Oakland Park Communities, Inc.
123 Baken Street · Thief River Falls, MN · 56701 · 2186811675
35 certified beds For profit - Individual
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection results have improved across recent cycles.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
$53,370 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.80 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.03 | 0.55–0.75 |
| Weekend hours / resident-day | 3.19 | ≈ weekday level |
| Nursing turnover / year | 41% | median 45% |
| Fines (3-yr window) | 2 · $53,370 |
Inspection citations (29 in the current record)
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Actual harm · G February 19, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 26, 2026 · Quality of Life and Care
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Potential for harm · D February 19, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 16, 2026 · Resident Rights
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Potential for harm · D February 19, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected March 16, 2026 · Pharmacy Service
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Potential for harm · D December 31, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected January 31, 2026 · Resident Rights
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Potential for harm · D December 31, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected January 31, 2026 · Resident Rights
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Potential for harm · D December 31, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 31, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 31, 2025
Implement a program that monitors antibiotic use.
Corrected January 31, 2026 · Infection Control
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Potential for harm · D December 31, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected January 31, 2026 · Infection Control
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Immediate jeopardy · J July 17, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 2, 2025 · Quality of Life and Care
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Actual harm · G January 30, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 28, 2025 · Quality of Life and Care
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Potential for harm · D January 30, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected February 28, 2025 · Resident Rights
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Potential for harm · D January 30, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 30, 2025
Respond appropriately to all alleged violations.
Corrected February 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 30, 2025
Ensure each resident receives an accurate assessment.
Corrected February 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 30, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 28, 2025 · Quality of Life and Care
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Potential for harm · D January 30, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 28, 2025 · Pharmacy Service
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Potential for harm · D January 30, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected February 28, 2025 · Pharmacy Service
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Potential for harm · F January 30, 2025
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected February 28, 2025 · Administration
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Potential for harm · F January 30, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected February 28, 2025 · Administration
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Potential for harm · F January 30, 2025
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected February 28, 2025 · Administration
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Potential for harm · F January 30, 2025
Provide and implement an infection prevention and control program.
Corrected February 28, 2025 · Infection Control
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Potential for harm · D January 30, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected February 28, 2025 · Quality of Life and Care
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Potential for harm · D March 21, 2024
Assess the resident when there is a significant change in condition
Corrected April 17, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 21, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 15, 2024 · Quality of Life and Care
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Potential for harm · D March 21, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected April 15, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 30, 2025 | Fine | $26,685 |
| July 17, 2025 | Fine | $26,685 |
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 245592 · certified since December 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.