Saint Therese at Oxbow Lake
9751 Regent Avenue North, Brooklyn Park, MN 55443 · Hennepin County · 64 certified beds · avg 60 residents/day · certified since Jul 16, 2013
Part of chain: SAINT THERESE SENIOR COMMUNITIES (4 facilities, chain avg rating 4.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
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.
All citations in the current public record (30)
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 |
|---|---|---|
| Feb 26, 2026 | E · Potential for harm, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Feb 26, 2026 | E · Potential for harm, repeated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Feb 26, 2026 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Feb 26, 2026 | D · Potential for harm, one-off | The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. |
| Feb 26, 2026 | D · Potential for harm, one-off | The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. |
| Feb 26, 2026 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| Feb 26, 2026 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Feb 26, 2026 | 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. |
| Feb 26, 2026 | 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. |
| Feb 26, 2026 | 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. |
| Feb 26, 2026 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Feb 26, 2026 | 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. |
| Feb 26, 2026 | 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. |
| Feb 26, 2026 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Feb 26, 2026 | C · Minimal risk, facility-wide | The facility did not give residents the required written notice of their rights, the facility's rules, the services offered, and what those services cost. |
| Feb 26, 2026 | C · Minimal risk, facility-wide | The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. |
| Dec 6, 2024 | F · Potential for harm, facility-wide | 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. |
| Dec 6, 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. |
| Dec 6, 2024 | 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 6, 2024 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint |
| Dec 6, 2024 | 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 6, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Oct 11, 2024 | D · Potential for harm, one-off | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · from a complaint |
| Aug 7, 2024 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint |
| Aug 7, 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. · from a complaint |
| Mar 7, 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. |
| Mar 7, 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. |
| Mar 7, 2024 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Mar 7, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Mar 7, 2024 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (6 → 16).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 14 | 0 | F |
| 2026 | 16 | 0 | E |
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)
No fines or payment denials in the published 3-year window.
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) | 5.17 | 4.83 | 3.95 | top 33% in Minnesota; top 11% in the U.S. |
| Registered Nurse hours | 2.20 | 1.22 | 0.69 | top 4% in Minnesota; top 1% in the U.S. |
| Weekend total nurse staffing | 4.64 | 4.27 | 3.50 | top 27% in Minnesota; top 10% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.51 | 0.69 | 0.48 | top 4% in Minnesota; top 2% in the U.S. |
| Total nursing staff turnover (%) | 26.6 | 42.2 | 45.8 | top 13% in Minnesota; top 9% in the U.S. |
| RN turnover (%) | 19.4 | 38.6 | 42.9 | top 16% in Minnesota; top 13% 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 4.73, RN 2.01, weekend 4.24. 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: 4/5 · long-stay residents: 4/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Saint Therese Communities | Organization | 5% or Greater Direct Ownership Interest | 100% | 06/28/2019 |
| Abbott, Craig | Individual | Corporate Director | NOT APPLICABLE | 05/23/2022 |
| Abbott, Craig | Individual | Corporate Officer | NOT APPLICABLE | 05/23/2022 |
| Bremer Bank National Association | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 07/12/2011 |
| Delander, Christine | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/04/2024 |
| Delander, Christine | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2024 |
| Gillespie, Joseph | Individual | Corporate Director | NOT APPLICABLE | 08/15/2012 |
| Herb, Mary | Individual | Corporate Director | NOT APPLICABLE | 07/01/2023 |
| Hoffmann, David | Individual | Corporate Director | NOT APPLICABLE | 03/09/2017 |
| Hoffmann, David | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2022 |
| Horstmann, Steven | Individual | Corporate Director | NOT APPLICABLE | 04/01/2020 |
| Krenn, David | Individual | Corporate Director | NOT APPLICABLE | 12/01/2011 |
| McCluskey, Patricia | Individual | Corporate Director | NOT APPLICABLE | 07/01/2023 |
| McCrossan, Jane | Individual | Corporate Director | NOT APPLICABLE | 08/15/2012 |
| Meads, Steven | Individual | Corporate Director | NOT APPLICABLE | 03/12/2015 |
| Mittal, Vikas | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2020 |
| Mittal, Vikas | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2025 |
| Parmar, Mona | Individual | Corporate Director | NOT APPLICABLE | 08/01/2018 |
| Peterson, Tessa | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/10/2024 |
| Peterson, Tessa | Individual | ADP of the SNF | NOT APPLICABLE | 06/10/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How are residents and families included in care plan meetings, and how often do those meetings happen?"
- "Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "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 |
|---|---|---|---|---|---|
| Maranatha Care Center | 2.1 mi | Brooklyn Center, MN | ★★★★☆ | 4/5 | |
| The Villas at Osseo LLC | 2.4 mi | Osseo, MN | ★☆☆☆☆ | 1/5 | abuse |
| Park River Healthcare and Rehabilitation Center LL | 3.5 mi | Coon Rapids, MN | ★★☆☆☆ | 1/5 | |
| Woodlake Healthcare and Rehabilitation Center | 4.2 mi | Crystal, MN | ★★★☆☆ | 3/5 | |
| The Estates at Fridley LLC | 4.4 mi | Fridley, MN | ★★☆☆☆ | 2/5 | abuse |
| North Ridge Health and Rehab | 4.6 mi | New Hope, MN | ★☆☆☆☆ | 1/5 | SFF |
| Victory Health and Rehabilitation Center | 5.5 mi | Minneapolis, MN | ★★☆☆☆ | 2/5 | |
| Good Samaritan Society - Specialty Care Community | 6.0 mi | Robbinsdale, MN | ★★☆☆☆ | 1/5 | |
| The Terrace at Crystal LLC | 6.1 mi | Crystal, MN | —/5 | SFF | |
| The Estates at Twin Rivers LLC | 6.5 mi | Anoka, MN | ★★☆☆☆ | 2/5 | |
| Benedictine Health Center Innsbruck | 6.7 mi | New Brighton, MN | ★★★☆☆ | 2/5 | |
| The Birches at Trillium Woods | 6.8 mi | Plymouth, MN | ★★★★★ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 245619.