Essentia Health Oak Crossing
1040 Lincoln Avenue, Detroit Lakes, MN 56501 · Becker County · 84 certified beds · avg 71 residents/day · certified since Nov 1, 1976
Part of chain: ESSENTIA HEALTH (6 facilities, chain avg rating 4.3★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Nov 22, 2023 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Nov 11, 2023 (Past Non-Compliance)
All citations in the current public record (11)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Dec 3, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jul 11, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Oct 23, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Oct 23, 2024 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Oct 23, 2024 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Oct 23, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Dec 13, 2023 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Dec 13, 2023 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| Dec 13, 2023 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Dec 13, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Nov 22, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (4 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 1 | J ▲ |
| 2024 | 4 | 0 | F |
| 2025 | 2 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $7,446.
| Date | Type | Amount / length |
|---|---|---|
| Nov 22, 2023 | Fine | $7,446 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Minnesota avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 6.36 | 4.83 | 3.95 | top 5% in Minnesota; top 3% in the U.S. |
| Registered Nurse hours | 1.63 | 1.22 | 0.69 | top 15% in Minnesota; top 3% in the U.S. |
| Weekend total nurse staffing | 5.71 | 4.27 | 3.50 | top 6% in Minnesota; top 3% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.79 | 0.69 | 0.48 | top 27% in Minnesota; top 12% in the U.S. |
| Total nursing staff turnover (%) | 24.3 | 42.2 | 45.8 | top 9% in Minnesota; top 6% in the U.S. |
| RN turnover (%) | 24.0 | 38.6 | 42.9 | top 26% in Minnesota; top 20% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.06, RN 1.30, weekend 4.54. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Essentia Health | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/01/2023 |
| Adams, Marc | Individual | Corporate Director | NOT APPLICABLE | 01/01/2026 |
| Arvin, Douglas | Individual | Corporate Officer | NOT APPLICABLE | 05/18/2023 |
| Arvin, Douglas | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/18/2023 |
| Arvin, Douglas | Individual | ADP of the SNF | NOT APPLICABLE | 05/18/2023 |
| Boren, Kevin | Individual | Corporate Officer | NOT APPLICABLE | 09/29/2025 |
| Brinkman, Christy | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/19/2019 |
| Brinkman, Christy | Individual | ADP of the SNF | NOT APPLICABLE | 03/20/2026 |
| Christensen, James | Individual | Corporate Director | NOT APPLICABLE | 01/01/2020 |
| Essentia Health | Organization | ADP of the SNF | NOT APPLICABLE | 01/29/2025 |
| Gefroh Ellison, Stefanie | Individual | Corporate Officer | NOT APPLICABLE | 08/12/2024 |
| Gupta, Parul | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Gupta, Parul | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Gupta, Parul | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Heilman, Tim | Individual | Corporate Director | NOT APPLICABLE | 01/01/2020 |
| Hurley, Alan | Individual | Corporate Officer | NOT APPLICABLE | 05/18/2023 |
| Hurley, Alan | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/18/2023 |
| Hurley, Alan | Individual | ADP of the SNF | NOT APPLICABLE | 05/18/2023 |
| Innovis Health LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2017 |
| Innovis Health LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/29/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Emmanuel Nursing Home | 0.6 mi | Detroit Lakes, MN | ★★★☆☆ | 2/5 | |
| Frazee Care Center | 8.9 mi | Frazee, MN | ★★★★★ | 4/5 | |
| Sunnyside Care Center | 10.8 mi | Lake Park, MN | ★★★★★ | 4/5 | |
| Perham Living | 19.4 mi | Perham, MN | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 245212.