First Care Living Center

900 HILLIGOSS BOULEVARD SOUTHEAST, FOSSTON, MN 56542

Operator

Provider number (CCN): 245512
Certification: Medicare and Medicaid
Ownership: Non profit - Corporation
Certified beds: 36
Phone: (218) 435-1133
CMS data as of: July 1, 2026

What the records show

CMS rates First Care Living Center 4 out of 5 stars overall, with 3 of 5 for health inspections, 5 of 5 for staffing, 3 of 5 for quality measures. Federal inspectors cited 13 health deficiencies across the last three survey cycles, most recently surveyed in 2026, 1 at actual-harm level or higher. CMS enforcement records list 1 fine totalling $14,433.

Facility Assessment Inspectors recorded 1 citation at the actual-harm level or worse in the last three survey cycles. This facility is operated by INNOVIS HEALTH, which scores 29 points above the national average.

Reviews, Ratings and Official Records

This page reviews First Care Living Center using federal government records — CMS star ratings, health-inspection findings, staffing data and enforcement actions. NursingHomeGrade does not collect, host or publish resident or family testimonials, and no star rating below is a consumer review score.

At or above the 2024 benchmark — top tier inspection record.

Ratings and Grade Breakdown

RN Staffing Registered nurse time each resident receives daily. 2024 federal benchmark: 0.55 hrs. Repealed February 2026.	1.55 — At or above the repealed 0.55 hr benchmark
The 0.55 hour RN standard was repealed effective February 2, 2026 and is not currently enforced. We still grade against it. Why
Health Deficiencies (last 3 survey cycles) Violations found during federal inspections, with how many remain open and how many involved actual harm.	Total 13 Outstanding 0 Actual harm or worse (G–L) 1
CMS Ratings Federal five-star ratings published by CMS. These are regulatory ratings, not consumer review scores.	Overall: ★★★★☆ (4/5) Health inspection: ★★★☆☆ (3/5) Quality: ★★★☆☆ (3/5) Staffing: ★★★★★ (5/5)
NursingHomeGrade Score	81/100

Loaded into NursingHomeGrade on August 7, 2026. This is the load date, not the date CMS published the underlying survey data — see release dates.

CMS scores each facility from one to five stars — one is in the bottom fifth of facilities in its state on health inspections, five is in the top tenth. Our own A–F grade is a separate 0–100 score built from staffing hours, inspection citations, and the severity and correction status of those citations, weighted as described in our grading methodology.

Staffing Compared With State and National Levels

Registered nurse hours per resident per day compared with state and national levels
This facility	1.55 hrs
MN median	0.96 hrs
National average	0.69 hrs

Registered nurse turnover: 20.0% · Total nursing staff turnover: 41.7%

Staffing figures are the values CMS published in its file processed July 1, 2026, drawn from payroll-based journal reporting.

Inspection Records Covered

Most recent standard health survey: May 28, 2026.
Citations shown below span 3 recorded inspection cycles.
Survey dates on file range from April 26, 2024 to May 28, 2026.

Source records: CMS Care Compare profile for provider 245512 ↗ · the federal files we load and when.

Inspection Deficiencies

Health inspections identify violations of federal standards. Severity ranges from no actual harm (A–F) to immediate jeopardy (J–L).

1 immediate jeopardy issue found among 13 total deficiencies. 13 corrected.

Most recent inspection (May 28, 2026)

D Potential harm — isolated F0883 Status: Corrected

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

Infection Control Deficiencies — Deficient, Provider has date of correction, corrected June 30, 2026

D Potential harm — isolated F0887 Status: Corrected

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.

Infection Control Deficiencies — Deficient, Provider has date of correction, corrected June 30, 2026

D Potential harm — isolated F0744 Status: Corrected

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

Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected June 30, 2026

D Potential harm — isolated F0585 Status: Corrected

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.

Resident Rights Deficiencies — Deficient, Provider has date of correction, corrected June 30, 2026

Inspection cycle 2 (July 30, 2025)

D Potential harm — isolated F0880 Status: Corrected

Provide and implement an infection prevention and control program.

Infection Control Deficiencies — Deficient, Provider has date of correction, corrected July 30, 2025

D Potential harm — isolated F0755 Status: Corrected

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

Pharmacy Service Deficiencies — Deficient, Provider has date of correction, corrected August 5, 2025

D Potential harm — isolated F0676 Status: Corrected

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

Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected August 1, 2025

D Potential harm — isolated F0688 Status: Corrected

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.

Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected August 1, 2025

D Potential harm — isolated F0637 Status: Corrected

Assess the resident when there is a significant change in condition

Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected August 10, 2025

D Potential harm — isolated F0657 Status: Corrected

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

Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected August 10, 2025

Inspection cycle 3 (June 6, 2024)

D Potential harm — isolated F0880 Status: Corrected

Provide and implement an infection prevention and control program.

Infection Control Deficiencies — Deficient, Provider has date of correction, corrected June 30, 2024

D Potential harm — isolated F0686 Status: Corrected

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

Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected June 30, 2024

J Immediate jeopardy — isolated F0689 Status: Corrected

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

Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected May 13, 2024

Fines and Enforcement Actions

Penalties CMS has imposed on this facility. A fine is a civil money penalty; a payment denial suspends Medicare or Medicaid payment for new admissions.

Date	Action	Amount or length
April 26, 2024	Fine	$14,433

1 fine totalling $14,433.

Source: CMS Penalties file (dataset g6vv-u9sr).

Ownership and Contact Information

Facility name: First Care Living Center
Legal business name: FIRST CARE MEDICAL SERVICES
Address: 900 HILLIGOSS BOULEVARD SOUTHEAST, FOSSTON, MN 56542
Phone: (218) 435-1133
Provider number (CCN): 245512
Ownership type: Non profit - Corporation
Operator: INNOVIS HEALTH · 3 facilities
Medicare/Medicaid certified since: January 1, 1988
Official record: CMS Care Compare profile ↗
Details verified against CMS data dated: July 1, 2026

The federal nursing-home files publish no email address for certified facilities, so none is listed here. We do not guess or construct contact addresses. Contact details above are reproduced from CMS Provider Information; call the facility to confirm before relying on them.

How We Stay Independent

NursingHomeGrade is strictly independent. We do not accept payments from facilities. Our grades are calculated solely from federal CMS datasets.

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Sources and Methodology

CMS Provider Information (file processed July 1, 2026) — ratings, staffing, ownership, certification and contact details. Dataset 4pq5-n9py ↗
CMS Health Deficiencies — inspection citations, scope and severity, correction status. Dataset r5ix-sfxw ↗
CMS Penalties — fines and payment denials with the dates CMS recorded them. Dataset g6vv-u9sr ↗
CMS Ownership — owning and managing organisations. Dataset y2hd-n93e ↗

The NursingHomeGrade score is our own calculation from these federal files — it is not a CMS rating and not a consumer review score. See exactly how the score is calculated · full methodology · source files and load dates.

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