First Care Living Center
Fosston, Polk County, Minnesota · CCN 245512 · Non-profit (Corporation) · part of Essentia Health (6 facilities, chain average 4.3 stars)
CMS rates First Care Living Center 4 of 5 overall as of August 2026. 36 certified beds, 26 residents a day on average. 13 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $14,433.
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 | ★★★★☆ 4 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★★★★★ 5 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 3 / — of 5 |
Staffing
| Total nurse staffing | 5.35254 hours per resident per day |
|---|---|
| Registered nurses | 1.55286 hours per resident per day |
| Weekend total | 4.44779 hours per resident per day |
| Nursing staff turnover | 41.7% (registered nurses 20%) |
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 |
|---|---|---|---|
| 2026-05-28 | 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. Resident Rights Deficiencies · tag F0585 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-06-30 |
| 2026-05-28 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · tag F0744 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-06-30 |
| 2026-05-28 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-06-30 |
| 2026-05-28 | 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. Infection Control Deficiencies · tag F0887 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-06-30 |
| 2025-07-30 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · tag F0637 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-10 |
| 2025-07-30 | 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 2025-08-10 |
| 2025-07-30 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · tag F0676 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-01 |
| 2025-07-30 | 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. Quality of Life and Care Deficiencies · tag F0688 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-01 |
| 2025-07-30 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-05 |
| 2025-07-30 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-30 |
| 2024-06-06 | 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 2024-06-30 |
| 2024-06-06 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-30 |
| 2024-04-26 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 2024-05-13 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-04-26 | Fine | $14,433 |
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 |
|---|---|---|---|
| Essentia Health Organization | adp of the snf | — | 2025-01-29 |
| Innovis Health LLC Organization | adp of the snf | — | 2025-01-29 |
| Innovis Health LLC Organization | operational/managerial control | — | 2017-01-01 |
| Arvin, Douglas Individual | adp of the snf | — | 2023-05-18 |
| Curtis, Michael Individual | adp of the snf | — | 2024-07-08 |
| Gupta, Parul Individual | adp of the snf | — | 2025-09-02 |
| Hurley, Alan Individual | adp of the snf | — | 2023-05-18 |
| Christensen, James Individual | corporate director | — | 2020-01-01 |
| Haugen, Joel Individual | corporate director | — | 2017-01-01 |
| Heilman, Tim Individual | corporate director | — | 2020-01-01 |
| Horn, Beverly Individual | corporate director | — | 2017-01-01 |
| Jackson, Aarick Individual | corporate director | — | 2020-01-01 |
| Lewandowski, Laurie Individual | corporate director | — | 2017-01-01 |
| Mertz, Taylor Individual | corporate director | — | 2022-05-17 |
| Smith, Benjamin Individual | corporate director | — | 2022-05-17 |
| Arvin, Douglas Individual | corporate officer | — | 2023-05-18 |
| Gefroh Ellison, Stefanie Individual | corporate officer | — | 2024-08-12 |
| Hurley, Alan Individual | corporate officer | — | 2023-05-18 |
| Watters, Michael Individual | corporate officer | — | 2023-07-01 |
| Arvin, Douglas Individual | operational/managerial control | — | 2023-05-08 |
| Curtis, Michael Individual | operational/managerial control | — | 2024-07-08 |
| Gupta, Parul Individual | operational/managerial control | — | 2025-09-02 |
| Hurley, Alan Individual | operational/managerial control | — | 2023-05-18 |
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 First Care Living 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 Polk County.