Littlefork Care Center
A nursing home in Littlefork, Minnesota 56653
912 Main Street, Littlefork, Minnesota 56653. (218) 278-6634.
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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
- 3.65 nurse hours per resident per day Minnesota average: 4.27
- 1 fine in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- 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.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- 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 Dec 10, 2025.
Most serious in three years: immediate jeopardy to health or safety (L), at a standard inspection on Feb 27, 2025
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
33 citations in 5 months of the last 36. Last cited Dec 2025. Most serious: immediate jeopardy to health or safety (L). 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 33 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. 9 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Dec 10, 2025: standard inspection12 citations
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Honor 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.
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Respond appropriately to all alleged violations.
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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 enough food/fluids to maintain a resident’s health.
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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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Provide and implement an infection prevention and control program.
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Implement a program that monitors antibiotic use.
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Develop and implement policies and procedures for flu and pneumonia vaccinations.
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Educate 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.
Aug 6, 2025: complaint inspection2 citations
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Ensure the transfer/discharge meets the resident’s needs/preferences and that the resident is prepared for a safe transfer/discharge.
Feb 27, 2025: standard inspection12 citations
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Provide and implement an infection prevention and control program.
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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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Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Provide care or services that was trauma informed and/or culturally competent.
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Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
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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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Allow residents to easily view the nursing home’s survey results and communicate with advocate agencies.
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Post nurse staffing information every day.
Feb 27, 2025: standard and complaint inspection2 citations
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Feb 20, 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.
Jan 23, 2025: complaint inspection3 citations
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Honor 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.
-
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
-
Respond appropriately to all alleged violations.
Sep 26, 2024: 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.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Apr 24, 1991.
- 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.
- 42 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $218,595 in all.
- 1 Medicare payment denial in the last three years.
- 9 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Feb 20, 2025 | Medicare payment denial | Not given |
| Feb 20, 2025 | Fine | $218,595 |
Who does the caring?
3.65 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 | 3.65 | 4.27 |
| Of which registered nurses | 0.76 | 1.08 |
| At weekends | 3.04 | 3.73 |
| Nursing staff turnover | 60.5% | 42.1% |
| Registered nurse turnover | 55.6% | 39.3% |
| Administrators who left | Not given | Not given |
Who owns it?
- St. Francis Health Services of Morris, Inc. owns 100% directly since Apr 1, 2016.
- St. Francis Health Services of Morris, Inc. and International Falls Memorial Hospital Association and Eide Bailly LLP run it.
- 98 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)); Jeffrey Copeman (runs it (operational or managerial control)); Jeffrey Copeman (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)); Erin Nash (runs it (operational or managerial control)); Erin Nash (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)); Timothy Chris Gramm (on the governing body (managing control)); Amanda Burrows (runs it (operational or managerial control)); Amanda Burrows (additional disclosable party (controls, leases property to, or provides services to the home)); 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)); Cindy Tomczak (additional disclosable party (controls, leases property to, or provides services to the home)); Wanda Grashorn (runs it (operational or managerial control)); Wanda Grashorn (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)); 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)); 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)); Geoffrey Ryan (runs it (operational or managerial control)); Geoffrey Ryan (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)); Cindy Hohenstein (runs it (operational or managerial control)); Cindy Hohenstein (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)); Cathy Nuthak (runs it (operational or managerial control)); Cathy Nuthak (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)); Tami Hell (runs it (operational or managerial control)); Tami Hell (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)); Jina Marlow (runs it (operational or managerial control)); Jina Marlow (additional disclosable party (controls, leases property to, or provides services to the home)); William Fairchild (runs it (operational or managerial control)); William Fairchild (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)); Rebecca Mccleery (runs it (operational or managerial control)); Rebecca Mccleery (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% | Apr 1, 2016 |
| St. Francis Health Services of Morris, Inc. | Runs it (operational or managerial control) | 100% | Apr 1, 2016 |
| International Falls Memorial Hospital Association | Runs it (operational or managerial control) | Apr 1, 2016 | |
| International Falls Memorial Hospital Association | 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 1 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 | 1 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 76.7 miles, this one had the 3rd most health citations at the latest inspection cycle (12; the middle value was 6).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Littlefork Care Center This nursing home | 12 | |
| Good Samaritan Society - International Falls | 13.9 | 3 |
| Bigfork Valley Communities | 45.4 | 6 |
| Lakewood Care Center | 52.1 | 2 |
| Cook Hospital & Care Center | 55.2 | 2 |
| Good Samaritan Society - Blackduck | 65.4 | 10 |
| Heritage Manor | 70.2 | 18 |
| Cornerstone Villa | 72.4 | 4 |
| Guardian Angels Health & Rehab Center | 72.7 | 16 |
| Essentia Health Homestead | 73.9 | 6 |
| Essentia Health Virginia Care Cent | 76.0 | 3 |
| The Waterview Pines LLC | 76.7 | 11 |
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).
-
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).
-
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).
-
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.