Havenwood Care Center
1633 Delton Avenue Nw, Bemidji, MN 56601 · Beltrami County · (218) 444-1745
65 certified beds, about 59 residents a day · For profit - Corporation · Medicare and Medicaid since 1986
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
1 of 5
Staffing
5 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 245397 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 29, 2026, inspectors cited 10 health deficiencies (the Minnesota average is 7.1, the national average 9.2).
Of 49 health citations since September 2023, 4 were rated as actual harm or immediate jeopardy to residents (3 immediate jeopardy).
CMS lists 4 fines totaling $137,245 in the last three years; the largest was $88,970, and the latest is dated January 16, 2026.
Nurses and nurse aides worked 4.35 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 0.84 of those hours.
36.6% of nursing staff left within the year CMS measured (Minnesota average 42.2%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
109/23
110/23
112/23
1204/24
105/24
206/24
1502/25
106/25
107/25
108/25
210/25
101/26
1004/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 49 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
3J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
37D
7E
1F
Potential for minimal harm
0A
0B
0C
April 29, 2026Standard inspection, Complaint inspection · 10 citations
- E 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.
Inspectors wroteBased on observation, interview, and document review, the facility failed to provide exercise programs as ordered for 6 of 6 residents (R14, R20, R32, R40, R53, R66) reviewed for restorative exercise program. This had the potential to affect all 38 residents who had exercise programs.
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on observations, interviews and document review, the facility failed to provide sufficient staffing to provide exercise services for the restorative nursing program for 6 of 6 residents (R14, R20, R32, R40, R53, R66) reviewed for restorative exercise program. This had the potential to affect all 38 residents who had exercise programs.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and document review the facility failed to ensure staff served meals while securing their hair with a hair covering on1 of 2 units Walnut Unit) . This had the potential to affect all 23 residents who ate meals on the Walnut Unit.
- D 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.
Inspectors wroteBased on observation, interview and document review, the facility failed to ensure a report of missing personal property was followed up on for 1 of 3 residents (R14) reviewed for resident rights.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on interview and document review, the facility failed to revise the care plan to include ordered functional maintenance program (FMP) with goals and interventions for 2 of 6 residents (R20, R32) who received exercises, in addition, the facility include enhanced barrier precautions (EBP) including measurable goals and interventions for 1 of 6 residents (R66) whose care plans were reviewed for EBP.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview and document review, the facility failed to provide timely cares to dependent residents for 2 of 7 residents (R14, R18) who's activities of daily living cares were observed.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview and document review, the facility failed to ensure residents received timely repositioning for 1 of 3 residents (R14) reviewed for pressure ulcers.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on interview and document review, the facility failed to ensure a stop date for medication was confirmed by the primary care provider for temporary medications that required an end date for 1 of 6 residents (R12) reviewed for medication management.
- D Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Inspectors wroteBased on observation, interview and document review, the facility failed to ensure food was prepared and served to meet resident needs for 1 of 2 residents (R12) reviewed for nutrition.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and document review the facility failed to ensure staff wore the appropriate personal protective equipment (PPE) according to CDC guidelines during direct cares for 2 of 4 residents (R25, R66) reviewed who were on enhanced barrier precautions.
January 16, 2026Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview and document review the facility failed to ensure 1 of 3 residents reviewed for safety from hot liquids was free from burns. This resulted in actual harm to R1 who spilled hot coffee on his lap and sustained a second-degree burn. In addition, the facility failed to implement a system to assess residents for safety with hot liquids.
October 22, 2025Complaint inspection · 2 citations
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on interview and document review, the facility failed to ensure the correct administration of insulin per physician orders for 1 of 3 residents (R1) who received 20 units of Novolog (rapid acting used to lower blood sugar levels onset in 15 minutes) instead of the physician ordered Lantus (long-acting onset 3 to 4 hours and duration of 24 hours).
- D 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.
Inspectors wroteBased on observation, interview and document review, the facility failed to ensure medications were secured at all times in 1 of 3 medication carts used. This had the potential to affect 20 residents whose medications were stored in medication cart. Additionally, the facility failed to ensure medication was labeled with clear and unaltered administration instructions to prevent potential error for 1 of 3 residents (R4) observed to receive medication.
August 7, 2025Complaint inspection · 1 citation
- J 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.
Inspectors wroteBased on interview and document review, the facility failed to ensure a system to provide the correct physician ordered diet texture for 1 of 3 residents (R1) who was at risk for choking and had a history of dysphagia. This resulted in an Immediate Jeopardy (IJ) for R1 when she was provided lunch which was not cut up into bite sized pieces as ordered. As a result, R1 was observed to choke, requiring the Heimlich to clear obstruction, suctioning, and oxygen after she lost consciousness. R1 was transferred to the hospital, was intubated and placed on a ventilator. The IJ began on 7/30/25 at 12:10 p.m., when nursing assistant (NA)-A provided R1 with a lunch tray which included potato chowder with kielbasa pieces and a chicken salad sandwich that were not cut up per physician orders. This resulted in R1 choking and requiring the Heimlich Maneuver, was hospitalized and placed on a ventilator. [...]
July 17, 2025Complaint inspection · 1 citation
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and document review the facility failed to report an allegation of neglect of care to the state agency (SA) for 1 of 3 residents (R1) reviewed who alleged neglect of care. R1's Resident Face Sheet indicated she admitted to the facility on [DATE]. R1's diagnosis included atrial fibrillation, adult failure to thrive and hypertension. R1's Individual Resident Care Plan dated 6/19/25, indicated she required assistance with repositioning, toileting and wheelchair mobility and displayed no behaviors. R1's Progress Note dated 6/22/25, indicated R1's family spoke with nurse regarding R1's condition. R1's family insisted R1 be sent to the emergency department because they felt facility's care of R1 was poor. R1 had not been eating or drinking much and refusing to take her medications. [...]
June 11, 2025Complaint inspection · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview and document review the facility failed to utilize assistance devices (transfer belt) and provide a hazard free environment as care planned for 3 of 4 residents (R1, R3, R4) reviewed for falls.
February 12, 2025Standard inspection · 15 citations
- E Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation, and interview, the facility failed to have a system in place to ensure water temperatures were maintained a comfortable temperature for 2 of 13 residents (R22 ,R45) who resided on Maple Lane unit reviewed for complaints of cold-water temperatures. This had the potential to affect all 13 residents residing who resided on Maple Lane unit.
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation, interview and document review, the facility failed to ensure flooring was maintained in a safe manner for 1 of 1 resident (R49) reviewed for environment.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on interview and document review, the facility failed to accurately code a significant weight loss on the Minimum Data Set (MDS) for 1 of 3 residents (R30) reviewed for nutrition
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on observation, interview and document review, the facility failed to develop a baseline care plan to ensure immediate resident needs were identified and addressed for 1 of 4 residents (R211) whom were newly admitted .
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, interview and document review, the facility failed identify enhanced barrier precautions (EBP) interventions for 1 of 1 resident (R18) reviewed with a surgical wound.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on interview and document review, the facility failed to revise and update a comprehensive care plan for 1 of 3 residents (R10) reviewed for weight loss.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview and document review, the facility failed to ensure a bed was kept in the low position to prevent falls for 1 of 2 residents (R40) reviewed for falls.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, interview and document review, the facility failed to comprehensively assess and implement interventions to prevent weight loss for 1 of 3 residents (R30); and failed to implement assessess nutrition interventions to prevent further weight loss for 1 of 3 residents (R10) reviewed for nutrition.
- D Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Inspectors wroteBased on interview and document review, the facility failed to ensure a complete medical record was maintained to include the physician reviewed orders, treatments and care plans during routine visits for 1 of 2 residents (R7) reviewed during medication administration.
- D Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Inspectors wroteBased on interview and document review, the facility failed to ensure long term residents received routine physician visits every 60 days as required for 2 of 2 residents (R7, R39) reviewed during medication administration.
- D Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspectors wroteBased on interview and document review, the facility failed to comprehensively assess and implement interventions for identified behaviors for 1 of 3 residents (R17) reviewed for dementia care.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on interview and document review, the facility failed to ensure as needed medication from facility standing orders were transcribed and administered appropriately to reduce the risk of complications for 1 of 1 resident (R56) reviewed for loose stools.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on interview and document review, the facility failed to ensure consulting pharmacist recommendations were acted upon, addressed, and documented in the medical record for 1 of 5 residents (R51) reviewed for unnecessary medication use.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on interview and document review, the facility failed to provide a face-to-face provider evaluation for continued use of a as needed (PRN) psychotropic medication for 1 of 2 residents (R39) reviewed for mood/behavior.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and document review, the facility failed to implement enhanced barrier precautions (EBP) for 1 of 1 resident (R211) reviewed for catheter care; and 1 of 1 resident (R18) reviewed with a surgical wound.
June 4, 2024Complaint inspection · 2 citations
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on interview and document review the facility failed to notify the physician of a change in condition for 1 of 3 residents (R1) who was sleeping more than usual, not eating and not taking medications.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and document review, the facility failed to identify and assess for a change of condition for 1 of 3 residents (R1) who began sleeping more, missing medications due to sleep and not drinking/eating regularly. Additionally, R1's family member had to voice concerns regarding deteriorating health condition for initiation of hospital transfer.
May 9, 2024Complaint inspection · 1 citation
- D Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspectors wroteBased on observation, interview and document review the facility failed to assess the use of a wedge cushion used to keep a resident (R1) in bed as a potential restraint for 1 of 3 residents reviewed for rights.
April 5, 2024Standard inspection, Complaint inspection · 12 citations
- F Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Inspectors wroteBased on observation, interview and document review, the facility failed to ensure nutrient and/or calorie substantive snacks were offered and readily available for 3 of 6 residents (R6, R50, R308) who voiced concern at a resident council meeting. This had the potential to affect all residents residing at the facility. In addition, the facility failed to prevent a greater than 14-hour lapse between dinner and breakfast meals and without offering a snack in the evening.
- E Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and document review, the facility failed to ensure allegations of abuse were reported for 1 of 6 residents (R28) reviewed for abuse. This had the potential to affect residents who he provided care for.
- E Respond appropriately to all alleged violations.
Inspectors wroteBased on interview and document review, the facility failed to ensure allegations of abuse were investigated for 1 of 6 residents (R28) reviewed for abuse. This had the potential to affect residents who he provided care for.
- E Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Inspectors wroteBased on document review and interview the facility failed to verify nurse aide registration for 1 of 5 nursing assistants (NA-A) prior to allowing the individual to serve as a nurse aide and work directly with residents in the facility after the 4 month training period. This had the potential to affect residents who he provided care for.
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observation, interview and document review, the facility failed to ensure nursing staff observed medication administration for 1 of 1 residents (R30) observed to self-administer a nebulizer treatment who was not assessed to be able to do so.
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on interview and document review, the facility failed to ensure conflicting directives for emergency care and treatment were clarified to ensure resident wishes would be implemented correctly in an emergent situation for 1 of 15 residents (R28) reviewed for advanced directives.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on interview and document review, the facility failed to ensure the long term care ombudsman was notified of resident transfers for 1 of 2 residents (R26) reviewed for hospitalization.
- D Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on interview and document review, the facility failed to provide the resident or their representative a written bed hold notice for 1 of 2 residents (R26) reviewed for hospitalization.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview and document review the facility failed to ensure residents who were at risk for pressure ulcers were repositioned timely as directed by the residents care plan for 1 of 2 residents (R30) reviewed for pressure ulcers.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure nebulizer and tubing were changed in a timely manner for 1 of 1 residents (R30) reviewed for respiratory care.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, interview and document review, the facility failed to ensure medications were administered in accordance with physician orders for 2 of 6 residents (R30, R39) observed to receive medication. A total of two errors out of 27 opportunities were identified resulting in a facility error rate of seven percent.
- D 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.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure medications with a shortened expiration period were labeled with an opened-on date and failed to ensure expired medications were disposed for one of two medication carts in the facility. This practice had the potential to affect all residents with medications stored in the facility.
December 4, 2023Complaint inspection · 1 citation
- J Ensure that residents are free from significant medication errors.
Inspectors wroteBased on interview and document review the facility failed to develop and implement a process to ensure high risk medications were administered and failed to implement a process to report missed doses and/or lack of availability of medications to the provider for 1 of 3 residents (R1) reviewed for medication errors. This resulted in an Immediate Jeopardy (IJ) for R1 when the facility's failure to obtain and administer anti-epileptic medication (used to treat seizures) resulted in increased seizure activity and hospitalization. The IJ began on 11/16/23, when The facility failed to administer three consecutive doses of a high-risk medication to prevent or reduce the risk of seizures resulting in repetitive seizures and hospitalization for R1. The facility failed to implement a plan to secure the medication at the facility or develop alternative interventions via provider notification. [...]
October 6, 2023Complaint inspection · 1 citation
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview and document review, the facility failed to provide adequate supervision when staff did not appropriately respond to a sounding exit door alarm for 1 of 3 residents (R1) identified at risk for elopement, who was able to exit the building, despite wander alert alarming, resulting in R1 being outside the facility without staff knowledge. This resulted in an immediate jeopardy (IJ) for R1. The immediate jeopardy began on 9/23/23, at approximately 6:39 p.m. when R1 was found outside the facility by a visitor walking through the parking lot. The IJ was identified on 10/6/23, and the administrator was notified of the IJ on 10/6/23, at 4:15 p.m. The immediate jeopardy was removed on 9/28/23, and the deficient practice was corrected prior to the start of the survey and was therefore issued at past noncompliance.
September 21, 2023Complaint inspection · 1 citation
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and document review the facility failed to assess 1 of 3 residents (R4) reviewed for nursing care assessment. While receiving assistance with a transfer, staff heard an audible tear which was not assessed by nursing staff on duty at the time of the incident.
Fire safety inspections
25 fire safety citations on file: 5 on April 29, 2026, 11 on February 12, 2025, 9 on April 5, 2024.
Every fire safety citation25 citations
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have generator or other power source capable of supplying service within 10 seconds.
- D Ensure proper usage of power strips and extension cords.
- D Ensure that testing and maintenance of electrical equipment is performed.
- F Have horizontal exits used in accordance with safety requirements.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Have simulated fire drills held at unexpected times.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Install noncombustible or limited-combustible interior walls.
- E Install emergency lighting that can last at least 1 1/2 hours.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Ensure proper usage of power strips and extension cords.
- D Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Provide properly protected cooking facilities.
- F Provide family notifications of emergency plan.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Have simulated fire drills held at unexpected times.
- F Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Have properly located and lighted "Exit" signs.
- D Ensure proper usage of power strips and extension cords.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| January 16, 2026 | Fine | $88,970 |
| January 16, 2026 | Payment Denial | 34 days from February 13, 2026 |
| June 11, 2025 | Fine | $26,685 |
| December 4, 2023 | Fine | $13,397 |
| September 21, 2023 | Fine | $8,193 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Minnesota | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.35 | 4.19 | 3.86 |
| Registered nurses | 0.84 | 1.06 | 0.69 |
| All nursing staff on weekends | 4.02 | 3.71 | 3.42 |
| Nurse aides | 2.74 | ||
| Licensed practical nurses | 0.77 | ||
| Nursing staff turnover (share who left in a year) | 36.6% | 42.2% | 45.8% |
| Registered nurse turnover | 20.0% | 38.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.40 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.49 on weekdays and 4.02 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.02 in April to June 2025 to 4.35 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.35 | 0.84 | 4.49 | 4.02 | 0.0% | 0 of 90 | 59 |
| Oct to Dec 2025 | 4.28 | 0.87 | 4.41 | 3.95 | 0.0% | 0 of 92 | 58 |
| Jul to Sep 2025 | 4.01 | 0.73 | 4.19 | 3.53 | 0.0% | 0 of 92 | 60 |
| Apr to Jun 2025 | 4.02 | 0.55 | 4.21 | 3.55 | 0.0% | 0 of 91 | 60 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Minnesota, Jan to Mar 2026 | 4.19 | 1.05 | 4.38 | 3.73 | 5.2% | 0.8% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Minnesota | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 22.3 | 18.2 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 3.6 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.5 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.5 | 4.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.9 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 22.4 | 20.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.9 | 5.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.4 | 17.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 18.6 | 23.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 28.5 | 14.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.6 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.9 | 1.8 |
Owners and operators
Legal business name: ELDERCARE OF BEMIDJI INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Birchem, James | 5% or greater direct ownership interest | Individual | 50% | 05/29/1994 |
| Birchem, Kathleen | 5% or greater direct ownership interest | Individual | 50% | 05/29/1994 |
| Birchem, James | Corporate director | Individual | 05/29/1994 | |
| Birchem, Kathleen | Corporate director | Individual | 05/29/1994 | |
| Jarvis, Steffanie | Corporate director | Individual | 04/01/2017 | |
| Birchem, James | Corporate officer | Individual | 05/29/1994 | |
| Birchem, Kathleen | Corporate officer | Individual | 05/29/1994 | |
| Eldercare of Minnesota, Inc | Operational/managerial control | Organization | 05/15/2005 | |
| Erickson, Laura | Operational/managerial control | Individual | 10/21/2024 | |
| Wilcox, David | Operational/managerial control | Individual | 07/12/2025 | |
| Eldercare of Minnesota, Inc | Adp of the SNF | Organization | 11/06/2025 | |
| Birchem, James | Adp of the SNF | Individual | 05/29/1994 | |
| Birchem, Kathleen | Adp of the SNF | Individual | 01/20/2026 | |
| Erickson, Laura | Adp of the SNF | Individual | 10/21/2024 | |
| Jarvis, Steffanie | Adp of the SNF | Individual | 08/01/2011 | |
| Wilcox, David | Adp of the SNF | Individual | 01/09/2026 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 13 problems in this area, most recently on April 29, 2026: "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."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 9 problems in this area, most recently on April 29, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 7 problems in this area, most recently on April 29, 2026: "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."
- When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on April 29, 2026: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Neilson Place Bemidji, 1.4 mi · 1 of 5 stars · 47 citations
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Minnesota contacts for a concern about a nursing home
These are the official offices in Minnesota. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Minnesota Department of Health, Health Regulation Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
- State inspection reports: MDH Nursing and Boarding Care Home Survey and Complaint Inspection Findings, where Minnesota publishes its own records on licensed homes.
Common questions
- What is Havenwood Care Center's Medicare star rating?
- CMS rates Havenwood Care Center 2 out of 5 stars overall, with 1 for health inspections, 5 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Havenwood Care Center get at its last inspection?
- 10 health deficiencies at the standard inspection on April 29, 2026. The Minnesota average is 7.1.
- Has Havenwood Care Center been fined?
- Yes. CMS lists 4 fines totaling $137,245 in the last three years.
- Does Havenwood Care Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Havenwood Care Center?
- CMS lists 16 owners and managers. Legal business name: ELDERCARE OF BEMIDJI INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.