First Care Living Center
Non profit - Corporation · 900 Hilligoss Boulevard Southeast, Fosston, MN 56542 · See home’s Medicare page
Affiliated With Essentia Health
People or companies with an ownership interest in or managerial control of this home, according to CMS data.
5.26
Nurse hours/resident/day
Reported total nurse staffing hours per resident per day.
State Average: 4.2
41.5%
Nurse turnover
The percentage of nursing staff who stopped working at the home over a 12-month period.
State Average: 42.5%
50
Certified beds
Qualifying beds in the certified provider or supplier facility.
28
Average residents/day
Average number of residents based on daily census.
Direct owners are the layer of ownership closest to the nursing home while indirect owners have a stake in the nursing home but are further removed, like a company that owns the direct owner of a home. All owners listed below are people or companies who have at least a 5% stake in the nursing home. Entities with “managerial control” are those who conduct the day-to-day operations of the nursing home.
Direct owners
No direct owner information
Indirect owners
Essentia Health (100%) since Jan, 2017
Managerial control
Innovis Health LLC since Jan, 2017
Douglas Arvin since May, 2023
Michael Curtis since Jul, 2024
Parul Gupta since Sep, 2025
Alan Hurley since May, 2023
Douglas Arvin since May, 2023
Michael Curtis since Jul, 2024
Parul Gupta since Sep, 2025
Alan Hurley since May, 2023
Managing employee(s)
No information available
Corporate Director
James Christensen since Jan, 2020
Joel Haugen since Jan, 2017
Tim Heilman since Jan, 2020
Beverly Horn since Jan, 2017
Aarick Jackson since Jan, 2020
Laurie Lewandowski since Jan, 2017
Taylor Mertz since May, 2022
Benjamin Smith since May, 2022
Joel Haugen since Jan, 2017
Tim Heilman since Jan, 2020
Beverly Horn since Jan, 2017
Aarick Jackson since Jan, 2020
Laurie Lewandowski since Jan, 2017
Taylor Mertz since May, 2022
Benjamin Smith since May, 2022
Corporate Officer
Douglas Arvin since May, 2023
Stefanie Gefroh Ellison since Aug, 2024
Alan Hurley since May, 2023
Michael Watters since Jul, 2023
Stefanie Gefroh Ellison since Aug, 2024
Alan Hurley since May, 2023
Michael Watters since Jul, 2023
Inspection Reports
Inspection reports document deficiencies, which are nursing homes’ failures to meet care requirements. The Centers for Medicare and Medicaid Services releases the last three standard inspection reports, as well as the last 36 months of complaint and infection-control reports.
15
total deficiencies
4
infection-related deficiencies
This home violated federal standards protecting residents from the spread of infections.
Jul 30, 2025
6 deficiencies
Resident Assessment and Care Planning Deficiency — F0637
Failure to:
Assess the resident when there is a significant change in condition
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Resident Assessment and Care Planning Deficiency — F0657
Failure to:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Quality of Life and Care Deficiency — F0676
Failure to:
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Quality of Life and Care Deficiency — F0688
Failure to:
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.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Pharmacy Service Deficiency — F0755
Failure to:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Infection Control Deficiency — F0880
Failure to:
Provide and implement an infection prevention and control program.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Jun 6, 2024
2 deficiencies
Quality of Life and Care Deficiency — F0686
Failure to:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Infection Control Deficiency — F0880
Failure to:
Provide and implement an infection prevention and control program.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Apr 26, 2024
1 deficiency
Quality of Life and Care Deficiency — F0689
Failure to:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity
Immediate jeopardy to resident health or safety
Scope
Few people affected
Seriousness
Aug 17, 2023
5 deficiencies
to
E
Infection Control Deficiency — F0883
Failure to:
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
Resident Assessment and Care Planning Deficiency — F0641
Failure to:
Ensure each resident receives an accurate assessment.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Quality of Life and Care Deficiency — F0689
Failure to:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Quality of Life and Care Deficiency — F0695
Failure to:
Provide safe and appropriate respiratory care for a resident when needed.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Infection Control Deficiency — F0880
Failure to:
Provide and implement an infection prevention and control program.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
May 22, 2023
1 deficiency
Quality of Life and Care Deficiency — F0689
Failure to:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity
Immediate jeopardy to resident health or safety
Scope
Few people affected
Seriousness
Penalties
A nursing home receives a penalty, either a fine or payment suspensions, when it has a serious health citation or fails to fix a citation. Fines may be imposed once per citation or regularly until the nursing home corrects the citation. Fines not associated with inspection reports can include fines for not reporting COVID-19 data or not complying with infection-control requirements. Payment suspensions are when the government stops payments to the nursing home until an issue is fixed. The Centers for Medicare and Medicaid Services releases the last three years of penalty information.
$88.7K
total fines