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Nursing HomeMedicaid Investigative

Oakland Park Nursing Home

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

123 Baken Street, Thief River Falls, MN 5670135 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.7/5

based on 7 Google reviews

5
4
3
2
1
Oakland Park Nursing Home Nursing Home in Thief River Falls, MN — Street View
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4/ 10
moderate Risk

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)
  • High staff turnover (56%)
  • High RN turnover (80%)

Bottom 25% in MN · Meets national RN staffing standard · No penalties on record

Source: Medicare data

What this means for your family

Recent feedback suggests an improvement in staff quality and resident safety, making the facility worth a tour. However, given past concerns regarding cleanliness, we recommend that you conduct an unannounced visit to observe the facility's hygiene and odor levels firsthand.

Google Reviews

Google Reviews

7 reviews on Google
OAKLAND PARK NURSING HOME receives highly polarized feedback, with recent reviewers praising the quality of care and staff dedication. However, the lack of detailed written feedback in many high-rating reviews makes it difficult to assess specific operational standards, and older feedback highlights concerns regarding facility cleanliness.

Quality Themes

Tap a score for details
FoodN/AStaff8.0Clean2.0ActivitiesN/AMedsN/AMemoryN/ACommsN/AValueN/A

Strengths

  • Attentive and caring nursing staff
  • Commitment to resident safety
  • Positive family satisfaction

Concerns

  • Facility cleanliness and odors (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.02016(1)1.02023(2)5.02024(4)5.02026(1)

Distribution · 8 analyzed

5
5
4
1
3
0
2
0
1
2

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given that you have a smaller community of 35 residents, how does the team ensure that personal living spaces and common areas are kept clean and fresh throughout the day?
  • 2I noticed the staffing rating is a strong point for the facility; how do you foster that consistent, attentive care that families have highlighted in their feedback?
  • 3With the recent focus on improving health inspection outcomes, what specific steps is the leadership team taking to address the recent state violations?
  • 4What does a typical daily activity schedule look like for residents to ensure they stay engaged and social within this smaller, intimate setting?
  • 5How does your nursing staff coordinate with local hospitals or specialists when a resident experiences a sudden change in health or a medical emergency?
  • 6Since family satisfaction is a priority here, what are the best ways for us to stay involved and communicate regularly with the care team regarding our loved one’s well-being?

Personalized based on this facility's data


Key Review Excerpts

My mother in law, Shirley, is being given wonderful care. Her family is so very pleased and grateful.

Long-term resident's family · 2024★★★★★

workers take very good care of residents and make it a safe place for both staff and residents

General visitor/observer · 2024★★★★★
Source: 7 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.03hrs
OK
Registered nurses for medical care
Total Nursing
3.80hrs
93%
All nurses + aides combined
Staff Turnover
41%
Lower is better (< 30% = good)
RN Turnover
50%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
1/ 5
Better Than Avg

7

measures

Worse Than Avg

5

measures

Mixed Results

4

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility31.8%
Worse than Avg
Here
31.8%
US
14.4%
MN
18.6%
Pennington
21.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility29.8%
Worse than Avg
Here
29.8%
US
15.3%
MN
21.4%
Pennington
24.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
MN
97.3%
Pennington
87.6%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility7.2%
Better than Avg
Here
7.2%
US
19.5%
MN
12.5%
Pennington
16.3%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.6%
Better than Avg
Here
2.6%
US
12.1%
MN
4.3%
Pennington
5.1%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility26.6%
Mixed vs Avgs
Here
26.6%
US
19.4%
MN
24.5%
Pennington
27.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility88.0%
Mixed vs Avgs
Here
88.0%
US
81.8%
MN
88.3%
Pennington
65.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
MN
1.8%
Pennington
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
2penalties
Above state avg (8.0)
5 complaint-triggered

Families filed complaints leading to deficiencies in safety supervision and pain management, with one accident hazard violation escalating to severity level J. The facility shows recurring problems across fire safety systems, medication management, and resident care planning spanning multiple surveys. While most deficiencies have correction dates, several fire safety and electrical issues from the most recent survey remain on extended correction timelines through December 2025, indicating persistent infrastructure challenges.

Feb 19, 2026Complaint
3
0689Actual harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

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

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Dec 31, 2025Routine
16
0226Potential for harm · WidespreadCorrected

Egress Deficiencies

Have horizontal exits used in accordance with safety requirements.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

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

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0657Potential for harm · IsolatedCorrected

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.

0881Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

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

0291Potential for harm · IsolatedCorrected

Egress Deficiencies

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

0346Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0354Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0912Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Jul 17, 2025Complaint
1
0689Immediate jeopardy · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

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

Jan 30, 2025Routine
24
0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0761Potential for harm · Widespread

Miscellaneous Deficiencies

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

0851Potential for harm · WidespreadCorrected

Administration Deficiencies

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

0867Potential for harm · WidespreadCorrected

Administration Deficiencies

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

0868Potential for harm · WidespreadCorrected

Administration Deficiencies

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

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0015Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0030Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

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

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0222Potential for harm · WidespreadCorrected

Egress Deficiencies

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.

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0923Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0226Potential for harm · IsolatedCorrected

Egress Deficiencies

Have horizontal exits used in accordance with safety requirements.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Jan 30, 2025Complaint
1
0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Mar 21, 2024Routine
17
0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

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

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0923Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0883Potential for harm · PatternCorrected

Infection Control Deficiencies

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

0920Potential for harm · PatternCorrected

Environmental Deficiencies

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.

0637Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0281Potential for harm · IsolatedCorrected

Egress Deficiencies

Install proper backup exit lighting.

0346Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0354Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0521Potential for harm · IsolatedCorrected

Services Deficiencies

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

0732Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Federal Penalties

Fine

Dec 30, 2025

$26,685

Fine

Jul 17, 2025

$26,685

Ownership & Operations

Who Operates This Facility

Owner / Operator

Oakland Park Nursing Home

Organization Type

for profit

Ownership & Management

Owners

Birchem, James

Owner

50%

Birchem, Kathleen

Owner

50%

Key personnel

Castillon, AdinaW-2 Managing EmployeeBirchem, JamesOfficer / DirectorBirchem, KathleenOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 4 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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