Cambridge Medical Center
An acute care hospital in Cambridge, Minnesota 55008
701 South Dellwood Avenue, Cambridge, Minnesota 55008. (763) 689-7700.
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The short answer
Record last released by CMS on Oct 20, 2026.
- 4of 5 CMS’s overall rating
- 3of 5 patient survey rating
- 1 deficiency cited in the last three years
- 86 beds
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on May 14, 2026: a complaint inspection.
1 deficiency cited in the last three years.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
1 deficiency in 1 month of the last 36. Last cited May 2026. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
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| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
May 14, 2026: complaint inspection1 deficiency
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Patient Rights: Restraint Or Seclusion
The inspectors’ words, 913 words
“PATIENT RIGHTS: RESTRAINT OR SECLUSION CFR(s): 482.13(e)(5) §§482.13(e)(5) - The use of restraint or seclusion must be in accordance with the order of a physician or other licensed practitioner who is responsible for the care of the patient and authorized to order restraint or seclusion by hospital policy in accordance with State law. This Standard is not met as evidenced by: 49618 Based on interview and record review, the facility failed to renew an order for restraints within four hours and obtain the correct order for the type of restraints used for one of ten patients (P1) reviewed. The facility renewed the restraint order one hour and two minutes late. The facility used a six-point (six-point restraints including bicep restraints. Four-point restraints do not include bicep restraints.) restraint and applied a spit hood on P1 when there was only an order for four-point restraints. Findings include: P1’s medical records indicated P1 admitted to the facility on 5/3/26 with a primary diagnosis of bipolar affective disorder, currently manic, severe, with psychotic features. P1’s additional diagnosis included drug-induced psychotic disorder with complications. P1 was discharged from the facility on 5/5/26. P1’s progress notes indicated: -P1 was placed in restraints on 5/3/26 at 6:17 p.m. due to imminent violence towards self and others. -P1 was initially placed in six-point restraints. Staff discontinued the right bicep restraint at 10:15 p.m. -Staff discontinued the left bicep restraint on 5/4/26 at 1:15 a.m. -At 2:30 a.m., staff restarted both bicep restraints and applied the spit hood. The provider was notified prior to the restraints and spit hood being applied. -At 2:42 a.m. indicated staff had attempted to switch P1’s wrist restraints and P1 would not cooperate. P1 bit his tongue and was spitting blood on his blankets. -At 3:45 a.m., staff discontinued the spit hood at 2:45 a.m. At 4:00 a.m., staff discontinued both bicep restraints. -At 5:55 a.m. all restraints were discontinued. P1’s provider order dated 5/3/26 at 6:17 p.m. and 11:18 p.m. and on 5/4/26 at 1:26 a.m. and 5:17 a.m. was for four-point restraints. Between the order on 5/3/26 at 6:17 p.m. and 11:18 p.m., the facility did not have a renewal order at 10:16 p.m. The provider did not have any orders for a six-point restraint or a spit hood. During an interview on 5/12/26 at 10:26 a.m., registered nurse (RN)-A stated if a patient switched from a four-point restraint to a six-point restraint they would have to get an updated order from the provider to apply the six-point restraints. RN-A stated a spit hood would be considered a restraint and the staff must have an order to apply the spit hood. During an interview on 5/12/26 at 10:48 a.m., RN-B stated if a patient switched from a four-point restraint to a six-point restraint, the nurse would have to get an updated order from the provider to apply the six-point restraint. RN-B stated a spit hood is considered a restraint and the nurse would need an order to apply the spit hood. During an interview on 5/12/26 at 11:19 a.m., RN-C stated if a patient switched from a four-point restraint to a six-point restraint, the nurse would have to get an updated order from the provider to apply the six-point restraint. RN-C stated a spit hood is considered a restraint and the nurse would need an order to apply the spit hood. During an interview on 5/13/26 at 11:56 a.m., RN-F stated she worked on 5/3/26 from 7:00 p.m. to 5/4/26 at 7:00 a.m. When RN-F received P1 as her patient, P1 was already in a six-point restraint. RN-F stated that at some point while she was adjusting P1’s restraints, P1 bit his tongue and was spitting blood on his blanket. RN-F put a spit hood on P1 while adjusting P1’s restraints and then took the spit hood off after the adjustment. RN-F stated she did not know she needed an order for the spit hood because she thought the spit hood was included in the restraint order. RN-F stated she used six-point restraints on P1 several times throughout her shift but thought the six-point restraint was included in the restraint order. During an interview on 5/14/26 at 8:23 a.m., provider (P)-A stated when he puts in an order for restraints, there is a drop-down menu that he can select the type of restraints he wants a patient to have. The drop-down menu includes a spit hood and six-point restraints. P-A stated that the staff never asked him to put in an order for a spit hood. P-A stated a restraint are required to be renewed every four hours. During an email correspondence on 5/14/26 at 10:48 a.m., accreditation specialist (AS)-A provided a screenshot of how providers order restraints. In a “Restraints Violent Behavior Adults (18 Years and Older)” order, there is a question about the restraint type with a drop-down menu. In that drop down menu there is an option for bicep restraints and a spit hood. The facility’s Restraints/Seclusion- Management of Violent and/or Self-Destructive Behavior policy dated 6/2025 indicated an order is required for the implementation of restraints. The order must include a time limitation for the restraints, the reason for the restraints, and the specification of the type of restraints used. The time limitation for restraints in adults is four hours. The renewal of the restraints must be renewed before its expiration time. The policy indicated the spit hood is considered a restraint for violent behavior and a provider order is required.”
All 4 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| May 14, 2026 | Complaint inspection | 1 deficiency cited |
| Jun 25, 2025 | Complaint inspection | No deficiencies cited |
| Aug 13, 2024 | Complaint inspection | No deficiencies cited |
| Nov 28, 2023 | Complaint inspection | No deficiencies cited |
How do patients fare?
- CMS’s overall CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System. for it is 4 of 5.
- Of the measures behind its CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System., CMS counts against the national value: mortality, 0 better and 0 worse of 4; safety of care, 0 better and 0 worse of 3; readmission, 2 better and 0 worse of 9.
- Patients rate it 3 of 5 in CMS’s patient survey (392 surveys completed, Oct 1, 2024 to Sep 30, 2025): 71% rated it 9 or 10 out of 10, and 63% would definitely recommend it.
- Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): C. diff infections, no different than national benchmark.
- CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: no different than the national value.
- Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): heart failure 12.1%, pneumonia 15.7%, COPD 7.7%, stroke 10.4%. CMS gives no comparison with the national rate for them in this release.
- Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): heart failure 19.9%, pneumonia 16.1%, COPD 18.8%, hip or knee replacement 5.4%. CMS gives no comparison with the national rate for them in this release.
- After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate; hospital admissions after outpatient chemotherapy, no different than the national rate; emergency visits after outpatient chemotherapy, no different than the national rate; unplanned hospital visits after outpatient surgery, no different than expected.
- Emergency department patients spent a median of 140 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 1% left before being seen.
- 57% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
- Medicare’s spending per patient here is 0.81 times the national median (Jan 1, 2024 to Dec 31, 2024).
CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.
CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Overall ratingCMS’s overall hospital quality star rating, 1 to 5 | 4 of 5 |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | 3 of 5 |
Is it certified, and in good standing?
- Medicare-certified acute care hospital since Jul 1, 1966.
- Ownership: voluntary non-profit - private.
- It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
- Voluntary non-profit - Private.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for hospitals.
- Not among the hospitals whose Medicare payments CMS cut under the Hospital-Acquired Condition Reduction Program for fiscal year 2026.
- 1 deficiency cited in the last three years came from an inspection that included a complaint investigation.
CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
What do patients say about their care?
- CMS doesn’t publish staffing levels for hospitals.
- In CMS’s patient survey, patients rate how well its nurses communicated 4 of 5.
- 64% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- 27 owners or officers are people: Challis Lowe (corporate director); John Richard Church (corporate director); Laura Jean Gillund (corporate director, 0%); Amy L Ronneberg (corporate director); Daniel Thomas O’laughlin (corporate director); Maykao Y Hang (corporate director); Brian Mcgrane (corporate director, 0%); Marna Borgstrom (corporate director, 0%); Jennifer Soo Alstad (corporate director, 0%); Eric David Velleux (managing employee (on the payroll)); Shari L Ballard (corporate director); Timothy Aloysius Welsh (corporate director, 0%); Vicki Rasmusen (corporate director); Debbra Schoneman (corporate director, 0%); James Kolar (corporate director, 0%); Lisa Shannon (corporate director, 0%); Shawn M Ulreich (corporate director, 0%); Chanda L Baker (corporate director, 0%); Melinda Estes (corporate director, 0%); Louis Julius King (corporate director, 0%); Ruth Evelyn Williams-Brinkley (corporate director, 0%); Patricia W Schirmers (corporate director, 0%); Patricia W Schirmers (managing employee (on the payroll)); Barbara A Butts Williams (corporate director, 0%); Thomas S Schreier (corporate director, 0%); Dominica Marie Tallarico (corporate officer, 0%); Joshua Steven Shepherd (corporate officer).
- CMS’s Provider of Services file records 3 changes of ownership.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
How does it compare nearby?
- No other hospital CMS lists is in Isanti County.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
- QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
- CMS doesn’t publish staffing levels for hospitals.
- In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.
Sources
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Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the hospital
The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.