Havenwood Care Center
1633 Delton Avenue Nw · Bemidji, MN · 56601 · 2184441745
65 certified beds For profit - Corporation
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $115,655 in fines in the last 24 months.
- Staffing hours comfortably above national benchmarks.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
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.
$115,655 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: 2 of 5 Inspections: 1 of 5 Staffing: 5 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.28 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.87 | 0.55–0.75 |
| Weekend hours / resident-day | 3.95 | ≈ weekday level |
| Nursing turnover / year | 42% | median 45% |
| Fines (3-yr window) | 4 · $137,245 |
Inspection citations (49 in the current record)
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Potential for harm · D April 29, 2026
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected June 12, 2026 · Resident Rights
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Potential for harm · D April 29, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 12, 2026 · Resident Assessment and Care Planning
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Potential for harm · D April 29, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 12, 2026 · Quality of Life and Care
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Potential for harm · E April 29, 2026
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected June 12, 2026 · Quality of Life and Care
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Potential for harm · D April 29, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 12, 2026 · Pharmacy Service
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Potential for harm · D April 29, 2026
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected June 12, 2026 · Nutrition and Dietary
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Potential for harm · E April 29, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 12, 2026 · Nutrition and Dietary
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Potential for harm · D April 29, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 12, 2026 · Quality of Life and Care
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Potential for harm · E April 29, 2026 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected June 12, 2026 · Nursing and Physician Services
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Potential for harm · D April 29, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected June 12, 2026 · Infection Control
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Actual harm · G January 16, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 19, 2026 · Quality of Life and Care
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Potential for harm · D October 22, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected December 22, 2025 · Pharmacy Service
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Potential for harm · D October 22, 2025 · found via complaint
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected December 22, 2025 · Pharmacy Service
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Immediate jeopardy · J August 7, 2025 · found via complaint
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected August 31, 2025 · Nutrition and Dietary
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Potential for harm · D July 17, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 11, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 14, 2025 · Quality of Life and Care
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Potential for harm · D February 12, 2025
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected March 31, 2025 · Resident Rights
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Potential for harm · D February 12, 2025
Ensure each resident receives an accurate assessment.
Corrected March 31, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 12, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected March 31, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 12, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 31, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 12, 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 March 31, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 12, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 31, 2025 · Quality of Life and Care
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Potential for harm · D February 12, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected March 31, 2025 · Quality of Life and Care
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Potential for harm · D February 12, 2025
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected March 31, 2025 · Nursing and Physician Services
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Potential for harm · D February 12, 2025
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected March 31, 2025 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 16, 2026 | Fine | $88,970 |
| January 16, 2026 | Payment Denial | 34 days |
| June 11, 2025 | Fine | $26,685 |
| December 4, 2023 | Fine | $13,397 |
| September 21, 2023 | Fine | $8,193 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 245397 · certified since December 1, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.