Lakewood Care Center
600 Main Avenue South, Baudette, MN 56623 · Lake of Woods County · (218) 634-3401
32 certified beds, about 28 residents a day · Non profit - Church related · Medicare and Medicaid since 1991
Inside a hospital Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 245580 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 26, 2025, inspectors cited 8 health deficiencies (the Minnesota average is 7.1, the national average 9.2).
Of 20 health citations since August 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.41 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 0.89 of those hours.
37.0% of nursing staff left within the year CMS measured (Minnesota average 42.2%).
CMS links it to Commonspirit Health, an affiliated group of 18 nursing homes.
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.
608/23
509/24
111/24
806/25
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 20 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
16D
2E
1F
Potential for minimal harm
0A
0B
0C
June 26, 2025Standard inspection · 8 citations
- F Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Inspectors wroteBased on interview and document review, the facility failed ensure a certified and credentialed dietary manager oversaw and supervised food preparation and services of the kitchens. This had the potential to affect all 25 residents, visitors and staff who consumed food from the kitchen.
- D Assess the resident when there is a significant change in condition
Inspectors wroteBased on interview and document review, the facility failed to ensure a significant change in status assessment (SCSA) was completed when two or more areas in resident status were identified on the Minimum Data Set (MDS) for 1 of 4 residents (R6) reviewed for MDS accuracy.
- D Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Inspectors wroteBased on interview and document review, the facility failed to ensure a subset (i.e., discharge) Minimum Data Set (MDS) was completed and transmitted to the Centers for Medicare and Medicaid (CMS) database in a timely manner for 1 of 2 residents (R24) reviewed for resident assessment.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on interview and document review the facility failed to ensure weight loss was accurately coded on the Minimum Data Set (MDS) 1 of 2 residents (R22) reviewed for nutrition.
- 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 ensure a resident's care plan was revised to include interventions for infection management for 1 of 1 resident (R18) reviewed for transmission-based precautions.
- 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 develop interventions to reduce or prevent continued weight loss for 1 of 2 residents (R22) reviewed for nutrition.
- 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 provide the diet texture ordered to 1 of 3 residents (R22) 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 a there was documentation to discontinuing transmission-based precautions (TBP) for respiratory Methicillin-resistant Staphylococcus aureus (MRSA) along with rationale for implementing enhanced barrier precautions (EBP)for 1 of 1 resident (R18) reviewed for respiratory infection.
November 20, 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 identify the use of restraints for 1 of 3 residents (R3) reviewed when the facility used multiple personal alarms and video cameras that restricted R3's movement and failed to attempt alternate interventions to prevent falls.
September 11, 2024Standard inspection, Complaint inspection · 5 citations
- 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 fall interventions were implemented as care planned to prevent falls for 1 of 4 residents (R19) reviewed for falls. This resulted in actual harm to R19 who's fall resulted in a humerus (a long bone in the arm that runs from the shoulder to the elbow) fracture.
- 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 unpasteurized shelled eggs were fully cooked and prepared in a manner to prevent foodborne illness. This had the potential affect 5 of 5 residents (R4, R10, R13, R20, and R21) who regularly ordered undercooked eggs for breakfast, with the potential to affect all 24 residents.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, interview and document review the facility failed to ensure a call light or device to alert staff was accessible for 1 of 1 residents (R21) observed to not have a way to call for staff assistance while sitting in their room.
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observation, interview, and document review the facility failed to maintain confidentiality for 12 of 12 residents (R3, R4, R6, R8, R11, R14, R17, R19, R22, R24, R76, R77) whose personal health data was observed laying unattended in a public area visible to all who entered.
- D Implement a program that monitors antibiotic use.
Inspectors wroteBased on interview and document review, the facility failed to implement antibiotic stewardship protocols for 1 of 1 resident (R7) identified to have been taking an antibiotic.
August 2, 2023Standard inspection · 6 citations
- E Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on interview and document review, the facility failed to provide the most recent Centers for Disease Control (CDC) education regarding the potential risks and benefits of the pneumococcal vaccine for 2 of 5 residents (R1, R24) reviewed for immunizations.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on interview and document review, the facility failed to ensure section N of the Minimum Data Set (MDS) was accurate for 1 of 5 residents (R25) reviewed for unnecessary medications.
- 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 observation, interview and document review, the facility failed ensure the care plan was revised to reflect accurate care planned interventions for 1 of 2 residents (R24) reviewed for falls.
- D Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Inspectors wroteBased on observation, interview and document review the facility failed to provide assistance during meals for 1 of 2 residents (R15) reviewed for activities of daily living (ADL)
- D Provide care or services that was trauma informed and/or culturally competent.
Inspectors wroteBased on interivew and document review, the facility failed to comprehensively assess for trauma informed care and identify potential triggers, to avoid potential re-traumatization for 3 of 3 residents (R10, R12 and R14) reviewed who had a history of trauma.
- D Implement a program that monitors antibiotic use.
Inspectors wroteBased on interview and document review the facility failed to implement antibiotic stewardship for 1 of 1 residents (R19) reviewed for appropriate use of antibiotics.
Fire safety inspections
12 fire safety citations on file: 4 on June 26, 2025, 4 on September 11, 2024, 4 on August 2, 2023.
Every fire safety citation12 citations
- D Install emergency lighting that can last at least 1 1/2 hours.
- D Provide properly protected cooking facilities.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have generator or other power source capable of supplying service within 10 seconds.
- F Have horizontal exits used in accordance with safety requirements.
- F Have simulated fire drills held at unexpected times.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Have restrictions on the use of highly flammable decorations.
- F Implement emergency and standby power systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Have simulated fire drills held at unexpected times.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| September 11, 2024 | Payment Denial | 98 days from October 2, 2024 |
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) | 4.41 | 4.19 | 3.86 |
| Registered nurses | 0.89 | 1.06 | 0.69 |
| All nursing staff on weekends | 3.90 | 3.71 | 3.42 |
| Nurse aides | 2.79 | ||
| Licensed practical nurses | 0.72 | ||
| Nursing staff turnover (share who left in a year) | 37.0% | 42.2% | 45.8% |
| Registered nurse turnover | not reported | 38.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 2.78 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 4.61 on weekdays and 3.90 on weekends, 15% 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 4.61 in April to June 2025 to 4.41 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 | 4.41 | 0.89 | 4.61 | 3.90 | 0.0% | 0 of 90 | 28 |
| Oct to Dec 2025 | 4.41 | 0.75 | 4.62 | 3.86 | 0.0% | 0 of 92 | 26 |
| Jul to Sep 2025 | 4.78 | 0.70 | 5.00 | 4.23 | 0.0% | 0 of 92 | 25 |
| Apr to Jun 2025 | 4.61 | 0.79 | 4.87 | 3.95 | 0.0% | 0 of 91 | 25 |
| 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 | 25.6 | 18.2 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 3.1 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.1 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.2 | 4.0 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 19.9 | 20.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.0 | 5.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 12.5 | 17.1 | 15.4 |
Owners and operators
Legal business name: LAKEWOOD HEALTH CENTER. CMS links this home to Commonspirit Health, a group of 18 nursing homes averaging 2.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Commonspirit Health | 5% or greater direct ownership interest | Organization | 100% | 07/01/1996 |
| Schmidt, Brent | W-2 managing employee | Individual | 07/01/2015 | |
| Stampohar, Jeffry | W-2 managing employee | Individual | 01/15/2018 | |
| Austad, James | Corporate director | Individual | 07/01/2019 | |
| Burton, Bruce | Corporate director | Individual | 07/01/2011 | |
| Ebner, Bernice | Corporate director | Individual | 07/01/2019 | |
| Nylander, Bradley | Corporate director | Individual | 03/01/2017 | |
| Olson, Crystal | Corporate director | Individual | 07/01/2019 | |
| Quo, Justin | Corporate director | Individual | 12/01/2013 | |
| Drop, Jeffrey | Corporate officer | Individual | 08/01/1994 | |
| Lofton, Kevin | Corporate officer | Individual | 02/01/2019 | |
| Schmidt, Brent | Corporate officer | Individual | 07/01/2015 | |
| Stampohar, Jeffry | Corporate officer | Individual | 01/15/2018 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on June 26, 2025: "Assess the resident when there is a significant change in condition"
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on June 26, 2025: "Provide enough food/fluids to maintain a resident's health."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 4 problems in this area, most recently on June 26, 2025: "Provide and implement an infection prevention and control program."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on June 26, 2025: "Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician."
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 Lakewood Care Center's Medicare star rating?
- CMS rates Lakewood Care Center 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Lakewood Care Center get at its last inspection?
- 8 health deficiencies at the standard inspection on June 26, 2025. The Minnesota average is 7.1.
- Has Lakewood Care Center been fined?
- CMS lists no fines in the last three years.
- Does Lakewood 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 Lakewood Care Center?
- CMS lists 13 owners and managers, and links the home to Commonspirit Health. Legal business name: LAKEWOOD HEALTH CENTER.
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.