THIEF RIVER CARE CENTER
State inspectors recorded 3 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2025-12-30 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-01-16 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-04-19 — IMMEDIATE JEOPARDY (tag F0600, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-01-03 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-11-01 — IMMEDIATE JEOPARDY (tag F0578, severity J)
Resident Rights Deficiencies · correction not recorded in CMS data
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Staffing, from payroll records
Nursing hours / resident / day
3.26
state median 3.48
Weekend staffing gap
−8%
fewer nursing hours on weekends · state median −4%
RN hours / resident / day
0.74
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Days with zero RN hours reported
1
with residents present
Nursing staff turnover
41%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
6 enforcement action(s), totaling $219,217 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-01-16 | Fine | $124,800 |
| 2025-01-16 | Payment Denial | payment denial |
| 2024-04-12 | Fine | $19,800 |
| 2024-01-03 | Fine | $65,302 |
| 2023-11-01 | Fine | $9,315 |
| 2023-11-01 | Payment Denial | payment denial |
Ownership
Ownership type: Non profit - Corporation. Part of the ST. FRANCIS HEALTH SERVICES chain.
Other facilities under the same ownership, with their CMS overall ratings:
- Aitkin Health Services (AITKIN, MN) —
- Guardian Angels Health & Rehab Center (HIBBING, MN) —
- Heritage Manor (CHISHOLM, MN) —
- Trinity Care Center (FARMINGTON, MN) —
- Franciscan Health Center (DULUTH, MN) —
- West Wind Village (MORRIS, MN) —
- Zumbrota Care Center (ZUMBROTA, MN) —
- Little Falls Care Center (LITTLE FALLS, MN) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-04-01 | F0641 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2026-04-01 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-04-01 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-04-01 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-04-01 | F0693 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-12-30 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-01-16 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2025-01-16 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-01-16 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-01-16 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-01-16 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-01-16 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-01-16 | F0804 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-01-16 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2025-01-16 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2024-05-02 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2024-04-19 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2024-04-19 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-04-12 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-04-12 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-01-03 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-01-03 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2023-11-01 | F0578 | Resident Rights Deficiencies | J | not recorded |
| 2023-11-01 | F0623 | Resident Rights Deficiencies | D | not recorded |
| 2023-11-01 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-11-01 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2023-08-30 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-08-30 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-08-30 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |