All states › Minnesota › Deer River › Essentia Health Homestead
115 10th Avenue Northeast Deer River, MN 56636 · Itasca County
CMS certification number 245428 · See this home on Medicare Care Compare
Is Essentia Health Homestead a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Essentia Health Homestead as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Minnesota average of 3.2.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 5.13 hours per resident per day at Essentia Health Homestead, above the Minnesota median of 4.18 (US median: 3.72). About 1.64 of those hours are from registered nurses. On weekends it falls to 4.42 hours, 14% below its all-week average. 43.3% of nursing staff left within a year (Minnesota median 39.7%).
About this nursing home
Paying for care at Essentia Health Homestead: Medicare and Medicaid
Essentia Health Homestead is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Minnesota's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
This home is located in a hospital.
Health inspections
The most recent standard inspection was on April 22, 2026 and found 1 deficiency, plus 5 from complaint inspections in the same period. In total, inspectors issued 15 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 15 citations at Essentia Health Homestead across 7 inspection dates, 7 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on December 17, 2025 (complaint inspection). The most common areas cited were pharmacy service (3) and quality of life and care (3). The most serious was cited under the CMS rule to "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" (tag F0726, level K, December 17, 2025). 2 citations were under CMS's abuse, neglect and exploitation rules.
May 18, 2026 · 1 citation · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
April 22, 2026 · 1 citation
DProvide and implement an infection prevention and control program.
March 31, 2026 · 1 citation, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
December 17, 2025 · 3 citations, includes immediate jeopardy · includes complaint inspection
KEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
DHonor 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.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
July 30, 2025 · 2 citations · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
March 12, 2025 · 5 citations
FEnsure residents have reasonable access to and privacy in their use of communication methods.
FElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
DImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
DEnsure 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.
CPost nurse staffing information every day.
May 16, 2024 · 2 citations
EProvide and implement an infection prevention and control program.
DImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Questions to ask on a tour of Essentia Health Homestead
- Inspectors cited the home at the immediate-jeopardy level on December 17, 2025 under the rule on nursing and physician services. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on July 30, 2025. How are staff trained, and how are concerns reported?
- The home averages about 53% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $67,727 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Mar 31, 2026 | Fine | $27,378 |
| Dec 17, 2025 | Fine | $40,349 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 1/5 | 5/5 | 4/5 |
| August 2026 | 2/5 | 1/5 | 5/5 | 4/5 |
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Location
Hospitals near Essentia Health Homestead
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.1 mi
Deer River Healthcare Center Deer RiverEmergency roomMedian ER visit 1h 31m for patients treated and sent home
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13.9 mi
Grand Itasca Clinic and Hospital Grand RapidsEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 29m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Other Essentia Health nursing homes in Minnesota
- Essentia Health Virginia Care Cent · Virginia · 5 stars
- Essentia Health Oak Crossing · Detroit Lakes · 5 stars
- Essentia Health Grace Home · Graceville · 5 stars
- Essentia Health Northern Pines Medical Center · Aurora · 5 stars
- First Care Living Center · Fosston · 4 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 6 Essentia Health nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.