Nursing homeActive
First Care Living Center
900 Hilligoss Boulevard Southeast, Fosston, MN 56542218435113336 certified beds · 26 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2024
Deficiencies
13
● 0● 12● 1
Penalties · 3 yrs
$14,433
1 fine
Last survey
2026-05-28
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 3
Staffing 5
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Minnesota Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-05-28 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2025-07-30 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2024-06-06 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2024-04-26 | Complaint | 001 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Minnesota Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F585Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-30Record 245512-20260528-F585
F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-30Record 245512-20260528-F744
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-30Record 245512-20260528-F883
F887Educate 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.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-30Record 245512-20260528-F887
F637Assess the resident when there is a significant change in conditionScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-10Record 245512-20250730-F637
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-10Record 245512-20250730-F657
F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-01Record 245512-20250730-F676
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-01Record 245512-20250730-F688
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-05Record 245512-20250730-F755
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-30Record 245512-20250730-F880
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-30Record 245512-20240606-F686
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-30Record 245512-20240606-F880
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-05-13Record 245512-20240426-F689
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-04-26 | Civil money penalty | $14,433 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.55
Facility
Minnesota
National
Minnesota 1.06 · National 0.69
Total nurse hours per resident day5.35
Facility
Minnesota
National
Minnesota 4.19 · National 3.86
Weekend total nurse hours4.45
Facility
Minnesota
National
Minnesota 3.71 · National 3.42
Total nursing staff turnover42%
Facility
Minnesota
National
Minnesota 42% · National 46%
Registered nurse turnover20%
Facility
Minnesota
National
Minnesota 39% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Minnesota | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 5.8% | 5.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.0% | 4.0% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 16.3% | 17.1% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.0% | 2.6% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 20.9% | 18.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 8.2% | 4.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 9.2% | 12.5% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Arvin, Douglas Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Curtis, Michael Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Gupta, Parul Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hurley, Alan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Innovis Health LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Arvin, Douglas Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Arvin, Douglas Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Christensen, James Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Curtis, Michael Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Essentia Health Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gefroh Ellison, Stefanie Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Gupta, Parul Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Haugen, Joel Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Heilman, Tim Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Horn, Beverly Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Hurley, Alan Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Hurley, Alan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Innovis Health LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Jackson, Aarick Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Lewandowski, Laurie Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Mertz, Taylor Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Smith, Benjamin Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Watters, Michael Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Part of a chain
Essentia Health — 6 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Minnesota.
No county cost figures on file for Polk.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Mcintosh Senior Living Mcintosh | 8.2 mi | 2026-03-19 | 011 |
| Mahnomen Health Center Mahnomen | 21.1 mi | 2026-03-11 | 0150 |
| Cornerstone Nsg & Rehab Center Bagley | 16.5 mi | 2026-07-07 | 0140 |
| Fair Meadow Nursing Home Fertile | 25.2 mi | 2025-09-10 | 1120 |
| Oakland Park Communities, Inc. Thief River Falls | 42.0 mi | 2026-02-19 | 1253 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |