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Little Falls Care Center

1200 First Avenue Northeast, Little Falls, MN 56345 · Morrison County · (320) 632-2061

64 certified beds, about 59 residents a day · Non profit - Corporation · Medicare and Medicaid since 1986

Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 245399 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 30, 2026, inspectors cited 8 health deficiencies (the Minnesota average is 7.1, the national average 9.2).

Of 47 health citations since June 2023, 2 were rated as actual harm or immediate jeopardy to residents.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.61 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 0.59 of those hours.

52.6% of nursing staff left within the year CMS measured (Minnesota average 42.2%).

CMS links it to St. Francis Health Services, an affiliated group of 14 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 47 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
35D
4E
2F
Potential for minimal harm
0A
0B
4C
July 30, 2026Standard inspection, Complaint inspection · 8 citations
  1. G
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · Actual harm, isolated · Not yet corrected
    Inspectors wroteBased on interview and document review, the facility failed to implement a system to ensure medications were consistently acquired, received, and administered as ordered for 3 of 3 residents (R20, R4, R22) reviewed. As a result, R20 did not receive hydromorphone (synthetic opioid/narcotic) for seven days and pregabalin (anticonvulsant to treat nerve pain) for four days. This resulted in actual harm when R20 experienced severe withdrawal symptoms.
  2. F
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    F851 · Administration · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Not yet corrected
    Inspectors wroteBased on observation, interview, and document review, the facility failed to consistently include the facility census on the daily nurse staff posting. This had the potential to affect all 60 current residents, their families and visitorsThe facility's Staffing Data Submission Payroll Based Journal (PBJ), noted the facility was triggered for survey review of Low Weekend Staffing and Licensed Nurses for 24 hours per day during the 1st quarter of 2026 for the following dates:Saturday 10/26/25Saturday 11/29/25Saturday 12/13/25Sunday 12/14/25Sunday 12/28/25 In addition, the facility's Staffing Data Submission Payroll Based Journal (PBJ), noted the facility was triggered for survey review of Licensed Nurses for 24 hours per day during the 2nd quarter of 2026 for the following dates:Saturday 1/3/26Saturday 1/17/26Sunday 1/18/26Saturday 1/24/26Sunday 1/25/26 In review of the facility's staff [...]
  3. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Not yet corrected
    Inspectors wroteBased on observation, interview, and document review, the facility failed to implement proper infection control procedures when handling soiled linens. This had the potential to affect all residents who used facility laundered linens.
  4. E
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Not yet corrected
    Inspectors wroteBased on interview and document review, the facility failed to notify the provider of missed medications for 3 of 3 residents (R4, R20, R22) reviewed for medication errors. Additionally, the facility failed to notify the provider of a change in condition for 1 of 1 resident (R20) who exhibited severe withdrawal symptoms.
  5. E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Not yet corrected
    Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure meal trays were served in a timely manner for 6 of 6 resident trays sampled to preserve desired temperatures and palatability. This had the potential to affect all residents who chose to eat on the unit or in their rooms.
  6. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Not yet corrected
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a comprehensive care plan was developed and/or maintained to ensure proper goals and interventions were in place to maintain adequate nutritional status for 1 of 1 resident (R4) reviewed for care plans.
  7. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Not yet corrected
    Inspectors wroteBased on observation, interview, and document review, the facility failed to monitor weights and modify/develop specific interventions for 1 of 1 resident reviewed for significant, unintentional weight loss.
  8. C
    Give residents a notice of rights, rules, services and charges.
    F572 · Resident Rights · No actual harm, potential for minimal harm, widespread · Not yet corrected
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents were promptly informed of changes to the Nursing Home Resident [NAME] of Rights (RBOR) and failed to ensure the current RBOR was available and displayed for residents, staff, and visitors to review. This deficient practice had the potential to affect 60 residents, as well as staff and visitors who relied on the outdated information.
June 30, 2026Complaint inspection · 1 citation
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 22, 2026
    Inspectors wroteBased on interview and document review, the facility failed to comprehensively assess a change in bowel status and, if needed, implement interventions to prevent complication (i.e., obstruction, discomfort) for 1 of 3 residents (R3) reviewed. R3 developed consistent loose stools on 6/20/26 which were not evaluated or assessed, and R3 then admitted to the hospital on [DATE] with a potential bowel obstruction. In addition, the facility failed to update or communicate the results of completed medical testing (i.e., lab results, urinalysis) with the primary hospice team for 1 of 3 residents (R1) reviewed. R1 had multiple laboratory tests ordered on 6/5/26; however, the rationale for testing and subsequent test results were never shared with hospice to ensure appropriate coordination of care.
May 21, 2026Complaint inspection · 1 citation
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 29, 2026
    Inspectors wroteBased on observation, interview and document review the facility failed to ensure bruising and non-pressure wounds were adequately assessed and monitored for 2 of 3 resident (R2 and R3) reviewed for injuries of unknown origin.
April 20, 2026Complaint inspection · 1 citation
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 27, 2026
    Inspectors wroteBased on interview and document review the facility failed to complete comprehensively assess level of supervision and failed to complete root cause analysis (RCA) following falls for 1 of 3 residents (R1) reviewed for falls.
December 31, 2025Complaint inspection · 1 citation
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview, and document review, the facility failed to follow the care plan to ensure safe transfers to eliminate/reduce the risk of an accident during a transfer for 1 of 3 residents (R1). This resulted in actual harm when R1 fell, sustained a significant head injury (brain bleed) that required hospitalization. The facility had implemented actions to prevent reoccurrence prior to the survey; therefore, the citation was issued at past non-compliance (PNC).
August 22, 2025Complaint inspection · 3 citations
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 22, 2025
    Inspectors wroteBased on interview and document review, the facility failed to notify physician and resident representative timely of a new injury for 1 of 3 residents (R1) reviewed.
  2. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 22, 2025
    Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure care plan interventions for transfers were implemented for 1 of 3 residents (R1) reviewed.
  3. D
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    F740 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 22, 2025
    Inspectors wroteBased on observation, interview and document review, the facility failed to monitor, review, and analyze underlying causes of resident's anxiety and agitation for 1 of 1 resident (R1) who was reviewed for behaviors.
August 7, 2025Complaint inspection · 1 citation
  1. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 9, 2025
    Inspectors wroteBased on interview and document review the facility failed to implement policies and procedures for an allegation of abuse for 1 of 1 resident (R1) who alleged abuse and the facility failed to have record of the investigation.
February 4, 2025Complaint inspection · 1 citation
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 27, 2025
    Inspectors wroteBased on interview and document review, the facility failed to report an allegation of abuse immediately (within two hours) to the State Agency (SA) for 1 of 3 (R1) residents reviewed for allegations of abuse.
August 23, 2024Complaint inspection · 1 citation
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 18, 2024
    Inspectors wroteBased on interview and document review the facility failed to ensure the provider and resident representative were notified of a fall for 1 of 3 residents (R2) reviewed.
July 26, 2024Complaint inspection · 1 citation
  1. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 20, 2024
    Inspectors wroteBased on observation, interview, and document review, the facility failed to follow physician orders for pressure ulcer care, and failed to follow infection control practices during a dressing change for 1 of 3 residents (R1) reviewed for pressure ulcers.
April 18, 2024Standard inspection, Complaint inspection · 10 citations
  1. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 24, 2024
    Inspectors wroteBased on observation, interview and document review, the facility failed to ensure residents were comprehensively assessed for self-administration of medications for 3 of 3 residents (R24, R34, and R46), reviewed and observed for self-administration of medications.
  2. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 24, 2024
    Inspectors wroteBased on interview and document review, the facility failed to ensure resident's family and/or representative were updated timely for a change in condition related to resident death for 2 of 2 residents (R203 and R205) reviewed for notification of change.
  3. D
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 24, 2024
    Inspectors wroteBased on interview and document review, the facility failed to provide the resident or their representative a written bed hold policy at the time of hospital transfer for 1 of 6 residents (R24) who was reviewed for hospitalization.
  4. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 24, 2024
    Inspectors wroteBased on interview and document review, facility failed to ensure provider orders were followed to monitor vital signs for 1 of 1 residents (R51) reviewed for following physician's orders. In addition, the facility failed to obtain a provider order for a lap positioning belt for 1 of 1 resident (R29) reviewed for use of a positioning belt.
  5. D
    Provide care or services that was trauma informed and/or culturally competent.
    F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 24, 2024
    Inspectors wroteBased on observation, interview, and document review the facility failed to comprehensively assess past trauma and implement care plan interventions utilizing a trauma-informed approach for 1 of 1 (R24) residents reviewed who's diagnoses included post-traumatic stress disorder (PTSD).
  6. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 24, 2024
    Inspectors wroteBased on interview and document review, the facility failed to ensure consulting pharmacist identified irregularities in the monthly drug regimen reviews for 3 of 5 residents (R11, R21 and R34) reviewed for unnecessary medications.
  7. D
    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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 24, 2024
    Inspectors wroteBased on interview and document review, the facility failed to ensure monitoring for potential cardiovascular and neurological adverse effects with use of psychotropic medications for 3 of 5 residents (R11, R21 and R34) reviewed for unnecessary medications.
  8. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 24, 2024
    Inspectors wroteBased on interview and document review, the facility failed to ensure 3 of 5 residents (R15, R24 and R34) reviewed for immunizations were offered and/or provided the Influenza vaccine and/or the pneumococcal vaccine series as recommended by the Centers for Disease Control (CDC) to help reduce the risk of associated infection(s).
  9. C
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) May 24, 2024
    Inspectors wroteBased on interview and document review, the facility failed to ensure the long-term care (LTC) Ombudsman was notified of hospitalizations (i.e., facility-initiated discharges) for 5 of 6 residents (R11, R15, R24, R34, and R51) reviewed for hospitalization.
  10. C
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) May 24, 2024
    Inspectors wroteBased on interview and document review the facility failed to review and/or revise the infection control programs policies and procedures at least annually. This had the potential to affect all 51 residents, all staff, and all visitors at the facility.
March 6, 2024Complaint inspection · 5 citations
  1. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 8, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure call lights were answered in a timely manner that promoted dignity for 2 of 3 residents (R8, R9) reviewed for call lights.
  2. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 8, 2024
    Inspectors wroteBased on observations, interview, and record review, the facility failed to respond to call lights timely for 2 of 3 residents (R8, R9) reviewed for call light responses and accommodation of needs
  3. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 8, 2024
    Inspectors wroteBased on observation, interview and document review, the facility failed to provide timely incontinence care for 1 of 3 residents (R3) who was dependent on staff to provide assistance with a check and change program for incontinence.
  4. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 8, 2024
    Inspectors wroteBased on observation, interview and document review, the facility failed to follow physician orders and provide appropriate wound care to promote healing and prevent potential worsening of a moisture-associated skin damage (MASD) for 1 of 1 resident (R2) with current MASD.
  5. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 8, 2024
    Inspectors wroteBased on observation, interview and document review, the facility failed to implement recommended influenza A infection control procedures for the use of personal protective equipment (PPE), for masks, during direct cares with residents to prevent the spread of infection for 2 of 3 residents (R2, R7) observed. This deficient practice had the potential to affect all residents currently residing in the facility.
January 25, 2024Complaint inspection · 4 citations
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 3, 2024
    Inspectors wroteBased on interview and document review, the facility failed to ensure resident representative and physician were notified of falls with and without injuries for 1 of 3 residents (R1) reviewed for accidents.
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 3, 2024
    Inspectors wroteBased on interview and document review, the facility failed to comprehensively assess and implement continuous monitoring for signs and symptoms of urinary tract infection (UTI) and notify physician timely with change in condition and/or worsening symptoms for 1 of 3 residents (R1), who were reviewed for change in condition.
  3. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 3, 2024
    Inspectors wroteBased on interview and document review, the facility failed to comprehensively re-assess and revise resident's care plan for 1 of 3 residents (R1) reviewed, who was cognitively impaired and had multiple falls resulting in minor injuries.
  4. D
    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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 3, 2024
    Inspectors wroteBased on interview and document review, the facility failed to identify target behaviors, revise care plans to include non-pharmacological interventions, and monitor effectiveness for 3 of 3 residents (R1, R2, R3) reviewed who were prescribed schedule psychotropic medications.
September 14, 2023Complaint inspection · 2 citations
  1. D
    Provide or obtain dental services for each resident.
    F791 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 27, 2023
    Inspectors wroteBased on observation, interview and document review, the facility failed to ensure an emergency room (ER) dental referral for follow-up dental services was acted upon and provided for 1 of 1 resident (R1) observed to have numerous missing and broken teeth with dental pain and reported difficulty chewing.
  2. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) October 27, 2023
    Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure required nurse staffing information was posted daily. This had potential to affect all 56 residents, staff, and visitors who could wish to review this information.
June 29, 2023Standard inspection · 7 citations
  1. E
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 28, 2023
    Inspectors wroteBased on observation, interview and document review the facility failed to ensure range of motion exercises were completed to prevent further contractures for 4 of 4 residents (R15, R29, R21 and R37) reviewed for range of motion (ROM). In addition, the facility failed to ensure an ordered hand splints was applied consistently to maintain range of motion for 1 of 1 resident (R21) reviewed for position and mobility.
  2. E
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 28, 2023
    Inspectors wroteBased on interview and document review, the facility failed to ensure 4 of 5 residents (R28, R42,R5, R8) were offered or received the pneumococcal vaccine (PCV20) in accordance with the Centers for Disease Control (CDC) recommendations.
  3. D
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    F604 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 28, 2023
    Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure residents were free from physical restraints for 2 of 2 residents (R22 and R37) reviewed who had a seatbelt in their wheelchairs and/or a device in the bed to prevent them from getting up.
  4. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 28, 2023
    Inspectors wroteR21's quarterly MDS dated [DATE], identified moderate cognitive impairment, was dependent on staff for most ADL's. Diagnoses included disease of spinal cord, and upper and lower extremity contractures. R21's care plan dated 12/29/22, indicated R21 was totally dependent on staff for grooming hygiene, dressing, and bathing. During observation and interview on 6/26/23 at 12:20 p.m., R21's face was unshaven, and fingernails were long. R21 stated he had not been shaved in a few days and did not remember the last time he received oral care. R21 stated he was supposed to receive assistance with oral care and shaving every day, but staff did not offer to help him. R21 stated his nails were longer than he preferred and would like them trimmed. [...]
  5. D
    Provide care or services that was trauma informed and/or culturally competent.
    F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 28, 2023
    Inspectors wroteBased on observation, interview, and document review the facility failed to comprehensively assess past trauma and implement care plan interventions utilizing a trauma-informed approach for 1 of 1 (R17) resident reviewed who had post-traumatic stress disorder (PTSD).
  6. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 28, 2023
    Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure supply and administration of ordered medication for 1 of 5 resident (R19) reviewed for pharmacy services.
  7. D
    Provide or get specialized rehabilitative services as required for a resident.
    F825 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 28, 2023
    Inspectors wroteBased on observation, interview and document review, the facility failed to provide occupational therapy as ordered for 1 of 2 residents (R15) reviewed for therapy services.

Fire safety inspections

10 fire safety citations on file: 7 on July 30, 2026, 2 on April 18, 2024, 1 on June 29, 2023.

Every fire safety citation10 citations
  1. F
    Address patient/client population and determine types of services needed.
    E 7 · July 30, 2026 · Not yet corrected
  2. F
    Establish emergency prep training and testing.
    E 36 · July 30, 2026 · Not yet corrected
  3. F
    Establish staff and initial training requirements.
    E 37 · July 30, 2026 · Not yet corrected
  4. F
    Conduct testing and exercise requirements.
    E 39 · July 30, 2026 · Not yet corrected
  5. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · July 30, 2026 · deficient, provider has
  6. C
    List the names and contact information of those in the facility.
    E 30 · July 30, 2026 · Not yet corrected
  7. C
    Provide a means of sharing information on occupancy/needs.
    E 34 · July 30, 2026 · Not yet corrected
  8. E
    Provide properly protected cooking facilities.
    K 324 · April 18, 2024 · Waiver
  9. C
    Establish emergency prep training and testing.
    E 36 · April 18, 2024 · Corrected (the home has a date of correction)
  10. D
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · June 29, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeMinnesotaUnited States
All nursing staff (RN, LPN and aides)3.614.193.86
Registered nurses0.591.060.69
All nursing staff on weekends3.363.713.42
Nurse aides2.79
Licensed practical nurses0.24
Nursing staff turnover (share who left in a year)52.6%42.2%45.8%
Registered nurse turnover73.3%38.6%42.9%
Administrators who left1

CMS expects 3.21 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.72 on weekdays and 3.36 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.64 in April to June 2025 to 3.61 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.610.593.723.36 3.6%0 of 9059
Oct to Dec 20253.520.563.693.07 0.0%1 of 9254
Jul to Sep 20253.820.804.043.26 0.0%0 of 9253
Apr to Jun 20253.640.743.912.95 0.0%0 of 9156
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Minnesota, Jan to Mar 20264.191.054.383.735.2%0.8% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Minnesota

JobMedianMiddle halfEmployed
Minnesota, all employers
CNAs (nursing assistants)$22.44$19.39 to $23.7229,120
LPNs and LVNs$30.65$28.83 to $34.2612,840
Registered nurses$48.80$42.76 to $55.1770,110
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

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For Little Falls Care Center. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeMinnesotaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
18.118.213.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
4.91.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
4.62.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.14.03.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.01.91.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
21.420.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.55.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
17.417.115.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
16.123.523.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
30.914.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.61.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
5.81.91.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Little Falls Care Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (52.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

52.7% this home

No different from the national rate

US median of homes 51.5% · Minnesota: 66 better, 14 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 39 eligible stays.

Potentially preventable readmissions

10.3% this home

No different from the national rate

US median of homes 10.7% · Minnesota: 0 better, 0 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 43 eligible stays.

Infections that led to a hospital stay

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

US median of homes 7.1% · Minnesota: 2 better, 0 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 23 eligible stays.

Self-care and mobility at discharge

85.0% this home

Median of homes: Minnesota57.8% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 20 residents counted.

Falls with major injury

0.0% this home

Median of homes: Minnesota0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 21 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Minnesota2.0% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 21 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Minnesota98.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 14 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: LITTLE FALLS HEALTH SERVICES. CMS links this home to St. Francis Health Services, a group of 14 nursing homes averaging 2.9 stars overall.

NameRoleTypeShareSince
Dripps, DanielManaging control - governing bodyIndividual01/01/2016
Ehlers, DouglasManaging control - governing bodyIndividual01/01/2023
Goodnough, JenniferManaging control - governing bodyIndividual01/01/2021
Lair, MichaelManaging control - governing bodyIndividual01/01/2025
Lienemann, StevenManaging control - governing bodyIndividual01/01/2025
Luetmer, JohnManaging control - governing bodyIndividual01/01/2021
Nelson, PatrickManaging control - governing bodyIndividual01/01/2020
Rentz, LauraManaging control - governing bodyIndividual01/01/2024
Rentz, PaulManaging control - governing bodyIndividual01/01/2021
Schneider, ToddManaging control - governing bodyIndividual07/01/2013
Wiese, LorraineManaging control - governing bodyIndividual07/25/2017
Bach, CurtisCorporate directorIndividual08/28/2024
Dripps, DanielCorporate directorIndividual01/01/2016
Ehlers, DouglasCorporate directorIndividual01/01/2023
Goodnough, JenniferCorporate directorIndividual01/01/2021
Gramm, TimothyCorporate directorIndividual01/01/2023
Lair, MichaelCorporate directorIndividual01/01/2025
Lienemann, StevenCorporate directorIndividual12/31/2011
Luetmer, JohnCorporate directorIndividual01/01/2021
Nelson, PatrickCorporate directorIndividual01/01/2020
Peterson-Devries, CamiCorporate directorIndividual05/08/2022
Raw, CarolCorporate directorIndividual08/16/2005
Rentz, LauraCorporate directorIndividual01/01/2024
Rentz, PaulCorporate directorIndividual01/01/2021
Schneider, ToddCorporate directorIndividual07/01/2013
Wiese, LorraineCorporate directorIndividual07/25/2017
Bach, CurtisCorporate officerIndividual08/28/2024
Peterson-Devries, CamiCorporate officerIndividual05/08/2022
Raw, CarolCorporate officerIndividual08/16/2005
Big Stone Therapies, IncOperational/managerial controlOrganization02/03/2015
Eide Bailly LLPOperational/managerial controlOrganization01/03/2023
St. Francis Health Services of Morris, IncOperational/managerial controlOrganization01/01/2014
Bach, CurtisOperational/managerial controlIndividual08/28/2024
Bakke, ChristineOperational/managerial controlIndividual09/30/2019
Caspers, MeganOperational/managerial controlIndividual12/29/2014
Christensen, JeanOperational/managerial controlIndividual12/30/2024
Dripps, DanielOperational/managerial controlIndividual01/01/2016
Ehlers, DouglasOperational/managerial controlIndividual01/01/2023
Goodnough, JenniferOperational/managerial controlIndividual01/01/2021
Gramm, TimothyOperational/managerial controlIndividual01/01/2023
Hanneken, MichelleOperational/managerial controlIndividual07/20/2022
Hejhal, RoxanneOperational/managerial controlIndividual04/10/2023
Hofmann, ReedOperational/managerial controlIndividual05/08/2023
Huseth, KendraOperational/managerial controlIndividual02/26/2024
Lair, MichaelOperational/managerial controlIndividual01/01/2025
Lienemann, StevenOperational/managerial controlIndividual01/01/2025
Luetmer, JohnOperational/managerial controlIndividual01/01/2021
Marlow, JinaOperational/managerial controlIndividual06/06/2022
Miller, KellyOperational/managerial controlIndividual06/09/2020
Nelson - Holien, KelsiOperational/managerial controlIndividual01/01/2025
Nelson, PatrickOperational/managerial controlIndividual01/01/2020
Nolting, StacyOperational/managerial controlIndividual03/05/2025
Peterson-Devries, CamiOperational/managerial controlIndividual05/08/2022
Raw, CarolOperational/managerial controlIndividual08/16/2005
Rentz, LauraOperational/managerial controlIndividual01/01/2024
Rentz, MarkOperational/managerial controlIndividual04/22/2024
Rentz, PaulOperational/managerial controlIndividual01/01/2021
Rife, DarenOperational/managerial controlIndividual09/17/2025
Ryan, BenOperational/managerial controlIndividual12/27/2012
Schneider, ToddOperational/managerial controlIndividual07/01/2013
Schyma, SheliaOperational/managerial controlIndividual02/18/2020
Stock, KelseyOperational/managerial controlIndividual06/01/2022
Thompson, ReneeOperational/managerial controlIndividual10/10/2018
Tomoson, AprilOperational/managerial controlIndividual07/12/2021
Verley, KellyOperational/managerial controlIndividual08/18/2020
Walker, AmyOperational/managerial controlIndividual05/13/2024
Wiese, LorraineOperational/managerial controlIndividual07/25/2017
Big Stone Therapies, IncAdp of the SNFOrganization10/23/2025
Eide Bailly LLPAdp of the SNFOrganization10/23/2025
St. Francis Health Services of Morris, IncAdp of the SNFOrganization12/01/2025
Bach, CurtisAdp of the SNFIndividual08/28/2024
Bakke, ChristineAdp of the SNFIndividual09/30/2019
Bausch, AaronAdp of the SNFIndividual03/18/2025
Caspers, MeganAdp of the SNFIndividual12/29/2014
Christensen, JeanAdp of the SNFIndividual12/30/2024
Dripps, DanielAdp of the SNFIndividual01/01/2016
Ehlers, DouglasAdp of the SNFIndividual01/01/2023
Goodnough, JenniferAdp of the SNFIndividual01/01/2021
Hanneken, MichelleAdp of the SNFIndividual07/20/2022
Hejhal, RoxanneAdp of the SNFIndividual04/10/2023
Hofmann, ReedAdp of the SNFIndividual05/08/2023
Huseth, KendraAdp of the SNFIndividual02/26/2024
Lair, MichaelAdp of the SNFIndividual01/01/2025
Lathrop, CarlyAdp of the SNFIndividual12/23/2024
Lienemann, StevenAdp of the SNFIndividual01/01/2025
Luetmer, JohnAdp of the SNFIndividual01/01/2021
Marlow, JinaAdp of the SNFIndividual06/06/2022
Miller, KellyAdp of the SNFIndividual06/09/2020
Nelson - Holien, KelsiAdp of the SNFIndividual01/01/2025
Nelson, PatrickAdp of the SNFIndividual01/01/2020
Nolting, StacyAdp of the SNFIndividual03/05/2025
Peterson-Devries, CamiAdp of the SNFIndividual05/08/2022
Raw, CarolAdp of the SNFIndividual08/16/2005
Rentz, LauraAdp of the SNFIndividual01/01/2024
Rentz, MarkAdp of the SNFIndividual04/22/2024
Rentz, PaulAdp of the SNFIndividual01/01/2021
Rife, DarenAdp of the SNFIndividual09/17/2025
Ryan, BenAdp of the SNFIndividual12/27/2012
Schneider, ToddAdp of the SNFIndividual07/01/2013
Schyma, SheliaAdp of the SNFIndividual02/18/2020
Stock, KelseyAdp of the SNFIndividual06/01/2022
Thompson, ReneeAdp of the SNFIndividual10/10/2018
Tomoson, AprilAdp of the SNFIndividual07/12/2021
Verley, KellyAdp of the SNFIndividual08/18/2020
Walker, AmyAdp of the SNFIndividual05/13/2024
Wiese, LorraineAdp of the SNFIndividual07/25/2017

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 18 problems in this area, most recently on July 30, 2026: "Provide enough food/fluids to maintain a resident's health."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 11 problems in this area, most recently on July 30, 2026: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on July 30, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 5 problems in this area, most recently on July 30, 2026: "Provide and implement an infection prevention and control program."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.36 hours per resident per day, below the Minnesota average of 3.71.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Minnesota contacts for a concern about a nursing home

These are the official offices in Minnesota. NursingHomeClear cannot take or act on complaints.

Common questions

What is Little Falls Care Center's Medicare star rating?
CMS rates Little Falls Care Center 1 out of 5 stars overall, with 1 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Little Falls Care Center get at its last inspection?
8 health deficiencies at the standard inspection on July 30, 2026. The Minnesota average is 7.1.
Has Little Falls Care Center been fined?
CMS lists no fines in the last three years.
Does Little Falls Care Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Little Falls Care Center?
CMS lists 106 owners and managers, and links the home to St. Francis Health Services. Legal business name: LITTLE FALLS HEALTH SERVICES.

Sources

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