Neilson Place
A nursing home in Bemidji, Minnesota 56601
1000 Anne Street Northwest, Bemidji, Minnesota 56601. (218) 751-0220.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 9 health citations at the latest inspection cycle Minnesota average: 7.2
- 4.13 nurse hours per resident per day Minnesota average: 4.27
- 3 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
9 health citations at the latest inspection cycle
The Minnesota average is 7.2.
Last standard inspection Mar 5, 2026.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Sep 27, 2024
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
33 citations in 9 months of the last 36. Last cited Mar 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 36 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 19 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Mar 5, 2026: standard inspection7 citations
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Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident’s ability to function.
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Ensure services provided by the nursing facility meet professional standards of quality.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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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.
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Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide and implement an infection prevention and control program.
Mar 5, 2026: standard and complaint inspection1 citation
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Assess the resident when there is a significant change in condition
Dec 9, 2025: complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jul 2, 2025: complaint inspection2 citations
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Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
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Honor the resident’s right to be treated with respect and dignity and to retain and use personal possessions.
Apr 4, 2025: complaint inspection1 citation
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Provide and implement an infection prevention and control program.
Feb 25, 2025: complaint inspection2 citations
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Dec 20, 2024: complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Dec 5, 2024: standard inspection10 citations
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide enough food/fluids to maintain a resident’s health.
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Post nurse staffing information every day.
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Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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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.
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Ensure medication error rates are not 5 percent or greater.
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Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide and implement an infection prevention and control program.
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Develop and implement policies and procedures for flu and pneumonia vaccinations.
Sep 27, 2024: complaint inspection1 citation
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Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Jul 2, 2024: complaint inspection2 citations
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Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
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Ensure that residents are free from significant medication errors.
Feb 29, 2024: complaint inspection5 citations
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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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.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Respond appropriately to all alleged violations.
Nov 9, 2023: complaint inspection3 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Respond appropriately to all alleged violations.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jan 1, 1979.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as non profit, corporation.
- 78 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 3 fines in the last three years, $45,915 in all.
- No Medicare payment denials in the last three years.
- 19 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Dec 9, 2025 | Fine | $17,345 |
| Sep 27, 2024 | Fine | $14,433 |
| Feb 29, 2024 | Fine | $14,137 |
Who does the caring?
4.13 nurse hours per resident per day
The Minnesota average is 4.27.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Minnesota average |
|---|---|---|
| Nurse hours per resident per day | 4.13 | 4.27 |
| Of which registered nurses | 0.93 | 1.08 |
| At weekends | 3.47 | 3.73 |
| Nursing staff turnover | 49% | 42.1% |
| Registered nurse turnover | 36.8% | 39.3% |
| Administrators who left | 0 | Not given |
Who owns it?
- Sanford North owns 100% directly since May 1, 2014.
- 19 owners or officers are people: Mark Allen Lundeen (corporate director); Marnie Lynn Ventling-Herrmann (corporate director); Tony Lee Morrison (corporate officer); Tony Lee Morrison (managing employee (on the payroll)); James Edward Cain (corporate director); Karin Louise Dulski (managing employee (on the payroll)); Brent Gerard Teiken (corporate director); Jolyn Joy Munson (managing employee (on the payroll)); William D Marlette (corporate officer); William D Marlette (managing employee (on the payroll)); Andrew Stewart North (corporate director); Stephanie Marie Swenson (managing employee (on the payroll)); William Joseph Gassen (corporate officer); William Joseph Gassen (corporate director); William Joseph Gassen (managing employee (on the payroll)); Wesley Owen Engbrecht (corporate director); Donald Darwin Jacobs (corporate director); Neil Leslie Gulsvig (corporate director); Lauris Nelson Molbert (corporate director).
- Part of Sanford Health (4 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Sanford | Owns 5% or more through other companies | 100% | May 1, 2014 |
| Sanford North | Owns 5% or more directly | 100% | May 1, 2014 |
How do residents fare?
- CMS rates its quality measures 3 of 5 (Minnesota average 3.2).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 4 of 5 |
| Quality measures | 3 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 58.8 miles, this one had the 3rd most health citations at the latest inspection cycle (9; the middle value was 6).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Neilson Place This nursing home | 9 | |
| Havenwood Care Center | 1.4 | 13 |
| Good Samaritan Society - Blackduck | 22.3 | 10 |
| Cornerstone Nsg & Rehab Center | 23.3 | 1 |
| Jourdain Perpich Ext Care Fac | 26.5 | 1 |
| First Care Living Center | 39.7 | 6 |
| Heritage Living Center | 41.4 | 6 |
| Mcintosh Senior Living | 47.0 | 0 |
| Mahnomen Health Center | 52.2 | 6 |
| Green Pine Acres Nursing Home | 52.5 | 2 |
| Essentia Health Homestead | 52.7 | 6 |
| Good Samaritan Society - Pine River | 58.8 | 1 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
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Paid listing
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