D

First Care Living Center

900 HILLIGOSS BOULEVARD SOUTHEAST, FOSSTON, MN 56542
Score: 45 / 100

First Care Living Center faces challenges in its CMS ratings, earning a D grade with a score of 45/100. The facility ranks in the 31th percentile among Minnesota nursing homes, suggesting significant room for improvement.

Staffing levels at First Care Living Center exceed national averages, with 6.12 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.66 hours per resident per day also exceeds the national average of 0.7 hours.

Recent CMS inspections identified 15 deficiencies at First Care Living Center, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: assess the resident when there is a significant change in condition.

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 20 / 20 pts
5 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 6.12 3.8 Above Average
Registered Nurses (RN) 1.66 0.7 Above Average
Licensed Practical Nurses (LPN) 0.81 0.7 Above Average
Certified Nursing Assistants (CNA) 3.65 2.4 Above Average
Weekend Total Nursing 4.57 3.8 Above Average
Weekend RN Hours 0.89 0.7 Above Average

🔍 Inspection & Deficiency History

15
Total Deficiencies
Jul 29, 2025
Most Recent Inspection
🟠 13 Moderate 🔴 2 Serious
View recent deficiencies (5 shown)
  • Tag 0637 Severity D
    Assess the resident when there is a significant change in condition
    Jul 29, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0657 Severity D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    Jul 29, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0676 Severity D
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    Jul 29, 2025 · Quality of Life and Care Deficiencies
  • Tag 0688 Severity D
    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 medic
    Jul 29, 2025 · Quality of Life and Care Deficiencies
  • Tag 0755 Severity D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    Jul 29, 2025 · Pharmacy Service Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 2.8% 4.5% Better
Falls with major injury 2.7% 3.0% Average
On antipsychotic medication 18.3% 14.5% Worse
Urinary tract infections 3.6% 2.5% Worse
ADL decline (daily activities) 16.0% 14.0% Worse
Excessive weight loss 6.5% 7.5% Better
New/worsened incontinence 26.1% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $88,726

How This Grade Was Calculated

This facility's grade of D is based on a score of 45 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 5★ → 20 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -8 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Corporation
Certified Beds
50
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jul 29, 2025
Deficiencies (Cycle 1)
6