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Nursing homeFAID #6446

Birchwood Health Care Center

604 1ST STREET NE, FOREST LAKE, MN, 55025
(651) 464-5600
100 licensed beds

CMS rates Birchwood Health Care Center 1 out of 5 overall. Federal inspectors issued 54 citations across 13 inspections in the last three years, with $139,646 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall1/5 health inspections4/5 staffing4/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
100
CMS facility ID
245200
Care type
Nursing home
County
Washington
Facility name
Birchwood Health Care Center
Street address
604 1ST STREET NE
City / state / ZIP
Forest Lake, MN 55025
Phone
(651) 464-5600

Birchwood Health Care Center is a Medicare/Medicaid-certified skilled nursing facility in Forest Lake, Minnesota. It is licensed for 100 beds — well above the median for skilled nursing facilities in Minnesota (60 beds).

It is one of 7 senior care facilities in Forest Lake and 338 skilled nursing facilities across Minnesota. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Birchwood Health Care Center 54 times across 13 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $139,646 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Lifespark
Ownership type
Non profit - Corporation

Registered owners & officers

Aegis Therapies, Inc.
Additional disclosable party — since 2009
Chebli, Yasser
Operational control · Additional disclosable party — since 2022
Grape Tree Medical Staffing Llc
Additional disclosable party — since 2023
King, Ryan
Operational control · Additional disclosable party — since 2025
Kramer, Trisha
Additional disclosable party — since 2024
Lifespark Management Services
Operational control · Additional disclosable party — since 2020
Lifesprk Holdings, Inc.
Additional disclosable party — since 2020
Marshall, Susan
Director — since 2007
Martin, Richard
Director — since 2007
Miller, Megan
Operational control · Additional disclosable party — since 2025
Senior Care Communities
Additional disclosable party — since 1999
Shiftster Llc
Additional disclosable party — since 2023
Toulouse, Molly
Officer — since 2017
Twsl. Llc
Additional disclosable party — since 2020

Regulatory standing

Licensed / certified since
1974-12-01
CMS overall rating
1 of 5 stars
Health deficiencies
11 at the last standard inspection
Federal fines
$139,646 total
Last standard inspection
2026-06-12
Nurse staffing
3.6 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$364 per day (≈ $11,070/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
62% Medicaid · 7% Medicare · 31% private/other
Occupancy
66% (fiscal year 2023)
Vs. state median
11% below the MN median of $407/day — full state cost breakdown

Services & coverage

Licensed beds
100
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.
2026-06-12Health inspection7 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-07-28
F-0582
B · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2026-07-28
F-0628
D · No harm found
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2026-07-28
F-0684
J · Immediate jeopardy
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-06-11
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2026-07-28
F-0761
D · No harm found
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2026-07-28
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-07-28
2026-05-06Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-06-11
10 earlier / fire-safety inspections (46 citations)
2025-12-19Health inspectionComplaint-triggered1 citation
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-01-23
2025-11-13Health inspectionComplaint-triggered2 citations
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-11-09
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-01-09
2025-04-10Health inspectionComplaint-triggered5 citations
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-05-27
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-05-27
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-05-27
F-0803
D · No harm foundFood safety
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2025-05-27
F-0881
D · No harm found
Implement a program that monitors antibiotic use.
Corrected 2025-05-27
2024-02-09Health inspection14 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-03-11
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-03-11
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-03-11
F-0686
G · Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-03-11
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-11
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-03-11
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-03-11
F-0725
F · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-03-11
F-0727
F · No harm found
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2024-03-11
F-0730
F · No harm found
Observe each nurse aide's job performance and give regular training.
Corrected 2024-03-11
F-0732
C · No harm found
Post nurse staffing information every day.
Corrected 2024-03-11
F-0867
F · No harm found
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-03-11
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-03-11
F-0883
E · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-03-11
2024-01-10Health inspectionComplaint-triggered6 citations
F-0655
D · No harm foundFrom a complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-02-03
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-02-03
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-02-03
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-02-03
F-0690
D · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-02-03
F-0726
D · No harm foundFrom a complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2024-02-03
2024-01-04Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-02-03
2023-12-06Health inspectionComplaint-triggered1 citation
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-12-27
2026-06-12Fire-safety inspection6 citations
K-0222
F · No harm found
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 2026-07-30
K-0291
F · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2026-07-30
K-0311
D · No harm found
Have an enclosure around a vertical opening shaft.
Corrected 2026-07-30
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2026-07-30
K-0521
F · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2026-07-30
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-07-30
2025-04-10Fire-safety inspection6 citations
K-0222
E · No harm found
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 2025-05-27
K-0291
D · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-05-27
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2025-05-27
K-0341
E · No harm found
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-05-27
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-27
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2025-05-27
2024-02-09Fire-safety inspection4 citations
K-0293
E · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2024-03-11
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-03-11
K-0781
D · No harm found
Have restrictions on the use of portable space heaters.
Corrected 2024-03-11
K-0930
D · No harm found
Ensure proper storage of liquid oxygen.
Corrected 2024-03-11

Federal penalties

2026-05-06Fine$90,790
2025-11-13Fine$10,519
2024-02-09Fine$29,234
2024-01-04Fine$9,103
2026-05-06Medicare payment denial — 14 days
Total fines$139,646
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 245200.
How it compares in Minnesota.
Inspection citations, 3 years
54
More than 81% of nursing homes in the state
State median: 32
Federal fines, 3 years
$139,646
More than 95% of nursing homes in the state
State median: $0
Nurse staffing, hours per resident per day
3.6
Higher than 17% of nursing homes in the state
State median: 4.2
Nursing staff turnover, annual
42%
Higher than 55% of nursing homes in the state
State median: 40%

Resident outcomes

On 19 federal quality measures, this facility does better than the Minnesota average on 10 and worse on 4. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased14.5%18.2%13.5%Better than state
Lose too much weight5.1%3.9%5.1%Worse than state
With a catheter inserted and left in their bladder0.7%1.7%0.7%Better than state
With a urinary tract infection0.8%2.6%1.5%Better than state
Have depressive symptoms10.2%4.1%13.5%Worse than state
Were physically restrained0.0%0.1%0.1%Better than state
Experiencing one or more falls with major injury2.7%4.1%3.2%Better than state
Assessed and appropriately given the pneumococcal vaccine100.0%97.3%93.7%Near state average
Ability to walk independently worsened16.1%18.8%12.7%Better than state
Received an antianxiety or hypnotic medication13.7%12.7%19.5%Near state average
Assessed and appropriately given the seasonal influenza vaccine100.0%96.4%95.3%Near state average
With pressure ulcers2.3%5.1%4.5%Better than state
With new or worsened bowel or bladder incontinence26.7%23.7%18.3%Worse than state
Received an antipsychotic medication13.2%17.2%15.4%Better than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine97.7%88.1%82.3%Better than state
Newly received an antipsychotic medication2.0%1.9%1.5%Near state average
Were assessed and appropriately given the seasonal influenza vaccine95.6%83.3%80.1%Better than state
Were rehospitalized after a nursing home admission21.9%23.0%23.4%Near state average
Had an outpatient emergency department visit25.6%14.6%11.8%Worse than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0689 5 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 3 inspections. Provide and implement an infection prevention and control program.
  • F-0550 2 inspections. Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  • F-0684 2 inspections. Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  • K-0222 2 inspections. 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.
  • K-0291 2 inspections. Install emergency lighting that can last at least 1 1/2 hours.
Where to check, and what's nearby.

Who to contact in Minnesota

  • Licensing: Minnesota Department of Health
  • File a complaint: 800-369-7994
  • Long-Term Care Ombudsman: 800-657-3591. A free advocate for residents and families.
  • Adult Protective Services: 844-880-1574. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Fairview Lakes Health Services, about 2.6 miles. CMS rating 3 of 5.
  • Ladd Memorial Hospital, about 14 miles.
  • M Health Fairview St John's Hospital, about 18 miles. CMS rating 5 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

What people say on Google.
2.929 ratings on Google
★★★★★Erin Donlon · 2026-08-03 · via Google

“My mother was here for about 6 months and I am grateful that she was able to spend that time there. She had a great variety of food and days when she didn’t feel up to walking that far staff would always make sure to bring her food and check she was enjoying it. The therapy team was the perfect balance of gentle and firm, making sure she did what she needed to get better and supporting her hard da…”

★★★Plainsman 576 · 2024-10-14 · via Google

“10/13/24 2pm: It was nice. The staff are friendly and busy. Nice landscaping and clean inside. 3 at this point until I determine what kind of therapy care my mother receives. Would have liked a copy of the monthly activities board. Sounded like no one asked before. Thought it would be by the photo copies of the daily menu options. Located in a quiet neighborhood. Outside swing adapted for wheelcha…”

★★★★Allen Anderson · 2025-11-19 · via Google

“I just came here about 3 months ago. So far my experience has been very good, except for a couple issues that I think are being taken care of. The staff are very nice but sometimes communications are hard due to not understanding English. Two things. Kudos to Brianna rn, Sam cna, Bill lpn and Yollanda cna, and Megan Administrator, all who have gone outside of the protocols to give me the help that…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 54 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered