Cycle 1
Health 2025-12-03 · Fire 2025-12-03
2 health deficiencies
Top issue: Infection Control (1 deficiency)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Detroit Lakes, MN
Essentia Health Oak Crossing
5-star overall rating with 4-star inspections with $7,446 in total fines with 2 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
1040 Lincoln Avenue, Detroit Lakes, MN
(218) 844-0700
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
94
Certified beds
Average residents
70
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Essentia Health
Operator or chain grouping
Approved since
1976-11-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
5 facilities
Chain averages 4 overall / 3 health / 5 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
1.49
Registered nurse staffing · state 1.06 · national 0.68
LPN hours / resident day
0.31
Licensed practical nurse staffing · state 0.62 · national 0.87
Aide hours / resident day
3.80
Nurse aide staffing · state 2.56 · national 2.35
Total nurse hours
5.60
All reported nurse hours · state 4.23 · national 3.89
Licensed hours
1.79
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
4.83
Weekend nurse staffing · state 3.68 · national 3.43
Weekend RN hours
0.91
Weekend registered nurse coverage · state 0.68 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
1.82
CMS adjusted RN staffing hours
Adjusted total hours
6.85
CMS adjusted total nurse staffing hours
Case-mix index
1.12
Higher values indicate more complex resident acuity
RN turnover
13%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
19%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,121
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
51.64
Composite VBP score used to determine payment impact.
Payment multiplier
1.0060
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.47
Baseline 18.89% · Performance 20.75% · Measure score 1.47 · Achievement 1.47 · Improvement 0
Healthcare-associated infections
2.51
Baseline 6.31% · Performance 7.08% · Measure score 2.51 · Achievement 2.51 · Improvement 0
Total nurse turnover
7.91
Performance 31.36% · Measure score 7.91 · Achievement 7.91 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
8.76
Baseline 5.72 hours · Performance 5.57 hours · Measure score 8.76 · Achievement 8.76 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.8% |
10.72%
0.9 pts better
|
No Different than the National Rate · Eligible stays 114 · Observed rate 7.02% · Lower 95% interval 6.73% |
| Discharge to community | 58.1% |
50.57%
7.5 pts better
|
No Different than the National Rate · Eligible stays 104 · Observed rate 57.69% · Lower 95% interval 49.85% |
| Medicare spending per beneficiary | 0.68 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 98.65% |
95.27%
3.4 pts better
|
Numerator 73 · Denominator 74 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 74 |
| Discharge self-care score | 65.52% |
53.69%
11.8 pts better
|
Numerator 38 · Denominator 58 |
| Discharge mobility score | 58.62% |
50.94%
7.7 pts better
|
Numerator 34 · Denominator 58 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 74 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.08% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 67 · Observed rate 5.97% · Lower 95% interval 4.26% |
| Staff COVID-19 vaccination coverage | 0.35% |
8.2%
7.8 pts worse
|
Numerator 1 · Denominator 285 |
| Staff flu vaccination coverage | 46.28% |
42%
4.3 pts better
|
Numerator 87 · Denominator 188 |
| Discharge function score | 70.69% |
56.45%
14.2 pts better
|
Numerator 41 · Denominator 58 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 97.44% |
96.28%
1.2 pts better
|
Numerator 38 · Denominator 39 |
| Resident COVID-19 vaccinations up to date | 72.41% |
25.2%
47.2 pts better
|
Numerator 21 · Denominator 29 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
1.7
0.1 pts worse
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.6 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.4 |
2.0
0.4 pts worse
|
1.8
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.1 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
97.3%
2.7 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
96.1%
3.9 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.3% |
3.9%
1.4 pts worse
|
3.3%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 5.1% · Q3 6.6% · Q4 6.6% · 4Q avg 5.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.0% |
4.3%
0.7 pts worse
|
11.4%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 7.4% · Q3 3.8% · Q4 5.3% · 4Q avg 5.0% |
| Percentage of long-stay residents who lose too much weight | 1.6% |
4.1%
2.5 pts better
|
5.4%
3.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.2% · Q3 2.0% · Q4 0.0% · 4Q avg 1.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.4% |
12.4%
2 pts worse
|
19.6%
5.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 14.6% · Q3 16.0% · Q4 18.2% · 4Q avg 14.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.0% |
17.5%
1.5 pts worse
|
16.7%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.4% · Q2 19.4% · Q3 16.2% · Q4 22.2% · 4Q avg 19.0% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 18.3% |
22.5%
4.2 pts better
|
16.3%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.7% · Q2 23.6% · Q3 16.0% · Q4 11.5% · 4Q avg 18.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.4% |
18.6%
0.2 pts better
|
14.9%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.9% · Q2 23.9% · Q3 18.4% · Q4 9.8% · 4Q avg 18.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
2.3%
2.3 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.5% |
2.6%
0.1 pts better
|
1.7%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.7% · Q3 3.3% · Q4 3.3% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.4% |
24.8%
0.4 pts better
|
19.8%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.4% · Q2 25.1% · Q3 13.0% · Q4 22.4% · 4Q avg 24.4% |
| Percentage of long-stay residents with pressure ulcers | 5.6% |
5.4%
0.2 pts worse
|
5.1%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 3.7% · Q3 5.8% · Q4 6.7% · 4Q avg 5.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.2% |
88.6%
5.6 pts better
|
81.7%
12.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.9% · Q2 93.3% · Q3 96.0% · Q4 90.8% · 4Q avg 94.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.6% |
14.0%
5.4 pts better
|
12.0%
3.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.6% · Observed 8.8% · Expected 11.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
1.9%
1.2 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 0.0% · Q4 1.4% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 86.9% |
82.7%
4.2 pts better
|
79.7%
7.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 86.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.8% |
23.1%
5.7 pts worse
|
23.9%
4.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.8% · Observed 29.8% · Expected 24.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-10-23 · Fire 2024-10-23
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2023-12-13 · Fire 2023-12-13
6 health deficiencies
Top issue: Infection Control (2 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-12-03
K901 · Electrical Deficiencies
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2026-01-05
E · Potential for more than minimal harm
2025-12-03
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2026-01-05
E · Potential for more than minimal harm
2025-12-03
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2026-01-05
E · Potential for more than minimal harm
2025-12-03
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2026-01-05
E · Potential for more than minimal harm
2025-12-03
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2026-01-05
D · Potential for more than minimal harm
2025-12-03
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2026-01-05
D · Potential for more than minimal harm
2025-12-03
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2026-01-05
E · Potential for more than minimal harm
2024-10-23
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-11-22
E · Potential for more than minimal harm
2024-10-23
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-22
D · Potential for more than minimal harm
2023-12-13
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-12-12
C · Minimal harm
2023-12-13
K346 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2023-12-12
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-12-03
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-01-05
D · Potential for more than minimal harm
2025-07-11
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-25
F · Potential for more than minimal harm
2024-10-23
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-11-26
D · Potential for more than minimal harm
2024-10-23
F578 · Resident Rights Deficiencies
Health
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.
Corrected 2024-11-26
D · Potential for more than minimal harm
2024-10-23
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-11-26
D · Potential for more than minimal harm
2024-10-23
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-26
D · Potential for more than minimal harm
2023-12-13
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-01-19
D · Potential for more than minimal harm
2023-12-13
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-01-20
D · Potential for more than minimal harm
2023-12-13
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-01-19
D · Potential for more than minimal harm
2023-12-13
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-01-19
J · Immediate jeopardy
2023-11-22
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-11
D · Potential for more than minimal harm
2023-05-03
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-05-26
Penalties and ownership
What sits behind the stars
$7,446
2023-11-22
Fine
Fine · fine $7,446
Fine
Ownership
Essentia Health
5% Or Greater Direct Ownership Interest · Organization
Arvin, Douglas
Operational/Managerial Control · Individual
Arvin, Douglas
Corporate Officer · Individual
Bortnem, Mark
Corporate Officer · Individual
Brinkman, Christy
Operational/Managerial Control · Individual
Christensen, James
Corporate Director · Individual
Gefroh Ellison, Stefanie
Corporate Officer · Individual
Gupta, Parul
Operational/Managerial Control · Individual
Gupta, Parul
Corporate Director · Individual
Haugen, Joel
Corporate Director · Individual
Heilman, Tim
Corporate Director · Individual
Horn, Beverly
Corporate Director · Individual
Hurley, Alan
Operational/Managerial Control · Individual
Hurley, Alan
Corporate Officer · Individual
Innovis Health LLC
Operational/Managerial Control · Organization
Jackson, Aarick
Corporate Director · Individual
Lewandowski, Laurie
Corporate Director · Individual
Mertz, Taylor
Corporate Director · Individual
Pladson, Kimberly
Corporate Officer · Individual
Saint Georges, Anderson
Corporate Officer · Individual
Smith, Benjamin
Corporate Director · Individual
Watters, Michael
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Emmanuel Nursing Home
Detroit Lakes, MN
3-star overall rating with 2-star inspections with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Frazee Care Center
Frazee, MN
5-star overall rating with 4-star inspections with $15,593 in total fines with 1 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Sunnyside Care Center
Lake Park, MN
5-star overall rating with 4-star inspections with 5 recent health deficiencies
Jump out