Nursing home · Top rated by CMS
St Ottos Care Center
920 Southeast 4Th Street, Little Falls, MN 56345 · Map
For profit - Corporation · 86 certified beds
St Ottos Care Center is a Medicare-certified nursing home in Little Falls, Minnesota. CMS rates it 5 out of 5 stars overall (5/5 for staffing, 5/5 for health inspections). Nurse staffing is 4.80 hours per resident per day, above the Minnesota average of 4.23. Its most recent inspection on Dec 4, 2025 cited 0 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How St Ottos Care 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) | 4.80 | 4.23 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 1.21 | 1.06 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 3.03 | 2.55 | 2.34 | above avg |
| Nursing staff turnover | 33.9% | 42.4% | 46.4% | below avg |
| Deficiencies cited, last inspection | 0.0 | 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.
- No health deficiencies cited at the last standard inspection (December 2025)
- Every deficiency from the November 8, 2024 inspection was corrected by December 9, 2024
What inspectors found at St Ottos Care 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
Implement 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.
Pharmacy Service Deficiencies · Nov 8, 2024 · 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 · Nov 8, 2024 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Nov 8, 2024 · Full report (PDF) - Potential for harm
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Resident Assessment and Care Planning Deficiencies · Nov 8, 2024 · Full report (PDF)
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
- 920 Southeast 4Th Street
Little Falls, MN 56345 - CMS certification #
- 245257
- Ownership
- For profit - Corporation
- Certified beds
- 86
- Avg residents/day
- 76.6
- Provider type
- Medicare and Medicaid
- First certified
- 1983-02-01
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around St Ottos Care Center using Google Maps.
Other public records
- Website says Works with hospice, transportation
Full public records, with dates and sources
Care and services
From the community’s website
What St Ottos Care 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.
Location and nearby care
- Nearest hospital with an emergency room
- St Gabriels Hospital, Little Falls. 0.2 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Little Falls Care Center, Little Falls. 1.0 mile away, straight line.
- Nearest home health agency office
- Chi Health At Home, Little Falls. 0.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Coborn's. 24.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 56345 as small town (small town core).
- Dialysis within 15 miles
- Fresenius Kidney Care Little Falls, Little Falls, 0.2 miles away, straight line (CMS rating 4 of 5 stars)
- Hospice
- 10 Medicare hospices tell CMS they serve ZIP code 56345.
Chi Health At Home, office in Little Falls, 0.2 miles away, straight line
Horizon Health Hospice, office in Pierz, 12.6 miles away, straight line - Nearest geriatric medicine practice
- Fairview Health Services, Princeton. 46.8 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
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In Little Falls, MN, risk to homes is greater than 92% of communities in Minnesota and 68% 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: very high. By hazard: inland flooding very high, wildfire relatively moderate, tornado relatively high, heat wave relatively moderate, 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 | Nothing on record |
| 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 St Ottos Care Center a good nursing home?
CMS gives St Ottos Care Center an overall rating of 5 out of 5 stars, including 5/5 for staffing and 5/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is St Ottos Care Center staffed?
St Ottos Care Center reports 4.80 total nurse hours per resident per day, compared with the Minnesota average of 4.23.
Has St Ottos Care Center had inspection problems?
Its most recent CMS inspection cited 0 deficiencies.
How many beds does St Ottos Care Center have?
St Ottos Care Center is certified for 86 beds.