Federal inspection record · CMS data as of October 1, 2026
Saint Therese At Oxbow Lake
9751 Regent Avenue North, Brooklyn Park, MN · (763) 493-7007
- Certified beds
- 64
- Residents per day
- 61
- Ownership
- Non-Profit
- Chain
- Saint Therese Senior Communities
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 16, 2013
1
How this home got 3 stars
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Minnesota.
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Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Minnesota homes
Saint Therese At Oxbow Lake carries 63 inspection points. That is fewer than 36% of Minnesota's 335 rated homes.
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
30 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care10E
- E
Provide activities to meet all resident's needs.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
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
Provide safe, appropriate pain management for a resident who requires such services.
Resident Rights10F
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- C
Give residents a notice of rights, rules, services and charges.
- C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- F
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
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
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.
Infection Control4D
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Resident Assessment and Care Planning3E
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Pharmacy Service1D
- D
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.
Inspection history
2026-02-26
16 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2024-12-06
7 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2024-03-07
7 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 41 min of nursing staff time a day, 1 h 54 min of it from a registered nurse.
This home
4 h 41 min
Minnesota average
4 h 16 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 24% of nursing staff and 14% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts better | 1.1 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better | 1.2 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.2 pts better | 98.5% | 97.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.6 pts better | 100.0% | 96.4% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.2 pts worse | 7.3% | 4.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.4 pts worse | 8.5% | 4.1% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.3 pts better | 3.6% | 3.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.4 pts better | 6.3% | 12.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.5 pts better | 13.7% | 17.2% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.2 pts better | 12.0% | 18.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same | 1.7% | 1.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.9 pts better | 0.7% | 2.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.9 pts better | 16.8% | 23.7% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.1 pts worse | 6.2% | 5.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8.8 pts better | 96.9% | 88.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.7 pts better | 13.9% | 14.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.9 pts better | 1.0% | 1.9% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.3 pts better | 86.6% | 83.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.4 pts worse | 24.4% | 23.0% | 23.4% |
·
Who owns and runs it
29 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Saint Therese Communities | 5% Or Greater Direct Ownership Interest · Organization | 100% | 4 facilities |
| Abbott, Craig | Corporate Director · Individual | 0% | 4 facilities |
| Abbott, Craig | Corporate Officer · Individual | 0% | 4 facilities |
| Bremer Bank National Association | 5% Or Greater Mortgage Interest · Organization | 0% | 6 facilities |
| Delander, Christine | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Delander, Christine | Adp Of The SNF · Individual | 0% | 1 facilities |
| Gillespie, Joseph | Corporate Director · Individual | 0% | 4 facilities |
| Herb, Mary | Corporate Director · Individual | 0% | 4 facilities |
| Hoffmann, David | Corporate Director · Individual | 0% | 4 facilities |
| Hoffmann, David | Corporate Officer · Individual | 0% | 4 facilities |
| Horstmann, Steven | Corporate Director · Individual | 0% | 4 facilities |
| Krenn, David | Corporate Director · Individual | 0% | 4 facilities |
| Mccluskey, Patricia | Corporate Director · Individual | 0% | 4 facilities |
| Mccrossan, Jane | Corporate Director · Individual | 0% | 4 facilities |
| Meads, Steven | Corporate Director · Individual | 0% | 4 facilities |
| Mittal, Vikas | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Mittal, Vikas | Adp Of The SNF · Individual | 0% | 5 facilities |
| Parmar, Mona | Corporate Director · Individual | 0% | 5 facilities |
| Peterson, Tessa | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Peterson, Tessa | Adp Of The SNF · Individual | 0% | 1 facilities |
| Saint Therese | Operational/Managerial Control · Organization | 0% | 4 facilities |
| Saint Therese Communities | Operational/Managerial Control · Organization | 0% | 4 facilities |
| Saint Therese Management Services, LLC | Operational/Managerial Control · Organization | 0% | 4 facilities |
| Saint Therese Management Services, LLC | Adp Of The SNF · Organization | 0% | 4 facilities |
| Shelangoski, Cal | Corporate Officer · Individual | 0% | 4 facilities |
| Shelangoski, Cal | Adp Of The SNF · Individual | 0% | 4 facilities |
| Taffe, Patrick | Corporate Director · Individual | 0% | 4 facilities |
| Wornson, Kathryn | Corporate Director · Individual | 0% | 4 facilities |
| Wornson, Kathryn | Corporate Officer · Individual | 0% | 4 facilities |
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Fire safety
10 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- E
Provide properly protected cooking facilities.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Inspect, test, and maintain automatic sprinkler systems.
- D
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Egress1D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Emergency Preparedness1F
- F
Establish staff and initial training requirements.
Services1F
- F
Install properly constructed and protected linen or trash chutes.
Gas, Vacuum, and Electrical Systems1F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
·
Other homes nearby
-
Maranatha Care Center
Brooklyn Center, MN · Presbyterian Homes & Services
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 24 min
- Fines
- $0
-
The Villas At Osseo LLC
Osseo, MN · Monarch Healthcare Management · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 41 min
- Fines
- $48,399
-
Park River Healthcare And Rehabilitation Center Ll
Coon Rapids, MN
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 13 min
- Fines
- $163,141