Pennington County, Minnesota · Nursing home
Thief River Care Center
2 of 5 overall from CMS
2001 Eastwood Drive, Thief River Falls, MN 56701
At a glance
- Overall rating 2 of 5 Below the state average of 3.2
- Nurse time per resident, per day 3.71 hours Below the state average of 4.19
- Nursing staff who left in a year 40.9% Below the state average of 42.2%
- Health citations, last 3 inspection cycles 26 5 at the harm level or above
- Fines in 3 years $245,902 5 fines
- Certified beds in use 95.1% of 70 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Thief River Care Center is a 70-bed nursing home in Thief River Falls, Minnesota (Pennington County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 3.71 nurse staffing hours per resident per day, below the Minnesota average of 4.19. CMS lists 5 fines totaling $245,902 in the past three years.
- Certified beds
- 70
- Residents per day (average)
- 66.6
- Certified since
- 1982 (44 yrs)
Non profit - Corporation Participates in Medicare and MedicaidPart of St. Francis Health Services (14 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Thief River Care Center
Chosen from this home's public data.
- CMS lists 5 fines totaling $245,902 in the past three years. What changed after the most recent one?Penalties in CMS data
- About 95.1% of certified beds are in use on an average day. Is there a waiting list, and how long is it?Certified beds and average residents in CMS data
- Registered nurse time is 0.90 hours per resident per day; the Minnesota average is 1.06. Is an RN on site overnight?RN staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 Minnesota average 3.2
- Health inspections 1 of 5 Minnesota average 2.8
- Staffing 5 of 5 Minnesota average 4.1
- Quality measures 2 of 5 Minnesota average 3.1
The vertical line marks the Minnesota average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.71 h Minnesota average 4.19
- Nurse aides 2.31 h Minnesota average 2.52
- Licensed practical nurses 0.50 h Minnesota average 0.61
- Registered nurses 0.90 h Minnesota average 1.06
- All staff, weekends 3.36 h Minnesota average 3.71
How much nurse staffing is enough? All bars share one scale, 0 to 10 hours. The vertical line marks the Minnesota average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover40.9%
- Minnesota average42.2%
- Registered nurse turnover40.0%
- Minnesota average38.6%
- Administrators who left1
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Minnesota and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Minnesota | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 18.9% | 18.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 2.1% | 4.1% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.4% | 1.9% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 3.3% | 2.6% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.0% | 4.1% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 1.6% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 5.2% | 4.0% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 97.4% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 33.3% | 20.5% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.7% | 12.5% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.7% | 96.1% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 0.9% | 5.2% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.6% | 24.5% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 17.1% | 17.1% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Too few residents or stays to report | 1.61 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Too few residents or stays to report | 1.90 | 1.78 |
Short-stay residents
| Measure | This home | Minnesota | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 88.8% | 88.1% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% | 1.9% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 82.7% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Too few residents or stays to report | 23.5% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | 14.8% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 26 health deficiencies in the three most recent inspection cycles. Of these, 4 were at the immediate jeopardy level and 1 involved actual harm; the rest were graded as no actual harm. 10 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Dec 30, 2025: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Apr 1, 2026 | 6 | 6 |
| Jan 16, 2025 | 9 | 8 |
| Nov 1, 2023 | 11 | 0 |
Minnesota homes averaged 7.1 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (26)
-
EPotential for more than minimal harm, pattern
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 6, 2026)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (May 5, 2026)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (May 5, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (May 5, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care · Deficient, Provider has date of correction (May 5, 2026)
Show 21 more
-
JImmediate jeopardy, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Past Non-Compliance (Dec 18, 2025)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Feb 19, 2025)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Feb 19, 2025)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Mar 14, 2025)
-
EPotential for more than minimal harm, pattern
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · Deficient, Provider has date of correction (Feb 19, 2025)
-
DPotential for more than minimal harm, isolated
Reasonably accommodate the needs and preferences of each resident.
Resident Rights · Deficient, Provider has date of correction (Feb 19, 2025)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 14, 2025)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 19, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 19, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 19, 2025)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (May 31, 2024)
-
JImmediate jeopardy, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Past Non-Compliance (Apr 15, 2024)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 17, 2024)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 6, 2024)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 6, 2024)
-
JImmediate jeopardy, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jan 20, 2024)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jan 20, 2024)
-
JImmediate jeopardy, isolated
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights · Deficient, Provider has date of correction (Dec 1, 2023)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Dec 1, 2023)
-
DPotential for more than minimal harm, isolated
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights · Deficient, Provider has date of correction (Dec 1, 2023)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 1, 2023)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Dec 30, 2025 | Fine | $26,685 |
| Jan 16, 2025 | Fine | $124,800 |
| Jan 16, 2025 | Payment Denial | 23 days |
| Apr 12, 2024 | Fine | $19,800 |
| Jan 3, 2024 | Fine | $65,302 |
| Nov 1, 2023 | Fine | $9,315 |
| Nov 1, 2023 | Payment Denial | 2 days |
Minnesota homes averaged 0.8 fines and $24,507 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Minnesota
- Size126 of 338 by certified beds
- Minnesota average residents per day60.3
- ChainSt. Francis Health Services
- Chain average overall rating2.9 of 5
- Resident or family councilResident
- Homes in Pennington County2
Common questions
What is the CMS star rating for Thief River Care Center?
Thief River Care Center has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 5 and quality measures is 2.
How many beds does Thief River Care Center have?
Thief River Care Center has 70 certified beds. It averages 66.6 residents per day, about 95.1% of its certified beds.
How much nursing care do residents get at Thief River Care Center?
The home reports 3.71 hours of nurse staffing per resident per day, including 0.90 hours from registered nurses. The Minnesota average is 4.19 hours and 1.06 hours from registered nurses.
Has Thief River Care Center been fined?
Yes. CMS lists 5 fines totaling $245,902 in the past three years. It also lists 2 payment denials.
Does Thief River Care Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 Oakland Park Communities, Inc. 35beds 96.9%in use 3.78nurse hours a day
- 4 of 5 North Star Manor 45beds 84.9%in use 5.04nurse hours a day
- 1 of 5 Villa St. Vincent 100beds 90.6%in use 3.96nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Pennington County
Who to call in Minnesota
These offices serve residents of every nursing home in Minnesota.
- Long-term care ombudsman Office of Ombudsman for Long-Term Care (OOLTC) 1-800-657-3591 (Also 651-431-2555. Calls answered 8:00 AM - 4:00 PM, Monday to Friday. TDD/TTY: 711. Email MBA.OOLTC@state.mn.us; fax 651-431-7452.) An advocate for residents and their families.
- File a complaint about a nursing home Office of Health Facility Complaints (OHFC) 651-201-4200 (Email: health.ohfc-complaints@state.mn.us. MDH directs suspected maltreatment of a vulnerable adult (abuse, neglect, financial exploitation, unexplained injury) to the Minnesota Adult Abuse Reporting Center (MAARC), 844-880-1574 (toll free).) The state agency that inspects nursing homes.
Minnesota staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 245252. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.