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Nursing HomeMedicaid Investigative

Sandstone Health Care Center

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

109 Court Avenue South, Sandstone, MN 5507250 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 22 Google reviews

5
4
3
2
1
Sandstone Health Care Center Nursing Home in Sandstone, MN — Street View
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3/ 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)

Below average in MN · Meets national RN staffing standard · Above recommended total nurse staffing · No penalties on record

Source: Medicare data

What this means for your family

Sandstone Health Care Center is highly regarded for its cleanliness and engaging activity programs, making it a comfortable environment for many residents. However, because there are reports of delays in medication and staff assistance, we recommend asking specifically about current nurse-to-patient ratios and the process for escalating concerns when response times are slow.

Google Reviews

Google Reviews

22 reviews on Google
Sandstone Health Care Center receives high praise from many families for its clean environment, compassionate staff, and engaging activities. While some long-term families report excellent care and support, there are critical concerns regarding medication administration and responsiveness to basic needs that potential residents should investigate.

Quality Themes

Tap a score for details
Food5.0Staff9.0Clean10.0Activities10.0Meds2.0MemoryN/AComms8.0ValueN/A

Strengths

  • Clean and well-maintained facility
  • Compassionate and friendly nursing staff
  • Engaging activities for residents
  • Helpful administrative support for billing issues

Concerns

  • Delays in medication administration and staff assistance

Rating Trends

Tap a year to see what changed

2345.0'18(1)4.01.0'21(2)3.73.0'23(2)5.05.0'25(10)5.0'26(2)

Distribution · 23 analyzed

5
18
4
1
3
0
2
0
1
4

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given that medication management is a high priority for our family, could you walk us through your current process for ensuring timely administration and how you track potential delays?
  • 2I noticed the facility has a 3-star staffing rating; how do you ensure that residents receive prompt assistance when they use their call lights, especially during shift changes?
  • 3With 10 state violations noted in the last year, what specific steps has the leadership team taken to address these concerns and improve the overall quality of care?
  • 4I’ve read wonderful things about your activities program—what are some of the most popular ways residents stay engaged and social throughout the week?
  • 5How does your nursing team coordinate with outside physicians to manage complex medical needs, and what is your protocol for handling urgent medical changes during the night?
  • 6We appreciate how helpful your administrative team is with billing; how do you keep families updated on any changes in a resident’s health status or care plan?

Personalized based on this facility's data


Key Review Excerpts

The facility has always been very clean everytime we went to see my Dad. The staff, the case manager, nurses, nurse's aids and cafeteria workers were always very helpful and polite.

Long-term resident's family · 2026★★★★★

My elderly mother has stayed here twice for transition care after hospital stays for about 5 weeks. My mother and our family were very please with the care of the staff. The place is clean and she liked the meals.

Rehab patient's family · 2024★★★★★

My mom was a resident here for 4 years and she loved doing activities, she always said that was the best time of her day and anytime myself or my 2 sisters and brother could we would have the fun of participating in these many activities and mom loved it.

Long-term resident's family · 2025★★★★★
Source: 22 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.90hrs
OK
Registered nurses for medical care
Total Nursing
4.60hrs
OK
All nurses + aides combined

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

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

Medicare Rating
1/ 5
Better Than Avg

6

measures

Worse Than Avg

9

measures

Mixed Results

2

measures

Long-Stay Residents
🦠

Residents who got a urinary tract infection

↓ Lower is better
This Facility15.0%
Worse than Avg
Here
15.0%
US
1.6%
MN
2.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility27.6%
Worse than Avg
Here
27.6%
US
15.3%
MN
21.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility27.5%
Worse than Avg
Here
27.5%
US
15.5%
MN
17.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.8%
Better than Avg
Here
0.8%
US
12.1%
MN
4.3%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility22.9%
Worse than Avg
Here
22.9%
US
19.5%
MN
12.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility24.1%
Worse than Avg
Here
24.1%
US
14.4%
MN
18.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility75.0%
Worse than Avg
Here
75.0%
US
79.8%
MN
82.7%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility88.2%
Better than Avg
Here
88.2%
US
81.8%
MN
88.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility5.4%
Worse than Avg
Here
5.4%
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

10deficiencies
1penalties
Above state avg (8.0)
6 complaint-triggered

Sandstone Health Care Center has recurring deficiencies across multiple surveys, with families filing complaints about safety hazards and care issues. The facility consistently struggles with infection control, safety systems (fire suppression and emergency power), and quality of care including wound care and medication management. While the facility corrects identified issues, problems persist across different areas over time, suggesting ongoing operational challenges that families should carefully consider.

Apr 8, 2026Routine
8
0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

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.

0688Potential for harm · IsolatedCorrected

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.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0881Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

Apr 8, 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.

Mar 5, 2026Complaint
2
0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Dec 4, 2025Complaint
1
0689Immediate jeopardy · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Feb 13, 2025Routine
11
0576Potential for harm · WidespreadCorrected

Resident Rights Deficiencies

Ensure residents have reasonable access to and privacy in their use of communication methods.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0570Potential for harm · PatternCorrected

Resident Rights Deficiencies

Assure the security of all personal funds of residents deposited with the facility.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0919Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Jan 5, 2024Complaint
1
0609Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Federal Penalties

Fine

Dec 4, 2025

$26,685

Ownership & Operations

Who Operates This Facility

Owner / Operator

Sandstone Health Care Center

Organization Type

for profit

Chain Affiliation

Chain Name

Cura

Chain Size

9 facilities nationwide

Ownership & Management

Owners

Opatz, Tom

Owner

50%

Struzyk, Fred

Owner

50%

Key personnel

Opatz, TomManaging Control - Governing BodyOpatz, TomOfficer / DirectorStruzyk, FredOfficer / DirectorTf Management LLCManagerColby, JenniferManager
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.

Safer Alternatives Nearby

Based on current clinical data, we identified 4 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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