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A+
Excellent

First Care Living Center

900 HILLIGOSS BOULEVARD SOUTHEAST · FOSSTON, MN 56542

2184351133 · Non profit - Corporation

50 beds26 residents63 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A+
Excellent
Total Staff
A+
Excellent
RN Staff
A+
Excellent
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

First Care Living Center receives an overall staffing grade of A+ (Excellent). With 6.1557 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 2.26 HPRD above the national average.

Weekend staffing drops significantly — dropping 31.91% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

⚠️Weekend staffing drops 31.91% — significantly higher than average. Residents receive substantially less care on Saturdays and Sundays.
📊Staffing levels are highly variable day to day (consistency score: 1.2928). This means the care experience can be very different depending on the day.

✨ Strengths (4)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
6.1557hrs/resident/day▲ 2.26
CMS benchmark: 3.48
RN HPRD
1.6737hrs/resident/day▲ 0.99
Recommended: 0.75
Weekend Drop-off
31.91%
6.7658 weekday → 4.6072 weekend
⚠ Significant weekend reduction
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.6112hrs/resident/day
Direct care aides
LPN HPRD
0.8056hrs/resident/day
Licensed practical nurses
Consistency
1.2928std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Polk County Average+0.96 HPRD
5.19
06.16 HPRD
vs. Minnesota State Average+1.92 HPRD
4.24
06.16 HPRD
vs. National Average+2.26 HPRD
3.90
06.16 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
First Care Living Center ★
FOSSTON · This facility
—
A+
6.15571.6737★★★☆☆
McIntosh Senior Living
MCINTOSH
8.2 mi
C
5.23060.4027★★★★★
Cornerstone Nsg & Rehab Center
BAGLEY
16.5 mi
A
4.80320.9666★★★☆☆
Mahnomen Health Center
MAHNOMEN
21 mi
A+
5.63041.4139★★★★☆
Neilson Place
BEMIDJI
39.6 mi
B
4.02111.0493★☆☆☆☆
Havenwood Care Center
BEMIDJI
40 mi
B
4.00650.7289★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
15
Total Deficiencies
$88,726
Fines Assessed
Jul 30, 2025Health
6 deficiencies cited
▼
Jun 6, 2024Health
2 deficiencies cited
▼
Apr 26, 2024Health
1 deficiency cited· Includes actual harm
▼
Aug 17, 2023Health
5 deficiencies cited
▼
May 22, 2023Health
1 deficiency cited· Includes actual harm
▼

Penalty History

Apr 26, 2024Fine
$14,433
May 22, 2023Fine
$74,293
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.