Minnesota › Polk County › Fosston
First Care Living Center
900 Hilligoss Boulevard Southeast, Fosston, MN 56542
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
First Care Living Center is a Non-profit, corporation nursing home in Fosston, Minnesota, certified for 36 beds and caring for about 26 residents a day.
CMS gives it 4 of 5 stars overall, above the Minnesota median of 3; the health inspection rating is 3, staffing 5 and quality measures 3.
Inspectors recorded 13 health deficiencies across the three most recent survey cycles (4, 6, 3 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 36.1 per 100 beds, about the same as the state median of 30.0.
CMS lists 1 penalty in the period covered: fines totalling $14K.
Reported nurse staffing is 5.4 hours per resident per day (1.6 RN), above the Minnesota median of 4.2; nursing staff turnover is 41.7%.
Compared with county, state and nation
| Measure | This facility | Polk Co. median | Minnesota median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 13 | 14 | 20 | 28.7 |
| Citations per 100 beds | 36.1 | 33.3 | 30.0 | 26.8 |
| Total nurse hours per resident day | 5.4 | 5.2 | 4.2 | 3.9 |
| RN hours per resident day | 1.6 | 0.7 | 1.0 | 0.7 |
| Nursing staff turnover | 41.7% | 41.7% | 40.0% | 45.8% |
| Fines listed | $14,433 | $14,433 | $0 | — |
County and state figures are medians across facilities (4 in the county, 338 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Minnesota average per facility for the same cycle, as published by CMS. Standard health survey dates: 28 May 2026, 30 Jul 2025.
Severity mix: J ×1 D ×12
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 28 May 2026 | F0585 | 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. | D | Standard survey | 30 Jun 2026 |
| 28 May 2026 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard survey | 30 Jun 2026 |
| 28 May 2026 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 30 Jun 2026 |
| 28 May 2026 | F0887 | 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. | D | Standard survey | 30 Jun 2026 |
| 30 Jul 2025 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 10 Aug 2025 |
| 30 Jul 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 10 Aug 2025 |
| 30 Jul 2025 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 1 Aug 2025 |
| 30 Jul 2025 | F0688 | 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. | D | Standard survey | 1 Aug 2025 |
| 30 Jul 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 5 Aug 2025 |
| 30 Jul 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 30 Jul 2025 |
| 6 Jun 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 30 Jun 2024 |
| 6 Jun 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 30 Jun 2024 |
| 26 Apr 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 13 May 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 26 Apr 2024 | Fine | $14,433 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Minnesota average. Turnover: nursing staff 41.7%, RNs 20.0%; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Minnesota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 20.9% | 18.0% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 3.8% | 1.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.0% | 2.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.0% | 3.7% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 15.1% | 20.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.8% | 4.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.3% | 15.9% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: First Care Medical Services. Chain: Essentia Health (6 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Innovis Health LLC | Operational/managerial control | NOT APPLICABLE | 01/01/2017 |
| Essentia Health | Adp of the snf | NOT APPLICABLE | 01/29/2025 |
| Innovis Health LLC | Adp of the snf | NOT APPLICABLE | 01/29/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Polk County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Mcintosh Senior Living | Mcintosh | 45 | 5 | 4 | 4 | 2 | 4.4 | — | 19 Aug 2025 |
| Fair Meadow Nursing Home | Fertile | 42 | 4 | 4 | 3 | 14 | 33.3 | — | 10 Sep 2025 |
| Villa St. Vincentabuse icon | Crookston | 100 | 1 | 1 | 4 | 25 | 25.0 | $29K | 4 Jun 2026 |
All 4 facilities in Polk County
Questions and answers
How many deficiencies has First Care Living Center been cited for?
13 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Minnesota median is 20 per facility.
Has First Care Living Center been fined?
Yes. CMS lists fines totalling $14K in the period covered.
How does staffing at First Care Living Center compare?
Reported total nurse staffing is 5.4 hours per resident per day against a Minnesota median of 4.2 and a national average of 3.9.
Who operates First Care Living Center?
It is part of the Essentia Health chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Innovis Health LLC. Individual owners and managers are not listed on this site.
When was First Care Living Center last inspected?
The most recent survey or investigation in the CMS record is dated 28 May 2026; the most recent standard health survey was 28 May 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.