SNF
BIRCHWOOD HEALTH CARE CENTER
CCN: 245200 · FOREST LAKE, MN 55025 · Washington County
Overview
- Address
- 604 1ST STREET NE, FOREST LAKE, MN 55025
- Phone
- 6514645600
- Certified beds
- 100
- Avg daily residents
- 80 (80% of beds filled)
- Ownership
- Non-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1974-12-01
- Setting
- Urban
2 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.91 | 3.62 | 4.17 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.80 | 0.63 | 0.85 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.07 | 0.80 | 1.14 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.04 | 2.18 | 2.18 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.86 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.02 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.51
hrs / resident / day
RN (weekend)
0.68
hrs / resident / day
Total nurse (adjusted, weekend)
3.74
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
34.3%
annual
RN turnover
40.0%
annual
Administrators departed
New facility — insufficient data.
Resident acuity
Nursing Case-Mix Index
1.28
higher acuity than avg
Case-Mix Index Ratio
0.93
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-04-10 | 8 | 5 | 4 | 48 | 1 | 48 |
| Cycle 2/3 (prior) | 2024-02-09 | 27 | 14 | 13 | 259 | 1 | 259 |
Total weighted health score
100.8
lower is better
Deficiencies (36)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
1 A/B/C No actual harm — minor
31 D/E/F Actual harm — potential for minor
2 G/H/I Actual harm
2 J/K/L Immediate jeopardy
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0880 | Provide and implement an infection prevention and control program. | D | 2025-12-19 | 2026-01-23 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2025-11-13 | 2025-11-09 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-11-13 | 2026-01-09 |
| 0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-04-10 | 2025-05-27 |
| 0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2025-04-10 | 2025-05-27 |
| 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. | D | 2025-04-10 | 2025-05-27 |
| 0881 | Implement a program that monitors antibiotic use. | D | 2025-04-10 | 2025-05-27 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-04-10 | 2025-05-27 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-02-09 | 2024-03-11 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-02-09 | 2024-03-11 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-02-09 | 2024-03-11 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-02-09 | 2024-03-11 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-02-09 | 2024-03-11 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-02-09 | 2024-03-11 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-02-09 | 2024-03-11 |
| 0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | 2024-02-09 | 2024-03-11 |
| 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. | F | 2024-02-09 | 2024-03-11 |
| 0730 | Observe each nurse aide's job performance and give regular training. | F | 2024-02-09 | 2024-03-11 |
| 0732 | Post nurse staffing information every day. | C | 2024-02-09 | 2024-03-11 |
| 0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2024-02-09 | 2024-03-11 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2024-02-09 | 2024-03-11 |
| 0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2024-02-09 | 2024-03-11 |
| 0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-01-10 | 2024-02-03 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-01-10 | 2024-02-03 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2024-01-10 | 2024-02-03 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-01-10 | 2024-02-03 |
| 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. | D | 2024-01-10 | 2024-02-03 |
| 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. | D | 2024-01-10 | 2024-02-03 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-01-04 | 2024-02-03 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-12-06 | 2023-12-27 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-09-01 | 2023-09-27 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2023-06-07 | 2023-06-28 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-06-07 | 2023-06-28 |
| 0610 | Respond appropriately to all alleged violations. | D | 2023-06-07 | 2023-06-28 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-03-22 | 2023-04-21 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2022-08-04 | 2022-08-25 |
Penalties (3)
Fines issued
3
last 3 years
Total fines
$132,781
| Date | Type | Fine amount |
|---|---|---|
| 2024-01-04 | Fine | $9,103 |
| 2024-02-09 | Fine | $29,234 |
| 2023-06-07 | Fine | $94,444 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 6.7% Medicaid 62.1% Other 31.2%
Operating performance
Operating Margin
1.9%
Total Margin
2.8%
Occupancy Rate
65.7%
Cost per Resident Day
$42
Revenue & costs
Net Patient Revenue
$9.0M
Total Costs
$1.0M
Net Income
$257K
Balance sheet
Total Assets
$8.0M
Total Liabilities
$11.1M
Fund Balance
-$3.2M
Current Ratio
4.28
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: LIFESPARK
- Chain ID
316- Facilities in chain
- 4
- Legal business name
- SENIOR CARE FOREST LAKE, LLC
Chain-average star ratings (for peer context)
Overall
1.3
Health
1.0
Staffing
2.5
QM
4.3
Owner / manager organizations (2)
| Organization | Role | Association |
|---|---|---|
| SENIOR CARE COMMUNITIES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 03/01/2007 |
| SENIOR CARE FOREST LAKE, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 03/01/2007 |
Owner / manager individuals (8)
| Name | Role | Association |
|---|---|---|
| HESSE, SANDRA | CORPORATE DIRECTOR | since 03/01/2007 |
| MARSHALL, SUSAN | CORPORATE DIRECTOR | since 03/01/2007 |
| MARTIN, RICHARD | CORPORATE DIRECTOR | since 03/01/2007 |
| MARSHALL, JOHN | CORPORATE OFFICER | since 02/10/2021 |
| MONTEZ, JIM | CORPORATE OFFICER | since 02/10/2021 |
| TOULOUSE, MOLLY | CORPORATE OFFICER | since 04/30/2017 |
| JOHNSON, AMANDA | W-2 MANAGING EMPLOYEE | since 03/23/2018 |
| TOULOUSE, MOLLY | W-2 MANAGING EMPLOYEE | since 04/30/2017 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $42 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 4.28 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 62.1% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 6.7% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $257,140 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $8,965,560 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 65.7% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | 1.9% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $7,956,859 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,014,713 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-3,171,896 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $11,128,755 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 2.8% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 1.13650 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.17709 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.85240 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 4.16598 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.74018 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | 26 | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 80.4 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.80341 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.18349 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.63326 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.62016 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.19079 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 1.0 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 1.3 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 4.3 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.5 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 316 | Chain ID |
| Provider Information | Chain Name | LIFESPARK | Chain Name |
| Provider Information | City/Town | FOREST LAKE | City/Town |
| Provider Information | CMS Certification Number (CCN) | 245200 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Washington | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1974-12-01 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 1 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 45.2854 | Latitude |
| Provider Information | Legal Business Name | SENIOR CARE FOREST LAKE, LLC | Legal Business Name |
| Provider Information | Location | 604 1ST STREET NE,FOREST LAKE,MN,55025 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -92.982 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | — | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 100 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 4 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 3 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.28246 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.93090 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 2 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | Non profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 604 1ST STREET NE | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | BIRCHWOOD HEALTH CARE CENTER | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 810 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 48 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 4 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 5 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-04-10 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 48 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 8 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 14 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-02-09 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 259 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 13 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 259 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 27 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.67693 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 40.0 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.86487 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.06563 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.04132 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.02001 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.79924 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.90619 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 4 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 4 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | MN | State |
| Provider Information | Telephone Number | 6514645600 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 132781.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.50694 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 3 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 34.3 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 100.750 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 55025 | ZIP Code |