Littlefork Care Center
912 Main Street · Littlefork, MN · 56653 · 2182786634
42 certified beds Non profit - Corporation Chain: St. Francis Health Services
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $218,595 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$218,595 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.22 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.86 | 0.55–0.75 |
| Weekend hours / resident-day | 2.74 | ≈ weekday level |
| Nursing turnover / year | 39% | median 45% |
| Fines (3-yr window) | 1 · $218,595 |
Inspection citations (33 in the current record)
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Potential for harm · E December 10, 2025
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 January 24, 2026 · Resident Rights
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Potential for harm · D December 10, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 24, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D December 10, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 24, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 10, 2025
Respond appropriately to all alleged violations.
Corrected January 24, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 10, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 24, 2026 · Quality of Life and Care
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Potential for harm · D December 10, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 24, 2026 · Quality of Life and Care
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Potential for harm · D December 10, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected January 24, 2026 · Quality of Life and Care
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Potential for harm · D December 10, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 24, 2026 · Pharmacy Service
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Potential for harm · D December 10, 2025
Provide and implement an infection prevention and control program.
Corrected January 24, 2026 · Infection Control
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Potential for harm · E December 10, 2025
Implement a program that monitors antibiotic use.
Corrected January 24, 2026 · Infection Control
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Potential for harm · D December 10, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected January 24, 2026 · Infection Control
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Potential for harm · D December 10, 2025
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 January 24, 2026 · Infection Control
-
Potential for harm · D August 6, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 6, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 6, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected October 6, 2025 · Resident Rights
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Immediate jeopardy · L February 27, 2025
Provide and implement an infection prevention and control program.
Corrected May 12, 2025 · Infection Control
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Potential for harm · D February 27, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 27, 2025 · Resident Rights
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Potential for harm · D February 27, 2025
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected March 27, 2025 · Quality of Life and Care
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Potential for harm · D February 27, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 27, 2025 · Quality of Life and Care
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Potential for harm · D February 27, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 27, 2025 · Quality of Life and Care
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Potential for harm · D February 27, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected March 27, 2025 · Quality of Life and Care
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Potential for harm · D February 27, 2025
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected March 27, 2025 · Quality of Life and Care
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Potential for harm · D February 27, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected March 27, 2025 · Pharmacy Service
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Potential for harm · E February 27, 2025
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 March 27, 2025 · Pharmacy Service
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Potential for harm · D February 27, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected May 12, 2025 · Infection Control
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Potential for harm · D February 27, 2025 · found via 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 May 12, 2025 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 20, 2025 | Fine | $218,595 |
| February 20, 2025 | Payment Denial | 47 days |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 245542 · certified since April 24, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.