Nursing home
First Care Living Center
900 Hilligoss Boulevard Southeast, Fosston, MN 56542 · Map
Non profit - Corporation · Part of Essentia Health (5 facilities) · 50 certified beds
First Care Living Center is a Medicare-certified nursing home in Fosston, Minnesota. CMS rates it 3 out of 5 stars overall (5/5 for staffing, 2/5 for health inspections). Nurse staffing is 6.12 hours per resident per day, above the Minnesota average of 4.23. Its most recent inspection on Jul 30, 2025 cited 6 deficiencies.
- 2 fines totaling $88,726In CMS records: 2 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How First Care Living Center compares
This facility vs. the Minnesota and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Minnesota avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 6.12 | 4.23 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 1.66 | 1.06 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 3.65 | 2.55 | 2.34 | above avg |
| Nursing staff turnover | 38.0% | 42.4% | 46.4% | below avg |
| Deficiencies cited, last inspection | 6.0 | 8.0 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 2 fines totaling $88,726, 2 total penalties.
What inspectors found at First Care Living Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jul 30, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Jul 30, 2025 · Full report (PDF) - Potential for harm
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 · Jul 30, 2025 · Full report (PDF) - Potential for harm
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 · Jul 30, 2025 · Full report (PDF) - Potential for harm
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 · Jul 30, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies · Jul 30, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jun 6, 2024 · Full report (PDF) - Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Jun 6, 2024 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Apr 26, 2024 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Aug 17, 2023 - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Aug 17, 2023 - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Aug 17, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 900 Hilligoss Boulevard Southeast
Fosston, MN 56542 - CMS certification #
- 245512
- Ownership
- Non profit - Corporation
- Certified beds
- 50
- Avg residents/day
- 26.0
- Provider type
- Medicare and Medicaid
- First certified
- 1988-01-01
- Chain
- Essentia Health (5 facilities)
- Setting
- Urban
Part of Essentia Health
Essentia Health operates 5 nursing facilities across the United States. View all Essentia Health facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around First Care Living Center using Google Maps.
Other public records
- Programs Medicare-certified hospice at this address
- Website says Respite stays, nurse 24 hours a day, works with hospice, transportation
Full public records, with dates and sources
Care and services
From the community’s website
What First Care Living Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Respite care – Temporary care when normal caregiver isn’t available
(page, checked Oct 15, 2026) - Nurse on site: 24 hours a day.
Our long-term care center in Fosston, Minnesota, offers 24-hour skilled nursing care.
(page, checked Oct 15, 2026) - Offers hospice care on site or works with hospice providers.
Many are also trained in Alzheimer's and dementia care, hospice, infection control, and antibiotic stewardship.We’re attached to the
(page, checked Oct 15, 2026) - Provides transportation.
Planned outings with transportation
(page, checked Oct 15, 2026)
Medicare agencies at this address
- Medicare-certified hospice at this address. Medicare-certified hospice ESSENTIA HEALTH HOSPICE WEST (Medicare CCN 241564) lists this same street address. Ownership type: Non-Profit. Medicare certified since 03/20/1997. (CMS Hospice - General Information, as of Aug 19, 2026)
A shared street address is a fact about location. CMS does not say whether the agency is run by the community.
Location and nearby care
- Nearest hospital with an emergency room
- Essentia Health Fosston, Fosston. 0.0 miles away, straight line.
- Nearest Medicare nursing home
- McIntosh Senior Living, Mcintosh. 8.2 miles away, straight line.
- Nearest home health agency office
- White Earth Home Health, White Earth. 33.0 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Pharmacy. 0.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 56542 as rural (rural area).
- Hospice
- 2 Medicare hospices tell CMS they serve ZIP code 56542.
Essentia Health Hospice West, office in Fosston, 0.0 miles away, straight line - Nearest geriatric medicine practice
- First Care Medical Services, Fosston. 0.0 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Area not mapped by FEMA. (FEMA flood map)
- Wildfire risk to homes
- In Fosston, MN, risk to homes is greater than 78% of communities in Minnesota and 53% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding relatively high, wildfire relatively high, tornado relatively moderate, heat wave very low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | See above |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is First Care Living Center a good nursing home?
CMS gives First Care Living Center an overall rating of 3 out of 5 stars, including 5/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is First Care Living Center staffed?
First Care Living Center reports 6.12 total nurse hours per resident per day, compared with the Minnesota average of 4.23.
Has First Care Living Center had inspection problems?
Its most recent CMS inspection cited 6 deficiencies.
How many beds does First Care Living Center have?
First Care Living Center is certified for 50 beds.