Nursing homeActive

Littlefork Care Center

912 Main Street, Littlefork, MN 56653218278663442 certified beds · 36 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
7
since 2023
Deficiencies
33
2301
Penalties · 3 yrs
$218,595
1 fine · 1 action
Last survey
2025-12-10
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 4
Quality 2
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Minnesota Department of Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-12-10Standard0120CMS-2567 (Care Compare)
2025-08-06Complaint020CMS-2567 (Care Compare)
2025-02-27Standard2111CMS-2567 (Care Compare)
2025-02-20Complaint010CMS-2567 (Care Compare)
2025-01-23Complaint030CMS-2567 (Care Compare)
2024-09-26Complaint010CMS-2567 (Care Compare)
2023-12-06Standard000CMS-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.

2025-12-10Standard survey · 12 deficienciesOfficial report
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 EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-24Record 245542-20251210-F585
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-24Record 245542-20251210-F600
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-24Record 245542-20251210-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-24Record 245542-20251210-F610
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-24Record 245542-20251210-F677
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 2026-01-24Record 245542-20251210-F686
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-24Record 245542-20251210-F692
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 2026-01-24Record 245542-20251210-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 2026-01-24Record 245542-20251210-F880
F881Implement a program that monitors antibiotic use.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-24Record 245542-20251210-F881
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 2026-01-24Record 245542-20251210-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 2026-01-24Record 245542-20251210-F887
2025-08-06Complaint survey · 2 deficienciesOfficial report
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-06Record 245542-20250806-F609
F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-06Record 245542-20250806-F627
2025-02-27Standard survey · 14 deficienciesOfficial report
F880Provide and implement an infection prevention and control program.Scope/severity LHarm
Infection control
Widespread; immediate jeopardy to resident health or safety.Corrected 2025-05-12Record 245542-20250227-F880
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-27Record 245542-20250227-F580
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 2025-05-12Record 245542-20250227-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 2025-03-27Record 245542-20250227-F676
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-27Record 245542-20250227-F684
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 2025-03-27Record 245542-20250227-F686
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-27Record 245542-20250227-F689
F699Provide care or services that was trauma informed and/or culturally competent.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-27Record 245542-20250227-F699
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 2025-03-27Record 245542-20250227-F744
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-27Record 245542-20250227-F756
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-03-27Record 245542-20250227-F758
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 2025-05-12Record 245542-20250227-F883
F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.Scope/severity CPaperwork
Dignity & rights
Widespread; potential for minimal harm.Corrected 2025-03-27Record 245542-20250227-F577
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2025-03-27Record 245542-20250227-F732
2025-02-20Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-31Record 245542-20250220-F689
2025-01-23Complaint survey · 3 deficienciesOfficial report
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 2025-02-17Record 245542-20250123-F585
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-17Record 245542-20250123-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-17Record 245542-20250123-F610
2024-09-26Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-04Record 245542-20240926-F689

Penalties & enforcement

DateActionAmountSource
2025-02-20Civil money penalty$218,595CMS · Penalties
2025-02-20Denial of payment for new admissions
Payment denial for 47 days, from 2025-03-27
CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.84
Facility
Minnesota
National
Minnesota 1.06 · National 0.69
Total nurse hours per resident day3.41
Facility
Minnesota
National
Minnesota 4.19 · National 3.86
Weekend total nurse hours2.83
Facility
Minnesota
National
Minnesota 3.71 · National 3.42
Total nursing staff turnover53%
Facility
Minnesota
National
Minnesota 42% · National 46%
Registered nurse turnover56%
Facility
Minnesota
National
Minnesota 39% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityMinnesotaNational
Percentage of long-stay residents with pressure ulcers
lower is better
5.5%5.2%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
5.0%4.0%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
41.0%17.1%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
5.8%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
11.5%18.2%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
7.6%4.1%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
19.7%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)
EntityRoleInterestSinceRegistry
Bach, Curtis
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Burrows, Amanda
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Caspers, Megan
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Copeman, Jeffrey
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Dripps, Daniel
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Ehlers, Douglas
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Eide Bailly LLP
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Fairchild, William
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Goodnough, Jennifer
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Gramm, Timothy
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Grashorn, Wanda
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Hanneken, Michelle
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Hejhal, Roxanne
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Hell, Tami
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Hofmann, Reed
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Hohenstein, Cindy
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
International Falls Memorial Hospital Association
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Lair, Michael
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Lienemann, Steven
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Luetmer, John
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Marlow, Jina
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Mccleery, Rebecca
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Nash, Erin
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Nelson, Patrick
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Nuthak, Cathy
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Peterson-Devries, Cami
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Raw, Carol
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Rentz, Laura
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Rentz, Mark
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Ryan, Ben
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Ryan, Geoffrey
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Schneider, Todd
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
St. Francis Health Services Of Morris, Inc
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Stock, Kelsey
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Thompson, Renee
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Tomoson, April
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Walker, Amy
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Wiese, Lorraine
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Bach, Curtis
Individual
CORPORATE OFFICERNOT APPLICABLE
Bach, Curtis
Individual
CORPORATE DIRECTORNOT APPLICABLE
Bach, Curtis
Individual
ADP OF THE SNFNOT APPLICABLE
Burrows, Amanda
Individual
ADP OF THE SNFNOT APPLICABLE
Caspers, Megan
Individual
ADP OF THE SNFNOT APPLICABLE
Copeman, Jeffrey
Individual
ADP OF THE SNFNOT APPLICABLE
Dripps, Daniel
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Dripps, Daniel
Individual
ADP OF THE SNFNOT APPLICABLE
Dripps, Daniel
Individual
CORPORATE DIRECTORNOT APPLICABLE
Ehlers, Douglas
Individual
CORPORATE DIRECTORNOT APPLICABLE
Ehlers, Douglas
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Ehlers, Douglas
Individual
ADP OF THE SNFNOT APPLICABLE
Eide Bailly LLP
Organization
ADP OF THE SNFNOT APPLICABLE
Fairchild, William
Individual
ADP OF THE SNFNOT APPLICABLE
Goodnough, Jennifer
Individual
CORPORATE DIRECTORNOT APPLICABLE
Goodnough, Jennifer
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Goodnough, Jennifer
Individual
ADP OF THE SNFNOT APPLICABLE
Gramm, Timothy
Individual
CORPORATE DIRECTORNOT APPLICABLE
Gramm, Timothy
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Grashorn, Wanda
Individual
ADP OF THE SNFNOT APPLICABLE
Hanneken, Michelle
Individual
ADP OF THE SNFNOT APPLICABLE
Hejhal, Roxanne
Individual
ADP OF THE SNFNOT APPLICABLE
Hell, Tami
Individual
ADP OF THE SNFNOT APPLICABLE
Hofmann, Reed
Individual
ADP OF THE SNFNOT APPLICABLE
Hohenstein, Cindy
Individual
ADP OF THE SNFNOT APPLICABLE
International Falls Memorial Hospital Association
Organization
ADP OF THE SNFNOT APPLICABLE
Lair, Michael
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Lair, Michael
Individual
ADP OF THE SNFNOT APPLICABLE
Lair, Michael
Individual
CORPORATE DIRECTORNOT APPLICABLE
Lienemann, Steven
Individual
ADP OF THE SNFNOT APPLICABLE
Lienemann, Steven
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Lienemann, Steven
Individual
CORPORATE DIRECTORNOT APPLICABLE
Luetmer, John
Individual
ADP OF THE SNFNOT APPLICABLE
Luetmer, John
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Luetmer, John
Individual
CORPORATE DIRECTORNOT APPLICABLE
Marlow, Jina
Individual
ADP OF THE SNFNOT APPLICABLE
Mccleery, Rebecca
Individual
ADP OF THE SNFNOT APPLICABLE
Nash, Erin
Individual
ADP OF THE SNFNOT APPLICABLE
Nelson, Patrick
Individual
CORPORATE DIRECTORNOT APPLICABLE
Nelson, Patrick
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Nelson, Patrick
Individual
ADP OF THE SNFNOT APPLICABLE
Nuthak, Cathy
Individual
ADP OF THE SNFNOT APPLICABLE
Peterson-Devries, Cami
Individual
CORPORATE DIRECTORNOT APPLICABLE
Peterson-Devries, Cami
Individual
ADP OF THE SNFNOT APPLICABLE
Peterson-Devries, Cami
Individual
CORPORATE OFFICERNOT APPLICABLE
Raw, Carol
Individual
CORPORATE OFFICERNOT APPLICABLE
Raw, Carol
Individual
ADP OF THE SNFNOT APPLICABLE
Raw, Carol
Individual
CORPORATE DIRECTORNOT APPLICABLE
Rentz, Laura
Individual
ADP OF THE SNFNOT APPLICABLE
Rentz, Laura
Individual
CORPORATE DIRECTORNOT APPLICABLE
Rentz, Laura
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Rentz, Mark
Individual
ADP OF THE SNFNOT APPLICABLE
Ryan, Ben
Individual
ADP OF THE SNFNOT APPLICABLE
Ryan, Geoffrey
Individual
ADP OF THE SNFNOT APPLICABLE
Schneider, Todd
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Schneider, Todd
Individual
CORPORATE DIRECTORNOT APPLICABLE
Schneider, Todd
Individual
ADP OF THE SNFNOT APPLICABLE
St. Francis Health Services Of Morris, Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Stock, Kelsey
Individual
ADP OF THE SNFNOT APPLICABLE
Thompson, Renee
Individual
ADP OF THE SNFNOT APPLICABLE
Tomczak, Cindy
Individual
ADP OF THE SNFNOT APPLICABLE
Tomoson, April
Individual
ADP OF THE SNFNOT APPLICABLE
Walker, Amy
Individual
ADP OF THE SNFNOT APPLICABLE
Wiese, Lorraine
Individual
CORPORATE DIRECTORNOT APPLICABLE
Wiese, Lorraine
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Wiese, Lorraine
Individual
ADP OF THE SNFNOT APPLICABLE
Part of a chain
St. Francis Health Services14 facilities
View chain record

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 Koochiching.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Good Samaritan Society - International Falls
International Falls
13.9 mi2026-01-142271
Bigfork Valley Communities
Bigfork
45.4 mi2025-12-11190
Cook Hospital & Care Center
Cook
55.2 mi2026-05-29182
Lakewood Care Center
Baudette
52.1 mi2025-06-260131
Essentia Health Homestead
Deer River
73.9 mi2026-05-182103
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

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01