Warroad Care Center
1401 Lake Street Northwest · Warroad, MN · 56763 · 2183861235
49 certified beds Non profit - Corporation
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $145,889 in fines in the last 24 months.
- Staffing hours comfortably above national benchmarks.
- Inspection results have improved across recent cycles.
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
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.
4 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
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.
$145,889 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: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 5.33 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.20 | 0.55–0.75 |
| Weekend hours / resident-day | 4.31 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 7 · $280,774 |
Inspection citations (50 in the current record)
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Potential for harm · D December 18, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected February 2, 2026 · Resident Rights
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Potential for harm · F December 18, 2025
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected February 2, 2026 · Nursing and Physician Services
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Potential for harm · F December 18, 2025
Provide and implement an infection prevention and control program.
Corrected February 2, 2026 · Infection Control
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Potential for harm · E December 18, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected February 2, 2026 · Infection Control
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Potential for harm · D December 18, 2025
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected February 2, 2026 · Infection Control
-
Potential for harm · D December 4, 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 January 9, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 4, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 9, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 27, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 7, 2025 · Resident Rights
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Immediate jeopardy · J November 6, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 20, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J November 6, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 20, 2024 · Quality of Life and Care
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Potential for harm · D November 6, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 20, 2024 · Resident Rights
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Potential for harm · D November 6, 2024
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected December 20, 2024 · Resident Rights
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Potential for harm · D November 6, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 20, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 6, 2024
Respond appropriately to all alleged violations.
Corrected December 20, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 6, 2024
Ensure each resident receives an accurate assessment.
Corrected December 11, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 6, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 11, 2024 · Resident Assessment and Care Planning
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Potential for harm · E November 6, 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 December 20, 2024 · Quality of Life and Care
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Potential for harm · D November 6, 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 December 20, 2024 · Quality of Life and Care
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Potential for harm · F November 6, 2024
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected December 20, 2024 · Nursing and Physician Services
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Potential for harm · F November 6, 2024
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected December 11, 2024 · Administration
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Potential for harm · F November 6, 2024
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Corrected December 11, 2024 · Nursing and Physician Services
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Potential for harm · F November 6, 2024
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected December 20, 2024 · Administration
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Potential for harm · F November 6, 2024
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected December 20, 2024 · Administration
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Potential for harm · F November 6, 2024
Provide and implement an infection prevention and control program.
Corrected December 20, 2024 · Infection Control
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Potential for harm · F November 6, 2024
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected December 20, 2024 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 6, 2024 | Fine | $145,889 |
| November 6, 2024 | Payment Denial | 15 days |
| June 13, 2024 | Fine | $16,187 |
| June 13, 2024 | Payment Denial | 5 days |
| January 2, 2024 | Fine | $3,529 |
| December 11, 2023 | Fine | $8,469 |
| November 22, 2023 | Fine | $11,180 |
| November 22, 2023 | Payment Denial | 1 days |
| November 6, 2023 | Fine | $5,293 |
| September 8, 2023 | Fine | $90,227 |
| September 8, 2023 | Payment Denial | 15 days |
Better-scoring options nearby
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 245329 · certified since August 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.