Skilled nursing facility · CMS certification number 245512

FIRST CARE LIVING CENTER

FOSSTON, Minnesota · Medicare and Medicaid

Certified beds, as filed in Care Compare: 36

A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.

In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $14,433.00 · Payment denials: 0. The most recent penalty on file: April 26, 2024, Fine, $14,433. Every penalty on file ↓

For this facility: the citable document with full history — $295 · an email when this record changes — $99/month

Finances, as filed

No Medicare cost report on file for this facility.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated September 1, 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
ARVIN, DOUGLAS	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/18/2023
CURTIS, MICHAEL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 07/08/2024
ESSENTIA HEALTH	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/29/2025
GUPTA, PARUL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 09/02/2025
HURLEY, ALAN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/18/2023
INNOVIS HEALTH LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/29/2025
CHRISTENSEN, JAMES	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2020
HAUGEN, JOEL	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2017
HEILMAN, TIM	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2020
HORN, BEVERLY	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2017
JACKSON, AARICK	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2020
LEWANDOWSKI, LAURIE	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2017
MERTZ, TAYLOR	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/17/2022
SMITH, BENJAMIN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/17/2022
ARVIN, DOUGLAS	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 05/18/2023
GEFROH ELLISON, STEFANIE	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 08/12/2024
HURLEY, ALAN	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 05/18/2023
WATTERS, MICHAEL	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 07/01/2023
ARVIN, DOUGLAS	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 05/08/2023
CURTIS, MICHAEL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/08/2024
GUPTA, PARUL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 09/02/2025
HURLEY, ALAN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 05/18/2023
INNOVIS HEALTH LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 01/01/2017

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of FIRST CARE MEDICAL SERVICES (enrollment ID O20120426000666).

CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
ESSENTIA HEALTH	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	1/1/2017	Private equity company: No Real estate investment trust: No Holding company: No
ALAN J HURLEY	Individual	ADP OF THE SNF	Not stated in the filing	5/18/2023	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
DOUGLAS J ARVIN	Individual	ADP OF THE SNF	Not stated in the filing	5/18/2023	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
ESSENTIA HEALTH	Organization	ADP OF THE SNF	Not stated in the filing	1/29/2025	Private equity company: No Real estate investment trust: No Holding company: No
INNOVIS HEALTH LLC	Organization	ADP OF THE SNF	Not stated in the filing	1/29/2025	Private equity company: No Real estate investment trust: No Holding company: No
MICHAEL CURTIS	Individual	ADP OF THE SNF	Not stated in the filing	7/8/2024	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
PARUL GUPTA	Individual	ADP OF THE SNF	Not stated in the filing	9/2/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
AARICK L JACKSON	Individual	CORPORATE DIRECTOR	0	1/1/2020	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
BENJAMIN CODY SMITH	Individual	CORPORATE DIRECTOR	Not stated in the filing	5/17/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
BEVERLY MARY HORN	Individual	CORPORATE DIRECTOR	Not stated in the filing	1/1/2017	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
JAMES M CHRISTENSEN	Individual	CORPORATE DIRECTOR	0	1/1/2020	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
JOEL ROSS HAUGEN	Individual	CORPORATE DIRECTOR	Not stated in the filing	1/1/2017	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
LAURIE ANN LEWANDOWSKI	Individual	CORPORATE DIRECTOR	Not stated in the filing	1/1/2017	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
TAYLOR GRANT MERTZ	Individual	CORPORATE DIRECTOR	Not stated in the filing	5/17/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
TIM D HEILMAN	Individual	CORPORATE DIRECTOR	0	1/1/2020	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
ALAN J HURLEY	Individual	CORPORATE OFFICER	Not stated in the filing	5/18/2023	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
DOUGLAS J ARVIN	Individual	CORPORATE OFFICER	Not stated in the filing	5/18/2023	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MICHAEL WATTERS	Individual	CORPORATE OFFICER	Not stated in the filing	7/1/2023	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
STEFANIE GEFROH ELLISON	Individual	CORPORATE OFFICER	Not stated in the filing	8/12/2024	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
ALAN J HURLEY	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	5/18/2023	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
DOUGLAS J ARVIN	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	5/8/2023	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
INNOVIS HEALTH LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	1/1/2017	Private equity company: No Real estate investment trust: No Holding company: No
MICHAEL CURTIS	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	7/8/2024	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
PARUL GUPTA	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	9/2/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS

Changes in ownership

November 1, 2025: TRACI MORRIS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
November 1, 2025: CHERYL L WHITE no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
November 1, 2025: CHERYL L WHITE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
November 1, 2025: PARUL GUPTA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 2, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
November 1, 2025: PARUL GUPTA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 2, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
June 1, 2025: WESLEY OWEN OFSTEDAL no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
June 1, 2025: WESLEY OWEN OFSTEDAL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
June 1, 2025: WESLEY OWEN OFSTEDAL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
June 1, 2025: CHERYL L WHITE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
June 1, 2025: CHERYL L WHITE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
May 1, 2025: MICHAEL CURTIS no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
May 1, 2025: DOUGLAS J ARVIN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
May 1, 2025: ALAN J HURLEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
May 1, 2025: MARK GORDON FINSTAD no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
May 1, 2025: MARK THOMPSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
May 1, 2025: INNOVIS HEALTH LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 29, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
May 1, 2025: MICHAEL CURTIS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since July 8, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
May 1, 2025: MICHAEL CURTIS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since July 8, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
May 1, 2025: DOUGLAS J ARVIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since May 18, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
May 1, 2025: DOUGLAS J ARVIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since May 8, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
May 1, 2025: ALAN J HURLEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since May 18, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
May 1, 2025: ALAN J HURLEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since May 18, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
May 1, 2025: ESSENTIA HEALTH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 29, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
May 1, 2025: ESSENTIA HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
May 1, 2025: WESLEY OWEN OFSTEDAL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
May 1, 2025: WESLEY OWEN OFSTEDAL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
May 1, 2025: STEFANIE GEFROH ELLISON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since August 12, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
September 1, 2024: CALLEN EDWARD WEISPFENNIG no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
September 1, 2024: MICHAEL CURTIS (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on September 1, 2024; associated with this enrollment since July 8, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
May 1, 2024: TRACY CAROL ZAUN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
May 1, 2024: RICHARD T VETTER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
May 1, 2024: WESLEY OWEN OFSTEDAL (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
May 1, 2024: MARK J THOMPSON (OFFICER) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since September 11, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
October 2, 2023: KIMBERLY KAY BODENSTEINER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
October 2, 2023: KIMBERLY KAY BODENSTEINER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
October 2, 2023: WILLIAM HEEGAARD no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
October 2, 2023: DOUGLAS J ARVIN (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since May 18, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
October 2, 2023: DOUGLAS J ARVIN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since May 18, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
October 2, 2023: ALAN J HURLEY (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since May 18, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
October 2, 2023: ALAN J HURLEY (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since May 18, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
October 2, 2023: MICHAEL WATTERS (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since July 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
October 2, 2023: TRACI MORRIS (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since July 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
October 2, 2023: RICHARD T VETTER (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since May 18, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
February 15, 2023: ROBERT LEE WROBLEWSKI no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
February 15, 2023: MARK C COOPER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv

Recent changes on this record

November 1, 2025: TRACI MORRIS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
November 1, 2025: CHERYL L WHITE no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
November 1, 2025: CHERYL L WHITE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
November 1, 2025: PARUL GUPTA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 2, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
November 1, 2025: PARUL GUPTA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 2, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
June 1, 2025: WESLEY OWEN OFSTEDAL no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
June 1, 2025: WESLEY OWEN OFSTEDAL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
June 1, 2025: WESLEY OWEN OFSTEDAL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
June 1, 2025: CHERYL L WHITE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
June 1, 2025: CHERYL L WHITE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
May 1, 2025: MICHAEL CURTIS no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
May 1, 2025: DOUGLAS J ARVIN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
May 1, 2025: ALAN J HURLEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
May 1, 2025: MARK GORDON FINSTAD no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
May 1, 2025: MARK THOMPSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
May 1, 2025: INNOVIS HEALTH LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 29, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
May 1, 2025: MICHAEL CURTIS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since July 8, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
May 1, 2025: MICHAEL CURTIS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since July 8, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
May 1, 2025: DOUGLAS J ARVIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since May 18, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
May 1, 2025: DOUGLAS J ARVIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since May 8, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
May 1, 2025: ALAN J HURLEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since May 18, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
May 1, 2025: ALAN J HURLEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since May 18, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
May 1, 2025: ESSENTIA HEALTH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 29, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
May 1, 2025: ESSENTIA HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
May 1, 2025: WESLEY OWEN OFSTEDAL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
May 1, 2025: WESLEY OWEN OFSTEDAL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
May 1, 2025: STEFANIE GEFROH ELLISON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since August 12, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
September 1, 2024: CALLEN EDWARD WEISPFENNIG no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
September 1, 2024: MICHAEL CURTIS (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on September 1, 2024; associated with this enrollment since July 8, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
May 1, 2024: TRACY CAROL ZAUN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
May 1, 2024: RICHARD T VETTER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
May 1, 2024: WESLEY OWEN OFSTEDAL (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
May 1, 2024: MARK J THOMPSON (OFFICER) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since September 11, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
October 2, 2023: KIMBERLY KAY BODENSTEINER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
October 2, 2023: KIMBERLY KAY BODENSTEINER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
October 2, 2023: WILLIAM HEEGAARD no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
October 2, 2023: DOUGLAS J ARVIN (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since May 18, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
October 2, 2023: DOUGLAS J ARVIN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since May 18, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
October 2, 2023: ALAN J HURLEY (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since May 18, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
October 2, 2023: ALAN J HURLEY (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since May 18, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	May 28, 2026	May 28, 2026	4	6
2	July 30, 2025	July 30, 2025	6	10
3	June 6, 2024	June 6, 2024	3	1

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

13 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
May 28, 2026	Health	F 0585	Resident Rights Deficiencies	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.	D	No	Deficient, Provider has date of correction	June 30, 2026
May 28, 2026	Health	F 0744	Quality of Life and Care Deficiencies	Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.	D	No	Deficient, Provider has date of correction	June 30, 2026
May 28, 2026	Health	F 0883	Infection Control Deficiencies	Develop and implement policies and procedures for flu and pneumonia vaccinations.	D	No	Deficient, Provider has date of correction	June 30, 2026
May 28, 2026	Health	F 0887	Infection Control Deficiencies	Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.	D	No	Deficient, Provider has date of correction	June 30, 2026
July 30, 2025	Health	F 0637	Resident Assessment and Care Planning Deficiencies	Assess the resident when there is a significant change in condition	D	No	Deficient, Provider has date of correction	August 10, 2025
July 30, 2025	Health	F 0657	Resident 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.	D	No	Deficient, Provider has date of correction	August 10, 2025
July 30, 2025	Health	F 0676	Quality of Life and Care Deficiencies	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.	D	No	Deficient, Provider has date of correction	August 1, 2025
July 30, 2025	Health	F 0688	Quality 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.	D	No	Deficient, Provider has date of correction	August 1, 2025
July 30, 2025	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	No	Deficient, Provider has date of correction	August 5, 2025
July 30, 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	July 30, 2025
June 6, 2024	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	No	Deficient, Provider has date of correction	June 30, 2024
June 6, 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	June 30, 2024
April 26, 2024	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	J	Yes	Deficient, Provider has date of correction	May 13, 2024

From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
April 26, 2024	Fine	$14,433			53817

From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	Non profit - Corporation
Legal Business Name	FIRST CARE MEDICAL SERVICES
Date First Approved to Provide Medicare and Medicaid Services	1988-01-01
Provider Resides in Hospital	Y
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Polk
Telephone Number	2184351133
Chain Name	ESSENTIA HEALTH
Chain ID	813
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	36
Average Number of Residents per Day	26.2
Overall Rating	4
Health Inspection Rating	3
QM Rating	3
Long-Stay QM Rating	3
Processing Date	2026-09-01

From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.

Get an email when this record changes

One email a day naming what moved on FIRST CARE LIVING CENTER: the field, the value before, the value after, and the date of the file that first showed it.

The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On November 1, 2025: TRACI MORRIS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. That is one line of the alert.

Follow this record for $99/month

See a sample

Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.

The citable document for FIRST CARE LIVING CENTER

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Minnesota at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

The citable document with full history — $295

Other public records in Minnesota

Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 245512.