Bayside Manor LLC
640 Third Street · Gaylord, MN · 55334 · 5072372911
44 certified beds For profit - Limited Liability company Chain: Monarch Healthcare Management Part of a CCRC
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
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Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
62% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.71 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.19 | 0.55–0.75 |
| Weekend hours / resident-day | 3.13 | ≈ weekday level |
| Nursing turnover / year | 62% | median 45% |
| Fines (3-yr window) | 1 · $16,982 |
Inspection citations (34 in the current record)
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Potential for harm · D December 11, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 16, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 11, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected January 16, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F December 11, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 16, 2026 · Nutrition and Dietary
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Potential for harm · F December 11, 2025
Provide and implement an infection prevention and control program.
Corrected January 16, 2026 · Infection Control
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Potential for harm · D December 11, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected January 16, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 11, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 16, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F December 11, 2025 · found via complaint
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.
Corrected January 16, 2026 · Pharmacy Service
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Immediate jeopardy · J December 5, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D May 29, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected June 16, 2025 · Resident Rights
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Potential for harm · D October 15, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 22, 2024 · Resident Rights
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Potential for harm · D October 15, 2024
Ensure each resident receives an accurate assessment.
Corrected November 22, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 15, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 22, 2024 · Quality of Life and Care
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Potential for harm · D October 15, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 22, 2024 · Quality of Life and Care
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Potential for harm · D October 15, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected November 22, 2024 · Quality of Life and Care
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Potential for harm · D October 15, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected November 22, 2024 · Pharmacy Service
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Potential for harm · F October 15, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 22, 2024 · Nutrition and Dietary
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Potential for harm · D October 15, 2024
Provide and implement an infection prevention and control program.
Corrected November 22, 2024 · Infection Control
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Potential for harm · E October 15, 2024
Implement a program that monitors antibiotic use.
Corrected November 22, 2024 · Infection Control
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Immediate jeopardy · J February 7, 2024
Honor 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.
Corrected March 14, 2024 · Resident Rights
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Potential for harm · D February 7, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 14, 2024 · Resident Rights
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Potential for harm · D February 7, 2024
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.
Corrected March 14, 2024 · Quality of Life and Care
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Potential for harm · F February 7, 2024
Have 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.
Corrected October 15, 2024 · Nursing and Physician Services
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Potential for harm · D February 7, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 14, 2024 · Pharmacy Service
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Potential for harm · E February 7, 2024
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.
Corrected March 14, 2024 · Pharmacy Service
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Potential for harm · F February 7, 2024
Provide and implement an infection prevention and control program.
Corrected March 14, 2024 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 7, 2024 | Fine | $16,982 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 245473 · certified since May 1, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.