First Care Living Center
900 HILLIGOSS BOULEVARD SOUTHEAST, Fosston, MN, 56542
Yes. Federal inspectors cited 4 deficiencies against First Care Living Center in Fosston, Minnesota at its most recent standard inspection on 2026-05-28. 1 finding has been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 1 time, totalling $14,433. Medicare rates it 4 out of 5 overall.
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
The last 13 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
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 · F0585 · 2026-05-28 · standard survey · No actual harm, potential for more than minimal harm
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care Deficiencies · F0744 · 2026-05-28 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · F0883 · 2026-05-28 · standard survey · No actual harm, potential for more than minimal harm
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 · F0887 · 2026-05-28 · standard survey · No actual harm, potential for more than minimal harm
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies · F0637 · 2025-07-30 · standard survey · No actual harm, potential for more than minimal harm
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 · F0657 · 2025-07-30 · standard survey · No actual harm, potential for more than minimal harm
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 · F0676 · 2025-07-30 · standard survey · No actual harm, potential for more than minimal 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.
Quality of Life and Care Deficiencies · F0688 · 2025-07-30 · standard survey · No actual harm, potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2025-07-30 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-07-30 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · F0686 · 2024-06-06 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2024-06-06 · standard survey · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2024-04-26 · from a complaint · Immediate jeopardy to resident health or safety
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
What Medicare has fined this home
Who owns First Care Living Center
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| CHRISTENSEN, JAMES | Individual | NOT APPLICABLE | since 01/01/2020 |
| HAUGEN, JOEL | Individual | NOT APPLICABLE | since 01/01/2017 |
| HEILMAN, TIM | Individual | NOT APPLICABLE | since 01/01/2020 |
| HORN, BEVERLY | Individual | NOT APPLICABLE | since 01/01/2017 |
| JACKSON, AARICK | Individual | NOT APPLICABLE | since 01/01/2020 |
| LEWANDOWSKI, LAURIE | Individual | NOT APPLICABLE | since 01/01/2017 |
| MERTZ, TAYLOR | Individual | NOT APPLICABLE | since 05/17/2022 |
| SMITH, BENJAMIN | Individual | NOT APPLICABLE | since 05/17/2022 |
| ARVIN, DOUGLAS | Individual | NOT APPLICABLE | since 05/18/2023 |
| GEFROH ELLISON, STEFANIE | Individual | NOT APPLICABLE | since 08/12/2024 |
| HURLEY, ALAN | Individual | NOT APPLICABLE | since 05/18/2023 |
| WATTERS, MICHAEL | Individual | NOT APPLICABLE | since 07/01/2023 |
Part of the ESSENTIA HEALTH group.
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 245512.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction