Gundersen St Elizabeth's Care Center
GUNDERSEN ST ELIZABETH'S CARE CENTER in WABASHA, MN — inspection on June 10, 2026.
Found 1 citation. 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.
Inspection Findings
During an observation on 6/9/26 at 10:59 a.m., director of nursing (DON) entered R54's room to assist with transferring him to a chair so he can eat lunch. R54 required enhanced barrier precaution (EBP) due to an indwelling medical device (urinary catheter). DON failed to apply the appropriate personal protective equipment (PPE) prior to providing care.
During an interview on 6/9/26 at 11:03 a.m., DON stated she should have been wearing the appropriate personal protective equipment (PPE) when providing care to R54.
She stated R54 required enhanced barrier precautions (EBP) and additional PPE (gown and gloves) were needed due to his urinary catheter.
She stated the appropriate PPE is important to prevent the spread of infection from residents to residents. A facility policy titled Enhanced Barrier Precautions dated 5/20/26, EBP is applied when a resident has an indwelling medical device (urinary catheter). EBP should be used when providing high-contact resident care activities (dressing, bathing/showering, transferring, providing hygiene, changing linens, changing briefs, device care, wound care) requiring gown and glove use for EBP.
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
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.