Birchwood Health Care Center in Forest Lake, MN has a 2-star overall rating, with a 1-star health inspection rating, 4-star staffing, and 5-star quality measures. It was recently fined $15,940 and has a recent federal penalty; reported nurse staffing is 4.06 hours per resident day, just below the 4.1-hour federal benchmark.
Last inspection: December 19, 2025Penalties, last 24 months: $15,940recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0642.
Staffing detail
Registered nurses
0.77
Licensed practical nurses
1.06
Nurse aides
2.23
Weekend nursing
3.79
Hours per resident per day.
Total staff turnover: 38%
Registered nurse turnover: 52%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
12.1%10.8%Improving
Residents with a fall causing major injury
1.9%1.7%No change
Residents with pressure ulcers (bedsores)
2.8%1.1%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
2.3%7.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
12.8%14.6%Worsening
Residents whose ability to walk got worse
29.7%12%Improving
Long-stay residents on antianxiety or sleep medication
9.1%9.6%Worsening
Short-stay residents newly given an antipsychotic
2.5%1.9%Improving
Residents with a long-term catheter
1.7%0%Improving
Residents with new or worsening incontinence
24.4%21.9%Improving
Residents with depressive symptoms
10.8%12.5%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—98.1%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—88.7%—
Short-stay residents given the pneumonia vaccine
98.6%96.7%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited June 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited February 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited February 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited February 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $15,940 was recorded.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 5 health deficiencies.
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Penalties & enforcement
On record with Medicare: 4 fines · $148,721 in total fines.
Federal fine
Nov 13, 2025
$15,940
Federal fine
Feb 9, 2024
$29,234
Federal fine
Jan 4, 2024
$9,103
Federal fine
Jun 7, 2023
$94,444
Operator & ownership
Ownership
Non profit - Corporation
Chain
Part of LIFESPARK · 4 homes · 1.3 stars avg
Occupancy
86.5 residents on an average day (86% of 100 beds)
Resident voice
Resident council
Medicare history
Certified for 51 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.