Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around February 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 Perham Living during CMS and state inspections, most recent first.
The facility failed to implement proper infection control measures, including the use of PPE for residents requiring enhanced barrier precautions. Staff did not wear gowns during high-contact activities, and PPE was not readily available. Additionally, there was inadequate training on EBP protocols, and care plans lacked specific interventions. The facility also failed to follow proper procedures for transporting personal laundry, increasing the risk of contamination.
A facility failed to maintain a clean and sanitary environment for a resident's wheelchair and shared standing lifts. A resident with cognitive impairment and multiple diagnoses had a wheelchair with cracked armrests and a soiled cushion. Observations also found debris on standing lifts. Staff interviews confirmed the issues, revealing lapses in cleaning and maintenance procedures. The facility's policies required regular cleaning and maintenance requests, which were not followed.
A resident with a history of stroke and severe cognitive impairment experienced multiple falls due to inadequate supervision and inconsistent implementation of fall prevention interventions. Despite being at high risk, the facility failed to complete post-fall analyses and update care plans effectively, leading to repeated incidents.
Deficiencies in Infection Control and PPE Use
Penalty
Summary
The facility failed to implement appropriate infection prevention and control measures, specifically regarding the use of personal protective equipment (PPE) for residents requiring enhanced barrier precautions (EBP). Observations revealed that staff did not wear gowns during high-contact activities such as emptying urinary catheters and assisting with transfers, despite the presence of indwelling devices and wounds in residents. For instance, a nursing assistant was observed emptying a resident's catheter without wearing a gown, and another assistant helped a resident with a foot wound without using gloves or a gown. These actions were contrary to the guidelines for EBP, which require gown and glove use during such activities to prevent the spread of multidrug-resistant organisms. The facility also failed to ensure that PPE was readily available and that staff were adequately trained on EBP protocols. Several staff members were unaware of the need to use gowns and gloves during high-contact activities, and some were not informed about the presence of EBP PPE in residents' rooms. Additionally, the care plans for residents with indwelling devices and wounds lacked specific EBP interventions, indicating a gap in the facility's infection control practices. The facility had not fully implemented EBP procedures, and not all staff had received the necessary education on these protocols. Furthermore, the facility did not adhere to proper procedures for transporting and delivering personal laundry, which posed a risk of contamination. An observation showed a nursing assistant carrying clean laundry against her uniform instead of using baskets or covered carts, as required by the facility's policy. This practice increased the potential for cross-contamination, further highlighting deficiencies in the facility's infection prevention and control program.
Deficiency in Maintaining Clean and Sanitary Equipment
Penalty
Summary
The facility failed to maintain a clean and sanitary environment for a resident's wheelchair and shared standing lifts. A resident with moderate cognitive impairment and multiple diagnoses, including progressive supranuclear ophthalmoplegia, hypertension, and osteoporosis, required substantial assistance with activities of daily living and used a wheelchair for mobility. Observations revealed that the resident's wheelchair had cracked armrests and a cushion soiled with a dry white substance. Additionally, two standing lifts in the facility's hallway had brown, crumb-like debris on their foot plates. Interviews with staff, including a nursing assistant, a registered nurse, and the maintenance director, confirmed the presence of the debris and the condition of the wheelchair. Staff were expected to fill out maintenance slips for repairs and clean equipment after use, but there was uncertainty about when the last cleaning occurred. The director of nursing stated that nursing staff were responsible for cleaning and completing maintenance slips. The facility's task sheet and policy indicated that wheelchairs and lifts should be cleaned regularly, and maintenance requests should be submitted for repairs.
Failure to Prevent Falls for High-Risk Resident
Penalty
Summary
The facility failed to ensure an evaluation of causal factors was completed after each fall for a resident identified as R73, who had repeated falls and remained at high risk for falls. R73 had a history of cerebral infarction, visuospatial deficit, spatial neglect, incontinence, and hypertension, with severe cognitive impairment requiring extensive assistance with activities of daily living. Despite being at high risk for falls, the facility did not consistently develop and implement relevant interventions to prevent further incidents. R73 experienced multiple unwitnessed falls between February and June 2024, often found on the floor in various locations such as her room, bathroom, and living room. The falls were attributed to factors like gait imbalance, impaired memory, and impulsive behavior, with R73 frequently attempting to self-transfer without assistance. The facility's post-fall analyses often identified similar root causes, such as R73's forgetfulness and inability to use the call light appropriately, but interventions were not consistently updated or effectively implemented. Observations and interviews revealed that staff were not always aware of or following the care plan interventions designed to prevent falls. For instance, R73's wheelchair was not consistently placed within reach, and staff did not always supervise her as required. Additionally, the facility failed to complete a post-fall analysis for a fall on May 13, 2024, and there was a lack of evidence of an incident report for a fall on June 10, 2024. These oversights contributed to the ongoing risk of falls for R73, highlighting deficiencies in the facility's fall prevention protocols.
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What surveyors actually found near you
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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 Perham
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Frazee Care Center | 10.7 mi | — | 6 | 0 |
| Emmanuel Nursing Home | 18.8 mi | — | 9 | 1 |
| Essentia Health Oak Crossing | 19.4 mi | — | 8 | 0 |
| Good Samaritan Society - Battle Lake | 22.1 mi | — | 1 | 0 |
| Pelican Valley Health Center | 23.5 mi | — | 2 | 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.