First Care Living Center

900 HILLIGOSS BOULEVARD SOUTHEAST, FOSSTON, MN 56542 · CCN 245512 · 36 certified beds · Data as of 2026-07-01

CMS overall4 of 5CMS inspections3 of 5CMS staffing5 of 5CMS quality3 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

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Serious inspection findings

2024-04-26 — 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.

Staffing, from payroll records

Nursing hours / resident / day

4.14

state median 3.48

Weekend staffing gap

−19%

fewer nursing hours on weekends · state median −4%

RN hours / resident / day

0.88

registered nurses only

Contract (agency) staff

share of all nursing hours

Days with zero RN hours reported

with residents present

Nursing staff turnover

42%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

1 enforcement action(s), totaling $14,433 in fines.

Date	Type	Amount
2024-04-26	Fine	$14,433

Ownership

Ownership type: Non profit - Corporation. Part of the ESSENTIA HEALTH chain.

Other facilities under the same ownership, with their CMS overall ratings:

Essentia Health Oak Crossing (DETROIT LAKES, MN) — CMS overall5 of 5
ESSENTIA HEALTH HOMESTEAD (DEER RIVER, MN) — CMS overall2 of 5
ESSENTIA HEALTH VIRGINIA CARE CENT (VIRGINIA, MN) — CMS overall5 of 5
Essentia Health Northern Pines Medical Center (AURORA, MN) — CMS overall5 of 5
ESSENTIA HEALTH GRACE HOME (GRACEVILLE, MN) — CMS overall5 of 5

Full citation history

By severity: Potential for more than minimal harm: 12 · Immediate jeopardy: 1

Survey date	Tag	Category	Severity	Corrected
2026-05-28	F0585	Resident Rights Deficiencies	D	not recorded
2026-05-28	F0744	Quality of Life and Care Deficiencies	D	not recorded
2026-05-28	F0883	Infection Control Deficiencies	D	not recorded
2026-05-28	F0887	Infection Control Deficiencies	D	not recorded
2025-07-30	F0637	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-07-30	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-07-30	F0676	Quality of Life and Care Deficiencies	D	not recorded
2025-07-30	F0688	Quality of Life and Care Deficiencies	D	not recorded
2025-07-30	F0755	Pharmacy Service Deficiencies	D	not recorded
2025-07-30	F0880	Infection Control Deficiencies	D	not recorded
2024-06-06	F0686	Quality of Life and Care Deficiencies	D	not recorded
2024-06-06	F0880	Infection Control Deficiencies	D	not recorded
2024-04-26	F0689	Quality of Life and Care Deficiencies	J	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “First Care Living Center, FOSSTON” at medicare.gov/care-compare.