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Nursing HomeMedicaid Investigative

Thief River Care Center

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

2001 Eastwood Drive, Thief River Falls, MN 5670170 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 10 Google reviews

5
4
3
2
1
Thief River Care Center 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)
  • Above-median deficiencies (10 vs median 6.5)
  • High staff turnover (53%)

Bottom 25% in MN · Meets national RN staffing standard · Worst in ST. FRANCIS HEALTH SERVICES chain · $94,417 in fines

Source: Medicare data

What this means for your family

The available reviews for this facility are sparse and do not provide enough detail to assess the quality of daily care. We recommend scheduling an in-person tour to observe staff-resident interactions and asking for references from current families to get a clearer picture of the care environment.

Google Reviews

Google Reviews

10 reviews on Google
Reviews for Thief River Care Center are extremely limited and lack substantive feedback regarding daily nursing care or resident experiences. While some reviewers praise the building's aesthetics and administrative responsiveness, the available data is insufficient to form a comprehensive picture of the facility's quality.

Quality Themes

Tap a score for details
FoodN/AStaff8.0Clean9.0ActivitiesN/AMedsN/AMemoryN/AComms9.0ValueN/A

Strengths

  • Responsive administrative communication
  • Aesthetically pleasing facility
  • Active board involvement

Rating Trends

Tap a year to see what changed

2344.02014(1)5.02021(2)5.02022(2)3.52023(4)4.02024(1)

Distribution · 10 analyzed

5
5
4
4
3
0
2
0
1
1

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1I noticed the facility has a very welcoming aesthetic and responsive leadership; how does that administrative support translate into the daily experience for residents?
  • 2With the recent focus on improving health inspection outcomes, what specific changes or quality improvement initiatives has the facility implemented over the last year?
  • 3Given the active board involvement mentioned, how are family members kept in the loop regarding facility-wide updates or changes in care protocols?
  • 4Since the staffing rating is strong, how do you ensure that this consistent level of support is effectively utilized to address the specific health needs identified in recent inspections?
  • 5What does a typical daily activity schedule look like to ensure residents remain engaged and active within the community?
  • 6In the event of a medical emergency or a sudden change in a resident's health status, what is the specific protocol for notifying and coordinating with family members?

Personalized based on this facility's data


Key Review Excerpts

These people answered my questions promptly. I think there awesome. I would recommend them to anyone.

Visitor/Inquirer · 2021★★★★★

A beautiful former Carnegie library

Local observer · 2024★★★★
Source: 10 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.04hrs
OK
Registered nurses for medical care
Total Nursing
3.60hrs
88%
All nurses + aides combined
Staff Turnover
48%
Lower is better (< 30% = good)
RN Turnover
47%
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
2/ 5
Better Than Avg

6

measures

Worse Than Avg

5

measures

Mixed Results

5

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility28.6%
Worse than Avg
Here
28.6%
US
15.3%
MN
21.4%
Pennington
24.2%
💉

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 with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
MN
4.3%
Pennington
5.4%

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

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility17.5%
Mixed vs Avgs
Here
17.5%
US
15.5%
MN
17.0%
Pennington
25.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility13.2%
Mixed vs Avgs
Here
13.2%
US
19.5%
MN
12.5%
Pennington
15.7%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility24.8%
Mixed vs Avgs
Here
24.8%
US
19.4%
MN
24.5%
Pennington
27.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility93.8%
Better than Avg
Here
93.8%
US
81.8%
MN
88.3%
Pennington
65.0%
💊

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

6deficiencies
5penalties
Near state avg (8.0)
13 complaint-triggered
$94,417 in fines

Families have filed multiple complaints about this facility, triggering several investigations for serious issues including protection from abuse and neglect, accident prevention, and care quality. The facility shows recurring problems with accident prevention and safety hazards across multiple surveys, infection control deficiencies, and nutrition/dietary services. While the facility has corrected identified issues, the pattern of repeated safety and care concerns warrants careful evaluation.

Apr 1, 2026Routine
10
0271Potential for harm · WidespreadCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0641Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0761Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

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

Apr 1, 2026Complaint
1
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.

Dec 30, 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 16, 2025Routine
16
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

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.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0163Potential for harm · PatternCorrected

Construction Deficiencies

Install noncombustible or limited-combustible interior walls.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

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.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0753Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have restrictions on the use of highly flammable decorations.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Jan 16, 2025Complaint
1
0689Actual 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.

May 2, 2024Complaint
1
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Federal Penalties

Payment Denial

Jan 16, 2025

23-day denial

Fine

Apr 12, 2024

$19,800

Fine

Jan 3, 2024

$65,302

Fine

Nov 1, 2023

$9,315

Payment Denial

Nov 1, 2023

2-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Thief River Care Center

Organization Type

nonprofit

Chain Affiliation

Chain Name

St. Francis Health Services

Chain Size

14 facilities nationwide

Chain avg rating: 2.9/5 · Rank 11 of 14 (Worst)

Ownership & Management

Owners

Raw, Carol

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Ryan, BenAdp of the SnfSanden, CindyAdp of the SnfSchneider, ToddAdp of the SnfStock, KelseyAdp of the SnfThompson, LoriAdp of the Snf
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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