nursing home in Fosston, MN
First Care Living Center
900 Hilligoss Boulevard Southeast, Fosston, MN 56542 · (218) 435-1133
★★★★★4
Above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★5
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
First Care Living Center at a glance
First Care Living Center is a 36-bed non-profit nursing home in Fosston, Minnesota (Polk County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Minnesota average of 3.2.
Residents receive about 5.4 hours of nursing care per day (1.6 of them from registered nurses), better than the state average of 4.2 hours.
Its most recent standard health inspection (May 28, 2026) found 4 health citations. The Minnesota average is 7.1.
Federal regulators fined it 1 time in the past three years, totaling $14,433.
Nursing staff turnover is 41.7% per year (state average 42.2%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 36
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Essentia Health
- Medicare-certified since
- January 1, 1988
- Resident/family council
- Resident
- County
- Polk County
- CMS Certification Number
- 245512
Ratings
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 3.2 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 5 / 5 | 4.1 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.1 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 2.9 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 5.35 hrs | 4.19 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 1.55 hrs | 1.06 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.98 hrs | 2.52 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 4.45 hrs | 3.71 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 41.7% | 42.2% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 20% | 38.6% | 42.9% | Better |
Inspections
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 4 | 7 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 36.8 | 63.9 | 80.6 | Better |
Penalties
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $14,433 | $24,507 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 36 | 71 | 107 | |
| Average residents per day | 26 | 60 | 86 | |
| Occupancy | 72.8% | 84.1% | 80.9% |
Long-stay residents
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2% | 4% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 5.8% | 5.2% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 16.3% | 17.1% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 2% | 2.6% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 3.8% | 1.9% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 20.9% | 18.2% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 15.1% | 20.5% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 8.2% | 4.1% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 4.1% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 9.2% | 12.5% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 30.6% | 24.5% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 96.1% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99% | 97.4% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents given a pneumonia vaccine (higher is better) | 85.7% | 88.1% | 82% | Average |
Inspection citations
State inspectors cited this home for 13 health deficiencies and 17 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 28, 2026 Fire safety | Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Tag K0232 | F Potential harm, widespread | Corrected June 18, 2026 |
| May 28, 2026 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected July 7, 2026 |
| May 28, 2026 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | E Potential harm, pattern | Corrected June 23, 2026 |
| May 28, 2026 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | D Potential harm, isolated | Corrected June 1, 2026 |
| May 28, 2026 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected June 23, 2026 |
| May 28, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected June 24, 2026 |
| May 28, 2026 Standard | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Tag F0887 | D Potential harm, isolated | Corrected June 30, 2026 |
| May 28, 2026 Standard | 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. Resident Rights Deficiencies · Tag F0585 | D Potential harm, isolated | Corrected June 30, 2026 |
| May 28, 2026 Standard | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Tag F0744 | D Potential harm, isolated | Corrected June 30, 2026 |
| May 28, 2026 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected June 30, 2026 |
| July 30, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected August 15, 2025 |
| July 30, 2025 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected August 29, 2025 |
| July 30, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected August 20, 2025 |
| July 30, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected July 29, 2025 |
| July 30, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | E Potential harm, pattern | Corrected September 15, 2025 |
| July 30, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected July 29, 2025 |
| July 30, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected July 29, 2025 |
| July 30, 2025 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected July 29, 2025 |
| July 30, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected July 29, 2025 |
| July 30, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected August 25, 2025 |
| July 30, 2025 Standard | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637 | D Potential harm, isolated | Corrected August 10, 2025 |
| July 30, 2025 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected August 10, 2025 |
| July 30, 2025 Standard | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Tag F0676 | D Potential harm, isolated | Corrected August 1, 2025 |
| July 30, 2025 Standard | 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. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected August 1, 2025 |
| July 30, 2025 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected August 5, 2025 |
| July 30, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected July 30, 2025 |
| June 6, 2024 Fire safety | Have enough space near smoke barriers to protect residents. Smoke Deficiencies · Tag K0373 | D Potential harm, isolated | Corrected June 5, 2024 |
| June 6, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected June 30, 2024 |
| June 6, 2024 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected June 30, 2024 |
| April 26, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected May 13, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $14,433 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| April 26, 2024 | Fine | $14,433 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ARVIN, DOUGLAS Individual | adp of the snf | NOT APPLICABLE | 05/18/2023 |
| CURTIS, MICHAEL Individual | adp of the snf | NOT APPLICABLE | 07/08/2024 |
| ESSENTIA HEALTH Organization | adp of the snf | NOT APPLICABLE | 01/29/2025 |
| GUPTA, PARUL Individual | adp of the snf | NOT APPLICABLE | 09/02/2025 |
| HURLEY, ALAN Individual | adp of the snf | NOT APPLICABLE | 05/18/2023 |
| INNOVIS HEALTH LLC Organization | adp of the snf | NOT APPLICABLE | 01/29/2025 |
| CHRISTENSEN, JAMES Individual | corporate director | NOT APPLICABLE | 01/01/2020 |
| HAUGEN, JOEL Individual | corporate director | NOT APPLICABLE | 01/01/2017 |
| HEILMAN, TIM Individual | corporate director | NOT APPLICABLE | 01/01/2020 |
| HORN, BEVERLY Individual | corporate director | NOT APPLICABLE | 01/01/2017 |
| JACKSON, AARICK Individual | corporate director | NOT APPLICABLE | 01/01/2020 |
| LEWANDOWSKI, LAURIE Individual | corporate director | NOT APPLICABLE | 01/01/2017 |
| MERTZ, TAYLOR Individual | corporate director | NOT APPLICABLE | 05/17/2022 |
| SMITH, BENJAMIN Individual | corporate director | NOT APPLICABLE | 05/17/2022 |
| ARVIN, DOUGLAS Individual | corporate officer | NOT APPLICABLE | 05/18/2023 |
| GEFROH ELLISON, STEFANIE Individual | corporate officer | NOT APPLICABLE | 08/12/2024 |
| HURLEY, ALAN Individual | corporate officer | NOT APPLICABLE | 05/18/2023 |
| WATTERS, MICHAEL Individual | corporate officer | NOT APPLICABLE | 07/01/2023 |
| ARVIN, DOUGLAS Individual | operational/managerial control | NOT APPLICABLE | 05/08/2023 |
| CURTIS, MICHAEL Individual | operational/managerial control | NOT APPLICABLE | 07/08/2024 |
| GUPTA, PARUL Individual | operational/managerial control | NOT APPLICABLE | 09/02/2025 |
| HURLEY, ALAN Individual | operational/managerial control | NOT APPLICABLE | 05/18/2023 |
| INNOVIS HEALTH LLC Organization | operational/managerial control | NOT APPLICABLE | 01/01/2017 |
Other nursing homes near First Care Living Center
McIntosh Senior Living
600 Northeast Riverside Avenue, McIntosh, MN 56556 · 8.2 mi
Non-profit · 45 beds
★★★★★5Much above averageCornerstone Nsg & Rehab Center
416 Seventh Street Northeast, Bagley, MN 56621 · 16.5 mi
For-profit · 47 beds
- CMS high performer
★★★★★5Much above average- ★★★★★2Below average
Fair Meadow Nursing Home
300 Garfield Avenue Southeast, Fertile, MN 56540 · 25.2 mi
Non-profit · 42 beds
★★★★★3Average- ★★★★★5Much above average
Neilson Place
1000 Anne Street Northwest, Bemidji, MN 56601 · 39.7 mi
Non-profit · 78 beds · Part of Sanford Health
★★★★★1Much below average
Frequently asked questions
What is First Care Living Center's rating?
First Care Living Center has 4 out of 5 stars on the CMS overall star rating. The average for Minnesota nursing homes is 3.2 stars.
How many inspection citations did First Care Living Center receive?
Its most recent standard health inspection found 4 citations, compared with a Minnesota average of 7.1. Every citation is listed on this page with its severity.
Does First Care Living Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns First Care Living Center?
It is non profit - corporation and part of Essentia Health. The ownership section on this page lists the owners and managers reported to CMS.
Where is First Care Living Center and how do I contact it?
First Care Living Center is at 900 Hilligoss Boulevard Southeast, Fosston, MN 56542. Phone: (218) 435-1133.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.