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Data / Nursing homes / Minnesota / Littlefork Care Center

Littlefork Care Center, Littlefork, MN: 1 star rating, fined $218,595 across 1 fine and had 1 payment denial

Littlefork Care Center in Littlefork, MN is run by Koochiching Health Services, with no owner listed in the CMS ownership file, is rated 1 of 5 stars by Medicare, and was fined $218,595 across 1 fine and had 1 payment denial in the three years to October 1, 2026. CMS lists 33 health citations from inspections in that time, the latest survey on December 10, 2025, and 1 of them found actual harm or immediate jeopardy.

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Address
912 Main Street, Littlefork, MN 56653
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
4 of 5
Quality measure rating
1 of 5
Certified beds
42
Residents per day
35 on average
Ownership type
Nonprofit, corporation
Legal business name
Koochiching Health Services
Chain
St. Francis Health Services, 14 facilities
Fines
$218,595 across 1 fine, three years to October 1, 2026
Payment denials
1
Health citations
33, of which 1 with actual harm or immediate jeopardy
Latest survey
December 10, 2025
CMS Certification Number
245542
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
February 20, 2025Fine$218,595Not listeddata.cms.gov
February 20, 2025Payment denialNot listedMarch 27, 202547data.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
December 10, 2025F887Educate 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 24, 2026data.cms.gov
December 10, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 24, 2026data.cms.gov
December 10, 2025F881Implement a program that monitors antibiotic use.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 24, 2026data.cms.gov
December 10, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 24, 2026data.cms.gov
December 10, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 24, 2026data.cms.gov
December 10, 2025F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 24, 2026data.cms.gov
December 10, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 24, 2026data.cms.gov
December 10, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 24, 2026data.cms.gov
December 10, 2025F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 24, 2026data.cms.gov
December 10, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 24, 2026data.cms.gov
December 10, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 24, 2026data.cms.gov
December 10, 2025F585Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 24, 2026data.cms.gov
August 6, 2025F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 6, 2025data.cms.gov
August 6, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 6, 2025data.cms.gov
February 27, 2025F880Provide and implement an infection prevention and control program.L: widespread, immediate jeopardyCorrectedMay 12, 2025data.cms.gov
February 27, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 12, 2025data.cms.gov
February 27, 2025F758Implement 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 27, 2025data.cms.gov
February 27, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 27, 2025data.cms.gov
February 27, 2025F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 27, 2025data.cms.gov
February 27, 2025F732Post nurse staffing information every day.C: widespread, minimal harm potentialCorrectedMarch 27, 2025data.cms.gov
February 27, 2025F699Provide care or services that was trauma informed and/or culturally competent.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 27, 2025data.cms.gov
February 27, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 27, 2025data.cms.gov
February 27, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 27, 2025data.cms.gov
February 27, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 27, 2025data.cms.gov
February 27, 2025F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 27, 2025data.cms.gov
February 27, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 12, 2025data.cms.gov
February 27, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 27, 2025data.cms.gov
February 27, 2025F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.C: widespread, minimal harm potentialCorrectedMarch 27, 2025data.cms.gov
February 20, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 31, 2025data.cms.gov
January 23, 2025F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 17, 2025data.cms.gov
January 23, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 17, 2025data.cms.gov
January 23, 2025F585Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 17, 2025data.cms.gov
September 26, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 4, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 98 individual or personal trusts (46 managers, 17 officers, directors or trustees, 35 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Eide Bailly LLPOperational or managerial controlNot listedJanuary 3, 2023data.cms.gov
International Falls Memorial Hospital AssociationOperational or managerial controlNot listedApril 1, 2016data.cms.gov
St. Francis Health Services of Morris, IncOperational or managerial controlNot listedApril 1, 2016data.cms.gov
Eide Bailly LLPAdditional disclosable partyNot listedOctober 23, 2025data.cms.gov
International Falls Memorial Hospital AssociationAdditional disclosable partyNot listedOctober 23, 2025data.cms.gov
St. Francis Health Services of Morris, IncAdditional disclosable partyNot listedDecember 1, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.