Oakland Park Communities, Inc.
Thief River Falls, Minnesota · CCN 245592
18 surveys since 2010, 8 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 124
- Surveys
- 18
- Harm or worse
- 8
- Immediate jeopardyall corrected before survey
- 1
Findings at the most serious level CMS records. All were recorded as past non-compliance — corrected before the survey.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 35
- Ownership
- For profit - Individual
- Chain
- Independent
- County
- Pennington · rural
- Medicare-certified since
- 1991
CMS ratings
- Overall
- 1
- Health inspection
- 2
- Staffing
- 4
- Quality measures
- 1
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.
Weighted by harm level, against 55 for-profit facilities with fewer than 66 beds in Minnesota.
Last survey on record
Feb 19, 2026
263 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.78 | 3.62 |
| Registered-nurse hours per resident day | 1.09 | — |
| Annual nurse turnover | 43.5% | 50.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $44,030 across 2 penalties
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J13.4% | K— | L— |
| Actual harm | G26.9% | H— | I— |
| No harm, potential for more than minimal | D1862.1% | E26.9% | F517.2% |
| No harm, potential for minimal | A— | B— | C13.4% |
Most frequently cited here
In CMS’s current monthly file.
- F6893×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F5802×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F8802×
Provide and implement an infection prevention and control program.
- F8832×
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- F5821×
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
In the surveyor’s words
From the most serious findings on record at Oakland Park Communities, Inc., in the surveyor’s own words.
- Immediate jeopardy, isolatedF689Jul 17, 2025
Based observation, interview and document review the facility failed to ensure staff transporting residents in a facility vehicle were trained on safe transport practices and had appropriate driver's license clearance for 3 of 3 (R1, R2, R3) residents reviewed for accidents. This resulted in an immediate jeopardy for R1 when he fell from his wheelchair to the floor of the van during transport after being improperly secured. Findings include: The immediate jeopardy (IJ) began on 7/2/25, at approximately 4:00 p.m., when nursing assistant (NA)-A was directed to transport R1 to the hospital, loaded him in the front passenger's seat of the van, securing only two out of the four required four-point tie downs, and no seat/lap belt. […]
- Actual harm, isolatedF689Feb 19, 2026
Based on observation, interview and document review, the facility failed to implement standards of practice to ensure an assessment was completed to safely use of a lift chair for 1 of 3 residents (R1) reviewed for accidents. This resulted in actual harm when R1 had an unwitnessed fall from the lift chair and sustained a trimalleolar fracture (a severe, unstable ankle injury involving fractures of three distinct bones: the lateral malleolus (fibula), medial malleolus (tibia), and posterior malleolus (back of the tibia)) with lateral subluxation of the talus (high-energy trauma (falls) forcing the foot into severe eversion.) R1 was sent to the emergency room (ER) via ambulance and required medical evaluation and treatment. […]
- Actual harm, isolatedF684Jan 30, 2025
Based on observation, interview and document review, the facility failed to ensure manufacturer's instructions were followed for the use of a microwave heating of a gel pack, complete a comprehensive assessment of the burn and implement timely interventions to promote the healing of a burn for 1 of 1 resident (R15) reviewed for burns. This resulted in actual harm to R15 who sustained a 3rd degree burn (destroys your first three layers of skin and fatty tissue) from a gel pack. Findings include: R15's quarterly Minimum Data Set (MDS) dated [DATE], identified R15 had a moderate cognitive impairment and diagnoses that included weakness, type 2 diabetes, and chronic kidney disease. R15 required partial to moderate assistance to roll her body left and right and currently had no wounds. […]
- No harm, potential for more than minimal, widespreadF851Jan 30, 2025
Based on interview and document review, the facility failed to ensure licensed nursing staff hours were submitted accurately on the payroll-based journal. This had the potential to affect all 32 residents residing in the facility. Findings include: The PBJ (payroll-based journal) Staffing Report CASPER Report 1705D FY [fiscal year] Quarter 4 2024 (July 1 - September 30) identified the facility had excessively low weekend staffing and failed to have licensed nursing coverage 24 hours/day on the following days: 7/23/24, 7/24/24, 7/25/24, 7/26/24, 7/27/24, 7/28/24, 7/29/24, 7/30/24, 7/31/24, 8/20/24, 8/21/24, 8/22/24, 8/23/24, 8/24/24, 8/25/24, 8/26/24, 8/27/24, 8/28/24, 8/29/24, 8/30/24, 8/31/24, 9/16/24, 9/17/24, 9/18/24, 9/19/24, 9/20/24, 9/21/24, 9/22/24, 9/23/24, 9/24/24, 9/25/24,… […]
- No harm, potential for more than minimal, widespreadF867Jan 30, 2025
Based on interview, and document review, the facility failed to develop, monitor, and evaluate their identified performance measures. This had the potential to affect all 46 residents residing in the facility. Findings include: The Facility assessment dated ,d+[DATE], identified the facility was a Medicare and Medicaid certified skilled nursing facility. The facility was licensed for 35 beds with an average daily census in the past year of around 34. The facility provided skilled nursing, unskilled nursing, short- and long-term care. […]
Read 25 findings in full →The most serious and the most recent: 25 of 124 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 28, 2026Complaint2 findings
- Feb 19, 2026Complaint3 findings · 1 harm
- Dec 31, 2025Standard5 findings
- Jul 17, 2025Complaint1 finding · 1 harm
- Jan 30, 2025Standard and complaint13 findings · 1 harm
- Mar 21, 2024Standard7 findings
- Mar 29, 2023Standard1 finding
- Feb 1, 2023Complaint1 finding
Show the 10 earlier surveys
- Aug 3, 2017Standard5 findings
- Sep 22, 2016Standard4 findings
- Jul 23, 2015Standard14 findings
- Jun 27, 2014Standard22 findings
- Jul 19, 2013—14 findings
- Apr 19, 2013—1 finding
- Apr 13, 2012—14 findings · 2 harm
- Aug 2, 2011—1 finding
- May 26, 2011—13 findings · 2 harm
- Sep 28, 2010—3 findings · 1 harm
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction