Skilled nursing facility · CMS certification number 245467
HENDRICKS COMMUNITY HOSPITAL
HENDRICKS, Minnesota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 52
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
No Medicare cost report on file for this facility.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| MCCLUSKEY, TABB | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/30/2025 |
| OLSEN, TRAVIS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/28/2025 |
| ENGELS, JOHN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/24/2017 |
| FIER, AMY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/25/2022 |
| JOHNSON, BRITTANY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/25/2022 |
| MOLASCON, ALLEN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/21/2003 |
| NESS, JAMES | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/27/2015 |
| POPOWSKI, DAWN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2019 |
| ROBINSON, VINCE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2003 |
| SHAW, HEATHER | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/25/2024 |
| VANECK, MARK | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/21/1988 |
| OLSEN, TRAVIS | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2025 |
| MCCLUSKEY, TABB | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| OLSEN, TRAVIS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| ENGELS, JOHN | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 08/24/2017 |
| FIER, AMY | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 08/25/2022 |
| JOHNSON, BRITTANY | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 08/25/2022 |
| MOLASCON, ALLEN | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 08/21/2003 |
| NESS, JAMES | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 08/27/2015 |
| POPOWSKI, DAWN | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2019 |
| ROBINSON, VINCE | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2003 |
| SHAW, HEATHER | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 08/25/2024 |
| VANECK, MARK | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 07/21/1988 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME (enrollment ID O20050727000599).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| TABB D MCCLUSKEY | Individual | ADP OF THE SNF | Not stated in the filing | 4/30/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TRAVIS OLSEN | Individual | ADP OF THE SNF | Not stated in the filing | 4/28/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ALLEN MOLASCON | Individual | CORPORATE DIRECTOR | Not stated in the filing | 8/21/2003 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AMY HEIDI FIER | Individual | CORPORATE DIRECTOR | 0 | 8/25/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRITTANY JOHNSON | Individual | CORPORATE DIRECTOR | 0 | 8/25/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAWN POPOWSKI | Individual | CORPORATE DIRECTOR | 0 | 1/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HEATHER SHAW | Individual | CORPORATE DIRECTOR | 0 | 8/25/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES NESS | Individual | CORPORATE DIRECTOR | Not stated in the filing | 8/27/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN ENGELS | Individual | CORPORATE DIRECTOR | 0 | 8/24/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK VANECK | Individual | CORPORATE DIRECTOR | Not stated in the filing | 7/21/1988 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| VINCE ROBINSON | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/1/2003 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TRAVIS OLSEN | Individual | CORPORATE OFFICER | 0 | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TABB D MCCLUSKEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TRAVIS OLSEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ALLEN MOLASCON | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 8/21/2003 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AMY HEIDI FIER | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 8/25/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRITTANY JOHNSON | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 8/25/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAWN POPOWSKI | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 1/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HEATHER SHAW | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 8/25/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES NESS | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 8/27/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN ENGELS | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 8/24/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK VANECK | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 7/21/1988 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| VINCE ROBINSON | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 1/1/2003 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- June 1, 2025: TRAVIS OLSEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: TABB D MCCLUSKEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: JEFFREY GOLLAHER no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: JEFFREY GOLLAHER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: JEFFREY GOLLAHER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: TRAVIS OLSEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since April 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: TRAVIS OLSEN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: TRAVIS OLSEN (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: TABB D MCCLUSKEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- January 1, 2025: JAMIE ENGELSTAD no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: JEFFREY GOLLAHER (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since March 27, 2007. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: HEATHER SHAW (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since August 25, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: HEATHER SHAW (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since August 25, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: ALLEN MOLASCON (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since August 21, 2003. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: JOHN ENGELS (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since August 24, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: BRITTANY JOHNSON (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since August 25, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: JAMES NESS (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since August 27, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: VINCE ROBINSON (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since January 1, 2003. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: TABB D MCCLUSKEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since November 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: TABB D MCCLUSKEY (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: AMY HEIDI FIER (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since August 25, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: DAWN POPOWSKI (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: JEFFREY GOLLAHER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since November 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: MARK VANECK (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since July 21, 1988. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- August 1, 2023: NORRIS PATRICK no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: JACKIE TROOIEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: JEFFREY GOLLAHER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: BRITTANY JOHNSON (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since August 25, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: AMY HEIDI FIER (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since August 25, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: JEFFREY GOLLAHER (OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since March 27, 2007. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
Recent changes on this record
- September 1, 2026: certified_beds: 48 → 52. NH_ProviderInfo_Sep2026_3.csv
- June 1, 2025: TRAVIS OLSEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: TABB D MCCLUSKEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: JEFFREY GOLLAHER no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: JEFFREY GOLLAHER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: JEFFREY GOLLAHER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: TRAVIS OLSEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since April 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: TRAVIS OLSEN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: TRAVIS OLSEN (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: TABB D MCCLUSKEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- January 1, 2025: JAMIE ENGELSTAD no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: JEFFREY GOLLAHER (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since March 27, 2007. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: HEATHER SHAW (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since August 25, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: HEATHER SHAW (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since August 25, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: ALLEN MOLASCON (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since August 21, 2003. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: JOHN ENGELS (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since August 24, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: BRITTANY JOHNSON (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since August 25, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: JAMES NESS (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since August 27, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: VINCE ROBINSON (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since January 1, 2003. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: TABB D MCCLUSKEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since November 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: TABB D MCCLUSKEY (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: AMY HEIDI FIER (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since August 25, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: DAWN POPOWSKI (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: JEFFREY GOLLAHER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since November 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: MARK VANECK (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since July 21, 1988. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- August 1, 2023: NORRIS PATRICK no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: JACKIE TROOIEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: JEFFREY GOLLAHER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: BRITTANY JOHNSON (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since August 25, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: AMY HEIDI FIER (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since August 25, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: JEFFREY GOLLAHER (OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since March 27, 2007. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | June 25, 2026 | June 25, 2026 | 9 | 12 |
| 2 | April 30, 2025 | April 30, 2025 | 8 | 5 |
| 3 | May 30, 2024 | May 30, 2024 | 9 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
26 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 25, 2026 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | July 31, 2026 |
| June 25, 2026 | Health | F 0565 | Resident Rights Deficiencies | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | No | Deficient, Provider has date of correction | July 31, 2026 |
| June 25, 2026 | Health | F 0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | No | Deficient, Provider has date of correction | July 31, 2026 |
| June 25, 2026 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | No | Deficient, Provider has date of correction | July 31, 2026 |
| June 25, 2026 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | July 31, 2026 |
| June 25, 2026 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | July 31, 2026 |
| June 25, 2026 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | No | Deficient, Provider has date of correction | July 31, 2026 |
| June 25, 2026 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | July 31, 2026 |
| June 25, 2026 | Health | F 0868 | Administration Deficiencies | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | No | Deficient, Provider has date of correction | July 31, 2026 |
| April 30, 2025 | Health | F 0640 | Resident Assessment and Care Planning Deficiencies | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | No | Deficient, Provider has date of correction | June 25, 2025 |
| April 30, 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | June 25, 2025 |
| April 30, 2025 | Health | F 0727 | Nursing and Physician Services Deficiencies | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | No | Waiver has been granted | June 25, 2025 |
| April 30, 2025 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | June 25, 2025 |
| April 30, 2025 | Health | F 0865 | Administration Deficiencies | Have a plan that describes the process for conducting QAPI and QAA activities. | F | No | Deficient, Provider has date of correction | June 25, 2025 |
| April 30, 2025 | Health | F 0867 | Administration Deficiencies | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | No | Deficient, Provider has date of correction | June 25, 2025 |
| April 30, 2025 | Health | F 0868 | Administration Deficiencies | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | No | Deficient, Provider has date of correction | June 25, 2025 |
| April 30, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | June 25, 2025 |
| May 30, 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | July 31, 2024 |
| May 30, 2024 | Health | F 0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | No | Deficient, Provider has date of correction | July 31, 2024 |
| May 30, 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | July 31, 2024 |
| May 30, 2024 | Health | F 0727 | Nursing and Physician Services Deficiencies | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | No | Waiver has been granted | |
| May 30, 2024 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | July 31, 2024 |
| May 30, 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | July 31, 2024 |
| May 30, 2024 | Health | F 0867 | Administration Deficiencies | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | No | Deficient, Provider has date of correction | July 31, 2024 |
| May 30, 2024 | Health | F 0895 | Administration Deficiencies | Have a Compliance and Ethics Program. | F | No | Deficient, Provider has date of correction | July 31, 2024 |
| May 30, 2024 | Health | F 0944 | Administration Deficiencies | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | D | No | Deficient, Provider has date of correction | July 31, 2024 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME |
| Date First Approved to Provide Medicare and Medicaid Services | 1987-04-01 |
| Provider Resides in Hospital | Y |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Lincoln |
| Telephone Number | 5072753134 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 52 |
| Average Number of Residents per Day | 45.6 |
| Overall Rating | 1 |
| Health Inspection Rating | 3 |
| QM Rating | 1 |
| Long-Stay QM Rating | 1 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on HENDRICKS COMMUNITY HOSPITAL: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On September 1, 2026: certified_beds: 48 → 52. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for HENDRICKS COMMUNITY HOSPITAL
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Minnesota at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Other public records in Minnesota
- AACRON INC, PLYMOUTH Water discharge permit
- ALEXANDRIA LIGHT & POWER, ALEXANDRIA Water discharge permit
- NORTHWOODS ICE OF BEMIDJI INC, BEMIDJI Water discharge permit
- HIAWATHA METALCRAFT INC, MINNEAPOLIS Water discharge permit
- PREMIER PRODUCTS INC, BRAHAM Water discharge permit
- EDEN PRAIRIE WELL HOUSE 6 & 7, EDEN PRAIRIE Water discharge permit
- MARINE IRON & SHIP BUILDING CO, DULUTH Water discharge permit
- MICRON MOLDING, BLOOMINGTON Water discharge permit
- CENTRAL SPECIALTIES INC - PLANT 6, ALEXANDRIA Air emission source
- CENTRAL SPECIALTIES INC - PLANT 5, ALEXANDRIA Air emission source
- CENTRAL SPECIALTIES INC - PLANT 4, ALEXANDRIA Air emission source
- CENTRAL SPECIALTIES INC - PLANT 3, ALEXANDRIA Air emission source
- INTEX CORP, ALBERTVILLE Air emission source
- HAWKINSON CONSTRUCTION CO INC - PLANT 2, GRAND RAPIDS Air emission source
- TRI CITY PAVING INC, LITTLE FALLS Air emission source
- KNIFE RIVER CORP N CENTRAL - PLANT 7, LITTLE FALLS Air emission source
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 245467.