Birchwood Health Care Center

CMS star ratings

Overall★★★★★ 2/5

State avg 3.2

Health inspections★★★★★ 1/5

State avg 2.8

Staffing★★★★★ 4/5

State avg 4.1

Quality measures★★★★★ 5/5

State avg 3.1

Long-stay quality★★★★★ 5/5

Short-stay quality★★★★★ 4/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing: 3.86 (state 4.19 · U.S. 3.86)
Registered nurses (RN): 0.78 (state 1.06 · U.S. 0.69)
Licensed practical nurses: 0.99 (state 0.61 · U.S. 0.86)
Nurse aides: 2.08 (state 2.52 · U.S. 2.32)
Weekend total: 3.56 (state 3.71 · U.S. 3.42)
Nursing staff turnover: 37.7 (state 42.2 · U.S. 45.8)%
RN turnover: 50.0 (state 38.6 · U.S. 42.9)%
Administrators who left: 1 in the last year

Inspections

Last standard inspection: June 12, 2026
Health deficiencies (last cycle): 11.0 (state 7.0 · U.S. 9.3)
From complaints: 4
Citations on record (3 years): 39 health · 16 fire safety · includes immediate jeopardy

Date	Citation	Severity	Status
2026-06-12	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies	J Immediate jeopardy to resident health or safety	Corrected 2026-06-11
2026-06-12	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2026-07-28
2026-06-12	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-07-28
2026-06-12	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-07-28
2026-06-12	Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-07-28
2026-06-12	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. F0761 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-07-28
2026-06-12	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies	B No actual harm, potential for minimal harm	Corrected 2026-07-28
2026-05-06	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-06-11
2025-12-19	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-01-23
2025-11-13	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection	J Immediate jeopardy to resident health or safety	Corrected 2025-11-09
2025-11-13	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-01-09
2025-04-10	Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-05-27
2025-04-10	Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-05-27
2025-04-10	Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-05-27
2025-04-10	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. F0803 · Nutrition and Dietary Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-05-27
2025-04-10	Implement a program that monitors antibiotic use. F0881 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-05-27
2024-02-09	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies	G Actual harm	Corrected 2024-03-11
2024-02-09	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2024-03-11
2024-02-09	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. F0727 · Nursing and Physician Services Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2024-03-11
2024-02-09	Observe each nurse aide's job performance and give regular training. F0730 · Nursing and Physician Services Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2024-03-11
2024-02-09	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867 · Administration Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2024-03-11
2024-02-09	Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2024-03-11
2024-02-09	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-03-11
2024-02-09	Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-03-11
2024-02-09	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-03-11
2024-02-09	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-03-11
2024-02-09	Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-03-11
2024-02-09	Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-03-11
2024-02-09	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-03-11
2024-02-09	Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies	C No actual harm, potential for minimal harm	Corrected 2024-03-11
2024-01-10	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection	G Actual harm	Corrected 2024-02-03
2024-01-10	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-02-03
2024-01-10	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-02-03
2024-01-10	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-02-03
2024-01-10	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-02-03
2024-01-10	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. F0726 · Nursing and Physician Services Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-02-03
2024-01-04	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-02-03
2023-12-06	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2023-12-27
2023-09-01	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2023-09-27

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

3 penalties in the last three years, including $48,698 in fines.

Date	Type	Amount
2025-11-13	Fine	$10,361
2024-02-09	Fine	$29,234
2024-01-04	Fine	$9,103

Ownership & management

Name	Role	Since
Aegis Therapies, INC. (organization)	Administrator · NOT APPLICABLE
Chebli, Yasser (individual)	Administrator · NOT APPLICABLE
Grape Tree Medical Staffing LLC (organization)	Administrator · NOT APPLICABLE
King, Ryan (individual)	Administrator · NOT APPLICABLE
Kramer, Trisha (individual)	Administrator · NOT APPLICABLE
Lifespark Management Services (organization)	Administrator · NOT APPLICABLE
Lifesprk Holdings, INC. (organization)	Administrator · NOT APPLICABLE
Miller, Megan (individual)	Administrator · NOT APPLICABLE
Senior Care Communities (organization)	Administrator · NOT APPLICABLE
Shiftster LLC (organization)	Administrator · NOT APPLICABLE
Twsl. LLC (organization)	Administrator · NOT APPLICABLE
Marshall, Susan (individual)	Corporate Director · NOT APPLICABLE
Martin, Richard (individual)	Corporate Director · NOT APPLICABLE
Toulouse, Molly (individual)	Corporate Officer · NOT APPLICABLE
Chebli, Yasser (individual)	Operational/managerial Control · NOT APPLICABLE
King, Ryan (individual)	Operational/managerial Control · NOT APPLICABLE
Lifespark Management Services (organization)	Operational/managerial Control · NOT APPLICABLE
Miller, Megan (individual)	Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Birchwood Health Care Center?

Birchwood Health Care Center has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in Minnesota.

How many beds does Birchwood Health Care Center have?

It has 100 certified beds and cares for about 84 residents per day.

Has Birchwood Health Care Center been fined?

Yes. CMS lists 3 penalties totaling $48,698 in the last three years.

Who owns Birchwood Health Care Center?

It is part of Lifespark and is classified as non profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Birchwood Health Care Center?

(651) 464-5600. The facility is located at 604 1ST Street NE, Forest Lake, MN 55025.

Contact & location

Facility details