Home / Minnesota / Little Falls
St. Ottos Care Center
920 Southeast 4th Street, Little Falls, MN 56345 · Morrison County · (320) 632-9281
86 certified beds, about 82 residents a day · For profit - Corporation · Medicare and Medicaid since 1983
CMS Care Compare ratings, data as of September 1, 2026 · CCN 245257 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 4, 2025, inspectors cited 0 health deficiencies (the Minnesota average is 7.1, the national average 9.2).
None of its 4 health citations since February 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.17 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 1.14 of those hours.
28.2% of nursing staff left within the year CMS measured (Minnesota average 42.2%).
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.
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 4 health citations on file.
December 4, 2025Standard inspection · 0 citations
November 8, 2024Standard inspection · 4 citations
- D Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Inspectors wroteBased on interview and document review, the facility failed to notify the county (designated State Mental Health Authority (SMHA)) for 1 of 1 resident (R76) with new onset mental illness.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and document review, the facility failed to ensure provider orders were processed for 1 of 1 resident (R76) reviewed for change in mental status.
- D 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.
Inspectors wroteBased on interview, and document review, the facility failed to implement interventions to prevent further development of decreased range of motion for 2 of 3 residents (R5 and R10) reviewed for positioning and mobility.
- 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.
Inspectors wroteBased on observation, interview, and document review, the facility failed to implement and monitor orthostatic blood pressures and obtain a baseline AIMS (abnormal involuntary movement scale) with the initiation of an antipsychotic medication for 1 of 3 residents (R76) reviewed for antipsychotic medications.
February 8, 2024Standard inspection · 0 citations
Fire safety inspections
6 fire safety citations on file: 1 on December 4, 2025, 2 on November 8, 2024, 3 on February 8, 2024.
Every fire safety citation6 citations
- D Inspect, test, and maintain automatic sprinkler systems.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Implement emergency and standby power systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
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.
| Measure | This home | Minnesota | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.17 | 4.19 | 3.86 |
| Registered nurses | 1.14 | 1.06 | 0.69 |
| All nursing staff on weekends | 3.64 | 3.71 | 3.42 |
| Nurse aides | 2.53 | ||
| Licensed practical nurses | 0.50 | ||
| Nursing staff turnover (share who left in a year) | 28.2% | 42.2% | 45.8% |
| Registered nurse turnover | 21.7% | 38.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.16 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 4.38 on weekdays and 3.64 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.56 in April to June 2025 to 4.17 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.17 | 1.14 | 4.38 | 3.64 | 0.0% | 0 of 90 | 82 |
| Oct to Dec 2025 | 4.27 | 1.12 | 4.46 | 3.78 | 0.0% | 0 of 92 | 80 |
| Jul to Sep 2025 | 4.80 | 1.21 | 5.03 | 4.21 | 0.0% | 0 of 92 | 77 |
| Apr to Jun 2025 | 4.56 | 1.01 | 4.75 | 4.09 | 0.0% | 0 of 91 | 79 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Minnesota, Jan to Mar 2026 | 4.19 | 1.05 | 4.38 | 3.73 | 5.2% | 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.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Minnesota | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 18.3 | 18.2 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.8 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.2 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.1 | 4.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.3 | 1.9 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 20.5 | 20.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.8 | 5.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.6 | 17.1 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 4.4 | 1.9 | 1.8 |
Owners and operators
Legal business name: ST OTTOS CARE CENTER INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bernander, Brian | Direct ownership interest | Individual | 11/01/2016 | |
| Bernander, Krista | Direct ownership interest | Individual | 11/01/2016 | |
| B2k Communities LLC. | 5% or greater mortgage interest | Organization | 11/01/2016 | |
| Bernander, Brian | Corporate director | Individual | 08/04/2016 | |
| Bernander, Krista | Corporate director | Individual | 08/04/2016 | |
| Bernander, Brian | Corporate officer | Individual | 08/04/2016 | |
| Bernander, Krista | Corporate officer | Individual | 08/04/2016 | |
| Bernander, Brian | Operational/managerial control | Individual | 11/01/2016 | |
| Bernander, Krista | Operational/managerial control | Individual | 11/01/2016 | |
| Bernardy, Dorothy | Operational/managerial control | Individual | 11/01/2016 | |
| Eggerth, Charlie | Operational/managerial control | Individual | 11/01/2016 | |
| Jacobs, Karen | Operational/managerial control | Individual | 11/01/2016 | |
| Nelson - Holien, Kelsi | Operational/managerial control | Individual | 01/01/2023 | |
| Potter, Danna | Operational/managerial control | Individual | 01/01/2022 | |
| Primus, Deanna | Operational/managerial control | Individual | 11/01/2016 | |
| Schuett, Michelle | Operational/managerial control | Individual | 07/23/2022 | |
| Udy, Lisa | Operational/managerial control | Individual | 12/01/2022 | |
| B2k Communities LLC. | Adp of the SNF | Organization | 11/01/2016 | |
| Bernander, Brian | Adp of the SNF | Individual | 11/01/2016 | |
| Bernander, Krista | Adp of the SNF | Individual | 11/01/2016 | |
| Bernardy, Dorothy | Adp of the SNF | Individual | 11/01/2016 | |
| Eggerth, Charlie | Adp of the SNF | Individual | 11/01/2016 | |
| Nelson - Holien, Kelsi | Adp of the SNF | Individual | 02/01/2023 | |
| Potter, Danna | Adp of the SNF | Individual | 01/01/2022 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on November 8, 2024: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on November 8, 2024: "Notify the appropriate authorities when residents with MD or ID services has a significant change in condition."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on November 8, 2024: "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."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.64 hours per resident per day, below the Minnesota average of 3.71.
Other nursing homes nearby
- Little Falls Care Center Little Falls, 1 mi · 1 of 5 stars · 47 citations
- Pierz Villa Inc Pierz, 12.5 mi · 4 of 5 stars · 8 citations
- Cura of Long Prairie Long Prairie, 23.6 mi · 4 of 5 stars · 7 citations
- Benedictine Living Community Mother of Mercy Albany, 25 mi · 2 of 5 stars · 31 citations
Minnesota contacts for a concern about a nursing home
These are the official offices in Minnesota. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Minnesota Department of Health, Health Regulation Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
- State inspection reports: MDH Nursing and Boarding Care Home Survey and Complaint Inspection Findings, where Minnesota publishes its own records on licensed homes.
Common questions
- What is St. Ottos Care Center's Medicare star rating?
- CMS rates St. Ottos Care Center 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did St. Ottos Care Center get at its last inspection?
- 0 health deficiencies at the standard inspection on December 4, 2025. The Minnesota average is 7.1.
- Has St. Ottos Care Center been fined?
- CMS lists no fines in the last three years.
- Does St. Ottos 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 St. Ottos Care Center?
- CMS lists 24 owners and managers. Legal business name: ST OTTOS CARE CENTER INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.