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Nursing HomeMedicaid Top Rated

St Ottos Care Center

Strong Medicare quality ratings; families often praise friendly and engaging staff. Still worth an in-person visit.

920 Southeast 4th Street, Little Falls, MN 5634586 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
3.2/5

based on 10 Google reviews

5
4
3
2
1
St Ottos Care Center Nursing Home in Little Falls, MN — Street View
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What this means for your family

While the facility is praised for its activities and friendly staff, the reports of medication errors and poor communication are significant red flags. We strongly advise families to ask for a detailed plan on how the facility manages medication safety and to clarify the expected response time for after-hours communication with nursing staff.

Google Reviews

Google Reviews

10 reviews on Google
St. Ottos Care Center receives conflicting feedback regarding the quality of care and communication. While some families appreciate the friendly staff and active engagement programs, others report serious concerns regarding medication errors and a lack of responsiveness from nursing staff during off-hours.

Quality Themes

Tap a score for details
FoodN/AStaff5.0CleanN/AActivities8.0Meds1.0MemoryN/AComms2.0Value2.0

Strengths

  • Friendly and engaging staff
  • Active resident involvement programs

Concerns

  • Poor communication and lack of follow-up from nursing staff (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.02017(1)1.02019(1)4.02020(1)5.02021(1)2.32023(3)3.02024(1)4.02025(2)

Distribution · 10 analyzed

5
3
4
2
3
2
2
0
1
3

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given your 5-star staffing rating, how do you ensure that family members receive consistent, proactive updates regarding their loved one's daily health status?
  • 2I noticed that active resident involvement is a strength here; could you walk me through a typical afternoon and how you encourage residents to participate in those programs?
  • 3What is your standard protocol for keeping families informed when there is a change in a resident's medication regimen or health plan?
  • 4With your excellent CMS health inspection rating, how do you maintain such high standards of care while managing the day-to-day medical needs of all 86 residents?
  • 5Could you describe the process for how nursing staff communicates with families after a medical concern or incident has been addressed?
  • 6How does your team balance the high level of clinical care required with the personalized attention that residents need to feel truly at home here?

Personalized based on this facility's data


Key Review Excerpts

The whole staff is friendly. They give great personal care to their residents. They have activities and really put effort into involving residents and visitors.

Family member · 2020★★★★

I just want to say when my dad was there the short time that he was there he wasn't taken care of as good ashe should of been and they were giving him a medications that he wasn't supposed to have at the same time

Family member · 2023☆☆☆☆

I was assured that I would get a return call. I waited until 11pm and still didn't get a call back so I went to bed.

Hospice patient's family · 2023☆☆☆☆
Source: 10 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.12hrs
OK
Registered nurses for medical care
Total Nursing
4.27hrs
OK
All nurses + aides combined
Staff Turnover
33%
Lower is better (< 30% = good)
RN Turnover
30%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

10

measures

Worse Than Avg

4

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.2%
Better than Avg
Here
2.2%
US
12.1%
MN
4.3%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility24.9%
Worse than Avg
Here
24.9%
US
15.3%
MN
21.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility8.8%
Better than Avg
Here
8.8%
US
15.4%
MN
17.0%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility22.3%
Worse than Avg
Here
22.3%
US
14.4%
MN
18.6%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
MN
97.3%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility17.2%
Mixed vs Avgs
Here
17.2%
US
19.5%
MN
12.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility94.4%
Better than Avg
Here
94.4%
US
79.7%
MN
82.7%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility95.1%
Better than Avg
Here
95.1%
US
81.8%
MN
88.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.4%
Better than Avg
Here
1.4%
US
1.6%
MN
1.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

0deficiencies
Well below state avg (8.0)
Clean record — no deficiencies

St. Ottos Care Center has 10 deficiencies across recent surveys, primarily involving building safety systems and resident care quality. The facility has struggled with fire safety equipment maintenance, heating/ventilation systems, and emergency preparedness across multiple inspections. Recent care issues include medication management, physical therapy services, and proper treatment protocols. All deficiencies show correction dates, suggesting the facility addresses problems when identified, though building safety concerns have recurred.

Dec 4, 2025Routine
1
0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Nov 8, 2024Routine
6
0521Potential for harm · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0646Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0688Potential for harm · IsolatedCorrected

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.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Feb 8, 2024Routine
3
0918Potential for harm · Widespread

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0041Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Ownership & Operations

Who Operates This Facility

Owner / Operator

St Ottos Care Center

Organization Type

for profit

Ownership & Management

Owners

Bernander, Brian

Owner

Bernander, Krista

Owner

Key personnel

B2k Communities LLC.5% or Greater Mortgage InterestBernander, BrianOfficer / DirectorBernander, KristaOfficer / DirectorBernander, BrianOfficer / DirectorBernander, KristaOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

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