St Ottos Care Center

Name: St Ottos Care Center
Address: 920 SOUTHEAST 4TH STREET, Little Falls, MN, 56345, US
Telephone: 3206329281

920 Southeast 4th Street, Little Falls, MN 56345 · Morrison County · 86 certified beds · avg 82 residents/day · certified since Feb 1, 1983

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

5.06

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

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.

All citations in the current public record (4)

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
Nov 8, 2024	D · Potential for harm, one-off	The facility did not notify the appropriate authorities when a resident with a mental disorder or intellectual disability had a significant change in condition.
Nov 8, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Nov 8, 2024	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.
Nov 8, 2024	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.

Inspection trend by year

Year	Citations	Serious (G–L)	Worst severity that year
2024	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)

No fines or payment denials in the published 3-year window.

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)	5.06	4.83	3.95	top 38% in Minnesota; top 12% in the U.S.
Registered Nurse hours	1.39	1.22	0.69	top 27% in Minnesota; top 6% in the U.S.
Weekend total nurse staffing	4.42	4.27	3.50	top 40% in Minnesota; top 13% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.63	0.69	0.48	top 45% in Minnesota; top 21% in the U.S.
Total nursing staff turnover (%)	28.2	42.2	45.8	top 17% in Minnesota; top 11% in the U.S.
RN turnover (%)	21.7	38.6	42.9	top 21% in Minnesota; top 17% 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 4.17, RN 1.14, weekend 3.64. 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

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Bernander, Brian	Individual	Direct Ownership Interest	NOT APPLICABLE	11/01/2016
Bernander, Krista	Individual	Direct Ownership Interest	NOT APPLICABLE	11/01/2016
B2K Communities LLC.	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	11/01/2016
B2K Communities LLC.	Organization	ADP of the SNF	NOT APPLICABLE	11/01/2016
Bernander, Brian	Individual	Corporate Director	NOT APPLICABLE	08/04/2016
Bernander, Brian	Individual	Corporate Officer	NOT APPLICABLE	08/04/2016
Bernander, Brian	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/2016
Bernander, Brian	Individual	ADP of the SNF	NOT APPLICABLE	11/01/2016
Bernander, Krista	Individual	Corporate Director	NOT APPLICABLE	08/04/2016
Bernander, Krista	Individual	Corporate Officer	NOT APPLICABLE	08/04/2016
Bernander, Krista	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/2016
Bernander, Krista	Individual	ADP of the SNF	NOT APPLICABLE	11/01/2016
Bernardy, Dorothy	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/2016
Bernardy, Dorothy	Individual	ADP of the SNF	NOT APPLICABLE	11/01/2016
Eggerth, Charlie	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/2016
Eggerth, Charlie	Individual	ADP of the SNF	NOT APPLICABLE	11/01/2016
Jacobs, Karen	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/2016
Nelson - Holien, Kelsi	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2023
Nelson - Holien, Kelsi	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2023
Potter, Danna	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2022

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you coordinate with state agencies for residents with mental health conditions or intellectual disabilities?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
"What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
"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
Little Falls Care Center	1.0 mi	Little Falls, MN	★★☆☆☆	2/5
Pierz Villa INC	12.5 mi	Pierz, MN	★★★★☆	4/5

Compare this facility with the 2 closest →

All facilities in Little Falls →

Facility data as of CMS processing date 2026-08-01. CCN 245257.

The Care File

Visit checklist — St Ottos Care Center

920 Southeast 4th Street, Little Falls, MN 56345 · 3206329281

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you coordinate with state agencies for residents with mental health conditions or intellectual disabilities?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
☐ "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 245257 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)