St Marks Living

400 15th Avenue Southwest · Austin, MN · 55912 · 5074374594

45 certified beds Non profit - Corporation

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results are getting worse cycle over cycle, not better.
  • 3 citations involved actual harm to residents.
  • Staffing hours comfortably above national benchmarks.

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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.

2 actual-harm citations in the most recent cycle

Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 30
Serious harm & abuse 20% 52
Staffing 20% 84
Federal penalties 15% 82
Trend 10% 21
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day4.653.48 min · 4.1 strong
RN hours / resident-day0.790.55–0.75
Weekend hours / resident-day4.13≈ weekday level
Nursing turnover / year46%median 45%
Fines (3-yr window)none

Inspection citations (29 in the current record)

  • Immediate jeopardy · J March 2, 2026 · found via complaint

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

    Corrected April 2, 2026 · Quality of Life and Care

  • Actual harm · G March 2, 2026 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected April 2, 2026 · Quality of Life and Care

  • Actual harm · G March 2, 2026 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected April 2, 2026 · Pharmacy Service

  • Potential for harm · D March 2, 2026 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected May 7, 2026 · Resident Rights

  • Potential for harm · D March 2, 2026 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected May 7, 2026 · Resident Assessment and Care Planning

  • Potential for harm · F March 2, 2026 · found via complaint

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected April 2, 2026 · Administration

  • Potential for harm · D April 3, 2025

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

    Corrected May 9, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 3, 2025

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected May 9, 2025 · Quality of Life and Care

  • Potential for harm · D April 3, 2025

    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 May 9, 2025 · Quality of Life and Care

  • Potential for harm · D April 3, 2025

    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 May 9, 2025 · Quality of Life and Care

  • Potential for harm · D April 3, 2025

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected May 9, 2025 · Quality of Life and Care

  • Potential for harm · F April 3, 2025

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

    Corrected May 9, 2025 · Nutrition and Dietary

  • Potential for harm · F April 3, 2025

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Corrected May 9, 2025 · Administration

  • Potential for harm · E April 3, 2025

    Implement a program that monitors antibiotic use.

    Corrected May 9, 2025 · Infection Control

  • Potential for harm · D April 3, 2025

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected May 9, 2025 · Infection Control

  • Potential for harm · D March 19, 2025 · found via complaint

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

    Corrected April 11, 2025 · Quality of Life and Care

  • Potential for harm · D March 19, 2025 · found via complaint

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

    Corrected April 11, 2025 · Quality of Life and Care

  • Actual harm · G February 21, 2025 · found via complaint

    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 February 3, 2025 · Quality of Life and Care

  • Potential for harm · D February 21, 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 28, 2025 · Resident Rights

  • Potential for harm · D February 21, 2025 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected March 28, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E February 21, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected March 28, 2025 · Infection Control

  • Potential for harm · D December 21, 2023

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected January 11, 2024 · Resident Rights

  • Potential for harm · D December 21, 2023

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Corrected January 18, 2024 · Resident Rights

  • Potential for harm · D December 21, 2023

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected January 11, 2024 · Infection Control

  • Potential for harm · D June 16, 2022

    Assess the resident when there is a significant change in condition

    Corrected August 17, 2022 · Resident Assessment and Care Planning

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
February 21, 2025Payment Denial1 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 245369 · certified since December 1, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.