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Nursing home report

Pennington Health Services (dba Thief River Care Center)

Registered name: THIEF RIVER CARE CENTER

THIEF RIVER FALLS, MN · Medicare-certified · 70 beds

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

2 of 5 stars overall. The home has a 1-star health inspection rating, 2-star quality measures, and a recent federal penalty with $124,800 in fines; reported nurse staffing is 3.71 hours per resident per day, below the 4.1-hour federal benchmark, even though the staffing rating is 5 stars.

Facility ratings

Health inspections

Staffing

3.7086 hrs/resident/day

Quality measures

Last inspection: April 1, 2026Penalties, last 24 months: $124,800recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7086.

Staffing detail

Registered nurses
0.90
Licensed practical nurses
0.50
Nurse aides
2.31
Weekend nursing
3.36

Hours per resident per day.

Total staff turnover: 41%
Registered nurse turnover: 40%

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

17.8%16.7%Improving

Residents with a fall causing major injury

5.2%4.8%No change

Residents with pressure ulcers (bedsores)

0%1.9%Worsening

Residents with a urinary tract infection

3.4%3.3%No change

Residents who lost too much weight

1.8%0%Improving

Residents who were physically restrained

1.7%1.6%No change

Residents needing more help with daily activities

23.1%22.4%Improving

Residents whose ability to walk got worse

40.7%41%No change

Long-stay residents on antianxiety or sleep medication

16.4%5.1%Improving

Short-stay residents newly given an antipsychotic

0%

Residents with a long-term catheter

3.9%5.9%Worsening

Residents with new or worsening incontinence

27.5%22.3%Improving

Residents with depressive symptoms

0%0%No change

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

93.7%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the pneumonia vaccine

90%82.8%Worsening

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The nursing home failed to protect residents from abuse and neglect by others. Cited April 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 600 — 42 CFR §483.12 — S/S: J

The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited November 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 578 — 42 CFR §483.10 — S/S: J

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

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 January 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: F

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 5 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. PENALTY

    A federal fine of $124,800 was recorded.

  5. PENALTY

    A federal payment denial was recorded.

  6. INSPECTION

    Health inspection found 9 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 4 fines · $219,217 in total fines · 2 payment denials.

  • Medicare/Medicaid payment denial

    Jan 16, 2025

    23 days
  • Federal fine

    Jan 16, 2025

    $124,800
  • Federal fine

    Apr 12, 2024

    $19,800
  • Federal fine

    Jan 3, 2024

    $65,302
  • Medicare/Medicaid payment denial

    Nov 1, 2023

    2 days
  • Federal fine

    Nov 1, 2023

    $9,315

Operator & ownership

Ownership
Non profit - Corporation
Chain
Part of ST. FRANCIS HEALTH SERVICES · 14 homes · 2.9 stars avg
Occupancy
66.6 residents on an average day (95% of 70 beds)
Resident voice
Resident council
Medicare history
Certified for 44 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.