Starfile / Minnesota

Havenwood Care Center

1633 DELTON AVENUE NW, BEMIDJI, MN 56601 · CCN 245397

Inspection history vs Minnesota & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$21,590

Number of fines

2

Number of penalties

2

Payment denials

0

Inspection citations (50)3 immediate jeopardy1 actual harm

1. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2026-01-16 · Health · corrected 2026-02-23

   Actual harm

2. DF0760Ensure that residents are free from significant medication errors.2025-10-22 · Health · corrected 2025-12-22

   Potential for more than minimal harm

3. DF0761Ensure 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.2025-10-22 · Health · corrected 2025-12-22

   Potential for more than minimal harm

4. JF0803Ensure 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.2025-08-07 · Health · corrected 2025-08-31

   Immediate jeopardy

5. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-07-17 · Health · corrected 2025-08-15

   Potential for more than minimal harm

6. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-11 · Health · corrected 2025-07-14

   Potential for more than minimal harm

7. DF0584Honor 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.2025-02-12 · Health · corrected 2025-03-31

   Potential for more than minimal harm

8. DF0641Ensure each resident receives an accurate assessment.2025-02-12 · Health · corrected 2025-03-31

   Potential for more than minimal harm

9. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-02-12 · Health · corrected 2025-03-31

   Potential for more than minimal harm

10. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-02-12 · Health · corrected 2025-03-31

    Potential for more than minimal harm

11. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-02-12 · Health · corrected 2025-03-31

    Potential for more than minimal harm

12. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-12 · Health · corrected 2025-03-31

    Potential for more than minimal harm

13. DF0692Provide enough food/fluids to maintain a resident's health.2025-02-12 · Health · corrected 2025-03-31

    Potential for more than minimal harm

14. DF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2025-02-12 · Health · corrected 2025-03-31

    Potential for more than minimal harm

15. DF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.2025-02-12 · Health · corrected 2025-03-31

    Potential for more than minimal harm

16. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2025-02-12 · Health · corrected 2025-03-31

    Potential for more than minimal harm

17. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-02-12 · Health · corrected 2025-03-31

    Potential for more than minimal harm

18. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-02-12 · Health · corrected 2025-03-31

    Potential for more than minimal harm

19. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2025-02-12 · Health · corrected 2025-03-31

    Potential for more than minimal harm

20. DF0880Provide and implement an infection prevention and control program.2025-02-12 · Health · corrected 2025-03-31

    Potential for more than minimal harm

21. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-02-12 · Health · corrected 2025-03-31

    Potential for more than minimal harm

22. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-06-04 · Health · corrected 2024-07-01

    Potential for more than minimal harm

23. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-06-04 · Health · corrected 2024-07-01

    Potential for more than minimal harm

24. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2024-05-09 · Health · corrected 2024-06-15

    Potential for more than minimal harm

25. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-04-05 · Health · corrected 2024-05-10

    Potential for more than minimal harm

26. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2024-04-05 · Health · corrected 2024-05-10

    Potential for more than minimal harm

27. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-04-05 · Health · corrected 2024-05-10

    Potential for more than minimal harm

28. EF0610Respond appropriately to all alleged violations.2024-04-05 · Health · corrected 2024-05-10

    Potential for more than minimal harm

29. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-04-05 · Health · corrected 2024-05-10

    Potential for more than minimal harm

30. DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2024-04-05 · Health · corrected 2024-05-10

    Potential for more than minimal harm

31. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-04-05 · Health · corrected 2024-05-10

    Potential for more than minimal harm

32. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-04-05 · Health · corrected 2024-05-10

    Potential for more than minimal harm

33. EF0729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.2024-04-05 · Health · corrected 2024-05-10

    Potential for more than minimal harm

34. DF0759Ensure medication error rates are not 5 percent or greater.2024-04-05 · Health · corrected 2024-05-10

    Potential for more than minimal harm

35. DF0761Ensure 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.2024-04-05 · Health · corrected 2024-05-10

    Potential for more than minimal harm

36. FF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2024-04-05 · Health · corrected 2024-05-10

    Potential for more than minimal harm

37. JF0760Ensure that residents are free from significant medication errors.2023-12-04 · Health · corrected 2023-12-28

    Immediate jeopardy

38. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-06 · Health · corrected 2023-09-28

    Immediate jeopardy

39. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-09-21 · Health · corrected 2023-10-18

    Potential for more than minimal harm

40. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-05-24 · Health · corrected 2023-07-07

    Potential for more than minimal harm

41. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2023-05-24 · Health · corrected 2023-07-21

    Potential for more than minimal harm

42. DF0641Ensure each resident receives an accurate assessment.2023-05-24 · Health · corrected 2023-07-17

    Potential for more than minimal harm

43. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-05-24 · Health · corrected 2023-07-07

    Potential for more than minimal harm

44. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2023-05-24 · Health · corrected 2023-06-30

    Potential for more than minimal harm

45. DF0761Ensure 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.2023-05-24 · Health · corrected 2023-07-07

    Potential for more than minimal harm

46. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-05-24 · Health · corrected 2023-07-21

    Potential for more than minimal harm

47. DF0836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.2023-05-24 · Health · corrected 2023-06-30

    Potential for more than minimal harm

48. DF0880Provide and implement an infection prevention and control program.2023-05-24 · Health · corrected 2023-07-07

    Potential for more than minimal harm

49. DF0908Keep all essential equipment working safely.2023-05-24 · Health · corrected 2023-07-21

    Potential for more than minimal harm

50. FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-05-24 · Health · corrected 2023-07-21

    Potential for more than minimal harm

Ownership

Other facilities in BEMIDJI

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.