Federal inspection record · CMS data as of October 1, 2026

Oakland Park Communities, Inc.

123 Baken Street, Thief River Falls, MN · (218) 681-1675

CMS overall rating

1 of 5

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Certified beds
35
Residents per day
34
Ownership
For-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
December 1, 1991

1

How this home got 1 star

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Minnesota.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    −1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Minnesota homes

Oakland Park Communities, Inc. carries 76 inspection points. That is fewer than 27% of Minnesota's 335 rated homes.

5★4★3★2★1★+11 homes above 194.7505102550100inspection points → fewer is better on the leftThis home · 76 pts · 2★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Minnesota: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–9 pts
  • 4★ 9–30 pts
  • 3★ 30–54 pts
  • 2★ 54–92 pts
  • 1★ over 92 pts

Bars show every rated home in Minnesota by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

31 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 1 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 2 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 20 4 pts
E 2 8 pts
F 5 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 1 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (3)

  1. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    February 19, 2026 · Complaint inspection · Quality of Life and Care · F689 · Corrected January 26, 2026

  2. J

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    July 17, 2025 · Complaint inspection · Quality of Life and Care · F689 · Corrected July 2, 2025

  3. G

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    January 30, 2025 · Standard inspection · Quality of Life and Care · F684 · Corrected February 28, 2025

Everything else, by area of care

Quality of Life and Care5D
  1. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    August 28, 2026 · Complaint · F689 · Corrected October 2, 2026

  2. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    January 30, 2025 · Standard · F686 · Corrected February 28, 2025

  3. D

    Provide safe, appropriate pain management for a resident who requires such services.

    January 30, 2025 · Complaint · F697 · Corrected February 28, 2025

  4. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    March 21, 2024 · Standard · F689 · Corrected April 15, 2024

  5. D

    Provide enough food/fluids to maintain a resident's health.

    March 21, 2024 · Standard · F692 · Corrected April 15, 2024

Infection Control5F
  1. D

    Implement a program that monitors antibiotic use.

    December 31, 2025 · Standard · F881 · Corrected January 31, 2026

  2. D

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    December 31, 2025 · Standard · F883 · Corrected January 31, 2026

  3. F

    Provide and implement an infection prevention and control program.

    January 30, 2025 · Standard · F880 · Corrected February 28, 2025

  4. F

    Provide and implement an infection prevention and control program.

    March 21, 2024 · Standard · F880 · Corrected April 8, 2024

  5. E

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    March 21, 2024 · Standard · F883 · Corrected April 10, 2024

Resident Assessment and Care Planning4D
  1. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    August 28, 2026 · Complaint · F657 · Corrected October 2, 2026

  2. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    December 31, 2025 · Standard · F657 · Corrected January 31, 2026

  3. D

    Ensure each resident receives an accurate assessment.

    January 30, 2025 · Standard · F641 · Corrected February 28, 2025

  4. D

    Assess the resident when there is a significant change in condition

    March 21, 2024 · Standard · F637 · Corrected April 17, 2024

Resident Rights4D
  1. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    February 19, 2026 · Complaint · F580 · Corrected March 16, 2026

  2. D

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    December 31, 2025 · Standard · F582 · Corrected January 31, 2026

  3. D

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    December 31, 2025 · Standard · F628 · Corrected January 31, 2026

  4. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    January 30, 2025 · Standard · F580 · Corrected February 28, 2025

Pharmacy Service3D
  1. D

    Ensure that residents are free from significant medication errors.

    February 19, 2026 · Complaint · F760 · Corrected March 16, 2026

  2. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    January 30, 2025 · Standard · F755 · Corrected February 28, 2025

  3. D

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    January 30, 2025 · Standard · F756 · Corrected February 28, 2025

Administration3F
  1. F

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    January 30, 2025 · Standard · F851 · Corrected February 28, 2025

  2. F

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    January 30, 2025 · Standard · F867 · Corrected February 28, 2025

  3. F

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    January 30, 2025 · Standard · F868 · Corrected February 28, 2025

Freedom from Abuse, Neglect, and Exploitation2D
  1. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    January 30, 2025 · Standard · F609 · Corrected February 28, 2025

  2. D

    Respond appropriately to all alleged violations.

    January 30, 2025 · Standard · F610 · Corrected February 28, 2025

Environmental1E
  1. E

    Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.

    March 21, 2024 · Standard · F920 · Corrected April 1, 2024

Nursing and Physician Services1C
  1. C

    Post nurse staffing information every day.

    March 21, 2024 · Standard · F732 · Corrected April 8, 2024

Inspection history

  1. 2025-12-31

    10 health deficiencies · 11 fire-safety deficiencies

    Top issue: Resident Rights (3 deficiencies)

  2. 2025-01-30

    14 health deficiencies · 12 fire-safety deficiencies

    Top issue: Quality of Life and Care (4 deficiencies)

  3. 2024-03-21

    7 health deficiencies · 10 fire-safety deficiencies

    Top issue: Infection Control (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 47 min of nursing staff time a day, 1 h 4 min of it from a registered nurse.

This home

3 h 47 min

Minnesota average

4 h 16 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 42% of nursing staff and 38% of registered nurses left in the past year, along with 2 administrators.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$44,030 in federal fines on record over the past three years.

DatePenaltyAmount
2025-12-30Fine$26,685
2025-07-17Fine$17,345

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.7 pts better100.0%97.3%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.6 pts better97.0%96.4%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.8 pts worse4.9%4.1%3.2%
Percentage of long-stay residents who have depressive symptoms1.4 pts better2.7%4.1%13.5%
Percentage of long-stay residents who lose too much weight1.5 pts better2.4%3.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication0.9 pts better11.8%12.7%19.5%
Percentage of long-stay residents who received an antipsychotic medication10.2 pts worse27.4%17.2%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened7.5 pts worse26.3%18.8%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased20 pts worse38.2%18.2%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts worse2.5%1.7%0.7%
Percentage of long-stay residents with a urinary tract infection5.8 pts worse8.4%2.6%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.3 pts better18.4%23.7%18.3%
Percentage of long-stay residents with pressure ulcers2.3 pts better2.8%5.1%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.6 pts better90.7%88.1%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication2.5 pts worse4.4%1.9%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine4.7 pts better88.0%83.3%80.1%

·

Who owns and runs it

5 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Birchem, James5% Or Greater Direct Ownership Interest · Individual50%2 facilities
Birchem, Kathleen5% Or Greater Direct Ownership Interest · Individual50%2 facilities
Birchem, JamesCorporate Director · Individual0%2 facilities
Birchem, KathleenCorporate Director · Individual0%2 facilities
Castillon, AdinaW-2 Managing Employee · Individual0%2 facilities

·

Fire safety

33 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke10F
  1. F

    Inspect, test, and maintain automatic sprinkler systems.

    December 31, 2025 · K353 · Corrected January 14, 2026

  2. F

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    December 31, 2025 · K372 · Corrected January 13, 2026

  3. D

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    December 31, 2025 · K346 · Corrected January 21, 2026

  4. D

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    December 31, 2025 · K354 · Corrected January 21, 2026

  5. F

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    January 30, 2025 · K321 · Corrected March 26, 2025

  6. F

    Inspect, test, and maintain automatic sprinkler systems.

    January 30, 2025 · K353 · Corrected February 28, 2025

  7. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    March 21, 2024 · K345 · Corrected April 4, 2024

  8. F

    Inspect, test, and maintain automatic sprinkler systems.

    March 21, 2024 · K353 · Corrected April 8, 2024

  9. D

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    March 21, 2024 · K346 · Corrected April 2, 2024

  10. D

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    March 21, 2024 · K354 · Corrected April 2, 2024

Gas, Vacuum, and Electrical Systems9F
  1. D

    Have power receptacles that are properly grounded.

    December 31, 2025 · K912 · Corrected January 14, 2026

  2. D

    Have generator or other power source capable of supplying service within 10 seconds.

    December 31, 2025 · K918 · Corrected January 22, 2026

  3. D

    Ensure proper usage of power strips and extension cords.

    December 31, 2025 · K920 · Corrected January 30, 2026

  4. F

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    January 30, 2025 · K914 · Corrected February 28, 2025

  5. F

    Have generator or other power source capable of supplying service within 10 seconds.

    January 30, 2025 · K918 · Corrected February 28, 2025

  6. F

    Have proper medical gas storage and administration areas.

    January 30, 2025 · K923 · Corrected February 28, 2025

  7. D

    Ensure proper usage of power strips and extension cords.

    January 30, 2025 · K920 · Corrected February 28, 2025

  8. F

    Have generator or other power source capable of supplying service within 10 seconds.

    March 21, 2024 · K918 · Corrected April 11, 2024

  9. F

    Have proper medical gas storage and administration areas.

    March 21, 2024 · K923 · Corrected April 12, 2024

Egress6F
  1. F

    Have horizontal exits used in accordance with safety requirements.

    December 31, 2025 · K226 · Corrected January 13, 2026

  2. D

    Install emergency lighting that can last at least 1 1/2 hours.

    December 31, 2025 · K291 · Corrected January 22, 2026

  3. F

    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.

    January 30, 2025 · K222 · Corrected February 28, 2025

  4. D

    Have horizontal exits used in accordance with safety requirements.

    January 30, 2025 · K226 · Corrected February 28, 2025

  5. F

    Install emergency lighting that can last at least 1 1/2 hours.

    March 21, 2024 · K291 · Corrected March 19, 2024

  6. D

    Install proper backup exit lighting.

    March 21, 2024 · K281 · Corrected April 1, 2024

Miscellaneous4F
  1. F

    Have simulated fire drills held at unexpected times.

    December 31, 2025 · K712 · Corrected January 22, 2026

  2. F

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    December 31, 2025 · K761 · Corrected April 30, 2026

  3. F

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    January 30, 2025 · K761 · Not yet marked corrected

  4. F

    Have simulated fire drills held at unexpected times.

    March 21, 2024 · K712 · Corrected April 1, 2024

Emergency Preparedness3F
  1. F

    Address subsistence needs for staff and patients.

    January 30, 2025 · E15 · Corrected February 28, 2025

  2. F

    List the names and contact information of those in the facility.

    January 30, 2025 · E30 · Corrected February 28, 2025

  3. F

    Conduct testing and exercise requirements.

    January 30, 2025 · E39 · Corrected February 28, 2025

Services1D
  1. D

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    March 21, 2024 · K521 · Corrected April 3, 2024

·

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