Emmanuel Nursing Home
1415 Madison Avenue · Detroit Lakes, MN · 56501 · 2188474486
57 certified beds Non profit - Corporation Chain: Ecumen
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
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.
$82,840 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
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: 3 of 5 Inspections: 2 of 5 Staffing: 5 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.40 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.58 | 0.55–0.75 |
| Weekend hours / resident-day | 3.84 | ≈ weekday level |
| Nursing turnover / year | 46% | median 45% |
| Fines (3-yr window) | 1 · $82,840 |
Inspection citations (20 in the current record)
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Potential for harm · D April 3, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 29, 2026 · Quality of Life and Care
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Potential for harm · D February 11, 2026
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected February 23, 2026 · Resident Rights
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Potential for harm · D February 11, 2026
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected February 23, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 11, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 23, 2026 · Quality of Life and Care
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Potential for harm · D February 11, 2026
Provide and implement an infection prevention and control program.
Corrected February 23, 2026 · Infection Control
-
Immediate jeopardy · J January 28, 2026 · found via complaint
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.
Corrected February 23, 2026 · Nutrition and Dietary
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Actual harm · G February 20, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 12, 2025 · Quality of Life and Care
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Potential for harm · D February 20, 2025 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected March 12, 2025 · Administration
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Potential for harm · D January 30, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 4, 2025 · Resident Rights
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Potential for harm · D December 18, 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 January 20, 2025 · Quality of Life and Care
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Potential for harm · D December 18, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 20, 2025 · Quality of Life and Care
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Potential for harm · D December 18, 2024
Provide and implement an infection prevention and control program.
Corrected January 20, 2025 · Infection Control
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Potential for harm · D October 4, 2023
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected November 5, 2023 · Resident Rights
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Potential for harm · D October 4, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 5, 2023 · Resident Assessment and Care Planning
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Potential for harm · D October 4, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 5, 2023 · Quality of Life and Care
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Potential for harm · D October 4, 2023
Assist a resident in gaining access to vision and hearing services.
Corrected November 5, 2023 · Quality of Life and Care
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Potential for harm · E October 4, 2023
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected November 5, 2023 · Nursing and Physician Services
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Potential for harm · E October 4, 2023
Provide and implement an infection prevention and control program.
Corrected November 5, 2023 · Infection Control
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Potential for harm · E October 4, 2023
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected November 5, 2023 · Infection Control
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Potential for harm · D October 4, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 5, 2023 · Quality of Life and Care
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 28, 2026 | Fine | $82,840 |
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 245489 · certified since January 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.