D+
52/100

BENEDICTINE LIVING COMMUNITY MOTHER OF MERCY Inspection Report, Violations & Safety Grade (ALBANY, Minnesota)

230 CHURCH AVENUE, BOX 676, ALBANY, Minnesota 56307

Phone: 3208452195

CMS Overall:2/5

Overview & Bed Count

Certified Beds
76
Avg Residents/Day
52.7
Ownership
Non profit - Church related
Provider Type
Medicare and Medicaid
County
Stearns
Sprinkler Systems
Yes
Special Focus
None
Abuse Citation
No

CMS Star Ratings

Overall2/5
Health2/5
Staffing4/5
Quality2/5

Nurse Staffing Check

MetricThis FacilityMinnesota AvgDifference
RN Hours per Resident per Day0.581.08-0.51
Total Nurse Hours per Resident per Day4.754.27+0.48
CMS Staffing Rating4/54.2/5-
Nursing Staff Turnover44.4%42.1%-

Health Citation History

31 health citations on record

DateCategoryDescriptionSeverity
2026-07-15Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2026-06-04Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J – Immediate Jeopardy
2026-06-04Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2026-05-12Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G – Actual Harm
2026-02-26Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2026-02-26Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D – Moderate Harm Potential
2026-02-26Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2026-02-26Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2026-02-26Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-12-20Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.G – Actual Harm
2024-12-20Nursing and Physician Services DeficienciesPost nurse staffing information every day.F – Moderate Harm Potential
2024-12-20Administration DeficienciesConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.F – Moderate Harm Potential
2024-12-20Administration DeficienciesHave a plan that describes the process for conducting QAPI and QAA activities.F – Moderate Harm Potential
2024-12-20Resident Rights DeficienciesEnsure that residents are fully informed and understand their health status, care and treatments.D – Moderate Harm Potential
2024-12-20Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.D – Moderate Harm Potential
2024-12-20Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2024-12-20Resident Rights DeficienciesNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.D – Moderate Harm Potential
2024-12-20Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.D – Moderate Harm Potential
2024-12-20Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2024-12-20Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-12-20Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.D – Moderate Harm Potential
2024-10-10Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2024-10-10Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2024-07-19Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2024-07-19Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2024-01-24Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2024-01-24Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.C – Minimal Harm Potential
2023-10-26Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.F – Moderate Harm Potential
2023-10-26Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2023-10-26Administration DeficienciesElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.F – Moderate Harm Potential
2023-10-26Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential

Fire Safety Citation History

18 fire safety citations on record

DateCategoryDescriptionSeverity
2026-02-26Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2026-02-26Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.C – Minimal Harm Potential
2024-12-20Emergency Preparedness DeficienciesAddress patient/client population and determine types of services needed.F – Moderate Harm Potential
2024-12-20Emergency Preparedness DeficienciesEstablish roles under a Waiver declared by secretary.F – Moderate Harm Potential
2024-12-20Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2024-12-20Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2024-12-20Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2024-12-20Egress DeficienciesProvide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.D – Moderate Harm Potential
2024-12-20Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2023-10-26Electrical DeficienciesEnsure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.F – Moderate Harm Potential
2023-10-26Smoke DeficienciesProvide properly protected cooking facilities.E – Moderate Harm Potential
2023-10-26Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2023-10-26Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2023-10-26Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.D – Moderate Harm Potential
2023-10-26Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.D – Moderate Harm Potential
2023-10-26Egress DeficienciesHave horizontal exits used in accordance with safety requirements.D – Moderate Harm Potential
2023-10-26Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2023-10-26Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential

Total Penalties & Fines

$97,996
Total Fine Amount (CMS)
2
Number of Fines
3
Total Penalties
DateTypeFine AmountPayment Denial
2026-06-04Fine$27,378-
2024-12-20Fine$70,618-
2024-12-20Payment Denial-5 days starting 2025-01-31
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