★★★★ | 0 | 0 |
| Pigeon Falls Hcc | 11.3 mi | ★★★★★ | 0 | 0 |
| Trempealeau Cty Hcc Imd | 16.4 mi | ★★★★★ | 2 | 0 |
| Dove Healthcare - South Eau Claire | 18.9 mi | ★★★★★ | 0 | 0 |
| Oakwood Health Services | 20 mi | ★★★★★ | 14 | 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.