First Care Living Center
900 Hilligoss Boulevard Southeast, Fosston, MN 56542 · Polk County · 36 certified beds · avg 26 residents/day · certified since Jan 1, 1988 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: ESSENTIA HEALTH (6 facilities, chain avg rating 4.3★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Apr 26, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: May 13, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (13)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 28, 2026 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| May 28, 2026 | D · Potential for harm, one-off | The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. |
| May 28, 2026 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| May 28, 2026 | D · Potential for harm, one-off | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. |
| Jul 30, 2025 | D · Potential for harm, one-off | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. |
| Jul 30, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Jul 30, 2025 | D · Potential for harm, one-off | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. |
| Jul 30, 2025 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Jul 30, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jul 30, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jun 6, 2024 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Jun 6, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Apr 26, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (6 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 3 | 1 | J ▲ |
| 2025 | 6 | 0 | D |
| 2026 | 4 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $14,433.
| Date | Type | Amount / length |
|---|---|---|
| Apr 26, 2024 | Fine | $14,433 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Minnesota avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 6.02 | 4.83 | 3.95 | top 11% in Minnesota; top 4% in the U.S. |
| Registered Nurse hours | 1.75 | 1.22 | 0.69 | top 10% in Minnesota; top 3% in the U.S. |
| Weekend total nurse staffing | 5.00 | 4.27 | 3.50 | top 15% in Minnesota; top 6% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.89 | 0.69 | 0.48 | top 21% in Minnesota; top 8% in the U.S. |
| Total nursing staff turnover (%) | 41.7 | 42.2 | 45.8 | bottom 46% in Minnesota; top 41% in the U.S. |
| RN turnover (%) | 20.0 | 38.6 | 42.9 | top 17% in Minnesota; top 13% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.35, RN 1.55, weekend 4.45. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Arvin, Douglas | Individual | Corporate Officer | NOT APPLICABLE | 05/18/2023 |
| Arvin, Douglas | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/08/2023 |
| Arvin, Douglas | Individual | ADP of the SNF | NOT APPLICABLE | 05/18/2023 |
| Christensen, James | Individual | Corporate Director | NOT APPLICABLE | 01/01/2020 |
| Curtis, Michael | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/08/2024 |
| Curtis, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 07/08/2024 |
| Essentia Health | Organization | ADP of the SNF | NOT APPLICABLE | 01/29/2025 |
| Gefroh Ellison, Stefanie | Individual | Corporate Officer | NOT APPLICABLE | 08/12/2024 |
| Gupta, Parul | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/02/2025 |
| Gupta, Parul | Individual | ADP of the SNF | NOT APPLICABLE | 09/02/2025 |
| 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 |
| Hurley, Alan | Individual | Corporate Officer | NOT APPLICABLE | 05/18/2023 |
| Hurley, Alan | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/18/2023 |
| Hurley, Alan | Individual | ADP of the SNF | NOT APPLICABLE | 05/18/2023 |
| Innovis Health LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2017 |
| Innovis Health LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/29/2025 |
| Jackson, Aarick | Individual | Corporate Director | NOT APPLICABLE | 01/01/2020 |
| Lewandowski, Laurie | Individual | Corporate Director | NOT APPLICABLE | 01/01/2017 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "What specific dementia training do your staff receive, and how do you handle difficult moments without medication?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
- "If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| McIntosh Senior Living | 8.2 mi | McIntosh, MN | ★★★★★ | 4/5 | |
| Cornerstone Nsg & Rehab Center | 16.5 mi | Bagley, MN | ★★★★★ | 4/5 |
Compare this facility with the 2 closest →
Facility data as of CMS processing date 2026-08-01. CCN 245512.