Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Aicota Health Care Center during CMS and state inspections, most recent first.
The facility did not submit staffing data for two quarters to CMS as required. The DON was unaware of the failure until an internal audit revealed that an incorrect data file had been used for submission.
The facility failed to provide a surety bond to protect resident trust funds, affecting all 26 residents with trust accounts. Key staff responsible for managing the trust fund were either unaware of the bond or unsure of its details. A surety bond was eventually provided, but there was no evidence of a bond effective before the current one. The facility's policy did not address surety bonds.
The facility failed to ensure accurate MDS assessments for 35 residents, with incorrect documentation of restraint use despite being a restraint-free facility. Additionally, several residents' assessments lacked required BIMS scores, indicating incomplete cognitive evaluations.
The facility failed to conduct required in-person regulatory visits, opting for telehealth instead, affecting 33 residents with various medical conditions. This practice began in August 2024 with the Twin Cities Physician Group, despite a CMS memo prohibiting telehealth for such visits. The facility's policy did not address the federal requirement for in-person visits.
A facility failed to ensure non-pharmacological interventions were attempted before administering psychotropic medications to a resident with multiple diagnoses, including anxiety and hallucinations. The resident's care plan lacked evidence of such interventions, and staff interviews revealed inconsistent documentation and attempts of non-pharmacological measures. The Director of Nursing confirmed the absence of documentation, despite facility policy requiring these interventions before PRN psychotropic medication administration.
The facility failed to ensure PRN psychotropic medication orders were time-limited to 14 days for two residents. One resident, who was cognitively intact, had no documented review of their PRN Ativan order for several months, while another resident with severe cognitive impairment had a PRN lorazepam order with no end date. The facility's policy required a 14-day review, but this was not adhered to, as confirmed by the DON.
Failure to Timely Submit Staffing Data to CMS
Penalty
Summary
The facility failed to timely submit staffing data for two of the four quarters reviewed to the Centers for Medicare and Medicaid Services (CMS) as required. Specifically, for fiscal year 2024, quarters 1 and 2, no staffing data was submitted. During an interview, the Director of Nursing (DON) stated that it was their responsibility to send staffing data to CMS and was unaware of the submission failure until an internal audit revealed the issue. The DON identified that an incorrect data file had been used for the submission of staffing data.
Failure to Provide Surety Bond for Resident Trust Funds
Penalty
Summary
The facility failed to consistently provide a surety bond to protect the account balance of the resident trust fund, affecting all 26 residents with trust accounts. During interviews, the revenue cycle manager and business office manager, who were responsible for managing the resident trust fund account, were either unaware of the surety bond or unsure of its details. A surety bond from Merchants Bonding Company, effective from 1/1/25 to 1/1/26, was eventually provided, but there was no evidence of a surety bond effective prior to 1/1/25. The facility's policy on trust funds, dated 5/10/24, did not address the requirement for surety bonds.
Inaccurate MDS Assessments and Missing BIMS Scores
Penalty
Summary
The facility failed to ensure the accuracy and comprehensiveness of the Minimum Data Set (MDS) assessments for 35 out of 54 residents. Specifically, the MDS assessments for multiple residents inaccurately indicated the use of restraints in Section P, despite the facility's policy of being restraint-free. The Director of Nursing confirmed that no residents were using restraints, indicating a discrepancy between the facility's practices and the documented assessments. Additionally, the MDS assessments for several residents lacked the Brief Interview for Mental Status (BIMS) scores in Section C, which is required to assess cognition. The absence of BIMS scores was noted in the assessments of multiple residents, suggesting a failure to complete the cognitive section of the MDS assessments as required. The MDS coordinator was unavailable for an interview to provide further clarification on these discrepancies.
Failure to Conduct In-Person Regulatory Visits
Penalty
Summary
The facility failed to ensure that required face-to-face regulatory visits between residents and their doctors occurred, as mandated by federal regulations. Instead, the facility conducted these visits via telehealth for 33 out of 54 residents reviewed for compliance. This practice began in August 2024 when the facility switched to the Twin Cities Physician Group, which primarily used telehealth for regulatory visits. The facility's policy on telehealth, dated May 1, 2020, did not address the federal requirement for in-person visits. The deficiency affected residents with various medical conditions, including cognitive impairments, coronary artery disease, heart failure, atrial fibrillation, hypertension, dementia, and other serious health issues. These residents received telehealth visits on multiple occasions, with some having significant changes in their MDS assessments. The facility's director of nursing and the Twin Cities Physician Group's vice president of operations confirmed the use of telehealth for these visits, believing them to be compliant with federal regulations. However, a CMS memo issued on April 7, 2022, clearly stated that long-term care regulatory visits could no longer be conducted via telehealth as of 30 days from the memo's issuance. Despite this, the facility continued to use telehealth for regulatory visits, leading to the deficiency. The medical director explained that a registered nurse was sent to the facility to operate telehealth equipment and perform necessary assessments, but this did not meet the requirement for in-person visits.
Failure to Attempt Non-Pharmacological Interventions Before Psychotropic Medication Administration
Penalty
Summary
The facility failed to ensure that non-pharmacological interventions were attempted prior to administering psychotropic medications to a resident, identified as R252, who was reviewed for psychotropic medication use. R252's admission Minimum Data Set (MDS) did not include a cognitive assessment, and the resident had active diagnoses including cerebrovascular accident, hemiplegia, anxiety, hallucinations, attention deficit disorder, and depression. The care plan for R252 included the use of anti-anxiety and sedative/hypnotic medications, but it lacked evidence of non-pharmacological interventions being attempted before administering as-needed psychotropic medications. The facility's Medication Administration Record indicated that R252 received multiple doses of psychotropic medications such as Haldol, lorazepam, and clonazepam between January 2 and January 17, 2025. However, there was no documentation to support that staff attempted non-pharmacological interventions before administering these medications. Interviews with nursing staff revealed that while they assessed residents before giving medications, there was no specific place to document non-pharmacological interventions, and such interventions were not consistently attempted or recorded. The Director of Nursing (DON) confirmed that there was no documentation of non-pharmacological interventions being attempted prior to administering psychotropic medications to R252. The facility's policy on psychotropic medications required non-pharmacological interventions to be attempted before administering PRN psychotropic medications, but this was not adhered to in practice. The deficiency was identified through observation, interviews, and document review, highlighting a failure to comply with the facility's policy and regulatory requirements.
Failure to Review PRN Psychotropic Medications Every 14 Days
Penalty
Summary
The facility failed to ensure that PRN psychotropic medication orders were time-limited to 14 days for two residents. For one resident, identified as R29, the facility did not document a review of the PRN Ativan order between August 16, 2024, and November 15, 2024, nor was there a documented rationale for extending the order beyond 14 days. The resident, who was cognitively intact, had diagnoses including major depression and anxiety disorder. The hospice agency's order dated November 15, 2024, indicated a review in 60 days, but the facility's documentation lacked evidence of compliance with the 14-day review requirement. Another resident, identified as R42, had a PRN order for lorazepam with no end date, and the facility did not provide evidence of a 14-day review for continuation. This resident had severe cognitive impairment and multiple diagnoses, including PTSD, bipolar disorder, and dementia. The facility's policy required PRN psychotropic medications to be ordered for two weeks and re-evaluated if an extension was needed, but the facility did not adhere to this policy. The Director of Nursing confirmed the lack of evidence for the required reviews during interviews.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Aitkin
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Aitkin Health Services | 0.9 mi | — | 0 | 0 |
| Heartwood | 10.6 mi | — | 0 | 0 |
| Good Samaritan Society - Bethany | 26.4 mi | — | 4 | 0 |
| Good Samaritan Society - Woodland | 27 mi | — | 1 | 0 |
| Cura Of Onamia | 32.2 mi | — | 6 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.