First Care Living Center
900 Hilligoss Boulevard Southeast, Fosston, MN 56542
First Care Living Center, a 36-bed non profit - corporation nursing facility in Fosston, MN, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #122 of 336 rated homes in MN on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 2184351133
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- 4 / 5
- Above average · CMS overall · nat'l 3.0
- #122 of 336
- In-state rank among rated MN homes
- 5.35
- Well above average · nurse hrs/day · nat'l 3.86
- 13
- Inspection findings · 1 serious
If a nursing-home resident is in immediate danger, call 911.
For elder abuse or neglect concerns, contact your state's Adult Protective Services (search "APS" + your state) or call the Eldercare Locator at 1-800-677-1116. For facility advocacy, reach your Long-Term Care Ombudsman. CMS ratings and inspection data below are a research screen, not an emergency channel.
The verdict
First Care Living Center, a 36-bed non profit - corporation nursing facility in Fosston, MN, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #122 of 336 rated homes in MN on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
- 4 / 5
- CMS overall · national 3.0
- #122 of 336
- In-state rank among rated MN homes
- 5.35
- Nurse hrs/resident-day · national 3.86
- 13
- Inspection findings · 1 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 338 MN nursing homes split by ownership sector
This facility is recorded as Non profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 245512
- Ownership
- Non profit - Corporation
- Provider Type
- Medicare and Medicaid
- Beds
- 36
- Residents
- 26
- In Hospital
- Yes
- County
- Polk
- Last Inspection
- May 28, 2026
Staffing Data
How the 5.35 total nursing hours per resident-day are staffed:
- RN Hours
- 1.55 (nat'l avg: 0.69)
- LPN Hours
- 0.82
- CNA Hours
- 2.98
- Total Nursing Hours
- 5.35 (nat'l avg: 3.86)
- PT Hours
- 0.00
- Nursing Turnover
- 41.7%
- RN Turnover
- 20.0%
What the CMS Record Reveals About First Care Living Center
According to CMS Nursing Home Compare, First Care Living Center ranks #122 of 336 rated nursing homes in MN on overall stars (tie-broken by health+staffing+quality, then fewer fines). First Care Living Center operates 36 certified beds in Fosston, MN with approximately 26 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 3★ · staffing 5★ · quality 3★).
The inspection file contains 13 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 1 penalty totaling $14K levied against this facility. Per resident day, this facility reports 5.35 total nursing hours (national average 3.86) and 1.55 RN hours.
Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider embedded within a hospital campus, First Care Living Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 41.7% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (13 most recent)
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.
Category: Infection Control Deficiencies
Corrected: Jun 30, 2026
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Category: Infection Control Deficiencies
Corrected: Jun 30, 2026
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 30, 2026
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.
Category: Resident Rights Deficiencies
Corrected: Jun 30, 2026
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jul 30, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category: Pharmacy Service Deficiencies
Corrected: Aug 5, 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.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 1, 2025
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 1, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Aug 10, 2025
Assess the resident when there is a significant change in condition
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Aug 10, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jun 30, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 30, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: May 13, 2024
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 20.9% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 3.8% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.0% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.0% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 15.1% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.8% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.3% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | N/A | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 8.2% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 0.0% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 99.0% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 9.2% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 30.6% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 85.7% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | N/A | No |
Penalty History 1 penalties totaling $14K
| Date | Type | Amount |
|---|---|---|
| Apr 26, 2024 | Fine | $14K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for First Care Living Center, both outside MN so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside MN (36 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside MN (6.02 here).
Nearby Nursing Homes in MN
337 other nursing homes are on record in MN; 6 are shown here.
Understanding Nursing Home Data
What the CMS records show for First Care Living Center
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The MN registry aggregates state averages and the highest-rated homes in this cohort. View MN registry
- Peer homes near 36 beds show how CMS stars vary at a similar scale in MN. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for First Care Living Center?
Where does First Care Living Center rank among nursing homes in MN?
What are the staffing levels at First Care Living Center?
How many beds does First Care Living Center have?
Does First Care Living Center have any deficiencies on record?
Has First Care Living Center received any fines or penalties?
Who owns First Care Living Center?
When was First Care Living Center last inspected?
What quality measures are tracked for First Care Living Center?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
