First Care Living Center – FOSSTON, MN

CMS Verified | 2026-03-01

First Care Living Center

900 HILLIGOSS BOULEVARD SOUTHEAST, Fosston, MN 56542
(218) 435-1133
50 beds
All Fosston facilities
3.0*
Overall
2.0*
Health Inspection
3.0*
Quality Care
5.0*
Staffing
85.03
Score /100
#1678
National Rank

#1678
of 14703 facilities
National
88.6% position
#38
of 338 in MN
State Rank
#2
of 4 in Polk
County Rank
#1
of 1 in Fosston
City Rank
#1
of 1 in ZIP 56542
ZIP Rank






About First Care Living CenterFirst Care Living Center is located at 900 Hilligoss Boulevard Southeast, Fosston, MN, reachable at (218) 435-1133. This Non profit – Corporation facility operates 50.0 certified beds and serves an average of 26 residents per day. It is part of the Essentia Health network (5 facilities nationwide). Medicare and Medicaid services have been provided since 1988-01-01. The facility currently holds a average (3-star) overall CMS rating.
Facility

First Care Living Center

Address

900 Hilligoss Boulevard Southeast, Fosston, MN 56542

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 50 Certified Beds
  • Ownership: Non profit – Corporation
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: ESSENTIA HEALTH

Quick Verdict

Overall Quality
⚠️ Average (3★) overall rating
Health Inspection
⚠️ Below Average (2★) health inspection
Staffing
✅ Excellent (5★) staffing rating
Quality of Care
⚠️ Average (3★) quality of care
Compliance
❌ 8 fine(s) over 5 years
5-Year Trend
Improving over 5 years
85.03
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#1678 of 14703 nationally – #38 of 338 in Minnesota

Who Is This Facility Best For?

First Care Living Center offers a mid-range care option in Fosston, MN. Above-average staffing levels make it a good option for residents needing intensive nursing care.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

3 / 5
Health Inspection

2 / 5
Staffing Rating

5 / 5
Quality Measures (QM)

3 / 5
Long-Stay QM Rating

3 / 5
Short-Stay QM Rating

N/A

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightFirst Care Living Center currently provides 6 hours 7 minutes of total nurse staffing per resident per day, including 1 hour 40 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 5 out of 5 reflects strong nurse coverage. RN hours per resident have increased from 41 min/day (2022) to 100 min/day (2026), a positive sign of investment in skilled nursing. Total nursing staff turnover stands at 38.0% — above the national average of ~35%.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing6 hours 7 minutes
Nurse Aide Hours3 hours 39 minutes
Licensed Practical Nurse (LPN) Hours48 minutes
Registered Nurse (RN) Hours1 hour 40 minutes
Physical Therapist Hours0 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours4 hours 34 minutes
Weekend Registered Nurse (RN) Hours53 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryIn the current reporting period, the facility received 2 fine(s) totaling $88,726. One substantiated complaint was recorded across the 5-year period.
Number of Fines (current period) 2
Total Fines Amount $88726.0
Payment Denials 0
Total Penalties 2
Abuse Flag on Record N
Total Weighted Health Survey Score 57.5 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#1,678
of 14,703
National
Top 11%
#38
of 338
MN State
Top 11% in MN
#2
of 4
️ Polk County
#2 of 4
#1
of 1
️ Fosston
Best in city
#1
of 1
ZIP 56542
Best in ZIP

Nationally, First Care Living Center ranks 1678th out of 14,703 facilities (composite score: 85.0/100), placing it in the top 25% nationwide. Within MN, it ranks 38th out of 338 nursing homes. For 2026 staffing: total nurse hours rank #328 nationally and RN hours rank #410 nationally (#28 in MN).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank MN State Rank Note
2022 4.69 #1,694 / 14,703 #71 / 338 Top 25%
2023 4.81 #1,392 / 14,703 #55 / 338 Top 10%
2024 4.49 #2,172 / 14,703 #89 / 338 Top 25%
2025 5.64 #571 / 14,703 #13 / 338 Top 5%
2026 6.12 #328 / 14,703 #7 / 338 Top 5%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank MN State Rank Note
2022 0.68 #5,426 / 14,703 #283 / 338 Above average
2023 0.84 #2,890 / 14,703 #189 / 338 Top 25%
2024 0.47 #8,972 / 14,703 #312 / 338 Below average
2025 1.04 #1,679 / 14,703 #127 / 338 Top 25%
2026 1.66 #410 / 14,703 #28 / 338 Top 5%

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

First Care Living Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1988-01-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (218) 435-1133 or your local Medicaid office to verify current eligibility.

First Care Living Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 3 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (5★), and Quality of Resident Care (3★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 85.0/100, placing it #1678 of 14703 facilities nationally and #38 of 338 in Minnesota. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at First Care Living Center receives a reported average of 6 hours 7 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 1 hour 40 minutes; Licensed Practical Nurse (LPN) — 48 minutes; Nurse Aide — 3 hours 39 minutes. On weekends, total nurse staffing is 4 hours 34 minutes per resident per day. The CMS Staffing Rating for this facility is 5 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 38.0%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 2 fine(s) totaling $88,726. One substantiated complaint was recorded across the 5-year period. In the most recent CMS reporting period, the facility received 2 fine(s) totaling $88,726, and 0 Medicare payment denial(s). Total penalties: 2. The Total Weighted Health Survey Score is 57.5 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, First Care Living Center ranks 1678th out of 14,703 facilities (composite score: 85.0/100), placing it in the top 25% nationwide. Within MN, it ranks 38th out of 338 nursing homes. For 2026 staffing: total nurse hours rank #328 nationally and RN hours rank #410 nationally (#28 in MN). Our composite quality score of 85.0/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Fosston, visit: https://nursinghomesnearme.org/minnesota/fosston/

Contact and Location

ADR
Address

900 HILLIGOSS BOULEVARD SOUTHEAST, Fosston, MN 56542
Get directions on Google Maps

TEL
LLC
Legal Name

FIRST CARE MEDICAL SERVICES

MAP
Browse by Location

All Minnesota ·
Polk County ·
Fosston ·
ZIP 56542

Facility Details

Number of Certified Beds 50
Average Residents / Day 26 (52% occupancy)
Ownership Type Non profit – Corporation
Provider Type Medicare and Medicaid
County Polk County, MN
City Fosston, MN
ZIP Code 56542
Approved Since January 1, 1988
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 245512
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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