CCN 245579 · Big Stone County, Minnesota
Essentia Health Grace Home
116 West Second Street, Graceville, MN 56240
Essentia Health Grace Home is a 30-bed nonprofit nursing home in Graceville, Minnesota, first certified for Medicare or Medicaid in 1991. CMS rates it 5 out of 5 stars overall in its September 2026 data, and it averaged 19.0 residents a day, about 63% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 30
- Average residents per day
- 19.0 (63.3% of beds)
- Ownership type
- Non profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Graceville Health Center
- Certified since
- Jul 8, 1991
- Chain or affiliated group
- Essentia Health (6 facilities, chain average 4.3 stars)
- Location
- Rural, inside a hospital
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Minnesota median | US median |
|---|---|---|---|
| Overall rating | 5 of 5 | State spread: 64 at 1, 61 at 2, 58 at 3, 64 at 4, 89 at 5 | |
| Health inspections | 4 of 5 | ||
| Quality measures | 3 of 5 | ||
| Staffing | 5 of 5 | ||
| Total nurse hours per resident per day | 4.42 | 4.16 | 3.68 |
| RN hours per resident per day | 1.27 | 0.97 | 0.58 |
| Weekend nurse hours per resident per day | 3.50 | ||
| Nursing staff turnover | 36.0% | 40.0% | 44.9% |
| Occupancy (residents / beds) | 63.3% | 87.4% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 0 (Mar 5, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Essentia Health Grace Home meets that part today: 5 stars overall, 4 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Essentia HealthOrganization | Direct Ownership Interest | 100% | 07/01/2023 |
| Innovis Health LLCOrganization | Operational / Managerial Control | n/a | 01/01/2017 |
| Arvin, DouglasIndividual | Operational / Managerial Control | n/a | 05/18/2023 |
| Hurley, AlanIndividual | Operational / Managerial Control | n/a | 05/18/2023 |
| Schmidt, JayIndividual | Operational / Managerial Control | n/a | 01/01/2024 |
| Stueve, DebraIndividual | Operational / Managerial Control | n/a | 02/26/2024 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.