Thief River Care Center
Thief River Falls, Pennington County, Minnesota · CCN 245252 · Non-profit (Corporation) · part of St. Francis Health Services (14 facilities, chain average 2.8 stars)
CMS rates Thief River Care Center 2 of 5 overall as of August 2026. 70 certified beds, 67 residents a day on average. 29 citations on record from the current inspection cycles, 4 at immediate jeopardy; 5 fines totalling $245,902 and 2 payment denials.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★☆☆☆ 2 of 5 |
|---|---|
| Health inspections | ★☆☆☆☆ 1 of 5 |
| Staffing | ★★★★★ 5 of 5 |
| Quality measures | ★★☆☆☆ 2 of 5 |
| Quality: long-stay / short-stay | 2 / — of 5 |
Staffing
| Total nurse staffing | 3.70864 hours per resident per day |
|---|---|
| Registered nurses | 0.90093 hours per resident per day |
| Weekend total | 3.36407 hours per resident per day |
| Nursing staff turnover | 40.9% (registered nurses 40%) |
| Administrators who left | 1 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-04-01 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-05-06 |
| 2026-04-01 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-05 |
| 2026-04-01 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-05 |
| 2026-04-01 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-05 |
| 2026-04-01 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · tag F0693 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-05 |
| 2025-12-30 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance 2025-12-18 |
| 2025-01-16 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2025-02-19 |
| 2025-01-16 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-02-19 |
| 2025-01-16 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-03-14 |
| 2025-01-16 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-02-19 |
| 2025-01-16 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-19 |
| 2025-01-16 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-14 |
| 2025-01-16 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-19 |
| 2025-01-16 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-19 |
| 2025-01-16 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-19 |
| 2024-05-02 complaint survey |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-31 |
| 2024-04-19 complaint survey |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance 2024-04-15 |
| 2024-04-19 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-17 |
| 2024-04-12 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-06 |
| 2024-04-12 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-06 |
| 2024-01-03 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2024-01-20 |
| 2024-01-03 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-20 |
| 2023-11-01 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · tag F0578 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2023-12-01 |
| 2023-11-01 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2023-12-01 |
| 2023-11-01 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · tag F0623 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-12-01 |
| 2023-11-01 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-12-01 |
| 2023-08-30 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-23 |
| 2023-08-30 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-23 |
| 2023-08-30 complaint survey |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-23 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-12-30 | Fine | $26,685 |
| 2025-01-16 | Payment denial for 23 days from 2025-02-19 | — |
| 2025-01-16 | Fine | $124,800 |
| 2024-04-12 | Fine | $19,800 |
| 2024-01-03 | Fine | $65,302 |
| 2023-11-01 | Payment denial for 2 days from 2023-11-29 | — |
| 2023-11-01 | Fine | $9,315 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Big Stone Therapies, Inc. Organization | adp of the snf | — | 2025-10-23 |
| Eide Bailly LLP Organization | adp of the snf | — | 2025-10-23 |
| St. Francis Health Services Of Morris, Inc. Organization | adp of the snf | — | 2025-12-01 |
| Big Stone Therapies, Inc. Organization | operational/managerial control | — | 2015-02-03 |
| Eide Bailly LLP Organization | operational/managerial control | — | 2023-01-03 |
| St. Francis Health Services Of Morris, Inc. Organization | operational/managerial control | — | 2006-10-21 |
| Anderson, Mardy Individual | adp of the snf | — | 2025-06-25 |
| Bach, Curtis Individual | adp of the snf | — | 2024-08-28 |
| Bakke, Christine Individual | adp of the snf | — | 2019-09-30 |
| Caspers, Megan Individual | adp of the snf | — | 2014-12-29 |
| Castillon, Adina Individual | adp of the snf | — | 2025-06-10 |
| Dripps, Daniel Individual | adp of the snf | — | 2016-01-01 |
| Ehlers, Douglas Individual | adp of the snf | — | 2023-01-01 |
| Goodnough, Jennifer Individual | adp of the snf | — | 2021-01-01 |
| Gramm, Timothy Individual | adp of the snf | — | 2023-01-01 |
| Hanneken, Michelle Individual | adp of the snf | — | 2022-07-20 |
| Hejhal, Roxanne Individual | adp of the snf | — | 2023-04-10 |
| Hoffner, Erica Individual | adp of the snf | — | 2025-01-01 |
| Hofmann, Reed Individual | adp of the snf | — | 2023-05-08 |
| Huseth, Kendra Individual | adp of the snf | — | 2024-02-26 |
| Kriel, Tracy Individual | adp of the snf | — | 2016-11-09 |
| Lair, Michael Individual | adp of the snf | — | 2025-01-01 |
| Lienemann, Steven Individual | adp of the snf | — | 2025-01-01 |
| Luetmer, John Individual | adp of the snf | — | 2021-01-01 |
| Marlow, Jina Individual | adp of the snf | — | 2022-06-06 |
| Mccarty, Denise Individual | adp of the snf | — | 2022-11-28 |
| Nelson, Madison Individual | adp of the snf | — | 2023-06-06 |
| Nelson, Patrick Individual | adp of the snf | — | 2020-01-01 |
| Patel, Sanjay Individual | adp of the snf | — | 2025-01-01 |
| Peterson-Devries, Cami Individual | adp of the snf | — | 2022-05-08 |
| Raw, Carol Individual | adp of the snf | — | 2005-08-16 |
| Rentz, Laura Individual | adp of the snf | — | 2024-01-01 |
| Rentz, Mark Individual | adp of the snf | — | 2024-04-22 |
| Rentz, Paul Individual | adp of the snf | — | 2021-01-01 |
| Ryan, Ben Individual | adp of the snf | — | 2012-12-27 |
| Sanden, Cindy Individual | adp of the snf | — | 2025-08-25 |
| Schneider, Todd Individual | adp of the snf | — | 2013-07-01 |
| Stock, Kelsey Individual | adp of the snf | — | 2022-06-01 |
| Thompson, Lori Individual | adp of the snf | — | 1996-01-02 |
| Thompson, Renee Individual | adp of the snf | — | 2018-10-10 |
| Tomoson, April Individual | adp of the snf | — | 2021-07-12 |
| Walker, Amy Individual | adp of the snf | — | 2024-05-13 |
| Wiese, Lorraine Individual | adp of the snf | — | 2017-07-25 |
| Wilken, Joan Individual | adp of the snf | — | 2025-02-26 |
| Winter, Anthony Individual | adp of the snf | — | 2014-06-17 |
| Bach, Curtis Individual | corporate director | — | 2024-08-28 |
| Dripps, Daniel Individual | corporate director | — | 2006-10-21 |
| Ehlers, Douglas Individual | corporate director | — | 2023-01-01 |
| Goodnough, Jennifer Individual | corporate director | — | 2021-01-01 |
| Gramm, Timothy Individual | corporate director | — | 2023-01-01 |
| Lair, Michael Individual | corporate director | — | 2025-01-01 |
| Lienemann, Steven Individual | corporate director | — | 2025-01-01 |
| Luetmer, John Individual | corporate director | — | 2021-01-01 |
| Nelson, Patrick Individual | corporate director | — | 2020-01-01 |
| Peterson-Devries, Cami Individual | corporate director | — | 2022-05-08 |
| Raw, Carol Individual | corporate director | — | 2005-08-16 |
| Rentz, Laura Individual | corporate director | — | 2024-01-01 |
| Rentz, Paul Individual | corporate director | — | 2021-01-01 |
| Schneider, Todd Individual | corporate director | — | 2013-07-01 |
| Thompson, Renee Individual | corporate director | — | 2018-10-10 |
| Wiese, Lorraine Individual | corporate director | — | 2017-07-25 |
| Bach, Curtis Individual | corporate officer | — | 2024-08-28 |
| Peterson-Devries, Cami Individual | corporate officer | — | 2022-05-08 |
| Raw, Carol Individual | corporate officer | — | 2005-08-16 |
| Raw, Carol Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2026-04-08 |
| Dripps, Daniel Individual | managing control - governing body | — | 2016-01-01 |
| Ehlers, Douglas Individual | managing control - governing body | — | 2023-01-01 |
| Goodnough, Jennifer Individual | managing control - governing body | — | 2021-01-01 |
| Gramm, Timothy Individual | managing control - governing body | — | 2023-01-01 |
| Lair, Michael Individual | managing control - governing body | — | 2025-01-01 |
| Lienemann, Steven Individual | managing control - governing body | — | 2025-01-01 |
| Luetmer, John Individual | managing control - governing body | — | 2021-01-01 |
| Nelson, Patrick Individual | managing control - governing body | — | 2020-01-01 |
| Rentz, Laura Individual | managing control - governing body | — | 2024-01-01 |
| Rentz, Paul Individual | managing control - governing body | — | 2021-01-01 |
| Schneider, Todd Individual | managing control - governing body | — | 2013-07-01 |
| Wiese, Lorraine Individual | managing control - governing body | — | 2017-07-25 |
| Anderson, Mardy Individual | operational/managerial control | — | 2025-06-25 |
| Bach, Curtis Individual | operational/managerial control | — | 2024-08-28 |
| Bakke, Christine Individual | operational/managerial control | — | 2019-09-30 |
| Caspers, Megan Individual | operational/managerial control | — | 2014-12-29 |
| Castillon, Adina Individual | operational/managerial control | — | 2025-06-10 |
| Dripps, Daniel Individual | operational/managerial control | — | 2016-01-01 |
| Ehlers, Douglas Individual | operational/managerial control | — | 2023-01-01 |
| Goodnough, Jennifer Individual | operational/managerial control | — | 2021-01-01 |
| Gramm, Timothy Individual | operational/managerial control | — | 2023-01-01 |
| Hanneken, Michelle Individual | operational/managerial control | — | 2022-07-20 |
| Hejhal, Roxanne Individual | operational/managerial control | — | 2023-04-10 |
| Hoffner, Erica Individual | operational/managerial control | — | 2025-01-01 |
| Hofmann, Reed Individual | operational/managerial control | — | 2023-05-08 |
| Huseth, Kendra Individual | operational/managerial control | — | 2024-02-26 |
| Lair, Michael Individual | operational/managerial control | — | 2025-01-01 |
| Lienemann, Steven Individual | operational/managerial control | — | 2025-01-01 |
| Luetmer, John Individual | operational/managerial control | — | 2021-01-01 |
| Marlow, Jina Individual | operational/managerial control | — | 2022-06-06 |
| Mccarty, Denise Individual | operational/managerial control | — | 2022-11-28 |
| Nelson, Madison Individual | operational/managerial control | — | 2023-06-06 |
| Nelson, Patrick Individual | operational/managerial control | — | 2020-01-01 |
| Patel, Sanjay Individual | operational/managerial control | — | 2025-01-01 |
| Peterson-Devries, Cami Individual | operational/managerial control | — | 2022-05-08 |
| Raw, Carol Individual | operational/managerial control | — | 2005-08-16 |
| Rentz, Laura Individual | operational/managerial control | — | 2024-01-01 |
| Rentz, Mark Individual | operational/managerial control | — | 2024-04-22 |
| Rentz, Paul Individual | operational/managerial control | — | 2021-01-01 |
| Ryan, Ben Individual | operational/managerial control | — | 2012-12-27 |
| Sanden, Cindy Individual | operational/managerial control | — | 2025-08-25 |
| Schneider, Todd Individual | operational/managerial control | — | 2013-07-01 |
| Stock, Kelsey Individual | operational/managerial control | — | 2022-06-01 |
| Thompson, Renee Individual | operational/managerial control | — | 2018-10-10 |
| Tomoson, April Individual | operational/managerial control | — | 2021-07-12 |
| Walker, Amy Individual | operational/managerial control | — | 2024-05-13 |
| Wiese, Lorraine Individual | operational/managerial control | — | 2017-07-25 |
| Wilken, Joan Individual | operational/managerial control | — | 2025-02-26 |
| Winter, Anthony Individual | operational/managerial control | — | 2014-06-17 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Thief River Care Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Pennington County.