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Complaint Investigation

Birchwood Health Care Center

November 13, 2025 · Forest Lake, MN · 604 1st Street Ne
Citations 2
CMS Rating 2/5
Beds 100
Provider ID 245200
Healthcare Facility
Birchwood Health Care Center
Forest Lake, MN  ·  View full profile →
Inspection Summary

BIRCHWOOD HEALTH CARE CENTER in FOREST LAKE, MN — inspection on November 13, 2025.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0689
Quality of Life and Care Deficiencies
Immediate Jeopardy

jeopardy to resident health or safety

started on [DATE], to leave the alarm on until all the residents who wore Wander Guards were accounted for, and that had always been the policy. We are supposed to call a code green when the alarm goes off and a resident is not accounted for near the alarm.

The Elopement Risk policy dated 5/24, indicated residents who scored 4 or more on the Elopement Risk Assessment required interventions that may include using a Wander Guard.

Residents who had an attempted elopement required a new review, and all residents who wore the WanderGuard were not to be outside the building without staff or family members.

The past non-compliance immediate jeopardy began on [DATE].

The immediate jeopardy was removed and the deficient practice corrected by [DATE], after the facility implemented a systemic plan that included the following actions:Upon R1 returning to the facility, R1 was assessed for injuries.R1 was placed on 1:1 staffing upon return. 15-minute observations following.Nursing assistant (NA)-A was suspended, was verbally retrained but remains on suspension until he gets a full retraining.All Wander Guard systems (exits and bracelets) were tested and found to be in working condition. (Testing continues to meet Manufacturer's recommendations).Training started [DATE], to ensure alarms are not shut off before residents at risk for elopement and wearing a Wander Guard are accounted for.R1's care plan was updated to include 1:1 initially, then 15 min checks when R1 went to bed.Activity staff increased activity options for R1 to assist with distraction.Doors to R1's unit to be shut at night to limit R1's movement to her own unit for increased supervision.Staff was educated on the care plan revisions.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/13/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Birchwood Health Care Center

604 1st Street NE Forest Lake, MN 55025

SUMMARY STATEMENT OF DEFICIENCIES

During an interview on 11/12/25 at 3:35 p.m., registered nurse (RN)-A stated after R1 eloped on 11/9/25, she performed an updated Elopement Risk assessment with R1, per policy after an elopement. RN-A stated R1 scored a 5, indicating elopement risk. RN-A acknowledged she had not reviewed the previous assessment, in which R1 scored a 6.

Upon review of the assessment, RN-A stated she should have indicated R1 was taking a medication that was sedating because R1 was taking Seroquel which could contribute to an altered mental state. RN-A further acknowledged she should have scored a point for the elopement that just occurred, and should have scored a point for family who voiced concerned as R1's husband voiced concerns when RN-A notified him of R1's elopement. RN-A acknowledged it was not an accurate assessment, and stated she would update it.

During an interview on 11/13/25 at 11:38 a.m., the director of nursing (DON) stated R1's elopement triggered RN-A to perform a new Elopement Risk Assessment, so RN-A should have known to assign a point for the elopement.

The DON stated RN-A should have reviewed R1's medication list when it was completed to ensure accuracy of the assessment.

The DON acknowledged the assessment was not accurate and had not been updated yet.

The Elopement Risk policy dated 5/24, indicated residents who scored 4 or more on the Elopement Risk Assessment required interventions that may include using a Wander Guard, and further stipulated a new assessment would be completed every 90 days and with attempted elopement.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in FOREST LAKE, MN, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from BIRCHWOOD HEALTH CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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