SNF
SAINT THERESE AT OXBOW LAKE
CCN: 245619 · BROOKLYN PARK, MN 55443 · Hennepin County
Overview
- Address
- 9751 REGENT AVENUE NORTH, BROOKLYN PARK, MN 55443
- Phone
- 7634937007
- Certified beds
- 64
- Avg daily residents
- 60 (93% of beds filled)
- Ownership
- Non-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 2013-07-16
- Setting
- Urban
4 /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 | 4.73 | 3.56 | 5.13 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 1.90 | 0.62 | 2.07 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.27 | 0.79 | 0.29 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.56 | 2.14 | 2.78 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 2.17 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.16 | — | — | — |
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)
4.33
hrs / resident / day
RN (weekend)
1.50
hrs / resident / day
Total nurse (adjusted, weekend)
4.70
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
23.0%
annual
RN turnover
23.3%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.26
higher acuity than avg
Case-Mix Index Ratio
0.91
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) | 2024-12-06 | 6 | 6 | 1 | 48 | 1 | 48 |
| Cycle 2/3 (prior) | 2024-03-07 | 8 | 5 | 3 | 32 | 1 | 32 |
Total weighted health score
44.0
lower is better
Deficiencies (16)
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
15 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2024-12-06 | 2025-01-27 |
| 0578 | 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. | F | 2024-12-06 | 2025-01-27 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-12-06 | 2025-01-27 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2024-12-06 | 2025-01-27 |
| 0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2024-12-06 | 2025-01-27 |
| 0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-12-06 | 2025-01-27 |
| 0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2024-10-11 | 2024-11-01 |
| 0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-08-07 | 2024-09-11 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-08-07 | 2024-09-11 |
| 0578 | 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. | D | 2024-03-07 | 2024-05-03 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-03-07 | 2024-05-03 |
| 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 | 2024-03-07 | 2024-05-03 |
| 0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-03-07 | 2024-05-03 |
| 0758 | 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. | D | 2024-03-07 | 2024-05-03 |
| 0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | C | 2023-04-19 | 2023-05-23 |
| 0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2023-04-19 | 2023-05-26 |
Financial Health (FY 2024)
Payer mix (share of resident days)
Medicare 23.6% Medicaid 76.1% Other 0.2%
Operating performance
Operating Margin
-10.2%
Total Margin
8.7%
Occupancy Rate
54.7%
Cost per Resident Day
$111
Revenue & costs
Net Patient Revenue
$10.6M
Total Costs
$1.4M
Net Income
$1.1M
Balance sheet
Total Assets
$15.0M
Total Liabilities
$3.8M
Fund Balance
$11.2M
Current Ratio
1.75
Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: SAINT THERESE SENIOR COMMUNITIES
- Chain ID
624- Facilities in chain
- 4
- Legal business name
- SAINT THERESE OF OXBOW LAKE, LLC
Chain-average star ratings (for peer context)
Overall
4.5
Health
4.0
Staffing
4.5
QM
4.3
Owner / manager organizations (6)
| Organization | Role | Association |
|---|---|---|
| SAINT THERESE COMMUNITIES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 06/28/2019 |
| SAINT THERESE | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 07/15/2010 |
| SAINT THERESE | OPERATIONAL/MANAGERIAL CONTROL | since 06/28/2019 |
| SAINT THERESE COMMUNITIES | OPERATIONAL/MANAGERIAL CONTROL | since 06/28/2019 |
| SAINT THERESE MANAGEMENT SERVICES, LLC | OPERATIONAL/MANAGERIAL CONTROL | since 06/28/2019 |
| BREMER BANK NATIONAL ASSOCIATION | 5% OR GREATER MORTGAGE INTEREST | since 07/12/2011 |
Owner / manager individuals (19)
| Name | Role | Association |
|---|---|---|
| DELANDER, CHRISTINE | OPERATIONAL/MANAGERIAL CONTROL | since 11/04/2024 |
| MITTAL, VIKAS | OPERATIONAL/MANAGERIAL CONTROL | since 11/01/2020 |
| PETERSON, TESSA | OPERATIONAL/MANAGERIAL CONTROL | since 06/10/2024 |
| ABBOTT, CRAIG | CORPORATE DIRECTOR | since 05/23/2022 |
| GILLESPIE, JOSEPH | CORPORATE DIRECTOR | since 08/15/2012 |
| HERB, MARY | CORPORATE DIRECTOR | since 07/01/2023 |
| HOFFMANN, DAVID | CORPORATE DIRECTOR | since 03/09/2017 |
| HORSTMANN, STEVEN | CORPORATE DIRECTOR | since 04/01/2020 |
| KRENN, DAVID | CORPORATE DIRECTOR | since 12/01/2011 |
| MCCLUSKEY, PATRICIA | CORPORATE DIRECTOR | since 07/01/2023 |
| MCCROSSAN, JANE | CORPORATE DIRECTOR | since 08/15/2012 |
| MEADS, STEVEN | CORPORATE DIRECTOR | since 03/12/2015 |
| PARMAR, MONA | CORPORATE DIRECTOR | since 08/01/2018 |
| TAFFE, PATRICK | CORPORATE DIRECTOR | since 12/01/2013 |
| WORNSON, KATHRYN | CORPORATE DIRECTOR | since 06/13/2013 |
| ABBOTT, CRAIG | CORPORATE OFFICER | since 05/23/2022 |
| HOFFMANN, DAVID | CORPORATE OFFICER | since 07/01/2022 |
| SHELANGOSKI, CAL | CORPORATE OFFICER | since 03/05/2018 |
| WORNSON, KATHRYN | CORPORATE OFFICER | since 07/01/2022 |
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
- Both
- 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 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 2024, 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 ($) | $111 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 1.75 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,024 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 76.1% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 23.6% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $1,113,850 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $10,626,227 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 54.7% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -10.2% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $15,009,833 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,428,851 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $11,214,103 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $3,795,730 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 8.7% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.28922 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.77682 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 2.06621 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 5.13225 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 4.70050 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | 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 | 59.5 | 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 | 0.78898 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.14427 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.62189 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.55513 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.13348 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 4.0 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 4.5 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 4.3 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 4.5 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 624 | Chain ID |
| Provider Information | Chain Name | SAINT THERESE SENIOR COMMUNITIES | Chain Name |
| Provider Information | City/Town | BROOKLYN PARK | City/Town |
| Provider Information | CMS Certification Number (CCN) | 245619 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Hennepin | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 2013-07-16 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 3 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 45.1105 | Latitude |
| Provider Information | Legal Business Name | SAINT THERESE OF OXBOW LAKE, LLC | Legal Business Name |
| Provider Information | Location | 9751 REGENT AVENUE NORTH,BROOKLYN PARK,MN,55443 | Location |
| Provider Information | Long-Stay QM Rating | 3 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -93.347 | 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 | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 64 | 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 | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.25943 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.91418 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 4 | 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 | 9751 REGENT AVENUE NORTH | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | SAINT THERESE AT OXBOW LAKE | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 260 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 4 | 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 | 1 | 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 | 6 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2024-12-06 | 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 | 6 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 5 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-03-07 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 32 | 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 | 3 | 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 | 32 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 8 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 1.50158 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 23.3 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 2.16888 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.26631 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.55689 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.16108 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 1.90256 | 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 | 4.72577 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 5 | 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 | 5 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | MN | State |
| Provider Information | Telephone Number | 7634937007 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 4.32822 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 23.0 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 44.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Both | With a Resident and Family Council |
| Provider Information | ZIP Code | 55443 | ZIP Code |