Littlefork, MN

Littlefork Care Center

1-star overall rating with 1-star inspections with $179,075 in total fines with 14 recent health deficiencies

912 Main Street, Littlefork, MN

(218) 278-6634

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

42

Certified beds

Average residents

36

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

St. Francis Health Services

Operator or chain grouping

Approved since

1991-04-24

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.89

Registered nurse staffing

LPN hours / resident day

0.53

Licensed practical nurse staffing

Aide hours / resident day

1.96

Nurse aide staffing

Weekend hours

2.90

Weekend nurse staffing

RN turnover

46%

Annual RN turnover

Total nurse turnover

33%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 95.1%
97.3%
2.2 pts worse
93.4%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
96.1%
3.9 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 4.2%
3.9%
0.3 pts worse
3.3%
0.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 7.5%
4.3%
3.2 pts worse
11.4%
3.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 4.4%
4.1%
0.3 pts worse
5.4%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 18.8%
12.4%
6.4 pts worse
19.6%
0.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 35.0%
17.5%
17.5 pts worse
16.7%
18.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 11.0%
22.5%
11.5 pts better
16.3%
5.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 9.9%
18.6%
8.7 pts better
14.9%
5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 4.9%
2.3%
2.6 pts worse
1.0%
3.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 5.7%
2.6%
3.1 pts worse
1.7%
4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 19.4%
24.8%
5.4 pts better
19.8%
0.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 6.1%
5.4%
0.7 pts worse
5.1%
1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 61.9%
88.6%
26.7 pts worse
81.7%
19.8 pts worse
Short Stay · 2024Q4-2025Q3

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-10 · Fire 2025-12-10

14 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2025-02-27 · Fire 2025-02-27

19 health deficiencies

Top issue: Quality of Life and Care (8 deficiencies)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2023-12-06 · Fire 2023-12-06

0 health deficiencies

No concentrated health issue counts in this cycle.

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-02-27

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-03-26

D · Potential for more than minimal harm 2025-02-27

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-03-26

D · Potential for more than minimal harm 2025-02-27

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-03-26

F · Potential for more than minimal harm 2023-12-06

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-12-18

D · Potential for more than minimal harm 2023-12-06

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-12-18

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-12-10

F585 · Resident Rights Deficiencies

Health

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.

Corrected 2026-01-24

E · Potential for more than minimal harm 2025-12-10

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2026-01-24

D · Potential for more than minimal harm 2025-12-10

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2026-01-24

D · Potential for more than minimal harm 2025-12-10

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2026-01-24

D · Potential for more than minimal harm 2025-12-10

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2026-01-24

D · Potential for more than minimal harm 2025-12-10

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2026-01-24

D · Potential for more than minimal harm 2025-12-10

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2026-01-24

D · Potential for more than minimal harm 2025-12-10

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2026-01-24

D · Potential for more than minimal harm 2025-12-10

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2026-01-24

D · Potential for more than minimal harm 2025-12-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2026-01-24

D · Potential for more than minimal harm 2025-12-10

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2026-01-24

D · Potential for more than minimal harm 2025-12-10

F887 · Infection Control Deficiencies

Health

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.

Corrected 2026-01-24

D · Potential for more than minimal harm 2025-08-06

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-10-06

D · Potential for more than minimal harm 2025-08-06

F627 · Resident Rights Deficiencies

Health

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Corrected 2025-10-06

L · Immediate jeopardy 2025-02-27

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-12

E · Potential for more than minimal harm 2025-02-27

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-03-27

D · Potential for more than minimal harm 2025-02-27

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-03-27

D · Potential for more than minimal harm 2025-02-27

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-05-12

D · Potential for more than minimal harm 2025-02-27

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2025-03-27

D · Potential for more than minimal harm 2025-02-27

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-03-27

D · Potential for more than minimal harm 2025-02-27

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-03-27

D · Potential for more than minimal harm 2025-02-27

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-03-27

D · Potential for more than minimal harm 2025-02-27

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2025-03-27

D · Potential for more than minimal harm 2025-02-27

F744 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2025-03-27

D · Potential for more than minimal harm 2025-02-27

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2025-03-27

D · Potential for more than minimal harm 2025-02-27

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2025-05-12

C · Minimal harm 2025-02-27

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2025-03-27

C · Minimal harm 2025-02-27

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2025-03-27

D · Potential for more than minimal harm 2025-02-20

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-03-31

D · Potential for more than minimal harm 2025-01-23

F585 · Resident Rights Deficiencies

Health

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.

Corrected 2025-02-17

D · Potential for more than minimal harm 2025-01-23

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-02-17

D · Potential for more than minimal harm 2025-01-23

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-02-17

D · Potential for more than minimal harm 2024-09-26

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-11-04

Penalties and ownership

What sits behind the stars

$179,075 2025-02-20

Fine

Fine · fine $179,075

Fine

Ownership

St. Francis Health Services Of Morris, Inc

5% Or Greater Direct Ownership Interest · Organization

100% 13 facilities 2016-04-01
Allen, Scot

Operational/Managerial Control · Individual

0% 2 facilities 2016-04-01
Allen, Scot

Corporate Officer · Individual

0% 2 facilities 2016-04-01
Allen, Scot

W-2 Managing Employee · Individual

0% 2 facilities 2016-04-01
Davison, Keith

Corporate Director · Individual

0% 1 facilities 2019-01-01
Dripps, Daniel

Corporate Director · Individual

0% 13 facilities 2016-01-01
Heltemes, Vivian

Corporate Director · Individual

0% 2 facilities 2012-12-31
Lienemann, Steven

Corporate Director · Individual

0% 6 facilities 2011-12-31
Meichsner, Elizabeth

Corporate Director · Individual

0% 5 facilities 2016-01-01
Moncrief, William

Operational/Managerial Control · Individual

0% 3 facilities 2016-02-01
Moncrief, William

Corporate Officer · Individual

0% 3 facilities 2016-02-01
Moncrief, William

W-2 Managing Employee · Individual

0% 3 facilities 2016-02-01
Raw, Carol

Operational/Managerial Control · Individual

0% 14 facilities 2016-04-01
Raw, Carol

Corporate Officer · Individual

0% 14 facilities 2016-04-01
Raw, Carol

W-2 Managing Employee · Individual

0% 14 facilities 2016-04-01
Riley, Carla

Corporate Director · Individual

0% 2 facilities 2016-01-01
Schmidgall, Neil

Corporate Director · Individual

0% 2 facilities 2011-12-31
Schneider, Todd

Corporate Director · Individual

0% 13 facilities 2013-07-01
Sperr, Tamela

Corporate Director · Individual

0% 7 facilities 2019-01-01
St. Francis Health Services Of Morris, Inc

Operational/Managerial Control · Organization

0% 13 facilities 2016-04-01
Thooft, Alyssa

Corporate Director · Individual

0% 6 facilities 2014-12-31
Vazquez, Monserrat

Corporate Director · Individual

0% 2 facilities 2017-01-01
Wiese, Lorraine

Corporate Director · Individual

0% 13 facilities 2017-07-25

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