Nursing Care Index

Littlefork Care Center

Littlefork, Koochiching County, Minnesota · CCN 245542 · Non-profit (Corporation) · part of St. Francis Health Services (14 facilities, chain average 2.8 stars)

CMS rates Littlefork Care Center 1 of 5 overall as of August 2026. 42 certified beds, 36 residents a day on average. 33 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $218,595 and 1 payment denial.

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★☆☆☆☆ 1 of 5
Health inspections★☆☆☆☆ 1 of 5
Staffing★★★★☆ 4 of 5
Quality measures★★☆☆☆ 2 of 5
Quality: long-stay / short-stay2 / — of 5

Staffing

Total nurse staffing3.40837 hours per resident per day
Registered nurses0.84488 hours per resident per day
Weekend total2.83488 hours per resident per day
Nursing staff turnover52.8% (registered nurses 55.6%)

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.

SurveyFindingSeverityStatus
2025-12-10 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
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-01-24
2025-12-10 Implement a program that monitors antibiotic use.
Infection Control Deficiencies · tag F0881
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-01-24
2025-12-10 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
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-01-24
2025-12-10 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
2026-01-24
2025-12-10 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
2026-01-24
2025-12-10 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
2026-01-24
2025-12-10 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
2026-01-24
2025-12-10 Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · tag F0692
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-01-24
2025-12-10 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
2026-01-24
2025-12-10 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
2026-01-24
2025-12-10 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
2026-01-24
2025-12-10 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
2026-01-24
2025-08-06
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
2025-10-06
2025-08-06
complaint survey
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights Deficiencies · tag F0627
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-10-06
2025-02-27 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
L Immediate jeopardy to resident health or safety; widespread Deficient, Provider has date of correction
2025-05-12
2025-02-27 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · tag F0758
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-03-27
2025-02-27 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · tag F0580
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-03-27
2025-02-27
complaint survey
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
2025-05-12
2025-02-27 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
2025-03-27
2025-02-27 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
2025-03-27
2025-02-27 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
2025-03-27
2025-02-27
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
2025-03-27
2025-02-27 Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · tag F0699
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-03-27
2025-02-27 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
2025-03-27
2025-02-27 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · tag F0756
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-03-27
2025-02-27 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
2025-05-12
2025-02-27 Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights Deficiencies · tag F0577
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2025-03-27
2025-02-27 Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · tag F0732
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2025-03-27
2025-02-20
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
2025-03-31
2025-01-23
complaint survey
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
2025-02-17
2025-01-23
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
2025-02-17
2025-01-23
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
2025-02-17
2024-09-26
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
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-11-04

Fines and payment denials

DatePenaltyAmount
2025-02-20Payment denial for 47 days from 2025-03-27
2025-02-20Fine$218,595

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.

NameRoleShareSince
Eide Bailly LLP
Organization
adp of the snf2025-10-23
International Falls Memorial Hospital Association
Organization
adp of the snf2025-10-23
St. Francis Health Services Of Morris, Inc.
Organization
adp of the snf2025-12-01
Eide Bailly LLP
Organization
operational/managerial control2023-01-03
International Falls Memorial Hospital Association
Organization
operational/managerial control2016-04-01
St. Francis Health Services Of Morris, Inc.
Organization
operational/managerial control2016-04-01
Bach, Curtis
Individual
adp of the snf2024-08-28
Burrows, Amanda
Individual
adp of the snf2024-01-02
Caspers, Megan
Individual
adp of the snf2014-12-29
Copeman, Jeffrey
Individual
adp of the snf2025-01-01
Dripps, Daniel
Individual
adp of the snf2016-01-01
Ehlers, Douglas
Individual
adp of the snf2023-01-01
Fairchild, William
Individual
adp of the snf2006-08-07
Goodnough, Jennifer
Individual
adp of the snf2021-01-01
Grashorn, Wanda
Individual
adp of the snf2024-01-01
Hanneken, Michelle
Individual
adp of the snf2022-07-20
Hejhal, Roxanne
Individual
adp of the snf2023-04-10
Hell, Tami
Individual
adp of the snf2025-10-09
Hofmann, Reed
Individual
adp of the snf2023-05-08
Hohenstein, Cindy
Individual
adp of the snf2025-04-30
Lair, Michael
Individual
adp of the snf2025-01-01
Lienemann, Steven
Individual
adp of the snf2025-01-01
Luetmer, John
Individual
adp of the snf2021-01-01
Marlow, Jina
Individual
adp of the snf2022-06-06
Mccleery, Rebecca
Individual
adp of the snf2025-01-01
Nash, Erin
Individual
adp of the snf2025-07-28
Nelson, Patrick
Individual
adp of the snf2020-01-01
Nuthak, Cathy
Individual
adp of the snf2009-09-18
Peterson-Devries, Cami
Individual
adp of the snf2022-05-08
Raw, Carol
Individual
adp of the snf2005-08-16
Rentz, Laura
Individual
adp of the snf2024-01-01
Rentz, Mark
Individual
adp of the snf2024-04-22
Ryan, Ben
Individual
adp of the snf2012-12-27
Ryan, Geoffrey
Individual
adp of the snf1998-01-12
Schneider, Todd
Individual
adp of the snf2013-07-01
Stock, Kelsey
Individual
adp of the snf2022-06-01
Thompson, Renee
Individual
adp of the snf2018-10-10
Tomczak, Cindy
Individual
adp of the snf2023-06-15
Tomoson, April
Individual
adp of the snf2021-07-12
Walker, Amy
Individual
adp of the snf2024-05-13
Wiese, Lorraine
Individual
adp of the snf2017-07-25
Bach, Curtis
Individual
corporate director2024-08-28
Dripps, Daniel
Individual
corporate director2016-01-01
Ehlers, Douglas
Individual
corporate director2023-01-01
Goodnough, Jennifer
Individual
corporate director2021-01-01
Gramm, Timothy
Individual
corporate director2023-01-01
Lair, Michael
Individual
corporate director2025-01-01
Lienemann, Steven
Individual
corporate director2011-12-31
Luetmer, John
Individual
corporate director2021-01-01
Nelson, Patrick
Individual
corporate director2020-01-01
Peterson-Devries, Cami
Individual
corporate director2022-05-08
Raw, Carol
Individual
corporate director2005-08-16
Rentz, Laura
Individual
corporate director2024-01-01
Schneider, Todd
Individual
corporate director2013-07-01
Wiese, Lorraine
Individual
corporate director2017-07-25
Bach, Curtis
Individual
corporate officer2024-08-28
Peterson-Devries, Cami
Individual
corporate officer2022-05-08
Raw, Carol
Individual
corporate officer2005-08-16
Dripps, Daniel
Individual
managing control - governing body2016-01-01
Ehlers, Douglas
Individual
managing control - governing body2023-01-01
Goodnough, Jennifer
Individual
managing control - governing body2021-01-01
Gramm, Timothy
Individual
managing control - governing body2023-01-01
Lair, Michael
Individual
managing control - governing body2025-01-01
Lienemann, Steven
Individual
managing control - governing body2025-01-01
Luetmer, John
Individual
managing control - governing body2021-01-01
Nelson, Patrick
Individual
managing control - governing body2020-01-01
Rentz, Laura
Individual
managing control - governing body2024-01-01
Schneider, Todd
Individual
managing control - governing body2013-07-01
Wiese, Lorraine
Individual
managing control - governing body2017-07-25
Bach, Curtis
Individual
operational/managerial control2024-08-28
Burrows, Amanda
Individual
operational/managerial control2024-01-02
Caspers, Megan
Individual
operational/managerial control2014-12-29
Copeman, Jeffrey
Individual
operational/managerial control2025-01-01
Dripps, Daniel
Individual
operational/managerial control2016-01-01
Ehlers, Douglas
Individual
operational/managerial control2023-01-01
Fairchild, William
Individual
operational/managerial control2006-08-07
Goodnough, Jennifer
Individual
operational/managerial control2021-01-01
Gramm, Timothy
Individual
operational/managerial control2023-01-01
Grashorn, Wanda
Individual
operational/managerial control2024-01-01
Hanneken, Michelle
Individual
operational/managerial control2022-07-20
Hejhal, Roxanne
Individual
operational/managerial control2023-04-10
Hell, Tami
Individual
operational/managerial control2025-10-09
Hofmann, Reed
Individual
operational/managerial control2023-05-08
Hohenstein, Cindy
Individual
operational/managerial control2025-04-30
Lair, Michael
Individual
operational/managerial control2025-01-01
Lienemann, Steven
Individual
operational/managerial control2025-01-01
Luetmer, John
Individual
operational/managerial control
Marlow, Jina
Individual
operational/managerial control2022-06-06
Mccleery, Rebecca
Individual
operational/managerial control2025-01-01
Nash, Erin
Individual
operational/managerial control2025-07-28
Nelson, Patrick
Individual
operational/managerial control2020-01-01
Nuthak, Cathy
Individual
operational/managerial control2009-09-18
Peterson-Devries, Cami
Individual
operational/managerial control2022-05-08
Raw, Carol
Individual
operational/managerial control2005-08-16
Rentz, Laura
Individual
operational/managerial control2024-01-01
Rentz, Mark
Individual
operational/managerial control2024-04-22
Ryan, Ben
Individual
operational/managerial control2012-12-27
Ryan, Geoffrey
Individual
operational/managerial control1998-01-12
Schneider, Todd
Individual
operational/managerial control2013-07-01
Stock, Kelsey
Individual
operational/managerial control2022-06-01
Thompson, Renee
Individual
operational/managerial control2018-10-10
Tomoson, April
Individual
operational/managerial control2021-07-12
Walker, Amy
Individual
operational/managerial control2024-05-13
Wiese, Lorraine
Individual
operational/managerial control2017-07-25

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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 Koochiching County.