Minnesota › Koochiching County › Littlefork
Littlefork Care Center
912 Main Street, Littlefork, MN 56653
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.
Certified for 42 beds, Littlefork Care Center serves Littlefork in Koochiching County, Minnesota and has taken Medicare and Medicaid residents since 1991.
CMS gives it 1 of 5 stars overall, below the Minnesota median of 3; the health inspection rating is 1, staffing 4 and quality measures 2.
Inspectors recorded 33 health deficiencies across the three most recent survey cycles (14, 19, 0 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 78.6 per 100 beds, more than the state median of 30.0.
CMS lists 2 penalties in the period covered: fines totalling $219K and 1 payment denial.
Reported nurse staffing is 3.4 hours per resident per day (0.8 RN), close to the Minnesota median of 4.2; nursing staff turnover is 52.8%.
Compared with county, state and nation
| Measure | This facility | Koochiching Co. median | Minnesota median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 33 | 33 | 20 | 28.7 |
| Citations per 100 beds | 78.6 | 78.6 | 30.0 | 26.8 |
| Total nurse hours per resident day | 3.4 | 4.1 | 4.2 | 3.9 |
| RN hours per resident day | 0.8 | 1.1 | 1.0 | 0.7 |
| Nursing staff turnover | 52.8% | 52.8% | 40.0% | 45.8% |
| Fines listed | $218,595 | $218,595 | $0 | — |
County and state figures are medians across facilities (2 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: 10 Dec 2025, 27 Feb 2025.
Severity mix: L ×1 D ×27 E ×3 C ×2
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 |
|---|---|---|---|---|---|
| 10 Dec 2025 | 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. | E | Standard survey | 24 Jan 2026 |
| 10 Dec 2025 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 24 Jan 2026 |
| 10 Dec 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 24 Jan 2026 |
| 10 Dec 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 24 Jan 2026 |
| 10 Dec 2025 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 24 Jan 2026 |
| 10 Dec 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 24 Jan 2026 |
| 10 Dec 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 24 Jan 2026 |
| 10 Dec 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 24 Jan 2026 |
| 10 Dec 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 | 24 Jan 2026 |
| 10 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 24 Jan 2026 |
| 10 Dec 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 24 Jan 2026 |
| 10 Dec 2025 | 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 | 24 Jan 2026 |
| 6 Aug 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 6 Oct 2025 |
| 6 Aug 2025 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint investigation | 6 Oct 2025 |
| 27 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | L | Standard survey | 12 May 2025 |
| 27 Feb 2025 | F0758 | 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. | E | Standard survey | 27 Mar 2025 |
| 27 Feb 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 27 Mar 2025 |
| 27 Feb 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 | Complaint investigation | 12 May 2025 |
| 27 Feb 2025 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 27 Mar 2025 |
| 27 Feb 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 27 Mar 2025 |
| 27 Feb 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 27 Mar 2025 |
| 27 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 27 Mar 2025 |
| 27 Feb 2025 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 27 Mar 2025 |
| 27 Feb 2025 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard survey | 27 Mar 2025 |
| 27 Feb 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 27 Mar 2025 |
| 27 Feb 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 12 May 2025 |
| 27 Feb 2025 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard survey | 27 Mar 2025 |
| 27 Feb 2025 | F0732 | Post nurse staffing information every day. | C | Standard survey | 27 Mar 2025 |
| 20 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 31 Mar 2025 |
| 23 Jan 2025 | 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 | Complaint investigation | 17 Feb 2025 |
| 23 Jan 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 17 Feb 2025 |
| 23 Jan 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 17 Feb 2025 |
| 26 Sep 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 4 Nov 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 20 Feb 2025 | Payment denial | — | 47 days |
| 20 Feb 2025 | Fine | $218,595 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Minnesota average. Turnover: nursing staff 52.8%, RNs 55.6%; — 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 | 11.5% | 18.0% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 4.2% | 1.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 5.8% | 2.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.0% | 3.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.4% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.3% | 20.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.5% | 4.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 41.0% | 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: Koochiching Health Services. Chain: St. Francis Health Services (14 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Eide Bailly LLP | Operational/managerial control | NOT APPLICABLE | 01/03/2023 |
| International Falls Memorial Hospital Association | Operational/managerial control | NOT APPLICABLE | 04/01/2016 |
| St. Francis Health Services of Morris, Inc | Operational/managerial control | NOT APPLICABLE | 04/01/2016 |
| Eide Bailly LLP | Adp of the snf | NOT APPLICABLE | 10/23/2025 |
| International Falls Memorial Hospital Association | Adp of the snf | NOT APPLICABLE | 10/23/2025 |
| St. Francis Health Services of Morris, Inc | Adp of the snf | NOT APPLICABLE | 12/01/2025 |
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 Koochiching County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Good Samaritan Society - International Falls | International Falls | 54 | 4 | 3 | 5 | 30 | 55.6 | $8K | 14 Jan 2026 |
All 2 facilities in Koochiching County
Questions and answers
How many deficiencies has Littlefork Care Center been cited for?
33 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 Littlefork Care Center been fined?
Yes. CMS lists fines totalling $219K in the period covered, plus 1 payment denial.
How does staffing at Littlefork Care Center compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Minnesota median of 4.2 and a national average of 3.9.
Who operates Littlefork Care Center?
It is part of the St. Francis Health Services chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Eide Bailly LLP, International Falls Memorial Hospital Association and St. Francis Health Services of Morris, Inc. Individual owners and managers are not listed on this site.
When was Littlefork Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 10 Dec 2025; the most recent standard health survey was 10 Dec 2025.
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.