64/100
Average
900 Hilligoss Boulevard Southeast, Fosston, MN 56542
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
1 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$14,433 in federal fines
CMS has fined this facility across 1 penalty action(s).
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: May 28, 2026 (2 months ago).
Resident Rights Deficiencies
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.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
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.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
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.
No actual harm, potential for more than minimal harm
Part of ESSENTIA HEALTH, which operates 6 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| CHRISTENSEN, JAMES | Individual | CORPORATE DIRECTOR | — |
| HAUGEN, JOEL | Individual | CORPORATE DIRECTOR | — |
| HEILMAN, TIM | Individual | CORPORATE DIRECTOR | — |
| HORN, BEVERLY | Individual | CORPORATE DIRECTOR | — |
| JACKSON, AARICK | Individual | CORPORATE DIRECTOR | — |
| LEWANDOWSKI, LAURIE | Individual | CORPORATE DIRECTOR | — |
| MERTZ, TAYLOR | Individual | CORPORATE DIRECTOR | — |
| SMITH, BENJAMIN | Individual | CORPORATE DIRECTOR | — |
| ARVIN, DOUGLAS | Individual | CORPORATE OFFICER | — |
| GEFROH ELLISON, STEFANIE | Individual | CORPORATE OFFICER | — |
| HURLEY, ALAN | Individual | CORPORATE OFFICER | — |
| WATTERS, MICHAEL | Individual | CORPORATE OFFICER | — |
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First Care Living Center holds an ElderGrade of C (64 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 5.35 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 1 of the 13 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, First Care Living Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.