Havenwood Care Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 5 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Above-median deficiencies (21 vs median 6.5)
Bottom 25% in MN · Below recommended RN staffing · $21,590 in fines
What this means for your family
Given the serious reports of poor hygiene and inadequate hydration, we strongly advise families to conduct unannounced visits to observe the daily care standards firsthand. Please pay close attention to the cleanliness of residents and the availability of water, as these were primary concerns raised by previous families.
Google Reviews
Google Reviews
5 reviews on Google“Havenwood Care Center has received significant criticism regarding the quality of basic care and hygiene for residents. Reviewers have specifically highlighted issues with laundry loss, inadequate hydration, and poor hygiene practices, leading families to seek alternative facilities.”
Quality Themes
Tap a score for detailsStrengths
- Facility provides rehabilitation services
Concerns
- Poor hygiene and lack of bathing
- Inadequate hydration and nutrition support
- Loss of personal belongings
Rating Trends
Tap a year to see what changed
Distribution · 6 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1With 21 recent state violations regarding facility operations, what specific steps has the leadership team taken over the last few months to improve the overall cleanliness and hygiene standards of the living areas?
- 2I noticed concerns regarding nutrition and hydration support; could you walk me through the process for monitoring a resident's daily intake and how you ensure they are receiving adequate fluids and balanced meals?
- 3Given the recent feedback regarding the loss of personal belongings, what security protocols or inventory systems do you have in place to ensure a resident's personal items remain safe and accounted for?
- 4Since rehabilitation services are a noted strength here, how do you coordinate those therapy sessions with the daily nursing care to ensure residents are comfortable and well-supported throughout the day?
- 5How does your team ensure that residents receive consistent assistance with bathing and personal grooming, and how is that care documented to ensure it is being completed regularly?
- 6In the event of a sudden change in a resident's health status, what is your specific protocol for notifying family members and coordinating with their primary physician?
Personalized based on this facility's data
Key Review Excerpts
“She was always dirty, sitting in incontinent pants. She was always so thirsty … because the only time she was given liquids was at her meals.”
“I was very unhappy with the care my mother received during her rehabilitation. She was often in distress and unhappy which made recovering from her injury even more of a strain than it was.”
Staffing
Staffing Hours
per resident/day · Medicare 2026This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
5
measures
1
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families filed 13 complaints triggering inspections at Havenwood Care Center, with recurring issues in medication management, resident safety, and fire safety systems. Problems with medication errors and accident hazards have persisted across multiple surveys, including recent complaints in 2025. The facility has corrected most violations but the pattern of repeated deficiencies in critical care areas warrants careful consideration.
Apr 29, 2026Routine12
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Quality of Life and Care Deficiencies
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Apr 29, 2026Complaint3
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jan 16, 2026Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Oct 22, 2025Complaint2
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
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.
Aug 7, 2025Complaint1
Nutrition and Dietary Deficiencies
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.
Jul 17, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Federal Penalties
Fine
Jan 16, 2026
$88,970
Payment Denial
Jan 16, 2026
34-day denial
Fine
Jun 11, 2025
$26,685
Fine
Dec 4, 2023
$13,397
Fine
Sep 21, 2023
$8,193
Ownership & Operations
Who Operates This Facility
Havenwood Care Center
for profit
Ownership & Management
Owners
Birchem, James
Owner
Birchem, Kathleen
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
5 reviews from families & visitors
Official Website
Visit eldercarebemidji.com
Medicare data downloads
Original nursing home datasets
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