Cycle 1
Health 2025-12-04 · Fire 2025-12-04
0 health deficiencies
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Little Falls, MN
St Ottos Care Center
5-star overall rating with 5-star inspections with 1 fire-safety deficiencies in the latest cycle
920 Southeast 4th Street, Little Falls, MN
(320) 632-9281
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
86
Certified beds
Average residents
77
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1983-02-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
1.21
Registered nurse staffing · state 1.06 · national 0.68
LPN hours / resident day
0.55
Licensed practical nurse staffing · state 0.62 · national 0.87
Aide hours / resident day
3.03
Nurse aide staffing · state 2.56 · national 2.35
Total nurse hours
4.80
All reported nurse hours · state 4.23 · national 3.89
Licensed hours
1.77
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
4.21
Weekend nurse staffing · state 3.68 · national 3.43
Weekend RN hours
0.66
Weekend registered nurse coverage · state 0.68 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
1.50
CMS adjusted RN staffing hours
Adjusted total hours
5.92
CMS adjusted total nurse staffing hours
Case-mix index
1.11
Higher values indicate more complex resident acuity
RN turnover
32%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
34%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,157
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
59.38
Composite VBP score used to determine payment impact.
Payment multiplier
1.0146
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.20
Baseline 20.90% · Performance 19.95% · Measure score 3.20 · Achievement 3.20 · Improvement 1.96
Healthcare-associated infections
6.09
Baseline 7.83% · Performance 6.02% · Measure score 6.09 · Achievement 6.09 · Improvement 5.90
Total nurse turnover
7.93
Baseline 22.06% · Performance 31.25% · Measure score 7.93 · Achievement 7.93 · Improvement 0
Adjusted total nurse staffing
6.53
Baseline 4.18 hours · Performance 4.94 hours · Measure score 6.53 · Achievement 6.53 · Improvement 4.23
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.55% |
10.72%
1.2 pts better
|
No Different than the National Rate · Eligible stays 71 · Observed rate 4.23% · Lower 95% interval 6.13% |
| Discharge to community | 43.58% |
50.57%
7 pts worse
|
No Different than the National Rate · Eligible stays 67 · Observed rate 40.3% · Lower 95% interval 34.85% |
| Medicare spending per beneficiary | 0.88 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 18 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | 6.02% |
7.12%
1.1 pts better
|
No Different than the National Rate · Eligible stays 37 · Observed rate 0% · Lower 95% interval 2.7% |
| Staff COVID-19 vaccination coverage | 16.67% |
8.2%
8.5 pts better
|
Numerator 35 · Denominator 210 |
| Staff flu vaccination coverage | 31.28% |
42%
10.7 pts worse
|
Numerator 71 · Denominator 227 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.6 |
1.7
0.1 pts better
|
1.9
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.6 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 5.3 |
2.0
3.3 pts worse
|
1.8
3.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 5.3 · Observed 4.9 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
97.3%
2.7 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.8% |
96.1%
2.7 pts better
|
95.5%
3.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.0% |
3.9%
1.9 pts better
|
3.3%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 2.7% · Q3 1.4% · Q4 2.8% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.5% |
4.3%
1.8 pts better
|
11.4%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 1.4% · Q3 1.4% · Q4 4.6% · 4Q avg 2.5% |
| Percentage of long-stay residents who lose too much weight | 3.4% |
4.1%
0.7 pts better
|
5.4%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 3.1% · Q3 4.5% · Q4 4.5% · 4Q avg 3.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.5% |
12.4%
5.1 pts worse
|
19.6%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.4% · Q2 16.9% · Q3 17.4% · Q4 19.4% · 4Q avg 17.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.2% |
17.5%
9.3 pts better
|
16.7%
8.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 5.3% · Q3 9.8% · Q4 10.7% · 4Q avg 8.2% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 25.9% |
22.5%
3.4 pts worse
|
16.3%
9.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.8% · Q2 36.8% · Q3 21.5% · Q4 15.5% · 4Q avg 25.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 21.5% |
18.6%
2.9 pts worse
|
14.9%
6.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 28.8% · Q3 26.6% · Q4 13.1% · 4Q avg 21.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.9% |
2.3%
1.6 pts worse
|
1.0%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 4.8% · Q3 5.4% · Q4 2.6% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.4% |
2.6%
0.2 pts better
|
1.7%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 1.4% · Q3 2.8% · Q4 1.4% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.5% |
24.8%
2.3 pts better
|
19.8%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.5% · Q2 30.4% · Q3 15.1% · Q4 13.9% · 4Q avg 22.5% |
| Percentage of long-stay residents with pressure ulcers | 6.0% |
5.4%
0.6 pts worse
|
5.1%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 4.4% · Q3 4.7% · Q4 5.9% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.6% |
88.6%
8 pts better
|
81.7%
14.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.2% · Q2 100.0% · Q3 97.6% · Q4 93.4% · 4Q avg 96.6% |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.8% |
1.9%
0.1 pts better
|
1.6%
0.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.2% · Q4 2.5% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.4% |
82.7%
11.7 pts better
|
79.7%
14.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.4% |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-11-08 · Fire 2024-11-08
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Cycle 3
Health 2024-02-08 · Fire 2024-02-08
0 health deficiencies
No concentrated health issue counts in this cycle.
3 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-12-04
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-12-16
F · Potential for more than minimal harm
2024-11-08
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-12-06
F · Potential for more than minimal harm
2024-11-08
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-11-30
F · Potential for more than minimal harm
2024-02-08
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-03-31
F · Potential for more than minimal harm
2024-02-08
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-03-25
F · Potential for more than minimal harm
2024-02-08
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-07-15
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-11-08
F646 · Resident Assessment and Care Planning Deficiencies
Health
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Corrected 2024-12-09
D · Potential for more than minimal harm
2024-11-08
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-12-09
D · Potential for more than minimal harm
2024-11-08
F688 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2024-12-09
D · Potential for more than minimal harm
2024-11-08
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 2024-12-09
Penalties and ownership
What sits behind the stars
Ownership
Bernander, Brian
5% Or Greater Direct Ownership Interest · Individual
Bernander, Krista
5% Or Greater Direct Ownership Interest · Individual
B2k Communities LLC.
5% Or Greater Mortgage Interest · Organization
Bernander, Brian
Operational/Managerial Control · Individual
Bernander, Brian
Corporate Director · Individual
Bernander, Brian
Corporate Officer · Individual
Bernander, Krista
Operational/Managerial Control · Individual
Bernander, Krista
Corporate Director · Individual
Bernander, Krista
Corporate Officer · Individual
Bernardy, Dorothy
Operational/Managerial Control · Individual
Eggerth, Charlie
Operational/Managerial Control · Individual
Jacobs, Karen
Operational/Managerial Control · Individual
Nelson, Kelsi
Operational/Managerial Control · Individual
Potter, Danna
Operational/Managerial Control · Individual
Primus, Deanna
Operational/Managerial Control · Individual
Schuett, Michelle
Operational/Managerial Control · Individual
Udy, Lisa
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Little Falls Care Center
Little Falls, MN
3-star overall rating with 2-star inspections with 15 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Pierz Villa Inc
Pierz, MN
4-star overall rating with 4-star inspections with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Long Prairie Health Care Center
Long Prairie, MN
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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