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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeMinnesotaFirst Care Living Center

First Care Living Center

900 Hilligoss Boulevard Southeast, Fosston, MN 565422184351133
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
5/5
Quality
3/5
Beds
50
certified
2 fine(s) totaling $88,726

Key Findings

• CMS rates this facility 3/5 stars (average)

• Has 50 certified beds with an average of 26 residents per day (52% occupancy)

• Last health inspection found 6 deficiencies (inspected Jul 30, 2025)

• Has been fined a total of $88,726 across 2 fine(s)

• Total nursing staff: 6.12 hours per resident per day

• Staff turnover rate: 38.0%

• Part of the Essentia Health chain (5 facilities)

First Care Living Center is a 3-star Medicare and Medicaid certified nursing home in Fosston, Minnesota with 50 certified beds. It has been operating since 1988. The facility scored at average compared to Minnesota facilities.

Beds
50
Avg Residents/Day
26
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
Yes
First Approved
Jan 1, 1988
Sprinklers
Yes
Council
Resident
County
Polk
Last Inspection
Jul 30, 2025
Deficiencies (Cycle 1)
6
Weighted Score
57.5
Infection Citations
0

Deficiency Citations (15)

F0637Potential for Harm

Assess the resident when there is a significant change in condition

Survey: Jul 30, 2025Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Jul 30, 2025Corrected: NoCycle: 1
F0676Potential for Harm

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Survey: Jul 30, 2025Corrected: NoCycle: 1
F0688Potential for Harm

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.

Survey: Jul 30, 2025Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Jul 30, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jul 30, 2025Corrected: NoCycle: 1
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Apr 26, 2024Corrected: NoCycle: 2
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Jun 6, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jun 6, 2024Corrected: NoCycle: 2
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: May 22, 2023Corrected: NoCycle: 3
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Aug 17, 2023Corrected: NoCycle: 3
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Aug 17, 2023Corrected: NoCycle: 3
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Aug 17, 2023Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Aug 17, 2023Corrected: NoCycle: 3
F0883Potential for Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey: Aug 17, 2023Corrected: NoCycle: 3
Total Fines
$88,726
Number of Fines
2
Payment Denials
0
Total Penalties
2

Penalty History

FineApr 26, 2024
$14,433
FineMay 22, 2023
$74,293

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide3.65 hrs
National avg: 2.35 hrs
LPN0.81 hrs
National avg: 0.86 hrs
RN1.66 hrs
National avg: 0.68 hrs
Total Nursing6.12 hrs
National avg: 3.89 hrs
Weekend Total4.57 hrs
National avg: 0.00 hrs
Physical Therapist0.01 hrs
National avg: 0.07 hrs
Total Turnover
38.0%
RN Turnover
25.0%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Non profit - Corporation
Recent Change
No

Owners & Managers (18)

NameRoleTypeOwnership %Since
ESSENTIA HEALTH5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization100%Jan 1, 2017
INNOVIS HEALTH LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJan 1, 2017
ARVIN, DOUGLASOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 8, 2023
CURTIS, MICHAELOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 8, 2024
GUPTA, PARULOPERATIONAL/MANAGERIAL CONTROLIndividualN/ASep 2, 2025
HURLEY, ALANOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 18, 2023
CHRISTENSEN, JAMESCORPORATE DIRECTORIndividualN/AJan 1, 2020
HAUGEN, JOELCORPORATE DIRECTORIndividualN/AJan 1, 2017
HEILMAN, TIMCORPORATE DIRECTORIndividualN/AJan 1, 2020
HORN, BEVERLYCORPORATE DIRECTORIndividualN/AJan 1, 2017
JACKSON, AARICKCORPORATE DIRECTORIndividualN/AJan 1, 2020
LEWANDOWSKI, LAURIECORPORATE DIRECTORIndividualN/AJan 1, 2017
MERTZ, TAYLORCORPORATE DIRECTORIndividualN/AMay 17, 2022
SMITH, BENJAMINCORPORATE DIRECTORIndividualN/AMay 17, 2022
ARVIN, DOUGLASCORPORATE OFFICERIndividualN/AMay 18, 2023
GEFROH ELLISON, STEFANIECORPORATE OFFICERIndividualN/AAug 12, 2024
HURLEY, ALANCORPORATE OFFICERIndividualN/AMay 18, 2023
WATTERS, MICHAELCORPORATE OFFICERIndividualN/AJul 1, 2023

Frequently Asked Questions

What is the CMS rating for First Care Living Center?▾
First Care Living Center has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 5/5, and quality measures rating of 3/5. This facility is rated average.
Has First Care Living Center had any health inspection violations?▾
First Care Living Center had 6 deficiency citations in its most recent health inspection (Jul 30, 2025). The facility has been fined a total of $88,726 across 2 fine(s).
What are the staffing levels at First Care Living Center?▾
First Care Living Center provides 6.12 total nursing staff hours per resident per day, including 1.66 RN hours, 0.81 LPN hours, and 3.65 nurse aide hours. The total staff turnover rate is 38.0%.
How many beds does First Care Living Center have?▾
First Care Living Center has 50 certified beds with an average of 26 residents per day, resulting in approximately 52% occupancy. The facility is Non profit - Corporation owned and is part of the Essentia Health chain.

Part of Essentia Health

This chain operates 5 facilities. View all →