Federal inspection record · CMS data as of October 1, 2026
The Birches At Trillium Woods
14585 59th Avenue North, Plymouth, MN · (763) 519-1350
- CMS high-performer trophy
- Certified beds
- 44
- Residents per day
- 39
- Ownership
- For-Profit
- Chain
- Life Care Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 30, 2015
1
How this home got 5 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.
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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
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Minnesota homes
The Birches At Trillium Woods carries 23 inspection points. That is fewer than 73% 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
6 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
Pharmacy Service3D
- D
Ensure medication error rates are not 5 percent or greater.
- 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.
- D
Ensure that residents are free from significant medication errors.
Resident Rights2F
- F
Give residents a notice of rights, rules, services and charges.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Quality of Life and Care1D
- D
Provide safe, appropriate pain management for a resident who requires such services.
Inspection history
2026-05-27
4 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
2024-09-12
2 health deficiencies · 4 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2023-08-17
0 health deficiencies · 5 fire-safety deficiencies
No concentrated health issue counts in this cycle.
4
Nursing time per resident, per day
Each resident here gets about 5 h 47 min of nursing staff time a day, 1 h 29 min of it from a registered nurse.
This home
5 h 47 min
Minnesota average
4 h 16 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 17% of nursing staff and 13% 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 days0.1 pts better | 1.4 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better | 1.3 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.7 pts better | 100.0% | 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 injury0.8 pts better | 3.3% | 4.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.7 pts worse | 4.8% | 4.1% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.5 pts worse | 5.4% | 3.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.1 pts worse | 12.8% | 12.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4 pts worse | 21.2% | 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 ability to walk independently worsened1.6 pts better | 17.2% | 18.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9.6 pts worse | 27.8% | 18.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.1 pts better | 0.6% | 1.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.7 pts worse | 3.3% | 2.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence14 pts worse | 37.7% | 23.7% | 18.3% |
| Percentage of long-stay residents with pressure ulcers5.1 pts better | 0.0% | 5.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10.5 pts better | 98.6% | 88.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.4 pts worse | 15.0% | 14.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts better | 1.6% | 1.9% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14 pts better | 97.3% | 83.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.8 pts better | 21.2% | 23.0% | 23.4% |
·
Who owns and runs it
17 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 |
|---|---|---|---|
| Lcs Minneapolis LLC | 5% Or Greater Indirect Ownership Interest · Organization | 100% | 1 facilities |
| Lcs Trillium Woods Jv LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Amend-Marshall, Joseph | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bank Of America Corporation | 5% Or Greater Mortgage Interest · Organization | 0% | 9 facilities |
| Bank Of America Corporation | 5% Or Greater Security Interest · Organization | 0% | 9 facilities |
| Bird, John | Managing Control - Governing Body · Individual | 0% | 19 facilities |
| Lahey, Daniel | Managing Control - Governing Body · Individual | 0% | 17 facilities |
| Life Care Services LLC | Operational/Managerial Control · Organization | 0% | 57 facilities |
| Life Care Services LLC | Adp Of The SNF · Organization | 0% | 57 facilities |
| Paider, Samantha | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Paider, Samantha | Adp Of The SNF · Individual | 0% | 1 facilities |
| Reimen, Hannah | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Reimen, Hannah | Adp Of The SNF · Individual | 0% | 1 facilities |
| Shaw, Gelynna | Managing Control - Governing Body · Individual | 0% | 17 facilities |
| Uhlemann, Bridgette | Managing Control - Governing Body · Individual | 0% | 18 facilities |
| Victor, Jason | Managing Control - Governing Body · Individual | 0% | 18 facilities |
| Victor, Jason | Corporate Officer · Individual | 0% | 18 facilities |
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Fire safety
10 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems2F
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Egress2E
- E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke2F
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services1F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous1F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Emergency Preparedness1C
- C
Implement emergency and standby power systems.
Electrical1C
- C
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
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★★★★★- Worst citation, 3 yrs
- J
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- 5 h 22 min
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North Ridge Health And Rehab
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Mission Nursing Home
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 7 min
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