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Nursing homeFAID #6687

Littlefork Care Center

912 MAIN STREET, LITTLEFORK, MN, 56653
(218) 278-6634
42 licensed beds

CMS rates Littlefork Care Center 1 out of 5 overall. Federal inspectors issued 38 citations across 11 inspections in the last three years, with $218,595 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall1/5 health inspections4/5 staffing1/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
42
CMS facility ID
245542
Care type
Nursing home
County
Koochiching
Facility name
Littlefork Care Center
Street address
912 MAIN STREET
City / state / ZIP
Littlefork, MN 56653
Phone
(218) 278-6634

Littlefork Care Center is a Medicare/Medicaid-certified skilled nursing facility in Littlefork, Minnesota. It is licensed for 42 beds — below the median for skilled nursing facilities in Minnesota (60 beds).

It is one of 3 senior care facilities in Littlefork and 338 skilled nursing facilities across Minnesota. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of St. Francis Health Services, a group of 14 facilities on this site.

Federal inspectors have cited Littlefork Care Center 38 times across 11 inspections in the last three years, and CMS has imposed $218,595 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
St. Francis Health Services
Ownership type
Non profit - Corporation

Registered owners & officers

Bach, Curtis
Director · Officer · Operational control · Additional disclosable party — since 2024
Burrows, Amanda
Operational control · Additional disclosable party — since 2024
Caspers, Megan
Operational control · Additional disclosable party — since 2014
Copeman, Jeffrey
Operational control · Additional disclosable party — since 2025
Dripps, Daniel
Governing body · Director · Operational control · Additional disclosable party — since 2016
Ehlers, Douglas
Governing body · Director · Operational control · Additional disclosable party — since 2023
Eide Bailly Llp
Operational control · Additional disclosable party — since 2023
Fairchild, William
Operational control · Additional disclosable party — since 2006
Goodnough, Jennifer
Governing body · Director · Operational control · Additional disclosable party — since 2021
Gramm, Timothy
Governing body · Director · Operational control — since 2023
Grashorn, Wanda
Operational control · Additional disclosable party — since 2024
Hanneken, Michelle
Operational control · Additional disclosable party — since 2022
Hejhal, Roxanne
Operational control · Additional disclosable party — since 2023
Hell, Tami
Operational control · Additional disclosable party — since 2025
Hofmann, Reed
Operational control · Additional disclosable party — since 2023
Hohenstein, Cindy
Operational control · Additional disclosable party — since 2025
International Falls Memorial Hospital Association
Operational control · Additional disclosable party — since 2016
Lair, Michael
Governing body · Director · Operational control · Additional disclosable party — since 2025
Lienemann, Steven
Governing body · Director · Operational control · Additional disclosable party — since 2011
Luetmer, John
Governing body · Director · Operational control · Additional disclosable party — since 2021
Marlow, Jina
Operational control · Additional disclosable party — since 2022
Mccleery, Rebecca
Operational control · Additional disclosable party — since 2025
Nash, Erin
Operational control · Additional disclosable party — since 2025
Nelson, Patrick
Governing body · Director · Operational control · Additional disclosable party — since 2020
Nuthak, Cathy
Operational control · Additional disclosable party — since 2009
Peterson-devries, Cami
Director · Officer · Operational control · Additional disclosable party — since 2022
Raw, Carol
Director · Officer · Operational control · Additional disclosable party — since 2005
Rentz, Laura
Governing body · Director · Operational control · Additional disclosable party — since 2024
Rentz, Mark
Operational control · Additional disclosable party — since 2024
Ryan, Ben
Operational control · Additional disclosable party — since 2012
Ryan, Geoffrey
Operational control · Additional disclosable party — since 1998
Schneider, Todd
Governing body · Director · Operational control · Additional disclosable party — since 2013
St. Francis Health Services of Morris, Inc
Operational control · Additional disclosable party — since 2016
Stock, Kelsey
Operational control · Additional disclosable party — since 2022
Thompson, Renee
Operational control · Additional disclosable party — since 2018
Tomczak, Cindy
Additional disclosable party — since 2023
Tomoson, April
Operational control · Additional disclosable party — since 2021
Walker, Amy
Operational control · Additional disclosable party — since 2024
Wiese, Lorraine
Governing body · Director · Operational control · Additional disclosable party — since 2017

Regulatory standing

Federal court records
20 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1991-04-24
CMS overall rating
1 of 5 stars
Health deficiencies
12 at the last standard inspection
Federal fines
$218,595 total
Last standard inspection
2025-12-10
Nurse staffing
3.6 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$301 per day (≈ $9,150/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
66% Medicaid · 4% Medicare · 30% private/other
Occupancy
75% (fiscal year 2023)
Vs. state median
26% below the MN median of $407/day — full state cost breakdown

Services & coverage

Licensed beds
42
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.
2025-12-10Health inspection12 citations
F-0585
E · No harm found
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.
Corrected 2026-01-24
F-0600
D · No harm found
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-01-24
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-01-24
F-0610
D · No harm found
Respond appropriately to all alleged violations.
Corrected 2026-01-24
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-01-24
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-01-24
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2026-01-24
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-01-24
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-01-24
F-0881
E · No harm found
Implement a program that monitors antibiotic use.
Corrected 2026-01-24
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2026-01-24
F-0887
D · No harm found
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.
Corrected 2026-01-24
2025-08-06Health inspectionComplaint-triggered2 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-10-06
F-0627
D · No harm foundFrom a complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2025-10-06
6 earlier / fire-safety inspections (24 citations)
2025-02-27Health inspectionComplaint-triggered14 citations
F-0577
C · No harm found
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2025-03-27
F-0580
D · No harm found
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-03-27
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-05-12
F-0676
D · No harm found
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2025-03-27
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-27
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-03-27
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-27
F-0699
D · No harm found
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-03-27
F-0732
C · No harm found
Post nurse staffing information every day.
Corrected 2025-03-27
F-0744
D · No harm found
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2025-03-27
F-0756
D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-03-27
F-0758
E · No harm found
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.
Corrected 2025-03-27
F-0880
L · Immediate jeopardy
Provide and implement an infection prevention and control program.
Corrected 2025-05-12
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-05-12
2025-02-20Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-31
2025-01-23Health inspectionComplaint-triggered3 citations
F-0585
D · No harm foundFrom a complaint
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.
Corrected 2025-02-17
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-02-17
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2025-02-17
2024-09-26Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-04
2025-02-27Fire-safety inspection3 citations
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-03-26
K-0918
D · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-03-26
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2025-03-26
2023-12-06Fire-safety inspection2 citations
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-12-18
K-0372
F · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-12-18

Federal penalties

2025-02-20Fine$218,595
2025-02-20Medicare payment denial — 47 days
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 245542.
How it compares in Minnesota.
Inspection citations, 3 years
38
More than 59% of nursing homes in the state
State median: 32
Federal fines, 3 years
$218,595
More than 99% of nursing homes in the state
State median: $0
Nurse staffing, hours per resident per day
3.6
Higher than 22% of nursing homes in the state
State median: 4.2
Nursing staff turnover, annual
61%
Higher than 89% of nursing homes in the state
State median: 40%

Resident outcomes

On 16 federal quality measures, this facility does better than the Minnesota average on 5 and worse on 8. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased11.8%18.2%13.5%Better than state
Lose too much weight9.8%3.9%5.1%Worse than state
With a catheter inserted and left in their bladder3.8%1.7%0.7%Worse than state
With a urinary tract infection6.6%2.6%1.5%Worse than state
Have depressive symptoms4.3%4.1%13.5%Near state average
Were physically restrained0.0%0.1%0.1%Better than state
Experiencing one or more falls with major injury7.2%4.1%3.2%Worse than state
Assessed and appropriately given the pneumococcal vaccine97.8%97.3%93.7%Near state average
Ability to walk independently worsened10.6%18.8%12.7%Better than state
Received an antianxiety or hypnotic medication21.3%12.7%19.5%Worse than state
Assessed and appropriately given the seasonal influenza vaccine100.0%96.4%95.3%Near state average
With pressure ulcers7.7%5.1%4.5%Worse than state
With new or worsened bowel or bladder incontinence15.5%23.7%18.3%Better than state
Received an antipsychotic medication42.2%17.2%15.4%Worse than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine63.3%88.1%82.3%Worse than state
Newly received an antipsychotic medication0.0%1.9%1.5%Better than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0609 3 inspections. Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  • F-0689 3 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0585 2 inspections. 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.
  • F-0610 2 inspections. Respond appropriately to all alleged violations.
  • F-0686 2 inspections. Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  • F-0880 2 inspections. Provide and implement an infection prevention and control program.
Where to check, and what's nearby.

Who to contact in Minnesota

  • Licensing: Minnesota Department of Health
  • File a complaint: 800-369-7994
  • Long-Term Care Ombudsman: 800-657-3591. A free advocate for residents and families.
  • Adult Protective Services: 844-880-1574. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Bigfork Valley Hospital, about 45 miles.
  • Cook Hospital, about 55 miles.
  • Essentia Health Northern Pines Medical Center, about 87 miles.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 38 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered