Federal inspection record · CMS data as of October 1, 2026
Littlefork Care Center
912 Main Street, Littlefork, MN · (218) 278-6634
- Certified beds
- 42
- Residents per day
- 35
- Ownership
- Non-Profit
- Chain
- St. Francis Health Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 24, 1991
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Minnesota.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change (already 1)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Minnesota homes
Littlefork Care Center carries 125.25 inspection points. That is fewer than 10% of Minnesota's 335 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Minnesota: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–30 pts
- 3★ 30–54 pts
- 2★ 54–92 pts
- 1★ over 92 pts
Bars show every rated home in Minnesota by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
33 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
L
Provide and implement an infection prevention and control program.
Everything else, by area of care
Quality of Life and Care11D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care or services that was trauma informed and/or culturally competent.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation6D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Resident Rights5E
- E
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.
- D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- D
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.
Infection Control5E
- E
Implement a program that monitors antibiotic use.
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
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.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Pharmacy Service3E
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
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.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Resident Assessment and Care Planning1D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nursing and Physician Services1C
- C
Post nurse staffing information every day.
Inspection history
2025-12-10
12 health deficiencies · 0 fire-safety deficiencies
Top issue: Infection Control (4 deficiencies)
2025-02-27
20 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2023-12-06
1 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 39 min of nursing staff time a day, 46 min of it from a registered nurse.
This home
3 h 39 min
Minnesota average
4 h 16 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 61% of nursing staff and 56% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$218,595 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-02-20 | Fine | $218,595 |
| 2025-02-20 | Payment Denial · 47 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.5 pts better | 97.8% | 97.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.6 pts better | 100.0% | 96.4% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.1 pts worse | 7.2% | 4.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.2 pts worse | 4.3% | 4.1% | 13.5% |
| Percentage of long-stay residents who lose too much weight5.9 pts worse | 9.8% | 3.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.6 pts worse | 21.3% | 12.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication25 pts worse | 42.2% | 17.2% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8.2 pts better | 10.6% | 18.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.4 pts better | 11.8% | 18.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder2.1 pts worse | 3.8% | 1.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection4 pts worse | 6.6% | 2.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.2 pts better | 15.5% | 23.7% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.6 pts worse | 7.7% | 5.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine24.8 pts worse | 63.3% | 88.1% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.9 pts better | 0.0% | 1.9% | 1.5% |
·
Who owns and runs it
104 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bach, Curtis | Corporate Director · Individual | 0% | 14 facilities |
| Bach, Curtis | Corporate Officer · Individual | 0% | 14 facilities |
| Bach, Curtis | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Bach, Curtis | Adp Of The SNF · Individual | 0% | 14 facilities |
| Burrows, Amanda | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Burrows, Amanda | Adp Of The SNF · Individual | 0% | 7 facilities |
| Caspers, Megan | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Caspers, Megan | Adp Of The SNF · Individual | 0% | 14 facilities |
| Copeman, Jeffrey | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Copeman, Jeffrey | Adp Of The SNF · Individual | 0% | 5 facilities |
| Dripps, Daniel | Managing Control - Governing Body · Individual | 0% | 14 facilities |
| Dripps, Daniel | Corporate Director · Individual | 0% | 14 facilities |
| Dripps, Daniel | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Dripps, Daniel | Adp Of The SNF · Individual | 0% | 14 facilities |
| Ehlers, Douglas | Managing Control - Governing Body · Individual | 0% | 14 facilities |
| Ehlers, Douglas | Corporate Director · Individual | 0% | 14 facilities |
| Ehlers, Douglas | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Ehlers, Douglas | Adp Of The SNF · Individual | 0% | 14 facilities |
| Eide Bailly Llp | Operational/Managerial Control · Organization | 0% | 32 facilities |
| Eide Bailly Llp | Adp Of The SNF · Organization | 0% | 32 facilities |
| Fairchild, William | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Fairchild, William | Adp Of The SNF · Individual | 0% | 1 facilities |
| Goodnough, Jennifer | Managing Control - Governing Body · Individual | 0% | 14 facilities |
| Goodnough, Jennifer | Corporate Director · Individual | 0% | 14 facilities |
| Goodnough, Jennifer | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Goodnough, Jennifer | Adp Of The SNF · Individual | 0% | 14 facilities |
| Gramm, Timothy | Managing Control - Governing Body · Individual | 0% | 14 facilities |
| Gramm, Timothy | Corporate Director · Individual | 0% | 14 facilities |
| Gramm, Timothy | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Grashorn, Wanda | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Grashorn, Wanda | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hanneken, Michelle | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Hanneken, Michelle | Adp Of The SNF · Individual | 0% | 14 facilities |
| Hejhal, Roxanne | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Hejhal, Roxanne | Adp Of The SNF · Individual | 0% | 14 facilities |
| Hell, Tami | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hell, Tami | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hofmann, Reed | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Hofmann, Reed | Adp Of The SNF · Individual | 0% | 14 facilities |
| Hohenstein, Cindy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hohenstein, Cindy | Adp Of The SNF · Individual | 0% | 1 facilities |
| International Falls Memorial Hospital Association | Operational/Managerial Control · Organization | 0% | 1 facilities |
| International Falls Memorial Hospital Association | Adp Of The SNF · Organization | 0% | 1 facilities |
| Lair, Michael | Managing Control - Governing Body · Individual | 0% | 14 facilities |
| Lair, Michael | Corporate Director · Individual | 0% | 14 facilities |
| Lair, Michael | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Lair, Michael | Adp Of The SNF · Individual | 0% | 14 facilities |
| Lienemann, Steven | Managing Control - Governing Body · Individual | 0% | 14 facilities |
| Lienemann, Steven | Corporate Director · Individual | 0% | 14 facilities |
| Lienemann, Steven | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Lienemann, Steven | Adp Of The SNF · Individual | 0% | 14 facilities |
| Luetmer, John | Managing Control - Governing Body · Individual | 0% | 14 facilities |
| Luetmer, John | Corporate Director · Individual | 0% | 14 facilities |
| Luetmer, John | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Luetmer, John | Adp Of The SNF · Individual | 0% | 14 facilities |
| Marlow, Jina | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Marlow, Jina | Adp Of The SNF · Individual | 0% | 14 facilities |
| Mccleery, Rebecca | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Mccleery, Rebecca | Adp Of The SNF · Individual | 0% | 2 facilities |
| Nash, Erin | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Nash, Erin | Adp Of The SNF · Individual | 0% | 1 facilities |
| Nelson, Patrick | Managing Control - Governing Body · Individual | 0% | 14 facilities |
| Nelson, Patrick | Corporate Director · Individual | 0% | 14 facilities |
| Nelson, Patrick | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Nelson, Patrick | Adp Of The SNF · Individual | 0% | 14 facilities |
| Nuthak, Cathy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Nuthak, Cathy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Peterson-Devries, Cami | Corporate Director · Individual | 0% | 14 facilities |
| Peterson-Devries, Cami | Corporate Officer · Individual | 0% | 14 facilities |
| Peterson-Devries, Cami | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Peterson-Devries, Cami | Adp Of The SNF · Individual | 0% | 14 facilities |
| Raw, Carol | Corporate Director · Individual | 0% | 14 facilities |
| Raw, Carol | Corporate Officer · Individual | 0% | 14 facilities |
| Raw, Carol | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Raw, Carol | Adp Of The SNF · Individual | 0% | 14 facilities |
| Rentz, Laura | Managing Control - Governing Body · Individual | 0% | 14 facilities |
| Rentz, Laura | Corporate Director · Individual | 0% | 14 facilities |
| Rentz, Laura | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Rentz, Laura | Adp Of The SNF · Individual | 0% | 14 facilities |
| Rentz, Mark | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Rentz, Mark | Adp Of The SNF · Individual | 0% | 14 facilities |
| Ryan, Ben | Operational/Managerial Control · Individual | 0% | 15 facilities |
| Ryan, Ben | Adp Of The SNF · Individual | 0% | 15 facilities |
| Ryan, Geoffrey | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Ryan, Geoffrey | Adp Of The SNF · Individual | 0% | 5 facilities |
| Schneider, Todd | Managing Control - Governing Body · Individual | 0% | 14 facilities |
| Schneider, Todd | Corporate Director · Individual | 0% | 14 facilities |
| Schneider, Todd | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Schneider, Todd | Adp Of The SNF · Individual | 0% | 14 facilities |
| St. Francis Health Services Of Morris, Inc | Operational/Managerial Control · Organization | 0% | 13 facilities |
| St. Francis Health Services Of Morris, Inc | Adp Of The SNF · Organization | 0% | 13 facilities |
| Stock, Kelsey | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Stock, Kelsey | Adp Of The SNF · Individual | 0% | 14 facilities |
| Thompson, Renee | Operational/Managerial Control · Individual | 0% | 15 facilities |
| Thompson, Renee | Adp Of The SNF · Individual | 0% | 15 facilities |
| Tomczak, Cindy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Tomoson, April | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Tomoson, April | Adp Of The SNF · Individual | 0% | 14 facilities |
| Walker, Amy | Operational/Managerial Control · Individual | 0% | 15 facilities |
| Walker, Amy | Adp Of The SNF · Individual | 0% | 15 facilities |
| Wiese, Lorraine | Managing Control - Governing Body · Individual | 0% | 14 facilities |
| Wiese, Lorraine | Corporate Director · Individual | 0% | 14 facilities |
| Wiese, Lorraine | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Wiese, Lorraine | Adp Of The SNF · Individual | 0% | 14 facilities |
·
Fire safety
5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems2D
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
Smoke2F
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous1F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
·
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Bigfork Valley Communities
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