Skilled nursing facility · CMS certification number 245485
JOHNSON MEMORIAL HOSPITAL & HOME
DAWSON, Minnesota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 56
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 |
|---|---|---|---|---|
| JOHNSON MEMORIAL HEALTH SERVICES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 06/06/1972 |
| BOTHUN, CRYSTAL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/07/2024 |
| REDEPENNING, JACOB | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/18/2024 |
| SHELSTAD, ERIK | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/01/2021 |
| BOTHUN, CRYSTAL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 08/07/2024 |
| REDEPENNING, JACOB | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/18/2024 |
| REDEPENNING, JACOB | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 11/18/2024 |
| SHELSTAD, ERIK | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 08/01/2021 |
| BOTHUN, CRYSTAL | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 08/04/2024 |
| BOTHUN, CRYSTAL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/04/2024 |
| REDEPENNING, JACOB | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/18/2024 |
| SHELSTAD, ERIK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/01/2021 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of JOHNSON MEMORIAL HEALTH SERVICES (enrollment ID O20040427000318).
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 |
|---|---|---|---|---|---|
| JOHNSON MEMORIAL HEALTH SERVICES | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 6/6/1972 | Private equity company: No Real estate investment trust: No Holding company: No |
| CRYSTAL BOTHUN | Individual | ADP OF THE SNF | Not stated in the filing | 8/7/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ERIK J SHELSTAD | Individual | ADP OF THE SNF | Not stated in the filing | 8/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JACOB WILLIAM REDEPENNING | Individual | ADP OF THE SNF | Not stated in the filing | 11/18/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CRYSTAL BOTHUN | Individual | CORPORATE OFFICER | 0 | 8/7/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JACOB WILLIAM REDEPENNING | Individual | CORPORATE OFFICER | 0 | 11/18/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ERIK J SHELSTAD | Individual | INDIRECT OWNERSHIP INTEREST | 0 | 8/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JACOB WILLIAM REDEPENNING | Individual | INDIRECT OWNERSHIP INTEREST | 0 | 11/18/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CRYSTAL BOTHUN | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 8/4/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CRYSTAL BOTHUN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/4/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ERIK J SHELSTAD | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JACOB WILLIAM REDEPENNING | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/18/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 1/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 1/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 1/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 1/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 1/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 1/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 1/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 1/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | TRUSTEE OF THE SNF | 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 |
Changes in ownership
- August 1, 2026: CRYSTAL BOTHUN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: CARLA JOHNSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: JOHNSON MEMORIAL HEALTH SERVICES no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: KEN PERKINS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: DUSTIN CITROWSKE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: SARA L JOHNSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: GEORGE THESING no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: JACOB WILLIAM REDEPENNING (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since November 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: JACOB WILLIAM REDEPENNING (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since November 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: JACOB WILLIAM REDEPENNING (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since November 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: JACOB WILLIAM REDEPENNING (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since November 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: CRYSTAL BOTHUN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 7, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: CRYSTAL BOTHUN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 4, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: CRYSTAL BOTHUN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 4, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: JOHNSON MEMORIAL HEALTH SERVICES (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since June 6, 1972. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: ERIK J SHELSTAD (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: ERIK J SHELSTAD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: ERIK J SHELSTAD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: A listing under TRUSTEE OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
Recent changes on this record
- August 1, 2026: CRYSTAL BOTHUN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: CARLA JOHNSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: JOHNSON MEMORIAL HEALTH SERVICES no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: KEN PERKINS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: DUSTIN CITROWSKE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: SARA L JOHNSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: GEORGE THESING no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: JACOB WILLIAM REDEPENNING (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since November 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: JACOB WILLIAM REDEPENNING (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since November 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: JACOB WILLIAM REDEPENNING (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since November 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: JACOB WILLIAM REDEPENNING (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since November 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: CRYSTAL BOTHUN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 7, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: CRYSTAL BOTHUN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 4, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: CRYSTAL BOTHUN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 4, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: JOHNSON MEMORIAL HEALTH SERVICES (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since June 6, 1972. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: ERIK J SHELSTAD (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: ERIK J SHELSTAD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: ERIK J SHELSTAD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: A listing under TRUSTEE OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | April 22, 2026 | April 22, 2026 | 0 | 2 |
| 2 | February 20, 2025 | February 20, 2025 | 9 | 3 |
| 3 | April 10, 2024 | April 10, 2024 | 2 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
11 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| February 20, 2025 | 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 | Yes | Deficient, Provider has date of correction | April 28, 2025 |
| February 20, 2025 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | F | Yes | Deficient, Provider has date of correction | April 28, 2025 |
| February 20, 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | April 28, 2025 |
| February 20, 2025 | 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 | April 28, 2025 |
| February 20, 2025 | 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. | E | No | Deficient, Provider has date of correction | April 28, 2025 |
| February 20, 2025 | Health | F 0838 | Administration Deficiencies | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | No | Deficient, Provider has date of correction | April 28, 2025 |
| February 20, 2025 | Health | F 0851 | Administration Deficiencies | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | No | Deficient, Provider has date of correction | April 28, 2025 |
| February 20, 2025 | Health | F 0882 | Infection Control Deficiencies | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | No | Deficient, Provider has date of correction | April 28, 2025 |
| January 22, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Yes | Past Non-Compliance | January 16, 2025 |
| April 10, 2024 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has date of correction | May 8, 2024 |
| April 10, 2024 | 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 | May 8, 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 | Government - Hospital district |
| Legal Business Name | JOHNSON MEMORIAL HEALTH SERVICES |
| Date First Approved to Provide Medicare and Medicaid Services | 1987-06-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Lac Qui Parle |
| Telephone Number | 3203122101 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 56 |
| Average Number of Residents per Day | 50.1 |
| Overall Rating | 3 |
| Health Inspection Rating | 4 |
| 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 JOHNSON MEMORIAL HOSPITAL & HOME: 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 August 1, 2026: CRYSTAL BOTHUN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. 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 JOHNSON MEMORIAL HOSPITAL & HOME
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.
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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 245485.