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Nursing HomeMedicaid Investigative

Stewartville Care Center

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

120 Fourth Street Northeast, Stewartville, MN 5597658 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
5.0/5

based on 2 Google reviews

Stewartville Care Center Nursing Home in Stewartville, 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 (7 vs median 6.5)
  • High staff turnover (51%)

Below average in MN · Meets national RN staffing standard · Above recommended total nurse staffing · $11,911 in fines

Source: Medicare data

What this means for your family

This facility has areas of concern that warrant careful consideration. Registered Nurse hours are only 93% of the national benchmark, which can affect medication management and response times. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.70hrs
93%
Registered nurses for medical care
Total Nursing
3.91hrs
95%
All nurses + aides combined
Staff Turnover
61%
Lower is better (< 30% = good)
RN Turnover
44%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

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

Medicare Rating
2/ 5
Better Than Avg

6

measures

Worse Than Avg

10

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility1.6%
Better than Avg
Here
1.6%
US
19.5%
MN
12.5%
Olmsted
7.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility29.9%
Worse than Avg
Here
29.9%
US
15.3%
MN
21.4%
Olmsted
18.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility33.2%
Worse than Avg
Here
33.2%
US
19.4%
MN
24.5%
Olmsted
27.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.0%
Better than Avg
Here
2.0%
US
12.1%
MN
4.3%
Olmsted
6.0%

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

🩺

Residents with a long-term catheter

↓ Lower is better
This Facility10.3%
Worse than Avg
Here
10.3%
US
0.9%
MN
2.1%
Olmsted
4.9%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility18.8%
Worse than Avg
Here
18.8%
US
15.5%
MN
17.0%
Olmsted
10.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility59.4%
Worse than Avg
Here
59.4%
US
81.8%
MN
88.3%
Olmsted
85.8%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility84.6%
Better than Avg
Here
84.6%
US
79.8%
MN
82.7%
Olmsted
80.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.1%
Worse than Avg
Here
2.1%
US
1.6%
MN
1.8%
Olmsted
1.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
1penalties
Near state avg (8.0)
13 complaint-triggered
$11,911 in fines

Families have filed multiple complaints triggering 12 deficiencies, including serious issues with abuse/neglect reporting and resident safety. The facility shows persistent problems with food service and safety, medication management, and electrical systems that recur across surveys from 2022-2024. While all deficiencies appear corrected, the pattern of repeated violations in core care areas and family complaints suggests ongoing quality concerns families should investigate thoroughly.

Apr 7, 2026Complaint
1
0600Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Dec 4, 2025Complaint
1
0700Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Apr 3, 2025Routine
9
0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

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.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0908Potential for harm · PatternCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0353Minimal · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Minimal · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Dec 12, 2024Complaint
1
0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Jun 12, 2024Complaint
4
0689Actual 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.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0744Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

May 24, 2024Complaint
3
0801Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0808Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Federal Penalties

Fine

Sep 1, 2023

$11,911

Ownership & Operations

Who Operates This Facility

Owner / Operator

Stewartville Care Center

Organization Type

nonprofit

Ownership & Management

Key personnel

Nogosek, JenniferManagerSwanton, KristinManagerWilliams, KyleManagerWuerflein, TammyManagerZimmerman, DanielManager
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 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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