First Care Living Center

900 Hilligoss Boulevard Southeast · Fosston, MN · 56542 · 2184351133

50 certified beds Non profit - Corporation Chain: Essentia Health Hospital-based

  • Staffing hours comfortably above national benchmarks.
  • Inspection results have improved across recent cycles.

Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

Score breakdown

Inspection record 30% of score 61
Serious harm & abuse 20% 94
Staffing 20% 91
Federal penalties 15% 74
Trend 10% 86
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 3 of 5 Staffing: 5 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day5.263.48 min · 4.1 strong
RN hours / resident-day1.480.55–0.75
Weekend hours / resident-day4.11≈ weekday level
Nursing turnover / year42%median 45%
Fines (3-yr window)1 · $14,433

Inspection citations (14 in the current record)

  • Potential for harm · D July 30, 2025

    Assess the resident when there is a significant change in condition

    Corrected August 10, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D July 30, 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 August 10, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D July 30, 2025

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Corrected August 1, 2025 · Quality of Life and Care

  • Potential for harm · D July 30, 2025

    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 August 1, 2025 · Quality of Life and Care

  • Potential for harm · D July 30, 2025

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected August 5, 2025 · Pharmacy Service

  • Potential for harm · D July 30, 2025

    Provide and implement an infection prevention and control program.

    Corrected July 30, 2025 · Infection Control

  • Potential for harm · D June 6, 2024

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected June 30, 2024 · Quality of Life and Care

  • Potential for harm · D June 6, 2024

    Provide and implement an infection prevention and control program.

    Corrected June 30, 2024 · Infection Control

  • Immediate jeopardy · J April 26, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected May 13, 2024 · Quality of Life and Care

  • Potential for harm · D August 17, 2023

    Ensure each resident receives an accurate assessment.

    Corrected September 20, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D August 17, 2023

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected September 15, 2023 · Quality of Life and Care

  • Potential for harm · D August 17, 2023

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected September 12, 2023 · Quality of Life and Care

  • Potential for harm · D August 17, 2023

    Provide and implement an infection prevention and control program.

    Corrected September 15, 2023 · Infection Control

  • Potential for harm · E August 17, 2023

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected September 20, 2023 · Infection Control

Federal penalties

DateTypeAmount / length
April 26, 2024Fine$14,433

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 245512 · certified since January 1, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.