Health Inspection

First Care Living Center

Q: What is an F-tag violation?

F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.

Q: Were these violations corrected?

Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.

Q: How often do nursing home inspections happen?

CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.

Q: What should families do about these violations?

Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in FOSSTON, MN, (5) Report new concerns to state authorities.

Q: Where can I see the full inspection report?

Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from FIRST CARE LIVING CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

May 28, 2026 · Fosston, MN · 900 Hilligoss Boulevard Southeast

Citations 4

CMS Rating 4/5

Beds 36

Provider ID 245512

Healthcare Facility

First Care Living Center

Fosston, MN · View full profile →

Source Document

Official CMS Inspection Report (Medicare.gov)

Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.

Inspection Summary

FIRST CARE LIVING CENTER in FOSSTON, MN — inspection on May 28, 2026.

Found 4 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0585

Resident Rights Deficiencies

the grievance was received, b. A summary statement of grievance; c.

The steps taken to investigate

because of the grievance; and g.

The date the written decision was issued, if required.

Regardless of

facility will document in writing (for its own records) all decisions.

245512 05/28/2026

First Care Living Center 900 Hilligoss Boulevard Southeast Fosston, MN 56542

FF0744

Quality of Life and Care Deficiencies

keep an eye on her and will redirect R8 back to her room. R8's should have been assessed and the

245512 05/28/2026

First Care Living Center 900 Hilligoss Boulevard Southeast Fosston, MN 56542

FF0883

Infection Control Deficiencies

if they have received both PCV13 (but not PCV15, PCV20, or PCV21) at any age and PPSV23 at or

245512 05/28/2026

First Care Living Center 900 Hilligoss Boulevard Southeast Fosston, MN 56542

FF0887

Infection Control Deficiencies

and staff after education, and properly document each resident and staff member's vaccination

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on

current CDC-recommended COVID-19 vaccination was offered and documented for 2 of 5 residents (R20, R27) reviewed for immunizations.

Findings include:R20:R20's admission Minimum Data Set (MDS) dated [DATE], identified R20 was admitted on [DATE], was cognitively intact and able to make her needs known. R20's diagnoses included diabetes and hypertension.R20's Preventative Health Care Report identified the last documented COVID-19 vaccination was administered on 11/23/21.

The medical record lacked evidence the resident's COVID-19 vaccination status was assessed upon admission, that current CDC recommendations were discussed, or that the resident was offered recommended COVID-19 vaccination since admission on [DATE]. R27:R27's annual MDS dated [DATE] identified R27 was admitted to the facility on [DATE] and was [AGE] years old. R27's diagnoses included coronary heart disease, heart failure, and thyroid disease.R27's medical record lacked evidence staff assessed the resident's COVID-19 vaccination status upon admission, provided education regarding current CDC recommendations, offered vaccination, or obtained a documented declination. On 5/27/26 at 1:28 p.m., registered nurse (RN)-D, who is also the infection preventionist, stated immunizations were offered upon admission and seasonally. RN-A stated she reviewed the resident's immunization status upon admission.

Immunizations were either administered, or a declination was signed after they were discussed with the resident and/or resident representative.On 5/28/26 at 8:53 a.m., the director of nursing (DON) stated she expected all immunizations would be discussed with the resident and/or resident representative upon admission and per CDC guidance, as well as documenting a progress note in the resident's medical record.The Essentia Health Standard Work Process dated 3/5/26, identified staff reviewed vaccination history for all residents at the time of admission and assess if the resident needed vaccinations including COVIS-19.

Staff provided and discussed the most current Vaccination Information Statement (VIS) with each resident and/or resident representative prior to administration, and document administration or declination in the resident's medical record.

The Centers for Disease Control 2025-2026 COVID-19 Vaccination Guidance dated 11/4/25, identified COVID-19 vaccination is recommended for all adults ages 65 years and older based on individual-based decision-making (also known as shared clinical decision-making).

For people ages 6 months-64 years, vaccination is recommended based on individual-based decision-making (also known as shared clinical decision-making)-with an emphasis that the risk-benefit of vaccination is most favorable for individuals who are at an increased risk for severe COVID-19 disease and lowest for individuals who are not at an increased risk, according to the CDC list of COVID-19 risk factors. In addition to the CDC list, the Moderna (Spikevax) package insert states that prematurity (birth at <37 weeks gestational age) has been associated with COVID-19-related hospitalizations in children ages 6-23 months.

Ages 65 years and older Unvaccinated: Administer 2 doses of 2025-2026 vaccine; Unvaccinated 2025-2026 Dose 1 (Moderna, Novavax, or Pfizer-BioNTech): Day 0 2025-2026 Dose 2 (Moderna [Spikevax], Novavax, or Pfizer-BioNTech): 6 months (minimum interval 2 months) after 2025-2026 Dose 1; (Moderna [mNexspike]): 6 months (minimum interval 3 months)? after 2025-2026 Dose 1.

Previously vaccinated before 2025-2026 vaccine: Administer 2 doses of 2025-2026 vaccine 1 or more doses any COVID-19 vaccine (Moderna, Novavax, or Pfizer-BioNTech) 2025-2026 Dose 1 (Moderna [Spikevax], Novavax, or Pfizer-BioNTech): At least 8 weeks after last dose; (Moderna [mNexspike]): At least 3 months after last dose?2025-2026 Dose 2 (Moderna [Spikevax], Novavax, or Pfizer-BioNTech): 6 months (minimum interval 2 months) after 2025-2026 Dose 1; (Moderna [mNexspike]): 6 months (minimum interval 3 months)? after 2025-2026 Dose 1.

Frequently Asked Questions

What is an F-tag violation?

F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.

Were these violations corrected?

Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.

How often do nursing home inspections happen?

CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.

What should families do about these violations?

Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in FOSSTON, MN, (5) Report new concerns to state authorities.

Where can I see the full inspection report?

Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from FIRST CARE LIVING CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.