Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around October 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at First Care Living Center during CMS and state inspections, most recent first.
A resident with severe cognitive impairment and total dependence for mobility continued to have a restorative ambulation program listed in their care plan, despite documentation and staff interviews confirming the resident had not walked or received ambulation services for nearly a year. The care plan was not updated to reflect the resident's current non-ambulatory status, contrary to facility policy requiring review after changes in condition.
A resident lost the ability to perform ADLs without a documented medical reason, as the facility did not ensure that declines in functional abilities were clinically unavoidable.
A resident with multiple sclerosis and impaired mobility did not consistently receive range of motion (ROM) exercises as ordered by therapy and outlined in the care plan. Documentation showed that ROM was offered less frequently than required, and staff interviews confirmed inconsistent documentation of refusals and missed opportunities to provide exercises. The resident also reported infrequent offers of exercise and lack of follow-up when initially refusing.
A resident with cognitive impairment and an indwelling catheter received PRN furosemide on three occasions when the required 3-pound weight gain parameter was not met, due to nursing staff not verifying the physician-ordered criteria before administration. The MAR and weight records showed discrepancies, and the nurse did not clarify the order or ensure proper documentation, resulting in medication being given in error.
The facility did not establish or maintain an infection prevention and control program as required, resulting in a deficiency identified by surveyors.
A resident with a stage 3 pressure ulcer on the right heel did not receive routine wound monitoring and documentation as required. The facility's designated wound nurse left, leading to inconsistent documentation practices. The resident's care plan required weekly wound measurements, but none were recorded from mid-April to early June. A dressing change revealed purulent drainage and an additional reddened area. Staff interviews highlighted the lack of consistent documentation and access to necessary forms, impacting wound care tracking.
The facility failed to perform proper hand hygiene for two residents during ADLs, as staff did not wash hands after removing soiled gloves. Additionally, the facility did not implement Enhanced Barrier Precautions for a resident with a stage 3 pressure ulcer, as required by CDC guidelines. The facility's policies on hand hygiene and EBP were not followed, leading to potential infection risks.
A deficiency was identified involving the improper use of a full-body mechanical lift during resident transfers, leading to a fall and head injury for a resident with chronic pain, depression, obesity, and long-term anticoagulant use. The care plan required a nurse's presence during transfers by two nursing assistants. Issues included inappropriate sling size, incorrect strap securing, and failure to follow manufacturer guidelines. Staff interviews revealed challenges with lift leg extension, sling adjustments, and battery power management, contributing to the incident.
Failure to Update Care Plan After Resident Loss of Ambulation
Penalty
Summary
The facility failed to revise the care plan for a resident who was no longer ambulatory, resulting in the continued inclusion of a restorative nursing ambulation program in the care plan. The resident had severe cognitive impairment and was dependent on staff for transfers and bed mobility, with documentation from both medical and behavioral health professionals indicating that the resident had not been able to walk for an extended period. Despite this, the care plan continued to list ambulation with restorative aides as an intervention, and staff interviews confirmed that the resident had not ambulated for nearly a year. Multiple staff members, including trained medication assistants, restorative aides, registered nurses, and the DON, acknowledged that the resident was not receiving ambulation services and had not walked for a significant amount of time. The facility's policy required care plans to be reviewed and updated quarterly or with any change in resident condition, but this was not done in response to the resident's decline in mobility. The deficiency was identified through interviews and document review, which showed a lack of timely care plan revision to reflect the resident's current status.
Failure to Prevent Unnecessary Loss of ADL Abilities
Penalty
Summary
Residents experienced a loss in their ability to perform activities of daily living (ADLs) without a documented medical reason. The facility failed to ensure that residents maintained their ADL abilities unless a decline was clinically unavoidable due to a medical condition. This deficiency was identified through observations and record reviews that did not show appropriate justification for the decline in residents' functional abilities.
Failure to Provide and Document Restorative ROM Services as Care Planned
Penalty
Summary
The facility failed to provide range of motion (ROM) exercises as care planned for a resident with multiple sclerosis and impaired mobility. According to therapy recommendations and the resident's care plan, the resident was to receive ROM exercises to both upper and lower extremities three times per week. However, documentation showed that the exercises were only offered one to two times per week, and in some weeks, not at all. The resident's care plan and therapy screening indicated the importance of these exercises to maintain mobility, but the facility's records did not reflect consistent implementation of the program. Interviews with staff revealed that the trained medication aide responsible for restorative nursing did not consistently document refusals or unavailability, and the registered nurse coordinating the program confirmed that exercises should be offered three times weekly with proper documentation of refusals. The resident reported that staff rarely offered the exercises and did not attempt to return at a later time if she initially refused. Additionally, the facility was unable to provide a policy for restorative nursing when requested.
Failure to Administer PRN Medication According to Physician Parameters
Penalty
Summary
The facility failed to provide medications as ordered for a resident with moderate cognitive impairment and an indwelling catheter. The resident had physician orders for furosemide (Lasix) 40 mg to be administered only if there was a 3-pound weight gain overnight, with daily weights to be obtained each morning. Review of the Medication Administration Record (MAR) and corresponding weights revealed that furosemide was administered on three occasions when the resident did not meet the required 3-pound weight gain parameter. Specifically, on two dates, the weight gain was less than 3 pounds, and on another date, the previous day's weight was not recorded, making it impossible to determine if the parameter was met. Nursing staff did not verify that the resident met the ordered parameters before administering the PRN furosemide, as required by facility policy. The nurse responsible for the errors did not clarify the order prior to administration and failed to ensure accurate documentation of weights and medication administration. The facility's consultant pharmacist confirmed that the resident received furosemide in error on three occasions, although it was not considered clinically significant in this case. The facility policy directed that nurses must compare the medication and dosage schedule with the MAR and verify that all physician parameters for administration are met prior to giving the medication.
Failure to Implement Infection Prevention and Control Program
Penalty
Summary
The facility failed to provide and implement an infection prevention and control program. This deficiency was identified during the survey process, indicating that the required measures to prevent and control infections were not established or maintained as per regulatory standards. The report notes the absence of a comprehensive infection prevention and control program but does not provide further details regarding specific actions, inactions, or events, nor does it mention any particular residents or staff involved.
Failure in Routine Wound Monitoring and Documentation
Penalty
Summary
The facility failed to perform routine monitoring of a wound to promote healing for a resident with a stage 3 pressure ulcer on the right heel. The resident, who was cognitively intact and had Type 2 diabetes, was identified as having impaired skin integrity related to incontinence and was at risk for skin breakdown. The care plan required weekly wound measurements and documentation, but the Wound Management Detail Report showed no measurements from mid-April to early June. The resident's wound was debrided in April, but subsequent documentation was inconsistent, and a dressing change revealed purulent drainage and an additional reddened area. Interviews with staff revealed that the facility's designated wound nurse left in mid-April, leading to inconsistent documentation practices. The LPN stated that wound documentation was entered on bath days, but not all staff documented in the same place. The RN confirmed the lack of measurements after mid-April and emphasized the importance of wound monitoring for healing and infection prevention. The DON acknowledged the inconsistency in documentation due to the lack of access to the wound form by LPNs, which resulted in incomplete documentation of required information such as measurements and wound descriptions. A wound care policy was requested but not provided.
Inadequate Hand Hygiene and EBP Implementation
Penalty
Summary
The facility failed to perform proper hand hygiene for two residents during activities of daily living (ADLs). One resident with severe cognitive impairment was assisted by two nursing assistants who did not perform hand hygiene after removing soiled gloves and before applying clean ones. They continued to assist the resident with dressing and oral care without washing their hands, despite acknowledging the importance of hand hygiene. Another resident with mild cognitive impairment was assisted by a nursing assistant who also failed to perform hand hygiene after removing soiled gloves and before handling items that would go into the resident's mouth. Additionally, the facility did not implement Enhanced Barrier Precautions (EBP) for a resident with a stage 3 pressure ulcer. The care plan and physician orders did not include EBP, and there was no signage or personal protective equipment available for the resident. A licensed practical nurse performed a dressing change without wearing the appropriate PPE, under the assumption that EBP was not necessary because the wound was not infected. The director of nursing acknowledged the need for EBP for residents with draining wounds but admitted that the facility had not interpreted the guidance correctly. The facility's policies on hand hygiene and EBP were not followed, leading to potential risks of infection transmission. The hand hygiene policy required staff to wash hands before and after resident contact and after removing gloves, which was not adhered to in the observed cases. The EBP policy, aligned with CDC guidelines, required the use of gowns and gloves for residents with wounds, which was not implemented for the resident with a pressure ulcer.
Mechanical Lift Transfer Safety Deficiency
Penalty
Summary
The deficiency identified in the report pertains to a nursing home's failure to ensure safe transfers using a mechanical lift, resulting in an immediate jeopardy situation for one of the residents (R1). The incident occurred when R1 fell during a transfer in a full-body mechanical lift that tipped over, causing him to hit his head on the floor. It was noted that the facility did not confirm if the staff were correctly using the lift per manufacturer recommendations during the incident, and subsequent observations revealed that manufacturer guidelines for safe use were not consistently followed. R1, the resident involved in the incident, had a documented medical history that included chronic pain, depression, obesity, and long-term use of anticoagulants. His care plan specified the use of a full-body mechanical lift for transfers, with a requirement for a nurse to be present in the room during transfers involving two nursing assistants. The report highlighted instances where the sling size used for R1 was not appropriate based on his weight gain, and where staff did not follow manufacturer recommendations for securing the straps of the sling during transfers, leading to safety concerns and the eventual fall. Interviews with staff members and R1 himself provided insights into the events leading up to the deficiency, including issues with extending the lift's legs under the bed, challenges with sling adjustments, and concerns about the battery power of the lift. The report also referenced the manufacturer's safety guidelines for the mechanical lift, emphasizing the importance of proper positioning, sling attachment, and battery maintenance to ensure safe transfers. The deficiency was further compounded by staff actions such as not addressing low battery warnings and inadequate verification of strap security, ultimately resulting in the immediate jeopardy situation for R1.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Fosston
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Mcintosh Senior Living | 8.2 mi | — | 5 | 0 |
| Cornerstone Nsg & Rehab Center | 16.5 mi | — | 1 | 0 |
| Mahnomen Health Center | 21.1 mi | — | 11 | 0 |
| Fair Meadow Nursing Home | 25.2 mi | — | 12 | 0 |
| Jourdain Perpich Ext Care Fac | 39.1 mi | — | 9 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.