SAINT THERESE AT OXBOW LAKE
Open-data reference.
SAINT THERESE AT OXBOW LAKE is a non profit - corporation facility in BROOKLYN PARK, MN with 64 certified beds and a 4-star overall CMS rating. The facility has 16 deficiency records on file.
9751 REGENT AVENUE NORTH, BROOKLYN PARK, MN 55443
Phone: 7634937007
Overall Rating
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 245619
- Ownership
- Non profit - Corporation
- Provider Type
- Medicare and Medicaid
- Beds
- 64
- Residents
- 60
- In Hospital
- No
- County
- Hennepin
- Last Inspection
- Dec 6, 2024
Staffing Data
- RN Hours
- 1.90 (nat'l avg: 0.68)
- LPN Hours
- 0.27
- CNA Hours
- 2.56
- Total Nursing Hours
- 4.73 (nat'l avg: 3.89)
- PT Hours
- 0.16
- Nursing Turnover
- 23.0%
- RN Turnover
- 23.3%
What the CMS Record Reveals About SAINT THERESE AT OXBOW LAKE
SAINT THERESE AT OXBOW LAKE operates 64 certified beds in BROOKLYN PARK, MN with approximately 60 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (5★), and quality measures (4★). 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.
The inspection file contains 16 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 4.73 total nursing hours per resident day (national average 3.89), with RN coverage at 1.90 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.
Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, SAINT THERESE AT OXBOW LAKE falls into a category where comparative context matters. 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. Reported nursing turnover at this facility is 23.0%, within a range generally associated with stable care teams. 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 details directly with the facility or your state survey agency before making placement decisions.
Deficiency History (16 most recent)
Reasonably accommodate the needs and preferences of each resident.
Category: Resident Rights Deficiencies
Corrected: Jan 27, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Category: Infection Control Deficiencies
Corrected: Jan 27, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jan 27, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Jan 27, 2025
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Category: Resident Rights Deficiencies
Corrected: Jan 27, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Category: Resident Rights Deficiencies
Corrected: Jan 27, 2025
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Category: Nutrition and Dietary Deficiencies
Corrected: Nov 1, 2024
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: Sep 11, 2024
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: Sep 11, 2024
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.
Category: Pharmacy Service Deficiencies
Corrected: May 3, 2024
Provide safe, appropriate pain management for a resident who requires such services.
Category: Quality of Life and Care Deficiencies
Corrected: May 3, 2024
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: May 3, 2024
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: May 3, 2024
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Category: Resident Rights Deficiencies
Corrected: May 3, 2024
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Category: Nutrition and Dietary Deficiencies
Corrected: May 26, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Category: Resident Rights Deficiencies
Corrected: May 23, 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 | 19.5% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 1.7% | No |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.7% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 10.5% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.0% | Yes |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 96.7% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 92.5% | No |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.3% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 47.9% | Yes |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 7.6% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 97.6% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 95.9% | No |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.5% | Yes |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 39.2% | No |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.9% | Yes |
Penalty History
No penalties on record.
Nearby Nursing Homes in MN
Understanding Nursing Home Data
Related Data from Other Sources
Doctors Nearby
Find physicians and specialists in BROOKLYN PARK, MN on PlainDoctor
Hospitals Nearby
Hospital quality ratings and safety data for BROOKLYN PARK, MN on PlainHospital
Medicare Plans
Compare Medicare plans and coverage options near BROOKLYN PARK, MN on PlainMedicare
County Health Data
Health outcomes, access, and quality metrics for Hennepin on PlainHealth
Frequently Asked Questions
What is the overall CMS rating for SAINT THERESE AT OXBOW LAKE?
What are the staffing levels at SAINT THERESE AT OXBOW LAKE?
How many beds does SAINT THERESE AT OXBOW LAKE have?
Does SAINT THERESE AT OXBOW LAKE have any deficiencies on record?
Has SAINT THERESE AT OXBOW LAKE received any fines or penalties?
Who owns SAINT THERESE AT OXBOW LAKE?
When was SAINT THERESE AT OXBOW LAKE last inspected?
What quality measures are tracked for SAINT THERESE AT OXBOW LAKE?
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. Always verify information directly with the facility or your state health department.
Read our methodology — how this data is sourced, computed, and verified.