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Nursing home report

Koochiching Health Services

Registered name: LITTLEFORK CARE CENTER

LITTLEFORK, MN · Medicare-certified · 42 beds

Needs attention
Non-profitChain member
Data as of July 1, 2026
1 of 5 overall

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.

Facility ratings

Health inspections

Staffing

3.4084 hrs/resident/day

Quality measures

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).

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).

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.

View the original federal record

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.

View the original federal record

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

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 12 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 14 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal payment denial was recorded.

  6. PENALTY

    A federal fine of $218,595 was recorded.

  7. 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.