Emmanuel Nursing Home
A nursing home in Detroit Lakes, Minnesota 56501
1415 Madison Avenue, Detroit Lakes, Minnesota 56501. (218) 847-4486.
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 28, 2026.
- 3of 5 CMS’s overall rating
- 6 health citations at the latest inspection cycle Minnesota average: 7.2
- 4.45 nurse hours per resident per day Minnesota average: 4.27
- 1 fine in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- 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.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
6 health citations at the latest inspection cycle
The Minnesota average is 7.2.
Last standard inspection Feb 11, 2026.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Jan 28, 2026
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
12 citations in 6 months of the last 36. Last cited Apr 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 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.
All 12 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 5 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Apr 3, 2026: complaint inspection1 citation
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Feb 11, 2026: standard inspection4 citations
-
Allow residents to self-administer drugs if determined clinically appropriate.
-
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
-
Provide care and assistance to perform activities of daily living for any resident who is unable.
-
Provide and implement an infection prevention and control program.
Jan 28, 2026: complaint inspection1 citation
-
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.
Feb 20, 2025: complaint inspection2 citations
-
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Jan 30, 2025: complaint inspection1 citation
-
Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Dec 18, 2024: standard inspection3 citations
-
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.
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
Provide and implement an infection prevention and control program.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jan 1, 1987.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as non profit, corporation.
- 57 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $53,847 in all.
- No Medicare payment denials in the last three years.
- 5 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Jan 28, 2026 | Fine | $53,847 |
Who does the caring?
4.45 nurse hours per resident per day
The Minnesota average is 4.27.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Minnesota average |
|---|---|---|
| Nurse hours per resident per day | 4.45 | 4.27 |
| Of which registered nurses | 1.41 | 1.08 |
| At weekends | 3.79 | 3.73 |
| Nursing staff turnover | 45% | 42.1% |
| Registered nurse turnover | 30% | 39.3% |
| Administrators who left | 0 | Not given |
Who owns it?
- Cdl Homes, LLC owns 100% directly since Jun 28, 2004.
- Cdl Homes, LLC runs it.
- 120 owners or officers are people: Shelley L Kendrick (runs it (operational or managerial control), 100%); Nicole Marie Cox (runs it (operational or managerial control)); Nicole Marie Cox (additional disclosable party (controls, leases property to, or provides services to the home)); Marcia Kull (corporate director, 0%); Marcia Kull (runs it (operational or managerial control)); Marcia Kull (on the governing body (managing control)); Jan Marie Conlin (corporate director, 0%); Jan Marie Conlin (runs it (operational or managerial control)); Jan Marie Conlin (on the governing body (managing control)); Peter Burton Schuna (corporate director, 0%); Peter Burton Schuna (runs it (operational or managerial control)); Peter Burton Schuna (on the governing body (managing control)); James Stephen Mcalpine (corporate officer, 0%); James Stephen Mcalpine (runs it (operational or managerial control)); James Stephen Mcalpine (on the governing body (managing control)); James Stephen Mcalpine (additional disclosable party (controls, leases property to, or provides services to the home)); Tina Marie Palmer (corporate officer, 0%); Tina Marie Palmer (runs it (operational or managerial control)); Tina Marie Palmer (on the governing body (managing control)); Tina Marie Palmer (additional disclosable party (controls, leases property to, or provides services to the home)); Brian Horvath (runs it (operational or managerial control)); Brian Horvath (additional disclosable party (controls, leases property to, or provides services to the home)); Angela Stevens (runs it (operational or managerial control)); Angela Stevens (additional disclosable party (controls, leases property to, or provides services to the home)); Bridget Jean Okeson (runs it (operational or managerial control)); Bridget Jean Okeson (additional disclosable party (controls, leases property to, or provides services to the home)); Joseph Anzel (runs it (operational or managerial control)); Joseph Anzel (additional disclosable party (controls, leases property to, or provides services to the home)); John Petraborg (corporate director, 0%); John Petraborg (runs it (operational or managerial control)); John Petraborg (on the governing body (managing control)); James Daniel Schowalter (corporate director, 0%); James Daniel Schowalter (runs it (operational or managerial control)); James Daniel Schowalter (on the governing body (managing control)); Jennifer Lynn Beeson (runs it (operational or managerial control)); Jeanette Lynne Augustson (corporate director, 0%); Jeanette Lynne Augustson (runs it (operational or managerial control)); Jeanette Lynne Augustson (on the governing body (managing control)); Danielle Mrosla (runs it (operational or managerial control)); Danielle Mrosla (additional disclosable party (controls, leases property to, or provides services to the home)); Jacqueline Leffner (runs it (operational or managerial control)); Jacqueline Leffner (additional disclosable party (controls, leases property to, or provides services to the home)); Kerri Keller (runs it (operational or managerial control)); Kerri Keller (additional disclosable party (controls, leases property to, or provides services to the home)); Melissa Renee Gillette (runs it (operational or managerial control)); Melissa Renee Gillette (additional disclosable party (controls, leases property to, or provides services to the home)); Brent D Iserman (corporate director, 0%); Brent D Iserman (runs it (operational or managerial control)); Brent D Iserman (on the governing body (managing control)); Jessica Spearman (runs it (operational or managerial control)); Jessica Spearman (additional disclosable party (controls, leases property to, or provides services to the home)); Amanda Rae Wik (runs it (operational or managerial control)); Amanda Rae Wik (additional disclosable party (controls, leases property to, or provides services to the home)); Angela Mae Shovein (runs it (operational or managerial control)); Angela Mae Shovein (additional disclosable party (controls, leases property to, or provides services to the home)); Susan R Bergstrom (corporate director, 0%); Susan R Bergstrom (runs it (operational or managerial control)); Susan R Bergstrom (on the governing body (managing control)); Kou Vang (runs it (operational or managerial control)); Kou Vang (additional disclosable party (controls, leases property to, or provides services to the home)); Susan Schuh (runs it (operational or managerial control)); Susan Schuh (additional disclosable party (controls, leases property to, or provides services to the home)); Holly Annette Bohlen (runs it (operational or managerial control)); Holly Annette Bohlen (additional disclosable party (controls, leases property to, or provides services to the home)); Thomas Martin Krolak, Jr. (runs it (operational or managerial control)); Thomas Martin Krolak, Jr. (additional disclosable party (controls, leases property to, or provides services to the home)); Angelica Andresen (corporate officer, 0%); Angelica Andresen (runs it (operational or managerial control)); Angelica Andresen (on the governing body (managing control)); Angelica Andresen (additional disclosable party (controls, leases property to, or provides services to the home)); Alvin Roath (runs it (operational or managerial control)); Alvin Roath (additional disclosable party (controls, leases property to, or provides services to the home)); Douglas John Dreyer (runs it (operational or managerial control)); Douglas John Dreyer (additional disclosable party (controls, leases property to, or provides services to the home)); Shelley L Kendrick (corporate officer, 0%); Shelley L Kendrick (on the governing body (managing control)); Shelley L Kendrick (additional disclosable party (controls, leases property to, or provides services to the home)); Tami Jo Haley (corporate officer, 0%); Tami Jo Haley (runs it (operational or managerial control)); Tami Jo Haley (on the governing body (managing control)); Tami Jo Haley (additional disclosable party (controls, leases property to, or provides services to the home)); Monica Lee Kemper (runs it (operational or managerial control)); Monica Lee Kemper (additional disclosable party (controls, leases property to, or provides services to the home)); Amal Osman (runs it (operational or managerial control)); Amal Osman (additional disclosable party (controls, leases property to, or provides services to the home)); Janice Bartnes (additional disclosable party (controls, leases property to, or provides services to the home)); Joy Marie Plamann (corporate director, 0%); Joy Marie Plamann (runs it (operational or managerial control)); Joy Marie Plamann (on the governing body (managing control)); Maria Kim Wilson (runs it (operational or managerial control)); Maria Kim Wilson (additional disclosable party (controls, leases property to, or provides services to the home)); Douglas Clyde Harrison (corporate officer, 0%); Douglas Clyde Harrison (runs it (operational or managerial control)); Douglas Clyde Harrison (on the governing body (managing control)); Douglas Clyde Harrison (additional disclosable party (controls, leases property to, or provides services to the home)); Blaine Michael Gamst (runs it (operational or managerial control)); Blaine Michael Gamst (additional disclosable party (controls, leases property to, or provides services to the home)); Nils Warren Snyder (corporate director, 0%); Nils Warren Snyder (runs it (operational or managerial control)); Nils Warren Snyder (on the governing body (managing control)); Sharlene Miata Getaweh (corporate director, 0%); Sharlene Miata Getaweh (runs it (operational or managerial control)); Sharlene Miata Getaweh (on the governing body (managing control)); Danielle Olson (runs it (operational or managerial control)); Danielle Olson (additional disclosable party (controls, leases property to, or provides services to the home)); Amy Lynn Olson (corporate officer, 0%); Amy Lynn Olson (runs it (operational or managerial control)); Amy Lynn Olson (on the governing body (managing control)); Amy Lynn Olson (additional disclosable party (controls, leases property to, or provides services to the home)); Christine Hukriede (additional disclosable party (controls, leases property to, or provides services to the home)); Charles Donovan Newland (runs it (operational or managerial control)); Mary W Frey (corporate director, 0%); Mary W Frey (runs it (operational or managerial control)); Mary W Frey (on the governing body (managing control)); Jamie Thom (runs it (operational or managerial control)); Jamie Thom (additional disclosable party (controls, leases property to, or provides services to the home)); Emily Ann Laxdal Sommer (corporate officer, 0%); Emily Ann Laxdal Sommer (runs it (operational or managerial control)); Emily Ann Laxdal Sommer (on the governing body (managing control)); Emily Ann Laxdal Sommer (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Ecumen (5 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Cdl Homes, LLC | Owns 5% or more directly | 100% | Jun 28, 2004 |
| Cdl Homes, LLC | Runs it (operational or managerial control) | Jun 28, 2004 | |
| Cdl Homes, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 28, 2004 |
How do residents fare?
- CMS rates its quality measures 2 of 5 (Minnesota average 3.2).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 3 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 5 of 5 |
| Quality measures | 2 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 36.7 miles, this one had the 1st most health citations at the latest inspection cycle (6; the middle value was 1.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Emmanuel Nursing Home This nursing home | 6 | |
| Essentia Health Oak Crossing | 0.6 | 1 |
| Frazee Care Center | 8.3 | 1 |
| Sunnyside Care Center | 11.3 | 2 |
| Perham Living | 18.8 | 3 |
| Pelican Valley Health Center | 20.0 | 1 |
| Viking Manor Nursing Home | 27.6 | 1 |
| Valley Care and Rehab LLC | 28.0 | 0 |
| Mahnomen Health Center | 35.4 | 6 |
| Green Pine Acres Nursing Home | 35.8 | 2 |
| Good Samaritan Society - Battle Lake | 36.1 | 1 |
| MN Veterans Home-Fergus Falls | 36.7 | 3 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
-
Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 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 home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home 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 home”, and paying will never change a finding, a rating or the order of results.