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Health Inspection

Paynesville Health Care Center

April 8, 2026 · Paynesville, MN · 200 First Street West
Citations 3
CMS Rating 3/5
Beds 51
Provider ID 245253
Healthcare Facility
Paynesville Health Care Center
Paynesville, MN  ·  View full profile →
Inspection Summary

Paynesville Health Care Center in PAYNESVILLE, MN — inspection on April 8, 2026.

Found 3 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

FF0644
Resident Assessment and Care Planning Deficiencies

During interview on 4/8/26 at 8:46 a.m., Director of Nursing (DON) provided copy of the completed Level II assessment and stated the facility had received it on 4/7/26 after state agency surveyors had requested a copy. DON stated the facility did not have the completed Level II assessment at the time of R7's admission and therefore did not include the findings when creating an initial plan of care. DON expected staff to obtain all required Level II assessments prior to a resident's admission and stated it was important to have the information at the time of admission to best meet the needs of residents with mental health issues. A policy was requested but not provided.

245253 04/08/2026

Paynesville Health Care Center 200 First Street West Paynesville, MN 56362

During interview on 4/08/26, at 2:30 p.m., Administrator (Admin) stated he was unaware of the dating process for leftovers in the kitchen.

Admin agreed if an app was being used to identify expired foods, it would be necessary for all staff to have access to the app to avoid serving outdated food and prevent a potential food borne illness outbreak.A policy was requested for food storage, however lacked specific instructions on the labeling and storing leftovers and identifying expired foods.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

245253 04/08/2026

Paynesville Health Care Center 200 First Street West Paynesville, MN 56362

During interview on 04/08/2026 at 1:47 p.m., Director of Nursing (DON) stated corporate staff was responsible for submitting PBJ report to CMS, and until recently had been completed and submitted by the previous owner. DON stated both she and the Administrator (Admin) had made multiple attempts to assist in fixing the error, however, they had been unsuccessful.

During interview on 04/08/2026 at 2:30 p.m., Admin stated he had been trying to get someone in the corporate offices to address this for months to correct the issue, but it remained a problem.

Admin provided copies of email exchanges with corporate offices indicating an awareness of the issue and attempts to correct. A policy was requested but not provided

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 PAYNESVILLE, 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 Paynesville Health Care Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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