The Birches at Trillium Woods
14585 59th Avenue North, Plymouth, MN 55446
The Birches at Trillium Woods is a nursing home in Plymouth, Minnesota. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating5 of 5
- Last standard health inspectionMay 27, 2026 (5 months ago)
- Health citations since September 12, 20246 (Minnesota average 23)
- Fines in the past three yearsNone listed by CMS
- CMS flagsNone listed by CMS
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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of July 29, 2026
Star rating
The CMS health inspection star rating changed from 5 of 5 to 4 of 5.
Health inspection on May 27, 2026
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation F0572. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Give residents a notice of rights, rules, services and charges.
CMS lists it as corrected on June 26, 2026.
Citation F0628. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CMS lists it as corrected on June 26, 2026.
Citation F0697. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe, appropriate pain management for a resident who requires such services.
CMS lists it as corrected on June 26, 2026.
Citation F0759. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure medication error rates are not 5 percent or greater.
CMS lists it as corrected on June 26, 2026.
Fire safety inspection on May 27, 2026
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0921. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure that testing and maintenance of electrical equipment is performed.
CMS lists it as corrected on July 10, 2026.
CMS update of July 30, 2025
Health citation
CMS removed citation F0758 from the health inspection on September 12, 2024.
CMS update of April 30, 2025
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
Health inspection on September 12, 2024
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation F0758. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Implement 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.
CMS lists it as corrected on October 3, 2024.
Citation F0760. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on October 3, 2024.
Fire safety inspection on September 12, 2024
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation K0521. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on September 26, 2024.
Citation K0761. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
CMS lists it as corrected on September 27, 2024.
Citation K0225. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
CMS lists it as corrected on September 24, 2024.
Citation K0372. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on September 24, 2024.
CMS has cited this home for K0372 2 times since 2023.
Fire safety inspection on August 17, 2023
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation K0372. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on August 21, 2023.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on September 13, 2023.
Citation K0211. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on August 18, 2023.
Citation E0041. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Implement emergency and standby power systems.
CMS lists it as corrected on September 13, 2023.
Citation K0901. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
CMS lists it as corrected on September 6, 2023.
CMS star ratings
- 5 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 5 of 5CMS staffing star rating
- 3 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (763) 519-1350
- Last standard health inspection
- May 27, 2026 (5 months ago)
- Certified beds
- 44
- Residents per day, on average
- 39
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Trillium Woods LLC
- Chain
- Life Care Services
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Minnesota average (6 vs 23).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- LCS TRILLIUM WOODS JV LLC5% or greater direct ownership interest · 100% · since 12/10/2021
- LCS MINNEAPOLIS LLC5% or greater indirect ownership interest · 100% · since 12/10/2021
- LIFE CARE SERVICES LLCOperational/managerial control · not applicable · since 07/01/2015
- AMEND-MARSHALL, JOSEPHOperational/managerial control · not applicable · since 01/01/2025
- PAIDER, SAMANTHAOperational/managerial control · not applicable · since 01/01/2025
Show 1 more
- REIMEN, HANNAHOperational/managerial control · not applicable · since 12/22/2025
Questions
When was The Birches at Trillium Woods last inspected?
CMS lists May 27, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does The Birches at Trillium Woods have?
CMS lists 6 health citations since September 12, 2024. CMS also calls these deficiencies.
Has The Birches at Trillium Woods been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of The Birches at Trillium Woods?
Its CMS overall star rating is 5 of 5.
Is The Birches at Trillium Woods a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.