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Health Inspection

Benedictine Care Community

June 10, 2026 · Ada, MN · 201 9th Street West
Citations 11
CMS Rating 1/5
Beds 49
Provider ID 245502
Healthcare Facility
Benedictine Care Community
Ada, MN  ·  View full profile →
Inspection Summary

Benedictine Care Community in ADA, MN — inspection on June 10, 2026.

Found 11 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0550
Resident Rights Deficiencies
Potential for More Than Minimal Harm

Federal health inspectors cited Benedictine Care Community in ADA, MN for a deficiency under regulatory tag F-F0550 during a standard health inspection conducted on 2026-06-10.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of Benedictine Care Community.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited Benedictine Care Community in ADA, MN for a deficiency under regulatory tag F-F0585 during a standard health inspection conducted on 2026-06-10.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of Benedictine Care Community.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited Benedictine Care Community in ADA, MN for a deficiency under regulatory tag F-F0605 during a standard health inspection conducted on 2026-06-10.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of Benedictine Care Community.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited Benedictine Care Community in ADA, MN for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2026-06-10.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of Benedictine Care Community.

Correction Status: Deficient, Provider has no plan of correction.

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Federal health inspectors cited Benedictine Care Community in ADA, MN for a deficiency under regulatory tag F-F0677 during a standard health inspection conducted on 2026-06-10.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide care and assistance to perform activities of daily living for any resident who is unable.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of Benedictine Care Community.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited Benedictine Care Community in ADA, MN for a deficiency under regulatory tag F-F0686 during a standard health inspection conducted on 2026-06-10.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of Benedictine Care Community.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited Benedictine Care Community in ADA, MN for a deficiency under regulatory tag F-F0689 during a standard health inspection conducted on 2026-06-10.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of Benedictine Care Community.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited Benedictine Care Community in ADA, MN for a deficiency under regulatory tag F-F0725 during a standard health inspection conducted on 2026-06-10.

Category: Nursing and Physician Services Deficiencies

The facility was found deficient in the following area: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of Benedictine Care Community.

Correction Status: Deficient, Provider has no plan of correction.

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Federal health inspectors cited Benedictine Care Community in ADA, MN for a deficiency under regulatory tag F-F0755 during a standard health inspection conducted on 2026-06-10.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of Benedictine Care Community.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited Benedictine Care Community in ADA, MN for a deficiency under regulatory tag F-F0756 during a standard health inspection conducted on 2026-06-10.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of Benedictine Care Community.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited Benedictine Care Community in ADA, MN for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2026-06-10.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of Benedictine Care Community.

Correction Status: Deficient, Provider has no plan of correction.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in ADA, MN, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Benedictine Care Community or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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