Little Falls Care Center
A nursing home in Little Falls, Minnesota 56345
1200 First Avenue Northeast, Little Falls, Minnesota 56345. (320) 632-2061.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 12 health citations at the latest inspection cycle Minnesota average: 7.2
- 3.97 nurse hours per resident per day Minnesota average: 4.27
- 0 fines in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
12 health citations at the latest inspection cycle
The Minnesota average is 7.2.
Last standard inspection Jul 30, 2026.
Most serious in three years: actual harm (G), at a standard inspection on Jul 30, 2026
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
38 citations in 12 months of the last 36. Last cited Jul 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 38 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 23 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jul 30, 2026: standard inspection7 citations
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Provide enough food/fluids to maintain a resident’s health.
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Provide and implement an infection prevention and control program.
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Give residents a notice of rights, rules, services and charges.
Jul 30, 2026: standard and complaint inspection1 citation
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Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Jun 30, 2026: complaint inspection1 citation
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
May 21, 2026: complaint inspection1 citation
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Apr 20, 2026: complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Dec 31, 2025: complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Aug 22, 2025: complaint inspection3 citations
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Aug 7, 2025: complaint inspection1 citation
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Feb 4, 2025: complaint inspection1 citation
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Aug 23, 2024: complaint inspection1 citation
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Jul 26, 2024: complaint inspection1 citation
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Apr 18, 2024: standard inspection8 citations
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Allow residents to self-administer drugs if determined clinically appropriate.
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Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide care or services that was trauma informed and/or culturally competent.
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Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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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.
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Develop and implement policies and procedures for flu and pneumonia vaccinations.
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Provide and implement an infection prevention and control program.
Apr 18, 2024: standard and complaint inspection2 citations
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Mar 6, 2024: complaint inspection5 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Reasonably accommodate the needs and preferences of each resident.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Provide and implement an infection prevention and control program.
Jan 25, 2024: complaint inspection4 citations
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
-
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
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.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Dec 1, 1986.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as non profit, corporation.
- 64 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- No fines in the last three years.
- No Medicare payment denials in the last three years.
- 23 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Who does the caring?
3.97 nurse hours per resident per day
The Minnesota average is 4.27.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Minnesota average |
|---|---|---|
| Nurse hours per resident per day | 3.97 | 4.27 |
| Of which registered nurses | 0.77 | 1.08 |
| At weekends | 3.70 | 3.73 |
| Nursing staff turnover | 59.3% | 42.1% |
| Registered nurse turnover | 81.8% | 39.3% |
| Administrators who left | 1 | Not given |
Who owns it?
- St. Francis Health Services of Morris, Inc. owns 100% directly since Jan 1, 2014.
- St. Francis Health Services of Morris, Inc. and Big Stone Therapies, Inc. and Eide Bailly LLP run it.
- 100 owners or officers are people: Reed Hofmann (runs it (operational or managerial control)); Reed Hofmann (additional disclosable party (controls, leases property to, or provides services to the home)); Jennifer Ann Goodnough (corporate director, 0%); Jennifer Ann Goodnough (runs it (operational or managerial control)); Jennifer Ann Goodnough (on the governing body (managing control)); Jennifer Ann Goodnough (additional disclosable party (controls, leases property to, or provides services to the home)); Kelly Verley (runs it (operational or managerial control)); Kelly Verley (additional disclosable party (controls, leases property to, or provides services to the home)); Daren Rife (runs it (operational or managerial control)); Daren Rife (additional disclosable party (controls, leases property to, or provides services to the home)); Megan Caspers (runs it (operational or managerial control)); Megan Caspers (additional disclosable party (controls, leases property to, or provides services to the home)); Cami Cay Peterson-Devries (corporate officer, 0%); Cami Cay Peterson-Devries (corporate director, 0%); Cami Cay Peterson-Devries (runs it (operational or managerial control)); Cami Cay Peterson-Devries (additional disclosable party (controls, leases property to, or provides services to the home)); Steven Edward Lienemann (corporate director, 0%); Steven Edward Lienemann (runs it (operational or managerial control)); Steven Edward Lienemann (on the governing body (managing control)); Steven Edward Lienemann (additional disclosable party (controls, leases property to, or provides services to the home)); Timothy Chris Gramm (corporate director, 0%); Timothy Chris Gramm (runs it (operational or managerial control)); Michael Evalthen Lair (corporate director, 0%); Michael Evalthen Lair (runs it (operational or managerial control)); Michael Evalthen Lair (on the governing body (managing control)); Michael Evalthen Lair (additional disclosable party (controls, leases property to, or provides services to the home)); Kelly Miller (runs it (operational or managerial control)); Kelly Miller (additional disclosable party (controls, leases property to, or provides services to the home)); April Tomoson (runs it (operational or managerial control)); April Tomoson (additional disclosable party (controls, leases property to, or provides services to the home)); Douglas William Ehlers (corporate director, 0%); Douglas William Ehlers (runs it (operational or managerial control)); Douglas William Ehlers (on the governing body (managing control)); Douglas William Ehlers (additional disclosable party (controls, leases property to, or provides services to the home)); Kelsi K Nelson - Holien (runs it (operational or managerial control)); Kelsi K Nelson - Holien (additional disclosable party (controls, leases property to, or provides services to the home)); Amy Walker (runs it (operational or managerial control)); Amy Walker (additional disclosable party (controls, leases property to, or provides services to the home)); Daniel Lee Dripps (corporate director, 0%); Daniel Lee Dripps (runs it (operational or managerial control)); Daniel Lee Dripps (on the governing body (managing control)); Daniel Lee Dripps (additional disclosable party (controls, leases property to, or provides services to the home)); Paul James Rentz (corporate director, 0%); Paul James Rentz (runs it (operational or managerial control)); Paul James Rentz (on the governing body (managing control)); Paul James Rentz (additional disclosable party (controls, leases property to, or provides services to the home)); Curtis Allan Bach (corporate officer, 0%); Curtis Allan Bach (corporate director, 0%); Curtis Allan Bach (runs it (operational or managerial control)); Curtis Allan Bach (additional disclosable party (controls, leases property to, or provides services to the home)); Jean Christensen (runs it (operational or managerial control)); Jean Christensen (additional disclosable party (controls, leases property to, or provides services to the home)); Lorraine Ann Wiese (corporate director, 0%); Lorraine Ann Wiese (runs it (operational or managerial control)); Lorraine Ann Wiese (on the governing body (managing control)); Lorraine Ann Wiese (additional disclosable party (controls, leases property to, or provides services to the home)); Shelia Schyma (runs it (operational or managerial control)); Shelia Schyma (additional disclosable party (controls, leases property to, or provides services to the home)); Mark James Rentz (runs it (operational or managerial control)); Mark James Rentz (additional disclosable party (controls, leases property to, or provides services to the home)); Stacy Nolting (runs it (operational or managerial control)); Stacy Nolting (additional disclosable party (controls, leases property to, or provides services to the home)); Carol Annette Raw (corporate officer, 0%); Carol Annette Raw (corporate director, 0%); Carol Annette Raw (runs it (operational or managerial control)); Carol Annette Raw (additional disclosable party (controls, leases property to, or provides services to the home)); Patrick Gary Nelson (corporate director, 0%); Patrick Gary Nelson (runs it (operational or managerial control)); Patrick Gary Nelson (on the governing body (managing control)); Patrick Gary Nelson (additional disclosable party (controls, leases property to, or provides services to the home)); Michelle Hanneken (runs it (operational or managerial control)); Michelle Hanneken (additional disclosable party (controls, leases property to, or provides services to the home)); Aaron Bausch (additional disclosable party (controls, leases property to, or provides services to the home)); Roxanne Hejhal (runs it (operational or managerial control)); Roxanne Hejhal (additional disclosable party (controls, leases property to, or provides services to the home)); Kendra Huseth (runs it (operational or managerial control)); Kendra Huseth (additional disclosable party (controls, leases property to, or provides services to the home)); Jina Marlow (runs it (operational or managerial control)); Jina Marlow (additional disclosable party (controls, leases property to, or provides services to the home)); Carly Lathrop (additional disclosable party (controls, leases property to, or provides services to the home)); Todd Patrick Schneider (corporate director, 0%); Todd Patrick Schneider (runs it (operational or managerial control)); Todd Patrick Schneider (on the governing body (managing control)); Todd Patrick Schneider (additional disclosable party (controls, leases property to, or provides services to the home)); Renee Thompson (runs it (operational or managerial control)); Renee Thompson (additional disclosable party (controls, leases property to, or provides services to the home)); John Henry Luetmer (corporate director, 0%); John Henry Luetmer (runs it (operational or managerial control)); John Henry Luetmer (on the governing body (managing control)); John Henry Luetmer (additional disclosable party (controls, leases property to, or provides services to the home)); Laura Jane Rentz (corporate director, 0%); Laura Jane Rentz (runs it (operational or managerial control)); Laura Jane Rentz (on the governing body (managing control)); Laura Jane Rentz (additional disclosable party (controls, leases property to, or provides services to the home)); Ben Ryan (runs it (operational or managerial control)); Ben Ryan (additional disclosable party (controls, leases property to, or provides services to the home)); Christine Marie Bakke (runs it (operational or managerial control)); Christine Marie Bakke (additional disclosable party (controls, leases property to, or provides services to the home)); Kelsey Stock (runs it (operational or managerial control)); Kelsey Stock (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of St. Francis Health Services (14 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| St. Francis Health Services of Morris, Inc. | Owns 5% or more directly | 100% | Jan 1, 2014 |
| St. Francis Health Services of Morris, Inc. | Runs it (operational or managerial control) | 100% | Jan 1, 2014 |
| Big Stone Therapies, Inc. | Runs it (operational or managerial control) | Feb 3, 2015 | |
| Big Stone Therapies, Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 23, 2025 | |
| St. Francis Health Services of Morris, Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 1, 2025 | |
| Eide Bailly LLP | Runs it (operational or managerial control) | Jan 3, 2023 | |
| Eide Bailly LLP | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 23, 2025 |
How do residents fare?
- CMS rates its quality measures 2 of 5 (Minnesota average 3.2).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 4 of 5 |
| Quality measures | 2 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 30.1 miles, this one had the 2nd most health citations at the latest inspection cycle (12; the middle value was 5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Little Falls Care Center This nursing home | 12 | |
| St Ottos Care Center | 1.0 | 0 |
| Pierz Villa Inc. | 11.7 | 5 |
| Cura of Long Prairie | 24.3 | 1 |
| Good Samaritan Society - Woodland | 25.4 | 1 |
| Country Manor Healthcare and Rehab Center | 25.9 | 0 |
| Good Samaritan Society - Bethany | 25.9 | 2 |
| Benedictine Living Community Mother of Mercy | 25.9 | 9 |
| Central Todd County Care Center | 26.7 | 5 |
| Good Shepherd Lutheran Home | 27.0 | 9 |
| Sterling Park Health Care Center | 29.7 | 8 |
| The Gardens at Foley LLC | 30.1 | 15 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
-
Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.