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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeMinnesotaNeilson Place

Neilson Place

1000 Anne Street Northwest, Bemidji, MN 566012187510220
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
4/5
Quality
2/5
Beds
78
certified
This facility has been flagged for abuse.
2 fine(s) totaling $36,342

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 78 certified beds with an average of 72.7 residents per day (93% occupancy)

• Last health inspection found 16 deficiencies (inspected Dec 5, 2024)

• Has been fined a total of $36,342 across 2 fine(s)

• Total nursing staff: 4.02 hours per resident per day

• Staff turnover rate: 60.0% (high)

• Part of the Sanford Health Good Samaritan (prospera) chain (4 facilities)

Neilson Place is a 1-star Medicare and Medicaid certified nursing home in Bemidji, Minnesota with 78 certified beds. It has been operating since 1979. The facility scored below average compared to Minnesota facilities.

Beds
78
Avg Residents/Day
72.7
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jan 1, 1979
Sprinklers
Yes
Council
Resident
County
Beltrami
Last Inspection
Dec 5, 2024
Deficiencies (Cycle 1)
16
Weighted Score
135.0
Infection Citations
0

Deficiency Citations (44)

F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Dec 9, 2025Corrected: NoCycle: 1
F0557Potential for Harm

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Survey: Jul 2, 2025Corrected: NoCycle: 1
F0603Actual Harm

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

Survey: Jul 2, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Apr 4, 2025Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Feb 25, 2025Corrected: NoCycle: 1
F0684Potential for Harm

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

Survey: Feb 25, 2025Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Dec 5, 2024Corrected: NoCycle: 1
F0692Potential for Harm

Provide enough food/fluids to maintain a resident's health.

Survey: Dec 5, 2024Corrected: NoCycle: 1
F0732Potential for Harm

Post nurse staffing information every day.

Survey: Dec 5, 2024Corrected: NoCycle: 1
F0756Potential for Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey: Dec 5, 2024Corrected: NoCycle: 1
F0758Potential for Harm

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.

Survey: Dec 5, 2024Corrected: NoCycle: 1
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Dec 5, 2024Corrected: NoCycle: 1
F0803Potential for Harm

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.

Survey: Dec 5, 2024Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Dec 5, 2024Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Dec 5, 2024Corrected: NoCycle: 1
F0883Potential for Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey: Dec 5, 2024Corrected: NoCycle: 1
F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Dec 20, 2024Corrected: NoCycle: 2
F0678Immediate Jeopardy

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Survey: Sep 27, 2024Corrected: NoCycle: 2
F0740Potential for Harm

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Survey: Jul 2, 2024Corrected: NoCycle: 2
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Jul 2, 2024Corrected: NoCycle: 2
F0585Potential for Harm

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.

Survey: Feb 29, 2024Corrected: NoCycle: 2
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Feb 29, 2024Corrected: NoCycle: 2
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Feb 29, 2024Corrected: NoCycle: 2
F0686Actual Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Feb 29, 2024Corrected: NoCycle: 2
F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Feb 29, 2024Corrected: NoCycle: 2
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Oct 25, 2023Corrected: NoCycle: 2
F0578Potential for Harm

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.

Survey: Oct 25, 2023Corrected: NoCycle: 2
F0607Minimal Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Oct 25, 2023Corrected: NoCycle: 2
F0679Potential for Harm

Provide activities to meet all resident's needs.

Survey: Oct 25, 2023Corrected: NoCycle: 2
F0684Potential for Harm

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

Survey: Oct 25, 2023Corrected: NoCycle: 2

+ 14 more deficiencies

Total Fines
$36,342
Number of Fines
2
Payment Denials
0
Total Penalties
2

Penalty History

FineFeb 29, 2024
$14,137
FineSep 27, 2024
$22,205

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.31 hrs
National avg: 2.35 hrs
LPN0.66 hrs
National avg: 0.86 hrs
RN1.05 hrs
National avg: 0.68 hrs
Total Nursing4.02 hrs
National avg: 3.89 hrs
Weekend Total3.36 hrs
National avg: 0.00 hrs
Physical Therapist0.16 hrs
National avg: 0.07 hrs
Total Turnover
60.0%
RN Turnover
41.2%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Non profit - Corporation
Recent Change
No

Owners & Managers (21)

NameRoleTypeOwnership %Since
SANFORD NORTH5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%May 1, 2014
SANFORD5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization100%May 1, 2014
CAIN, JAMESCORPORATE DIRECTORIndividualN/ANov 19, 2015
ENGBRECHT, WESLEYCORPORATE DIRECTORIndividualN/AJan 1, 2021
GASSEN, WILLIAMCORPORATE DIRECTORIndividualN/ANov 24, 2020
GULSVIG, NEILCORPORATE DIRECTORIndividualN/AMar 28, 2019
JACOBS, DONALDCORPORATE DIRECTORIndividualN/AJan 1, 2014
LUNDEEN, MARKCORPORATE DIRECTORIndividualN/AJan 1, 2014
MOLBERT, LAURISCORPORATE DIRECTORIndividualN/AJan 1, 2021
NORTH, ANDREWCORPORATE DIRECTORIndividualN/AJan 1, 2017
TEIKEN, BRENTCORPORATE DIRECTORIndividualN/AMay 1, 2014
VENTLING-HERRMANN, MARNIECORPORATE DIRECTORIndividualN/AJan 1, 2022
GASSEN, WILLIAMCORPORATE OFFICERIndividualN/ANov 24, 2020
MARLETTE, WILLIAMCORPORATE OFFICERIndividualN/AJun 16, 2023
MORRISON, TONYCORPORATE OFFICERIndividualN/AFeb 1, 1991
DULSKI, KARINW-2 MANAGING EMPLOYEEIndividualN/ANov 19, 2012
GASSEN, WILLIAMW-2 MANAGING EMPLOYEEIndividualN/ANov 24, 2020
MARLETTE, WILLIAMW-2 MANAGING EMPLOYEEIndividualN/AJun 16, 2023
MORRISON, TONYW-2 MANAGING EMPLOYEEIndividualN/AFeb 1, 1991
MUNSON, JOLYNW-2 MANAGING EMPLOYEEIndividualN/AFeb 25, 2013
SWENSON, STEPHANIEW-2 MANAGING EMPLOYEEIndividualN/ANov 1, 2019

Nearby Nursing Homes

All Minnesota facilities

Havenwood Care Center

Bemidji, MN · 65 beds

For profit$21,590 in fines
Health
Staffing
Quality
1.4 mi

Frequently Asked Questions

What is the CMS rating for Neilson Place?▾
Neilson Place has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 4/5, and quality measures rating of 2/5. This facility is rated below average.
Has Neilson Place had any health inspection violations?▾
Neilson Place had 16 deficiency citations in its most recent health inspection (Dec 5, 2024). The facility has been fined a total of $36,342 across 2 fine(s).
What are the staffing levels at Neilson Place?▾
Neilson Place provides 4.02 total nursing staff hours per resident per day, including 1.05 RN hours, 0.66 LPN hours, and 2.31 nurse aide hours. The total staff turnover rate is 60.0%.
How many beds does Neilson Place have?▾
Neilson Place has 78 certified beds with an average of 72.7 residents per day, resulting in approximately 93% occupancy. The facility is Non profit - Corporation owned and is part of the Sanford Health Good Samaritan (prospera) chain.
Are there other nursing homes near Neilson Place?▾
Yes, there are 1 other nursing home in Bemidji, Minnesota with an average rating of 1/5. You can compare all facilities on the Bemidji nursing homes page.

Part of Sanford Health Good Samaritan (prospera)

This chain operates 4 facilities. View all →