Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around March 2027
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 Divine Providence Community Home during CMS and state inspections, most recent first.
A resident with multiple chronic conditions did not receive the recommended walking program due to staff unavailability, despite a care plan and therapy referral indicating the need for daily walks. Observations and interviews revealed inconsistencies in the implementation of the walking program, with several days showing no walks documented in the EHR.
The facility failed to monitor oxygen administration for two residents, leading to empty oxygen tanks while they were in the dining room. One resident with congestive heart failure and another with COPD were affected. Staff acknowledged the oversight, and the facility's policy lacked guidance on periodic oxygen level checks.
A resident with multiple diagnoses and limited mobility was injured when staff used a toileting sling instead of the prescribed full body sling for a transfer. This resulted in significant pain, bruising, and a humeral fracture. The facility's policy required adherence to care plans, which was not followed in this case.
Failure to Implement Resident Walking Program
Penalty
Summary
The facility failed to provide a walking program to meet the assessed needs of a resident with chronic obstructive pulmonary disease, type two diabetes mellitus, chronic kidney disease, and heart failure. The resident's quarterly Minimum Data Set (MDS) assessment indicated the use of a walker, wheelchair, and limb prosthesis, with partial assistance required for various activities. Despite a care plan indicating the resident should walk with setup assistance and a therapy referral recommending a walking program three times daily, the resident reported not walking as much as desired due to staff unavailability. Observations and interviews revealed inconsistencies in the implementation of the walking program. Nursing assistants stated that both restorative nursing assistants and nursing assistants were responsible for walking residents, with completed walks documented in the electronic health record (EHR). However, a review of the EHR showed that the resident did not walk three times daily as recommended, with several days showing no walks at all. The director of nursing acknowledged the importance of walking to maintain the resident's function but noted that the walks were not completed as recommended.
Oxygen Administration Monitoring Deficiency
Penalty
Summary
The facility failed to ensure proper monitoring of oxygen administration for two residents, leading to deficiencies in care. One resident, diagnosed with multiple fractured ribs and congestive heart failure, required continuous oxygen therapy. However, during an observation, it was found that the resident's oxygen tank was empty while she was in the dining room. The LPN present acknowledged the empty tank and replaced it. The nursing assistant admitted to noticing the low oxygen level earlier but forgot to address it after the resident decided to eat in the dining room. The resident's care plan did not include oxygen therapy, which contributed to the oversight. Another resident, diagnosed with chronic obstructive pulmonary disease, was observed with an empty oxygen tank while seated in the dining room. The LPN verified the tank was empty and replaced it. The resident did not feel short of breath during the meal, as she was not exerting herself. The facility's policy on oxygen concentrators and cylinders did not include periodic checks of the oxygen level in tanks, which may have contributed to the oversight. The director of nursing stated that staff usually changed out portable oxygen tanks in the morning if needed, but the responsibility to check the oxygen level was on the staff member accompanying the resident.
Inappropriate Use of Mechanical Lift Sling Results in Resident Injury
Penalty
Summary
The facility failed to use the appropriate type of mechanical lift sling according to the care plan for a resident, resulting in harm. The resident, who had multiple diagnoses including osteoarthritis, chronic pain, and limited mobility, was transferred using a toileting sling instead of the prescribed full body sling. This inappropriate use of the toileting sling caused the resident significant pain, bruising, and a humeral fracture in the left arm. The care plan specifically directed staff to use a full body sling for transfers and not to use a sling that goes under the arms due to the resident's limited range of motion and shoulder issues. On the day of the incident, two nursing assistants used the toileting sling for the transfer, despite one of them questioning its appropriateness due to the difficulty in applying it and the resident's moaning during the process. The resident's increased pain and bruising were noted by various staff members over the following days, leading to an emergency department visit where a fracture was confirmed. Interviews with staff revealed that the resident had been using a full body sling for approximately 1.5 years and that the toileting sling was not suitable for her condition. The facility's policy required staff to follow care plans and caregiver worksheets for guidance on the level of assistance required by each resident. However, in this case, the staff did not adhere to the care plan, resulting in the resident's injury. The Director of Nursing and the administrator both acknowledged that the toileting sling was initially tried but found unsuitable, and it was expected that staff would follow the care plan to prevent such incidents.
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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 Sleepy Eye
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Sleepy Eye Rehabilitati Center | 1.4 mi | — | 8 | 0 |
| Gil-mor Manor | 12 mi | — | 3 | 0 |
| Oak Hills Living Center | 12.3 mi | — | 9 | 0 |
| St John Lutheran Home | 12.9 mi | — | 0 | 0 |
| Franklin Restorative Care Center | 16.7 mi | — | 13 | 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.