Velarion Records

The 340B register and hospital finances — joined, watched daily, delivered.

Skilled nursing facility · CMS certification number 245635

ST JOHNS ON FOUNTAIN LAKE

ALBERT LEA, Minnesota · Medicare and Medicaid

Certified beds, as filed in Care Compare: 84

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 October 2023 to 30 September 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 8 April 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$10,674,366CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$70,702CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,745,068CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$16,121,544CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$5,376,476CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,040,043CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$336,433CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$336,433 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components84CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components30,744CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days1,516CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days12,107CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days12,269CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components25,892CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges40CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges37CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges123CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components200CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.9CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days327.22CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days129.46CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1420436, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 30 September 2023

Cost report for 1 October 2022 to 30 September 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 March 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$6,900,646CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$352,581CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,253,227CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$15,319,767CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$8,066,540CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$7,708,749CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$357,791CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $963,577 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components84CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,211CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components98CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days43.03CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days418.57CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days196.03CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1375591, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 30 September 2022

Cost report for 1 October 2021 to 30 September 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 29 March 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$7,009,691CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$517,537CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,492,154CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$15,653,660CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$9,161,506CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$4,763,796CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$4,397,710CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,860,196 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components84CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,851CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components86CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days43.77CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days587.79CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days219.2CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1345101, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 30 September 2021

Cost report for 1 October 2020 to 30 September 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 April 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$8,558,604CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$786,703CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,771,901CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$16,097,725CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$8,325,824CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,459,674CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$2,866,150CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$819,220 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components84CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components21,363CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components145CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days42.89CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days640.19CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days147.33CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1314508, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 30 September 2020

Cost report for 1 October 2019 to 30 September 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 11 May 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$8,037,713CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$867,337CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,170,376CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$15,815,123CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$8,644,747CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$6,278,510CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$2,366,237CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $10,213 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components84CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components21,321CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components151CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35.78CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days444.58CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days141.2CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1283670, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 30 September 2019

Cost report for 1 October 2018 to 30 September 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 April 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$6,887,967CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$759,401CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,128,566CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$15,670,999CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$9,542,433CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$4,275,243CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$5,267,190CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$821,326 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components84CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,293CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components67CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days54.67CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days921.09CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days287.96CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1254657, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 30 September 2018

Cost report for 29 March 2018 to 30 September 2018 — a reporting period of 185 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 25 April 2019.

None of these figures is carried on this report.

CMS report record 1223304, read from the public cost report file SNF10FY2018.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
CITY OF HAYWARD MINNESOTA5% OR GREATER MORTGAGE INTERESTOrganizationNOT APPLICABLEsince 12/01/2014
UNITED STATES DEPARTMENT OF AGRICULTURE - RURAL DEVELOPMENT5% OR GREATER MORTGAGE INTERESTOrganizationNOT APPLICABLEsince 12/01/2014
ANDERSON, MARKADP OF THE SNFIndividualNOT APPLICABLEsince 03/09/2026
CERTUS ALBERT LEA MANAGEMENT LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 12/05/2025
FRUEHBRODT GLENZINSKI, JUDYADP OF THE SNFIndividualNOT APPLICABLEsince 02/12/2025
KOEPKE, SHANECORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/01/2025
KOLKER-SPARKS, CAMILLACORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/01/2025
ANDERSON, MARKCORPORATE OFFICERIndividualNOT APPLICABLEsince 10/06/2025
HOLT, JOHNCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2025
LIGHT, MARKCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2025
LOBERG, RICHARDCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2025
MUNYER, JAMESCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2025
SCHULZ, STEVENCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2025
WICHMANN, BRENDACORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2025
ANDERSON, MARKOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 10/06/2025
CERTUS ALBERT LEA MANAGEMENT LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 08/08/2025
FRUEHBRODT GLENZINSKI, JUDYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2025
KING, HEATHEROPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/30/2021

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of ST JOHNS LUTHERAN HOME (enrollment ID O20170906001415).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
CITY OF HAYWARD MINNESOTAOrganization5% OR GREATER MORTGAGE INTEREST4812/1/2014
Private equity company: No
Real estate investment trust: No
Holding company: No
UNITED STATES DEPARTMENT OF AGRICULTURE - RURAL DEVELOPMENTOrganization5% OR GREATER MORTGAGE INTEREST5212/1/2014
Private equity company: No
Real estate investment trust: No
Holding company: No
CERTUS ALBERT LEA MANAGEMENT LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/5/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
JUDY L FRUEHBRODT GLENZINSKIIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/12/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARK ANDERSONIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/9/2026
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CAMILLA KOLKER-SPARKSIndividualCORPORATE DIRECTOR91/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SHANE KOEPKEIndividualCORPORATE DIRECTOR91/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BRENDA WICHMANNIndividualCORPORATE OFFICER91/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JAMES MUNYERIndividualCORPORATE OFFICER91/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOHN HOLTIndividualCORPORATE OFFICER91/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARK ANDERSONIndividualCORPORATE OFFICER91/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARK ANDERSONIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/6/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARK LIGHTIndividualCORPORATE OFFICER91/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
RICHARD LOBERGIndividualCORPORATE OFFICER91/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
STEVEN SCHULZIndividualCORPORATE OFFICER91/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CERTUS ALBERT LEA MANAGEMENT LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/8/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
HEATHER KINGIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/30/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JUDY L FRUEHBRODT GLENZINSKIIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARK ANDERSONIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/6/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
13 December 20253 December 2025126
26 November 20246 November 202467
310 January 202410 January 2024124

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

30 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
3 December 2025HealthF 0554Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.DNoDeficient, Provider has date of correction8 January 2026
3 December 2025HealthF 0656Resident 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.DNoDeficient, Provider has date of correction8 January 2026
3 December 2025HealthF 0679Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.DNoDeficient, Provider has date of correction8 January 2026
3 December 2025HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correction8 January 2026
3 December 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correction8 January 2026
3 December 2025HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DNoDeficient, Provider has date of correction8 January 2026
3 December 2025HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correction8 January 2026
3 December 2025HealthF 0699Quality of Life and Care DeficienciesProvide care or services that was trauma informed and/or culturally competent.DNoDeficient, Provider has date of correction8 January 2026
3 December 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correction8 January 2026
6 August 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correction3 September 2025
6 August 2025HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DYesDeficient, Provider has date of correction3 September 2025
6 August 2025HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.JYesPast Non-Compliance21 July 2025
6 November 2024HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DNoDeficient, Provider has date of correction12 December 2024
6 November 2024HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correction12 December 2024
6 November 2024HealthF 0756Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DNoDeficient, Provider has date of correction12 December 2024
6 November 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correction12 December 2024
6 November 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FNoDeficient, Provider has date of correction12 December 2024
24 September 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correction10 October 2024
26 July 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GYesDeficient, Provider has date of correction3 August 2024
17 April 2024HealthF 0656Resident 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.DYesDeficient, Provider has date of correction10 May 2024
17 April 2024HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DYesDeficient, Provider has date of correction10 May 2024
10 January 2024HealthF 0552Resident Rights DeficienciesEnsure that residents are fully informed and understand their health status, care and treatments.DNoDeficient, Provider has date of correction5 February 2024
10 January 2024HealthF 0565Resident Rights DeficienciesHonor the resident's right to organize and participate in resident/family groups in the facility.ENoDeficient, Provider has date of correction5 February 2024
10 January 2024HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.GNoDeficient, Provider has date of correction5 February 2024
10 January 2024HealthF 0688Quality of Life and Care DeficienciesProvide 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.DNoDeficient, Provider has date of correction5 February 2024
10 January 2024HealthF 0698Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.DNoDeficient, Provider has date of correction5 February 2024
10 January 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FNoDeficient, Provider has date of correction5 February 2024
20 September 2023HealthF 0554Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.DYesDeficient, Provider has date of correction13 October 2023
20 September 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correction13 October 2023
7 September 2023HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correction28 September 2023

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
26 July 2024Fine$16,44853854

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeNon profit - Church related
Legal Business NameST JOHNS LUTHERAN HOME
Date First Approved to Provide Medicare and Medicaid Services2018-03-29
Provider Resides in HospitalN
Continuing Care Retirement CommunityY
UrbanN
County/ParishFreeborn
Telephone Number5073732040
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilBoth
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds84
Average Number of Residents per Day76.9
Overall Rating3
Health Inspection Rating2
QM Rating4
Long-Stay QM Rating4
Short-Stay QM Rating4
Processing Date2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

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On 1 July 2026: UNITED STATES DEPARTMENT OF AGRICULTURE - RURAL DEVELOPMENT no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for ST JOHNS ON FOUNTAIN LAKE

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Minnesota at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

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