BIRCHWOOD HEALTH CARE CENTER

FOREST LAKE, MN · 100 beds · Non profit - Corporation

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • 1-star health inspection rating (lowest possible)
  • 2 citation(s) at the highest severity level — immediate risk to residents
  • 2 citation(s) where residents suffered actual harm
  • $132,781 in fines over 3 years

Green Flags

  • 4-star staffing rating

Quick Facts

★★☆☆☆
CMS Overall
★☆☆☆☆
Health Inspection
8
1.0x state avg
Deficiencies
$132,781
Fines (3-yr)
★★★★☆
Staffing

Violation Timeline

December 18, 2025

1 deficiency
F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

Show details

Provide and implement an infection prevention and control program.

November 12, 2025

2 deficiencyies
F0689 Immediate Jeopardy Scope/Severity: J

Quality of Life and Care Deficiencies

Show details

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0842 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

April 9, 2025

5 deficiencyies
F0558 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

Reasonably accommodate the needs and preferences of each resident.

F0757 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

Ensure each resident’s drug regimen must be free from unnecessary drugs.

F0803 Potential Harm Scope/Severity: D

Nutrition and Dietary Deficiencies

Show details

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

F0881 Potential Harm Scope/Severity: D

Infection Control Deficiencies

Show details

Implement a program that monitors antibiotic use.

F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide care and assistance to perform activities of daily living for any resident who is unable.

February 8, 2024

12 deficiencyies
F0550 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide care and assistance to perform activities of daily living for any resident who is unable.

F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0686 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

Show details

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0692 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide enough food/fluids to maintain a resident's health.

F0695 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide safe and appropriate respiratory care for a resident when needed.

F0725 Potential Harm Scope/Severity: F

Nursing and Physician Services Deficiencies

Show details

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

F0727 Potential Harm Scope/Severity: F

Nursing and Physician Services Deficiencies

Show details

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.

F0730 Potential Harm Scope/Severity: F

Nursing and Physician Services Deficiencies

Show details

Observe each nurse aide's job performance and give regular training.

F0732 No Harm Scope/Severity: C

Nursing and Physician Services Deficiencies

Show details

Post nurse staffing information every day.

F0867 Potential Harm Scope/Severity: F

Administration Deficiencies

Show details

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

See full violation history →

Staffing

0.85
RN hrs/res/day
1.14
LPN hrs/res/day
2.18
CNA hrs/res/day
3.74
Weekend hrs/res/day
34%
Total nurse turnover
40%
RN turnover

A nurse checks on each resident roughly every 5.8 hours on average.

Fines & Penalties

  • Fine Feb 8, 2024
    $29,234
  • Fine Jan 3, 2024
    $9,103
  • Fine Jun 6, 2023
    $94,444
Total $132,781

Ownership

Non profit - Corporation Chain: LIFESPARK
  • SENIOR CARE COMMUNITIES

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 03/01/2007

    NO PERCENTAGE PROVIDED Organization
  • SENIOR CARE FOREST LAKE, LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 03/01/2007

    NO PERCENTAGE PROVIDED Organization
  • HESSE, SANDRA

    CORPORATE DIRECTOR

    Since since 03/01/2007

    Individual
  • MARSHALL, SUSAN

    CORPORATE DIRECTOR

    Since since 03/01/2007

    Individual
  • MARTIN, RICHARD

    CORPORATE DIRECTOR

    Since since 03/01/2007

    Individual
  • MARSHALL, JOHN

    CORPORATE OFFICER

    Since since 02/10/2021

    Individual
  • MONTEZ, JIM

    CORPORATE OFFICER

    Since since 02/10/2021

    Individual
  • TOULOUSE, MOLLY

    CORPORATE OFFICER

    Since since 04/30/2017

    Individual
  • JOHNSON, AMANDA

    W-2 MANAGING EMPLOYEE

    Since since 03/23/2018

    Individual
  • TOULOUSE, MOLLY

    W-2 MANAGING EMPLOYEE

    Since since 04/30/2017

    Individual