PlainNursing
CMS Nursing Home Compare · August 2026

Birchwood Health Care Center

604 1st Street NE, Forest Lake, MN 55025

Birchwood Health Care Center, a 100-bed non profit - corporation nursing facility in Forest Lake, MN, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #218 of 336 rated homes in MN on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 4 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 6514645600

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2 / 5
Below average · CMS overall · nat'l 3.0
#218 of 336
In-state rank among rated MN homes
3.86
About average · nurse hrs/day · nat'l 3.86
39
Inspection findings · 4 serious

The verdict

Birchwood Health Care Center, a 100-bed non profit - corporation nursing facility in Forest Lake, MN, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #218 of 336 rated homes in MN on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 4 inspection findings reached the actual-harm or immediate-jeopardy level.

2 / 5
CMS overall · national 3.0
#218 of 336
In-state rank among rated MN homes
3.86
Nurse hrs/resident-day · national 3.86
39
Inspection findings · 4 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 338 MN nursing homes split by ownership sector

This facility is recorded as Non profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

1/5

Staffing

4/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
245200
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
100
Residents
84
In Hospital
No
County
Washington
Last Inspection
Jun 12, 2026

Staffing Data

How the 3.86 total nursing hours per resident-day are staffed:

RN Hours
0.78 (nat'l avg: 0.69)
LPN Hours
0.99
CNA Hours
2.08
Total Nursing Hours
3.86 (nat'l avg: 3.86)
PT Hours
0.02
Nursing Turnover
37.7%
RN Turnover
50.0%

What the CMS Record Reveals About Birchwood Health Care Center

According to CMS Nursing Home Compare, Birchwood Health Care Center ranks #218 of 336 rated nursing homes in MN on overall stars (tie-broken by health+staffing+quality, then fewer fines). Birchwood Health Care Center operates 100 certified beds in Forest Lake, MN with approximately 84 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 1★ · staffing 4★ · quality 5★).

The inspection file contains 39 deficiency records from recent surveys, of which 4 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 3 penalties totaling $49K against this provider. Reported nurse staffing runs 3.86 total hours per resident day (national average 3.86); RN hours specifically are 0.78 per resident day.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Birchwood Health Care Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 37.7% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (39 most recent)

B - Pattern - No harm Jun 12, 2026 Tag: 0582

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category: Resident Rights Deficiencies

Corrected: Jul 28, 2026

D - Isolated - Minimal harm Jun 12, 2026 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Jul 28, 2026

D - Isolated - Minimal harm Jun 12, 2026 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 28, 2026

D - Isolated - Minimal harm Jun 12, 2026 Tag: 0628

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Category: Resident Rights Deficiencies

Corrected: Jul 28, 2026

D - Isolated - Minimal harm Jun 12, 2026 Tag: 0550

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

Category: Resident Rights Deficiencies

Corrected: Jul 28, 2026

E - Pattern - Minimal harm Jun 12, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jul 28, 2026

J - Isolated - Jeopardy Jun 12, 2026 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 11, 2026

D - Isolated - Minimal harm May 6, 2026 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 11, 2026

D - Isolated - Minimal harm Dec 19, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jan 23, 2026

D - Isolated - Minimal harm Nov 13, 2025 Tag: 0842

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 9, 2026

J - Isolated - Jeopardy Nov 13, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Nov 9, 2025

D - Isolated - Minimal harm Apr 10, 2025 Tag: 0881

Implement a program that monitors antibiotic use.

Category: Infection Control Deficiencies

Corrected: May 27, 2025

D - Isolated - Minimal harm Apr 10, 2025 Tag: 0803

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.

Category: Nutrition and Dietary Deficiencies

Corrected: May 27, 2025

D - Isolated - Minimal harm Apr 10, 2025 Tag: 0757

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

Category: Pharmacy Service Deficiencies

Corrected: May 27, 2025

D - Isolated - Minimal harm Apr 10, 2025 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: May 27, 2025

D - Isolated - Minimal harm Apr 10, 2025 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: May 27, 2025

C - Widespread - No harm Feb 9, 2024 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Mar 11, 2024

D - Isolated - Minimal harm Feb 9, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 11, 2024

D - Isolated - Minimal harm Feb 9, 2024 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 11, 2024

D - Isolated - Minimal harm Feb 9, 2024 Tag: 0692

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 11, 2024

D - Isolated - Minimal harm Feb 9, 2024 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 11, 2024

D - Isolated - Minimal harm Feb 9, 2024 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 11, 2024

D - Isolated - Minimal harm Feb 9, 2024 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 11, 2024

D - Isolated - Minimal harm Feb 9, 2024 Tag: 0550

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

Category: Resident Rights Deficiencies

Corrected: Mar 11, 2024

E - Pattern - Minimal harm Feb 9, 2024 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Mar 11, 2024

F - Widespread - Minimal harm Feb 9, 2024 Tag: 0867

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

Category: Administration Deficiencies

Corrected: Mar 11, 2024

F - Widespread - Minimal harm Feb 9, 2024 Tag: 0730

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

Category: Nursing and Physician Services Deficiencies

Corrected: Mar 11, 2024

F - Widespread - Minimal harm Feb 9, 2024 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Mar 11, 2024

F - Widespread - Minimal harm Feb 9, 2024 Tag: 0725

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

Category: Nursing and Physician Services Deficiencies

Corrected: Mar 11, 2024

G - Isolated - Actual harm Feb 9, 2024 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 11, 2024

D - Isolated - Minimal harm Jan 10, 2024 Tag: 0726

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Feb 3, 2024

D - Isolated - Minimal harm Jan 10, 2024 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 3, 2024

D - Isolated - Minimal harm Jan 10, 2024 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 3, 2024

D - Isolated - Minimal harm Jan 10, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 3, 2024

D - Isolated - Minimal harm Jan 10, 2024 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 3, 2024

G - Isolated - Actual harm Jan 10, 2024 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Feb 3, 2024

D - Isolated - Minimal harm Jan 4, 2024 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Feb 3, 2024

D - Isolated - Minimal harm Dec 6, 2023 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 27, 2023

D - Isolated - Minimal harm Sep 1, 2023 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 27, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 12.3% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.4% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.4% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 13.7% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 2.6% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 12.0% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.3% Yes
Percentage of long-stay residents who lose too much weight Long Stay 5.7% No
Percentage of long-stay residents who have depressive symptoms Long Stay 9.4% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 9.8% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 98.1% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 28.6% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 98.2% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 88.7% No

Penalty History 3 penalties totaling $49K

Date Type Amount
Nov 13, 2025 Fine $10K
Feb 9, 2024 Fine $29K
Jan 4, 2024 Fine $9K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Birchwood Health Care Center, both outside MN so the neighborhoods are not the same-state geography list below.

What the CMS records show for Birchwood Health Care Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The MN registry aggregates state averages and the highest-rated homes in this cohort. View MN registry
  • Peer homes near 100 beds show how CMS stars vary at a similar scale in MN. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Birchwood Health Care Center?
Birchwood Health Care Center has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (1★), staffing levels (4★), and quality measures (5★).
Where does Birchwood Health Care Center rank among nursing homes in MN?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Birchwood Health Care Center ranks 218th among 336 rated nursing homes in MN (#218 of 336). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Birchwood Health Care Center?
Birchwood Health Care Center reports 3.86 total nursing hours per resident day (national average: 3.86). RN hours are 0.78 per resident day (national average: 0.69). Nursing staff turnover is 37.7%.
How many beds does Birchwood Health Care Center have?
Birchwood Health Care Center has 100 certified beds with approximately 84 residents. The facility is located at 604 1st Street NE, Forest Lake, MN 55025.
Does Birchwood Health Care Center have any deficiencies on record?
Yes, Birchwood Health Care Center has 39 deficiencies on record from recent inspections. Of these, 4 are classified as causing actual harm or jeopardy.
Has Birchwood Health Care Center received any fines or penalties?
Yes, Birchwood Health Care Center has received 3 penalties totaling $49K.
Who owns Birchwood Health Care Center?
Birchwood Health Care Center is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Birchwood Health Care Center last inspected?
The most recent health inspection for Birchwood Health Care Center was on Jun 12, 2026. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Birchwood Health Care Center?
Birchwood Health Care Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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