Koochiching Health Services in Littlefork, MN has a 1-star overall rating, with a 1-star health inspection rating and 2-star quality measures, but 4-star staffing. Reported nurse staffing is 3.41 hours per resident per day, below the federal benchmark of 4.1, and the facility has had $218,595 in fines in the last 24 months plus a recent federal penalty.
Last inspection: December 10, 2025Penalties, last 24 months: $218,595recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4084.
Staffing detail
Registered nurses
0.84
Licensed practical nurses
0.74
Nurse aides
1.82
Weekend nursing
2.83
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 56%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
41.4%43.3%Worsening
Residents with a fall causing major injury
5.6%9.1%Worsening
Residents with pressure ulcers (bedsores)
6.8%3.4%Improving
Residents with a urinary tract infection
5.6%9.4%Worsening
Residents who lost too much weight
5.9%10.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
6.1%16.7%Worsening
Residents whose ability to walk got worse
—13.1%—
Long-stay residents on antianxiety or sleep medication
17.1%21.9%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
4.7%4.2%No change
Residents with new or worsening incontinence
11.4%10.1%Improving
Residents with depressive symptoms
3.4%6.9%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
97.2%100%Improving
Short-stay residents given the pneumonia vaccine
—54.2%—
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited February 2025 — widespread issue, immediate jeopardy to residents.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: L
The home failed to protect residents’ right to complain without fear and did not ensure grievances were handled promptly. Cited December 2025 — limited pattern, potential for harm.
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F-Tag 585 — 42 CFR §483.10 — S/S: E
The home failed to monitor antibiotic use properly. Cited December 2025 — limited pattern, potential for harm.
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F-Tag 881 — 42 CFR §483.80 — S/S: E
The home failed to properly reduce or limit psychotropic medication use and try safer non-drug approaches when appropriate. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 758 — 42 CFR §483.45(e) — S/S: E
The nursing home failed to protect residents from abuse and neglect by others. Cited December 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $218,595 was recorded.
PENALTY
A federal fine of $179,075 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $218,595 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Feb 20, 2025
47 days
Federal fine
Feb 20, 2025
$218,595
Operator & ownership
Ownership
Non profit - Corporation
Chain
Part of ST. FRANCIS HEALTH SERVICES · 14 homes · 2.9 stars avg
Occupancy
36.3 residents on an average day (86% of 42 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 35 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.