nursing home in Bemidji, MN

Neilson Place

1000 Anne Street Northwest, Bemidji, MN 56601 · (218) 751-0220

★★★★★1
Much below average
CMS overall star rating
  • Health inspections★★★★★1
  • Staffing★★★★★4
  • Quality measures★★★★★2

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Neilson Place at a glance

Neilson Place is a 78-bed non-profit nursing home in Bemidji, Minnesota (Beltrami County).

CMS gives it 1 out of 5 stars on its overall star rating, worse than the Minnesota average of 3.2.

Residents receive about 3.8 hours of nursing care per day (0.9 of them from registered nurses), worse than the state average of 4.2 hours.

Its most recent standard health inspection (March 5, 2026) found 9 health citations. The Minnesota average is 7.1.

Federal regulators fined it 3 times in the past three years, totaling $45,915.

Nursing staff turnover is 55.4% per year (state average 42.2%).

Facility details

Type
Nursing home
Ownership
Non Profit - Corporation
Beds
78
Certified for
Medicare and Medicaid
Chain / affiliated entity
Sanford Health
Medicare-certified since
January 1, 1979
Resident/family council
Both
County
Beltrami County
CMS Certification Number
245039

Ratings

MeasureThis facilityMinnesota avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 53.2 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)1 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)4 / 54.1 / 52.9 / 5Better
Quality measures rating ⓘ (higher is better)2 / 53.1 / 53.6 / 5Worse
Long-stay quality rating (higher is better)1 / 52.9 / 53.8 / 5Worse
Short-stay (rehab) quality rating (higher is better)5 / 53.3 / 53.3 / 5Better

Staffing

This facility3.80 hrsMinnesota average4.19 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Minnesota and U.S. averages
MeasureThis facilityMinnesota avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.80 hrs4.19 hrs3.86 hrsAverage
Registered nurse hours per resident per day (higher is better)0.89 hrs1.06 hrs0.69 hrsBetter
Nurse aide hours per resident per day (higher is better)2.27 hrs2.52 hrs2.32 hrsAverage
Weekend nurse staff hours per resident per day (higher is better)3.27 hrs3.71 hrs3.42 hrsAverage
Nursing staff turnover (yearly) (lower is better)55.4%42.2%45.8%Worse
Registered nurse turnover (yearly) (lower is better)42.9%38.6%42.9%Average
Administrators who left in the past year (lower is better)011Better

Inspections

This facility9Minnesota average7U.S. average9
Health citations in the most recent inspection: this facility vs. Minnesota and U.S. averages
MeasureThis facilityMinnesota avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)979Average
Citations from complaint investigations (latest cycle) (lower is better)223Better
Weighted health inspection score ⓘ (lower is better)10363.980.6Worse

Penalties

This facility3Minnesota average1U.S. average1
Fines in the past 3 years: this facility vs. Minnesota and U.S. averages
MeasureThis facilityMinnesota avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)311Worse
Total fines in the past 3 years (lower is better)$45,915$24,507$30,972Worse
All federal penalties in the past 3 years (lower is better)311Worse

Size

MeasureThis facilityMinnesota avg.U.S. avg.vs. U.S.
Certified beds7871107
Average residents per day716086
Occupancy91%84.1%80.9%

Long-stay residents

This facility5.7%Minnesota average4%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Minnesota and U.S. averages
MeasureThis facilityMinnesota avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)5.7%4%3.2%Worse
Long-stay residents with pressure ulcers (lower is better)12.5%5.2%4.6%Worse
Long-stay residents given antipsychotic medication (lower is better)22%17.1%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)4.5%2.6%1.6%Worse
Long-stay residents with a catheter left in the bladder (lower is better)2.7%1.9%0.8%Worse
Long-stay residents needing more help with daily activities (lower is better)28.6%18.2%13.9%Worse
Long-stay residents whose walking worsened (lower is better)38%20.5%14.1%Worse
Long-stay residents who lose too much weight (lower is better)5.6%4.1%5.2%Worse
Long-stay residents with depressive symptoms (lower is better)3.4%4.1%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0.1%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)5.4%12.5%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)27.1%24.5%19%Worse
Long-stay residents given a flu vaccine (higher is better)92.8%96.1%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)98%97.4%93.6%Average

Short-stay residents

This facility0.5%Minnesota average1.9%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Minnesota and U.S. averages
MeasureThis facilityMinnesota avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)0.5%1.9%1.6%Better
Short-stay residents given a flu vaccine (higher is better)66.2%82.7%79.8%Worse
Short-stay residents given a pneumonia vaccine (higher is better)99.7%88.1%82%Better

Inspection citations

State inspectors cited this home for 47 health deficiencies and 18 fire safety deficiencies in the inspection records CMS currently publishes. 6 citations involved actual harm, including 1 rated "immediate jeopardy".

DateCitationSeverityStatus
March 5, 2026
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
F
Potential harm, widespread
Corrected April 17, 2026
March 5, 2026
Fire safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Miscellaneous Deficiencies · Tag K0761
F
Potential harm, widespread
Corrected April 17, 2026
March 5, 2026
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
F
Potential harm, widespread
Corrected April 17, 2026
March 5, 2026
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
F
Potential harm, widespread
Corrected April 17, 2026
March 5, 2026
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected April 22, 2026
March 5, 2026
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected April 17, 2026
March 5, 2026
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
D
Potential harm, isolated
Corrected April 17, 2026
March 5, 2026
Fire safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Smoke Deficiencies · Tag K0346
D
Potential harm, isolated
Corrected April 17, 2026
March 5, 2026
Fire safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Smoke Deficiencies · Tag K0354
D
Potential harm, isolated
Corrected April 17, 2026
March 5, 2026
Fire safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies · Tag K0355
D
Potential harm, isolated
Corrected April 17, 2026
March 5, 2026
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected April 17, 2026
March 5, 2026
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected April 17, 2026
March 5, 2026
Standard
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.
Quality of Life and Care Deficiencies · Tag F0688
D
Potential harm, isolated
Corrected April 17, 2026
March 5, 2026
Complaint
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies · Tag F0637
D
Potential harm, isolated
Corrected April 17, 2026
March 5, 2026
Standard
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
D
Potential harm, isolated
Corrected April 17, 2026
March 5, 2026
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected April 17, 2026
March 5, 2026
Standard
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605
D
Potential harm, isolated
Corrected April 17, 2026
March 5, 2026
Standard
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.
Quality of Life and Care Deficiencies · Tag F0700
D
Potential harm, isolated
Corrected April 17, 2026
December 9, 2025
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
G
Actual harm, isolated
Corrected November 12, 2025
July 2, 2025
Complaint
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0603
G
Actual harm, isolated
Corrected July 28, 2025
July 2, 2025
Complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights Deficiencies · Tag F0557
D
Potential harm, isolated
Corrected July 28, 2025
April 4, 2025
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected April 25, 2025
February 25, 2025
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected February 28, 2025
February 25, 2025
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected February 28, 2025
December 20, 2024
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
G
Actual harm, isolated
Corrected December 19, 2024
December 5, 2024
Fire safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Miscellaneous Deficiencies · Tag K0761
F
Potential harm, widespread
Corrected March 4, 2025
December 5, 2024
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
F
Potential harm, widespread
Corrected December 31, 2024
December 5, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
E
Potential harm, pattern
Corrected January 8, 2025
December 5, 2024
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
D
Potential harm, isolated
Corrected January 10, 2025
December 5, 2024
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
F
Potential harm, widespread
Corrected January 17, 2025
December 5, 2024
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected January 17, 2025
December 5, 2024
Standard
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Tag F0732
D
Potential harm, isolated
Corrected January 17, 2025
December 5, 2024
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected January 17, 2025
December 5, 2024
Standard
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
D
Potential harm, isolated
Corrected January 17, 2025
December 5, 2024
Standard
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Tag F0756
D
Potential harm, isolated
Corrected January 17, 2025
December 5, 2024
Standard
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.
Pharmacy Service Deficiencies · Tag F0758
D
Potential harm, isolated
Corrected January 17, 2025
December 5, 2024
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
D
Potential harm, isolated
Corrected January 17, 2025
December 5, 2024
Standard
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.
Nutrition and Dietary Deficiencies · Tag F0803
D
Potential harm, isolated
Corrected January 17, 2025
December 5, 2024
Standard
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Tag F0883
D
Potential harm, isolated
Corrected January 17, 2025
September 27, 2024
Complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care Deficiencies · Tag F0678
J
Immediate jeopardy, isolated
Corrected September 20, 2024
July 2, 2024
Complaint
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
D
Potential harm, isolated
Corrected August 2, 2024
July 2, 2024
Complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care Deficiencies · Tag F0740
D
Potential harm, isolated
Corrected August 2, 2024
February 29, 2024
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
G
Actual harm, isolated
Corrected March 22, 2024
February 29, 2024
Complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
G
Actual harm, isolated
Corrected March 22, 2024
February 29, 2024
Complaint
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.
Resident Rights Deficiencies · Tag F0585
D
Potential harm, isolated
Corrected March 22, 2024
February 29, 2024
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected March 22, 2024
February 29, 2024
Complaint
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
D
Potential harm, isolated
Corrected March 22, 2024
November 9, 2023
Complaint
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
D
Potential harm, isolated
Corrected December 6, 2023
November 9, 2023
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected December 6, 2023
November 9, 2023
Complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
D
Potential harm, isolated
Corrected December 6, 2023
October 25, 2023
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected November 29, 2023
October 25, 2023
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
F
Potential harm, widespread
Corrected November 29, 2023
October 25, 2023
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
D
Potential harm, isolated
Corrected November 29, 2023
October 25, 2023
Fire safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914
C
No harm, widespread
Corrected November 29, 2023
October 25, 2023
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
F
Potential harm, widespread
Corrected November 29, 2023
October 25, 2023
Standard
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Tag F0804
E
Potential harm, pattern
Corrected November 29, 2023
October 25, 2023
Standard
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 Deficiencies · Tag F0578
D
Potential harm, isolated
Corrected November 29, 2023
October 25, 2023
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected November 29, 2023
October 25, 2023
Standard
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.
Nutrition and Dietary Deficiencies · Tag F0803
D
Potential harm, isolated
Corrected November 29, 2023
October 25, 2023
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected November 29, 2023
October 25, 2023
Standard
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Tag F0679
D
Potential harm, isolated
Corrected November 29, 2023
October 25, 2023
Standard
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607
C
No harm, widespread
Corrected November 29, 2023
October 19, 2023
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
E
Potential harm, pattern
Corrected November 29, 2023
October 19, 2023
Complaint
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
E
Potential harm, pattern
Corrected November 29, 2023
October 19, 2023
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected November 29, 2023

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 3 federal penalties in the past three years, including $45,915 in fines.

DatePenaltyAmount / length
December 9, 2025Fine$17,345
September 27, 2024Fine$14,433
February 29, 2024Fine$14,137

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
SANFORD NORTH
Organization
5% or greater direct ownership interest100%05/01/2014
SANFORD
Organization
5% or greater indirect ownership interest100%05/01/2014
CAIN, JAMES
Individual
corporate directorNOT APPLICABLE11/19/2015
ENGBRECHT, WESLEY
Individual
corporate directorNOT APPLICABLE01/01/2021
GASSEN, WILLIAM
Individual
corporate directorNOT APPLICABLE11/24/2020
GULSVIG, NEIL
Individual
corporate directorNOT APPLICABLE03/28/2019
JACOBS, DONALD
Individual
corporate directorNOT APPLICABLE01/01/2014
LUNDEEN, MARK
Individual
corporate directorNOT APPLICABLE01/01/2014
MOLBERT, LAURIS
Individual
corporate directorNOT APPLICABLE01/01/2021
NORTH, ANDREW
Individual
corporate directorNOT APPLICABLE01/01/2017
TEIKEN, BRENT
Individual
corporate directorNOT APPLICABLE05/01/2014
VENTLING-HERRMANN, MARNIE
Individual
corporate directorNOT APPLICABLE01/01/2022
GASSEN, WILLIAM
Individual
corporate officerNOT APPLICABLE11/24/2020
MARLETTE, WILLIAM
Individual
corporate officerNOT APPLICABLE06/16/2023
MORRISON, TONY
Individual
corporate officerNOT APPLICABLE02/01/1991
DULSKI, KARIN
Individual
w-2 managing employeeNOT APPLICABLE11/19/2012
GASSEN, WILLIAM
Individual
w-2 managing employeeNOT APPLICABLE11/24/2020
MARLETTE, WILLIAM
Individual
w-2 managing employeeNOT APPLICABLE06/16/2023
MORRISON, TONY
Individual
w-2 managing employeeNOT APPLICABLE02/01/1991
MUNSON, JOLYN
Individual
w-2 managing employeeNOT APPLICABLE02/25/2013
SWENSON, STEPHANIE
Individual
w-2 managing employeeNOT APPLICABLE11/01/2019

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Frequently asked questions

What is Neilson Place's rating?

Neilson Place has 1 out of 5 stars on the CMS overall star rating. The average for Minnesota nursing homes is 3.2 stars.

How many inspection citations did Neilson Place receive?

Its most recent standard health inspection found 9 citations, compared with a Minnesota average of 7.1. Every citation is listed on this page with its severity.

Does Neilson Place accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Neilson Place?

It is non profit - corporation and part of Sanford Health. The ownership section on this page lists the owners and managers reported to CMS.

Where is Neilson Place and how do I contact it?

Neilson Place is at 1000 Anne Street Northwest, Bemidji, MN 56601. Phone: (218) 751-0220.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.