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Nursing HomeMedicaid Investigative

Benedictine Care Community

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

201 9th Street West, Ada, MN 5651049 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 13 Google reviews

5
4
3
2
1
Benedictine Care Community Nursing Home in Ada, MN — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Above-median deficiencies (10 vs median 6.5)
  • High staff turnover (59%)

Below average in MN · Meets national RN staffing standard · Significantly below average staffing · Below chain average

Source: Medicare data

What this means for your family

The facility is consistently described as a beautiful, home-like environment with a caring staff. Because most reviews are brief and lack specific operational details, we recommend scheduling an in-person tour to observe staff-resident interactions and asking for a detailed calendar of current activities to ensure they meet your loved one's needs.

Google Reviews

Google Reviews

13 reviews on Google
Benedictine Care Community is frequently praised for its beautiful, home-like environment and compassionate staff. While many reviewers highlight the facility's welcoming atmosphere and quality of care, the feedback is limited by a lack of detailed, substantive reviews, making it difficult to assess specific operational strengths or weaknesses.

Quality Themes

Tap a score for details
FoodN/AStaff9.0Clean10.0Activities10.0MedsN/AMemoryN/ACommsN/AValueN/A

Strengths

  • Beautiful, home-like facility
  • Compassionate and friendly staff
  • Active social environment for residents

Rating Trends

Tap a year to see what changed

2342.02016(1)5.02017(1)3.42020(7)5.02023(3)5.02024(2)5.02025(1)2.02026(1)

Distribution · 16 analyzed

5
10
4
1
3
1
2
2
1
2

How They Respond to Reviews

92%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1It's wonderful to see how beautiful and home-like the facility feels; what are some of the favorite social activities or group gatherings that residents participate in here?
  • 2I noticed the management is very engaged in communicating with families online; how does the team typically keep families updated on day-to-day changes in a resident's care?
  • 3Since the community is so intimate with 49 residents, how do you ensure that every person receives personalized attention during busy shifts?
  • 4Could you walk me through the specific protocols the nursing team follows if a medical emergency occurs during the overnight hours?
  • 5What steps is the facility currently taking to address recent state inspections and ensure that care standards are consistently meeting all regulatory requirements?
  • 6With such a friendly and compassionate staff mentioned by others, how do you approach training new team members to maintain that warm, welcoming culture for new residents?

Personalized based on this facility's data


Key Review Excerpts

Whether it’s the great quality care, the friendly and compassionate employees or the amazing amount of activities for the residents to participate in, Benedictine Living Community of Ada is a wonderful place to be!

Family member/Visitor · 2023★★★★★

This community feel like family. Residents genuinely care about each other and the small atmosphere feels homey.

Family member/Visitor · 2023★★★★★

Beautiful facility. Clinic & Hospital attached. Caring staff

Local Guide/Visitor · 2020★★★★★
Source: 13 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.76hrs
OK
Registered nurses for medical care
Total Nursing
3.05hrs
74%
All nurses + aides combined
Staff Turnover
57%
Lower is better (< 30% = good)
RN Turnover
38%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

9

measures

Worse Than Avg

7

measures

Mixed Results

1

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility29.7%
Worse than Avg
Here
29.7%
US
14.4%
MN
18.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility28.6%
Worse than Avg
Here
28.6%
US
15.3%
MN
21.4%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility30.9%
Worse than Avg
Here
30.9%
US
19.4%
MN
24.5%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility20.0%
Worse than Avg
Here
20.0%
US
19.5%
MN
12.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility21.6%
Worse than Avg
Here
21.6%
US
15.5%
MN
17.0%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.3%
Better than Avg
Here
99.3%
US
93.4%
MN
97.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility96.8%
Better than Avg
Here
96.8%
US
79.8%
MN
82.7%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility89.1%
Better than Avg
Here
89.1%
US
81.8%
MN
88.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility5.3%
Worse than Avg
Here
5.3%
US
1.6%
MN
1.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

14deficiencies
1penalties
Well above state avg (8.0)
11 complaint-triggered

Benedictine Care Community has faced concerning patterns of deficiencies, with families filing complaints that triggered seven investigations. The most recurring issues involve quality of care problems (including daily living assistance and treatment according to resident preferences), resident rights violations, and fire safety concerns. While all deficiencies show correction dates, the repeated nature of care quality and rights issues across multiple surveys suggests ongoing challenges families should investigate thoroughly during visits.

Mar 5, 2026Complaint
4
0684Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0882Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0943Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Jan 22, 2026Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Sep 25, 2025Complaint
2
0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Aug 21, 2025Complaint
3
0676Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0688Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

Apr 9, 2025Routine
5
0585Potential for harm · WidespreadCorrected

Resident Rights Deficiencies

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.

0851Potential for harm · WidespreadCorrected

Administration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0331Potential for harm · IsolatedCorrected

Smoke Deficiencies

Construct fire resistant interior walls.

Feb 8, 2024Routine
6
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0372Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Federal Penalties

Fine

Mar 5, 2026

$154,460

Ownership & Operations

Who Operates This Facility

Owner / Operator

Benedictine Care Community

Organization Type

nonprofit

Chain Affiliation

Chain Name

Benedictine Health System

Chain Size

23 facilities nationwide

Chain avg rating: 2.9/5 · Rank 18 of 22

Ownership & Management

Key personnel

Hviding, MorganContracted Managing EmployeeLuithle, TimothyContracted Managing EmployeeAnderson, LisaOfficer / DirectorBeitz, RachelOfficer / DirectorFischer, HallieOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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