Birchwood Health Care Center

    604 1st St NE, Forest Lake, MN, 55025
    2.7 · 26 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Caring staff, serious safety concerns

    I had mixed experiences. The nurses, aides, therapists and many frontline staff were caring, attentive and created a warm, family-like rehab/hospice atmosphere with good activities and pleasant grounds. However the place felt understaffed and inconsistent: cold food, poor hand hygiene, missed/late/discarded meds, unanswered call buzzers, a c-diff outbreak and serious safety incidents (oxygen not given, unsafe lift use) left me very worried. Management/billing was also a problem in my case-unresponsive to incidents and harassing about bills-so despite great caregivers I cannot confidently recommend this facility.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    2.69 · 26 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.0
    • Staff

      3.4
    • Meals

      2.0
    • Amenities

      3.5
    • Value

      1.0

    Pros

    • Friendly, caring staff and aides
    • Wonderful nurses and therapists
    • Prompt communication from staff
    • Strong, home-like campus and atmosphere
    • Good rehab and hospice services
    • Active activities program
    • Clean and well-organized facility (per some reviewers)
    • Nice landscaping and quiet neighborhood
    • Wheelchair-accessible outdoor amenities (swing)
    • Staff who go above and beyond
    • Generally good nutrition/pretty good food (per some reviews)
    • Multiple strong recommendations from families

    Cons

    • Serious safety incidents reported (oxygen not provided; oxygen cord issues)
    • Allegations of physical or abusive behavior toward residents and visitors
    • Rude or unprofessional staff (specific aides/nurses named)
    • Poor infection control practices (reported C. difficile; poor hand hygiene)
    • Medication problems (late meds, discarded meds, medication stock issues)
    • Understaffing and slow/no response to call bells
    • Unclear or inconsistent communication about therapy, meals, and activities
    • Dishonest or harassing billing practices and bill collection complaints
    • Refusal to accept certain veteran benefits (CHAMP VA) alleged
    • Management unresponsiveness to incident reports and refusal to share information
    • Unsafe equipment use reported (sit-to-stand lift misuse)
    • Infrequent room cleaning and inconsistent housekeeping
    • Cold food and temperature issues (warm milk)
    • Noisy halls and less-than-appealing facility aesthetics
    • Police involvement reported and legal/rights concerns raised
    • Strongly negative recommendations to avoid due to safety and care concerns

    Summary review

    The reviews for Birchwood Health Care Center present a sharply divided picture: several families describe excellent, compassionate care with strong clinical teams, while other reviews report troubling safety, hygiene, staffing, and management problems. Positive comments repeatedly praise individual caregivers, therapists, and some clinical teams as attentive, communicative, and capable. Multiple reviewers describe a warm, home-like campus with nice landscaping, a quiet neighborhood, wheelchair-accessible outdoor amenities, and an activities program. Several families explicitly recommend Birchwood for rehabilitation, hospice, or skilled nursing care, noting prompt communication, above-and-beyond staff behavior, and good nutrition in many instances.

    However, serious safety and quality concerns appear across other reviews. There are multiple reports of potentially life-threatening lapses — e.g., oxygen equipment problems and an assertion that a resident was not receiving oxygen and showed cyanosis — as well as allegations that staff behaved abusively toward a resident and visiting family. Reviewers also allege poor infection control (including a reported C. difficile case and poor hand hygiene), unsafe use of lifting equipment (sit-to-stand lift misuse), and medication issues (late medications, discarded medications, and medication stock problems). These are substantive clinical and safety allegations that families cite as reasons for strong negative sentiments.

    Staff behavior and consistency are inconsistent across accounts. Many reviewers singled out nurses, aides, and therapists as compassionate and excellent; others named specific staff as rude or negligent and described supervisors or on-call management as uncooperative or unwilling to share information after incidents. Understaffing and slow responses to call bells are common complaints and tie into other problems (delayed medications, inadequate assistance, infrequent room cleaning). The pattern suggests variability by shift and by individual caregiver: some shifts/teams are praised, while others are criticized for poor hygiene, inattentiveness, or unprofessional conduct.

    Facility and amenity feedback is mixed. Positive notes include cleanliness and good organization from some visitors, an attractive campus and outdoor swing, and a generally quiet setting. Conversely, others report infrequent room cleaning, noisy halls, and that the building is not particularly attractive. Dining impressions vary: some reviewers praise the nutrition and describe food as pretty good, while others complain about cold meals and warm milk. Communication gaps were also mentioned — families wanted clearer information about therapy plans, monthly activity boards, and menu options.

    Administrative and billing issues are another recurring concern. Some reviewers allege dishonest billing practices, aggressive bill collection/harassment, and refusal to accept CHAMP VA benefits for veterans — assertions that raise legal and ethical questions for those families. Multiple reports also express frustration with management's response to incident reports, including refusal of the supervisor on call to provide information and perceived inaction after serious complaints. At least one reviewer said police were called in relation to events at the facility.

    Overall, the reviews depict a facility with pockets of very good clinical and interpersonal care alongside reports of significant, potentially dangerous lapses in safety, hygiene, medication management, staffing, and administration. The pattern is one of high variability: some families had excellent experiences and recommend Birchwood, while others urge avoidance and raised alarm about resident safety and billing practices. For prospective residents and family members, the reviews suggest exercising caution: visit multiple times and at different shifts, ask specific questions about infection control, staffing levels, medication procedures, lift/equipment training, incident reporting protocols, and billing practices. Document interactions, request written care plans and activity/therapy schedules, and seek clarification about veteran benefit acceptance if relevant. If you encounter safety or abuse concerns, escalate promptly to regulatory authorities and consider alternative facilities.

    Location

    Map showing location of Birchwood Health Care Center

    About Birchwood Health Care Center

    Birchwood Health Care Center sits over in Forest Lake, MN, and has 100 certified beds, though usually about 66 residents live there each day, and as of June 2025, 34 beds are set aside for people who need skilled nursing care for serious medical needs. The place serves as a nonprofit and is part of a Continuing Care Retirement Community, so folks can move between different care levels when their needs change, and stay in the same community. Birchwood takes Medicare and Medicaid and has links to the Lifespark network.

    Nurses at Birchwood provide care somewhere between 12 to 16 hours each day, with a 24-hour call system to help in case anything comes up, although they've had some trouble keeping enough licensed nursing staff on each shift, have 3.41 nurse hours per resident per day, which is less than the state average, and their nurse turnover sits at 34.3%, which happens to be lower than average for the state. Inspection reports show 36 total deficiencies over time, including issues with pressure ulcer care, not forming a quality assessment group, and some staffing problems, plus three noted infection-related deficiencies. Residents and families can join regularly held councils to talk about problems or suggest improvements.

    There's a long list of services available, like medication management, help with bathing, dressing, getting around, meal preparation, diabetes and allergy diets, psychiatric care, rehab, dental, optical, podiatry, and hospice care. Residents can get nutrition counseling, family caregiving support, and guidance for long-term care. Each room comes furnished and has a private bathroom, kitchenette, cable TV, phone, air conditioning, and Wi-Fi.

    Daily living at Birchwood offers housecleaning, laundry, dining all day with chef-prepared meals, and move-in help. The center aims to keep life interesting, with indoors and outdoors activities like movie nights, book readings, gardening, music, fitness, arts, cooking, and outings. Amenities include a library, fitness room, spa room, game room, movie theater, gardens, walking paths, outdoor spaces, and activity rooms. Families often visit and join in community events. Ratings on review sites average 2.4 from 19 reviews. Residents are encouraged to keep independence and have some say in their daily schedules, but they also get steady support from staff for whatever's needed, and the community does its best to keep things lively and welcoming, even though some state inspections have pointed out areas to fix.

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