Skilled NursingCMS verified

First Care Living Center

900 Hilligoss Boulevard Southeast, Fosston, MN 56542 · Polk County

Turn to Essentia Health Living Center located at 900 Hilligoss Blvd SE, Fosston, MN, a long-term care center with 24-hour nursing, dementia care and adult day services.

4.0CMS overall rating(218) 435-1133 Visit website ↗

Strong

Haven Scout Score

Our composite of CMS ratings, staffing, and safety. This community rates strong.

Photos via google places, facility website.

Availability outlookUsually has openings

Typically 56% full — availability is generally good.

Source: federal census data (average daily residents vs. certified beds, CMS Care Compare). Confirm current openings with an advisor — availability changes weekly.

Our evaluation

An honest, data-grounded look at this community — every claim is drawn from public inspection data.

A highly rated skilled nursing and rehab community in Fosston

First Care Living Center is a non-profit skilled nursing facility in Fosston, MN, with 50 certified beds and an average of about 28 residents per day. It operates as part of the Essentia Health network.

Medicare rates it 4 out of 5 stars overall — above the national average of about 3 stars. Component ratings: 3/5 on health inspections, 5/5 on staffing, 4/5 on quality measures.

Staff provide about 5.26 total nurse hours per resident each day (1.48 of them from registered nurses), above the national benchmark of roughly 3.9 hours. Annual nursing-staff turnover is about 41.5%, better than the ~52% national average — a sign of staffing stability. On the safety record, CMS notes 6 health deficiencies at its most recent standard survey, and 1 federal fine totaling $14,433 in the recent record.

Strengths

✓Above-average nurse staffing (5.26 hrs/resident/day)
✓Full sprinkler system
✓Active resident & family council

Things to ask about

None noted in the public data.

Best for: Families who want a highly rated, well-staffed setting in Fosston for 24/7 skilled nursing or post-hospital rehabilitation.

At a glance

Certified beds: 50
Avg. residents/day: 28
Ownership: Non profit - Corporation
Part of a chain: Essentia Health
Continuing care: No
CMS provider #: 245512

Federal quality ratings

From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.

Overall rating

Health inspections

Staffing

Quality measures

Pricing & cost

We publish transparent estimates and verify exact pricing on request. No surprises.

Level of care	Monthly cost	Source
Skilled Nursing	$8,220–$10,360/mo (median $9,040)	Local market estimate

2024–2026 published survey medians, state median adjusted to local Grand Forks prices (BEA regional price parities). Request a quote for exact pricing. Range spans semi-private to private rooms. How we estimate costs

Request exact pricing for First Care Living Center →

Staffing & care

More nursing time per resident — and lower turnover — generally means more attentive care.

Total nurse hrs / resident / day: 5.26; National avg ≈ 3.9
RN hrs / resident / day: 1.48; National avg ≈ 0.75
Nursing staff turnover: 41.5%; National avg ≈ 52%

Safety & inspection record

Federal inspectors survey nursing homes roughly once a year. Here's the latest on file.

Health deficiencies (last survey): 6
Federal fines: 1 ($14,433)
Total penalties: 1
Last standard survey: 2025-07-30
Sprinkler system: Yes
Resident & family council: Resident

What inspectors found

The most recent findings from federal health inspections (14 citations on record — showing the latest 8). Every nursing home is inspected roughly once a year; most receive some citations.

2025-07-30Severity D — potential for harmResident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

2025-07-30Severity D — potential for harmResident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2025-07-30Severity D — potential for harmQuality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

2025-07-30Severity D — potential for harmQuality of Life and Care Deficiencies

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.

2025-07-30Severity D — potential for harmPharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2025-07-30Severity D — potential for harmInfection Control Deficiencies

Provide and implement an infection prevention and control program.

2024-06-06Severity D — potential for harmQuality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2024-06-06Severity D — potential for harmInfection Control Deficiencies

Provide and implement an infection prevention and control program.

Severity uses the CMS scope/severity scale: D–F = potential for harm, G–I = actual harm, J–L = immediate jeopardy. Source: CMS Care Compare health citations; data as of the latest federal release. Discuss any finding directly with the community on a tour.

Penalty history

Federal fines and Medicare/Medicaid payment denials on record.

Date	Type	Amount
2024-04-26	Fine	$14,433

Services & amenities

✓ Full automatic sprinkler system
✓ Medicare & Medicaid certified
✓ 24-hour licensed nursing
✓ On-site rehabilitation therapy
✓ Rehabilitation services
✓ Respite / short-term stays
✓ Scheduled transportation
✓ Restaurant-style dining
✓ On-site salon / barber
✓ Daily activities & events
✓ 24-hour staff

Location

900 Hilligoss Boulevard Southeast, Fosston, MN

Monday: Open 24 hours
Tuesday: Open 24 hours
Wednesday: Open 24 hours
Thursday: Open 24 hours
Friday: Open 24 hours
Saturday: Open 24 hours
Sunday: Open 24 hours

Reviews & reputation

We aggregate ratings across Google, Yelp, and verified families — and link back to every source so you can read more.

Google

3.3

3 reviews →

Verified family reviews

No verified family reviews yet for First Care Living Center.

Have a loved one here, or recently toured? Help other families by sharing your experience — we verify every review before it's published.

Talk to an advisor about this community

Common questions about First Care Living Center

How much does First Care Living Center cost?

First Care Living Center does not publish exact rates. Comparable skilled nursing in the Fosston, MN area typically runs $8,220–$10,360 per month (median $9,040, based on published survey medians adjusted for local prices). A Haven advisor can confirm current pricing for free.

What is First Care Living Center's Medicare rating?

Medicare (CMS) rates First Care Living Center 4 out of 5 stars overall, including 3/5 for health inspections, 5/5 for staffing, 4/5 for quality measures. The national average is about 3 stars.

How is the staffing at First Care Living Center?

Staff provide about 5.26 total nurse hours per resident per day (national benchmark ≈ 3.9), and annual nursing-staff turnover is about 41.5% (national average ≈ 52%). These figures are reported to the federal government and updated regularly.

What did inspectors find at First Care Living Center?

First Care Living Center has 14 health citations on its recent federal inspection record (last standard survey: 2025-07-30). The full citation-by-citation detail, with severity levels, is published on this page.

Does First Care Living Center have availability?

Typically 56% full — availability is generally good. Availability changes weekly — a Haven advisor can confirm current openings at no cost.

What types of care does First Care Living Center offer?

First Care Living Center in Fosston, MN offers skilled nursing and is licensed for 50 beds.

The best time to decide is before a crisis decides for you

Most families start this search after a fall, a hospital stay, or a caregiver reaching a breaking point — and end up choosing from whatever has a bed open that week. Families who plan even a few weeks ahead get to choose on quality, fit, and price instead of availability alone.

Move-ins take time: assessments, paperwork, and preparation typically run 2–6 weeks in Grand Forks.
The best communities fill first: top-rated communities often run a waitlist — touring early holds your place in line.
Touring costs nothing and commits you to nothing — but it turns a future emergency into a calm, informed choice.

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Your next steps — this week

1
Confirm the fit
Check the inspection record and staffing data on this page against your loved one's needs.
2
Get exact pricing & availability
Request current rates for First Care Living Center — takes one minute, answered same day.
3
Tour 2–3 communities
Compare this community against two alternatives. Ask about staff turnover, all-in monthly cost, and care-plan changes.
4
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