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-stay | 2 / — of 5 |
Staffing
| Total nurse staffing | 3.40837 hours per resident per day |
|---|---|
| Registered nurses | 0.84488 hours per resident per day |
| Weekend total | 2.83488 hours per resident per day |
| Nursing staff turnover | 52.8% (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.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 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
| Date | Penalty | Amount |
|---|---|---|
| 2025-02-20 | Payment denial for 47 days from 2025-03-27 | — |
| 2025-02-20 | Fine | $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.
| Name | Role | Share | Since |
|---|---|---|---|
| Eide Bailly LLP Organization | adp of the snf | — | 2025-10-23 |
| International Falls Memorial Hospital Association Organization | adp of the snf | — | 2025-10-23 |
| St. Francis Health Services Of Morris, Inc. Organization | adp of the snf | — | 2025-12-01 |
| Eide Bailly LLP Organization | operational/managerial control | — | 2023-01-03 |
| International Falls Memorial Hospital Association Organization | operational/managerial control | — | 2016-04-01 |
| St. Francis Health Services Of Morris, Inc. Organization | operational/managerial control | — | 2016-04-01 |
| Bach, Curtis Individual | adp of the snf | — | 2024-08-28 |
| Burrows, Amanda Individual | adp of the snf | — | 2024-01-02 |
| Caspers, Megan Individual | adp of the snf | — | 2014-12-29 |
| Copeman, Jeffrey Individual | adp of the snf | — | 2025-01-01 |
| Dripps, Daniel Individual | adp of the snf | — | 2016-01-01 |
| Ehlers, Douglas Individual | adp of the snf | — | 2023-01-01 |
| Fairchild, William Individual | adp of the snf | — | 2006-08-07 |
| Goodnough, Jennifer Individual | adp of the snf | — | 2021-01-01 |
| Grashorn, Wanda Individual | adp of the snf | — | 2024-01-01 |
| Hanneken, Michelle Individual | adp of the snf | — | 2022-07-20 |
| Hejhal, Roxanne Individual | adp of the snf | — | 2023-04-10 |
| Hell, Tami Individual | adp of the snf | — | 2025-10-09 |
| Hofmann, Reed Individual | adp of the snf | — | 2023-05-08 |
| Hohenstein, Cindy Individual | adp of the snf | — | 2025-04-30 |
| 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 |
| Mccleery, Rebecca Individual | adp of the snf | — | 2025-01-01 |
| Nash, Erin Individual | adp of the snf | — | 2025-07-28 |
| Nelson, Patrick Individual | adp of the snf | — | 2020-01-01 |
| Nuthak, Cathy Individual | adp of the snf | — | 2009-09-18 |
| 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 |
| Ryan, Ben Individual | adp of the snf | — | 2012-12-27 |
| Ryan, Geoffrey Individual | adp of the snf | — | 1998-01-12 |
| Schneider, Todd Individual | adp of the snf | — | 2013-07-01 |
| Stock, Kelsey Individual | adp of the snf | — | 2022-06-01 |
| Thompson, Renee Individual | adp of the snf | — | 2018-10-10 |
| Tomczak, Cindy Individual | adp of the snf | — | 2023-06-15 |
| 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 |
| Bach, Curtis Individual | corporate director | — | 2024-08-28 |
| Dripps, Daniel Individual | corporate director | — | 2016-01-01 |
| 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 | — | 2011-12-31 |
| 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 |
| Schneider, Todd Individual | corporate director | — | 2013-07-01 |
| 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 |
| 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 |
| Schneider, Todd Individual | managing control - governing body | — | 2013-07-01 |
| Wiese, Lorraine Individual | managing control - governing body | — | 2017-07-25 |
| Bach, Curtis Individual | operational/managerial control | — | 2024-08-28 |
| Burrows, Amanda Individual | operational/managerial control | — | 2024-01-02 |
| Caspers, Megan Individual | operational/managerial control | — | 2014-12-29 |
| Copeman, Jeffrey Individual | operational/managerial control | — | 2025-01-01 |
| Dripps, Daniel Individual | operational/managerial control | — | 2016-01-01 |
| Ehlers, Douglas Individual | operational/managerial control | — | 2023-01-01 |
| Fairchild, William Individual | operational/managerial control | — | 2006-08-07 |
| Goodnough, Jennifer Individual | operational/managerial control | — | 2021-01-01 |
| Gramm, Timothy Individual | operational/managerial control | — | 2023-01-01 |
| Grashorn, Wanda Individual | operational/managerial control | — | 2024-01-01 |
| Hanneken, Michelle Individual | operational/managerial control | — | 2022-07-20 |
| Hejhal, Roxanne Individual | operational/managerial control | — | 2023-04-10 |
| Hell, Tami Individual | operational/managerial control | — | 2025-10-09 |
| Hofmann, Reed Individual | operational/managerial control | — | 2023-05-08 |
| Hohenstein, Cindy Individual | operational/managerial control | — | 2025-04-30 |
| Lair, Michael Individual | operational/managerial control | — | 2025-01-01 |
| Lienemann, Steven Individual | operational/managerial control | — | 2025-01-01 |
| Luetmer, John Individual | operational/managerial control | — | — |
| Marlow, Jina Individual | operational/managerial control | — | 2022-06-06 |
| Mccleery, Rebecca Individual | operational/managerial control | — | 2025-01-01 |
| Nash, Erin Individual | operational/managerial control | — | 2025-07-28 |
| Nelson, Patrick Individual | operational/managerial control | — | 2020-01-01 |
| Nuthak, Cathy Individual | operational/managerial control | — | 2009-09-18 |
| 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 |
| Ryan, Ben Individual | operational/managerial control | — | 2012-12-27 |
| Ryan, Geoffrey Individual | operational/managerial control | — | 1998-01-12 |
| 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 |
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 Littlefork 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 Koochiching County.