Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

LITTLE FALLS CARE CENTER

LITTLE FALLS, MN · 64 certified beds · Last Life Safety survey April 18, 2024

CMS Certification Number 245399 · first certified December 1986

Ownership

Operated by ST. FRANCIS HEALTH SERVICES · Non profit - Other

No change of ownership on CMS record since January 1, 2016, when the records begin.

9
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

Position within MN

9 citations — more than 31% of the 338 certified nursing homes in MN. Compared within MN rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 3.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (March 2025 to June 2025), and past the point by which nine in ten MN facilities have been surveyed. This facility’s last Life Safety survey was April 2024. Facilities in MN are typically surveyed 11–14 months after the last one (median 13), measured over 613 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

Get an email about LITTLE FALLS CARE CENTER

One email when it happens. No account; stop it any time with one click.

Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

1 of the 9 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

5 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 9 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in MN, and nationally. Surveyors differ markedly between states, so the MN figure is the meaningful one.

This facility9MN median12National median11
Citations on file over three years, compared
MeasureCitations
This facility9
Median facility in MN12
Median facility nationally11

Survey history

Citations at each Life Safety survey
62022-0612023-0622024-04
Citations at each Life Safety survey
Survey dateCitations
June 30, 20226
June 29, 20231
April 18, 20242

Most-cited tags

Most-cited tags at this facility
K-02912K-09011E-00361K-03241K-07121K-03541K-03461K-01321
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0291Install emergency lighting that can last at least 1 1/2 hours.22023-06-29
K-0901Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.12022-06-30
E-0036Establish emergency prep training and testing.12024-04-18
K-0324Provide properly protected cooking facilities.12024-04-18
K-0712Have simulated fire drills held at unexpected times.12022-06-30
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.12022-06-30
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.12022-06-30
K-0132Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.12022-06-30

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 3
  • Egress Deficiencies 2
  • Construction Deficiencies 1
  • Emergency Preparedness Deficiencies 1
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies3
Egress Deficiencies2
Construction Deficiencies1
Emergency Preparedness Deficiencies1
Electrical Deficiencies1
Miscellaneous Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

April 18, 2024 — 2 citations

Citations issued on April 18, 2024
TagWhat the surveyor checksStatus
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (May 24, 2024)
K-0324Provide properly protected cooking facilities.Waiver has been granted

June 29, 2023 — 1 citation

Citations issued on June 29, 2023
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (August 12, 2023)

June 30, 2022 — 6 citations

Citations issued on June 30, 2022
TagWhat the surveyor checksStatus
K-0132Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.Deficient, Provider has date of correction (August 3, 2022)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (August 3, 2022)
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has date of correction (August 3, 2022)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (August 3, 2022)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (August 3, 2022)
K-0901Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.Deficient, Provider has date of correction (August 3, 2022)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.