First Care Living Center
900 Hilligoss Boulevard Southeast, Fosston, MN, 56542
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Non profit - Corporation · Chain: Essentia Health
- Certified beds
- 50 · avg 28 residents/day
- Total nursing staff turnover
- 41.5% — near the Minnesota averageMinnesota avg: 42.5% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 30% — lower than most Minnesota nursing homesMinnesota avg: 38.5% · National avg: 43.3% · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $14,433 total
Medicare certification
- CMS Certification Number
- 245512
- Certified beds
- 50 beds · avg 28 residents/day
- Ownership type
- Non profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- First Care Medical Services
- Chain affiliation
- Essentia Health
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Essentia Health chain — 6 facilities. Chain-wide average overall rating 4.0 / 5.
Parent entity
Essentia Health
Disclosed owners (16 on record)
- Parul Gupta
Adp of The Snf · since 2025
- Essentia Health
Adp of The Snf · since 2025
- Innovis Health Llc
Adp of The Snf · since 2025
- Stefanie Gefroh Ellison
Corporate Officer · since 2024
- Michael Curtis
Operational/managerial Control · since 2024
- Michael Watters
Corporate Officer · since 2023
+ 10 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 14)
- D0880·Jul 30, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0755·Jul 30, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0688·Jul 30, 2025
Quality of Life and Care Deficiencies
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.
- D0676·Jul 30, 2025
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D0657·Jul 30, 2025
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D0637·Jul 30, 2025
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
- D0880·Jun 6, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0686·Jun 6, 2024
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Federal penalties
By year
- 20241 fine · $14K
Most recent events
- Apr 26, 2024Fine · $14K
Fire-safety citations
16 Life-Safety-Code citations on file. Most recent: Jul 30, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about First Care Living Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.