nursing home in Alexandria, MN
Knute Nelson Care Center
420 12th Avenue East, Alexandria, MN 56308 · (320) 763-6653
★★★★★5
Much above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★5
- Staffing★★★★★5
- Quality measures★★★★★5
- CMS high performer
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Knute Nelson Care Center at a glance
Knute Nelson Care Center is a 83-bed non-profit nursing home in Alexandria, Minnesota (Douglas County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Minnesota average of 3.2.
Residents receive about 4.2 hours of nursing care per day (1 of them from registered nurses), close to the state average of 4.2 hours.
Its most recent standard health inspection (May 13, 2026) found 2 health citations. The Minnesota average is 7.1.
It has not received a federal fine in the past three years.
Nursing staff turnover is 29.1% per year (state average 42.2%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 83
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Vivie
- Medicare-certified since
- February 1, 1987
- Resident/family council
- Resident
- County
- Douglas County
- CMS Certification Number
- 245435
Ratings
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 3.2 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 5 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 5 / 5 | 4.1 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.1 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 2.9 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.16 hrs | 4.19 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 1.01 hrs | 1.06 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.29 hrs | 2.52 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.57 hrs | 3.71 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 29.1% | 42.2% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 18.8% | 38.6% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 2 | 7 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 8 | 63.9 | 80.6 | Better |
Penalties
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $24,507 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 83 | 71 | 107 | |
| Average residents per day | 65 | 60 | 86 | |
| Occupancy | 77.7% | 84.1% | 80.9% |
Long-stay residents
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.2% | 4% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 4.4% | 5.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 8.1% | 17.1% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 2.3% | 2.6% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 1.9% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 15.9% | 18.2% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 21.5% | 20.5% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 0% | 4.1% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 6.1% | 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) | 15.7% | 12.5% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 33.2% | 24.5% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 96.2% | 96.1% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98.3% | 97.4% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 3% | 1.9% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 85.3% | 82.7% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 80.9% | 88.1% | 82% | Average |
Inspection citations
State inspectors cited this home for 12 health deficiencies and 21 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 13, 2026 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected June 30, 2026 |
| May 13, 2026 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 June 5, 2026 |
| May 13, 2026 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected June 5, 2026 |
| May 13, 2026 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected June 5, 2026 |
| May 13, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected June 5, 2026 |
| May 13, 2026 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected May 26, 2026 |
| May 13, 2026 Standard | Give residents a notice of rights, rules, services and charges. Resident Rights Deficiencies · Tag F0572 | C No harm, widespread | Corrected May 26, 2026 |
| March 5, 2025 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 April 9, 2025 |
| March 5, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected April 9, 2025 |
| March 5, 2025 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | E Potential harm, pattern | Corrected April 9, 2025 |
| March 5, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected April 9, 2025 |
| March 5, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected April 9, 2025 |
| March 5, 2025 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected March 18, 2025 |
| March 5, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | D Potential harm, isolated | Corrected April 9, 2025 |
| March 5, 2025 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | D Potential harm, isolated | Corrected April 9, 2025 |
| March 5, 2025 Fire safety | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Tag K0341 | D Potential harm, isolated | Corrected April 9, 2025 |
| March 5, 2025 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 April 9, 2025 |
| March 5, 2025 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | D Potential harm, isolated | Corrected April 9, 2025 |
| March 5, 2025 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected April 9, 2025 |
| May 22, 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 July 31, 2024 |
| May 22, 2024 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 | F Potential harm, widespread | Corrected July 31, 2024 |
| May 22, 2024 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected July 31, 2024 |
| May 22, 2024 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | F Potential harm, widespread | Corrected July 31, 2024 |
| May 22, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected July 31, 2024 |
| May 22, 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 July 31, 2024 |
| May 22, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected July 31, 2024 |
| May 22, 2024 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 July 1, 2024 |
| May 22, 2024 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | E Potential harm, pattern | Corrected July 1, 2024 |
| May 22, 2024 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 July 1, 2024 |
| May 22, 2024 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected July 1, 2024 |
| May 22, 2024 Standard | 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 July 1, 2024 |
| May 22, 2024 Standard | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 | D Potential harm, isolated | Corrected July 1, 2024 |
| September 22, 2023 Complaint | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected October 18, 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 no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| VIVIE Organization | 5% or greater direct ownership interest | 100% | 01/01/2024 |
| BILLBERG, GREG Individual | corporate director | NOT APPLICABLE | 03/01/2022 |
| CARLSON, PAMELA Individual | corporate director | NOT APPLICABLE | 02/15/2017 |
| COAUETTE, CHAD Individual | corporate director | NOT APPLICABLE | 02/15/2017 |
| CRITZ, JULIE Individual | corporate director | NOT APPLICABLE | 03/01/2020 |
| JODSAAS, VICKI Individual | corporate director | NOT APPLICABLE | 03/01/2021 |
| MONTGOMERY, JEFF Individual | corporate director | NOT APPLICABLE | 02/15/2018 |
| O'KANE, SARA Individual | corporate director | NOT APPLICABLE | 03/01/2023 |
| STEFFL, DEENA Individual | corporate director | NOT APPLICABLE | 02/15/2016 |
| ANDERSON, MARK Individual | corporate officer | NOT APPLICABLE | 08/01/2004 |
| GUGISBERG, MARNIE Individual | corporate officer | NOT APPLICABLE | 07/11/2005 |
| HANSON, PHILLIP Individual | corporate officer | NOT APPLICABLE | 01/01/2024 |
| PERRY, KATIE Individual | corporate officer | NOT APPLICABLE | 02/01/2023 |
| SEMMER, FRED Individual | corporate officer | NOT APPLICABLE | 01/01/2024 |
| URMAN, ANGELA Individual | corporate officer | NOT APPLICABLE | 11/16/2010 |
| WOLF, DAVID Individual | corporate officer | NOT APPLICABLE | 02/15/2015 |
| ANDERSON, MARK Individual | w-2 managing employee | NOT APPLICABLE | 08/01/2004 |
| GUGISBERG, MARNIE Individual | w-2 managing employee | NOT APPLICABLE | 07/11/2005 |
| PERRY, KATIE Individual | w-2 managing employee | NOT APPLICABLE | 07/24/2006 |
| URMAN, ANGELA Individual | w-2 managing employee | NOT APPLICABLE | 11/16/2010 |
Other nursing homes near Knute Nelson Care Center
Bethany on the Lake LLC
1020 Lark Street, Alexandria, MN 56308 · under 1 mi
For-profit · 83 beds · Part of Monarch Healthcare Management
- Abuse citation
★★★★★3Average- ★★★★★5Much above average
Glenwood Village Care Center
719 Southeast 2nd Street, Glenwood, MN 56334 · 16.3 mi
Non-profit · 64 beds · Part of Vivie
★★★★★2Below average- ★★★★★5Much above average
St Williams Living Center
212 West Soo Street, Box 30, Parkers Prairie, MN 56361 · 19.1 mi
Non-profit · 53 beds
- CMS high performer
★★★★★5Much above averageMinnewaska Community Health Services
605 Main Street, Starbuck, MN 56381 · 19.9 mi
Non-profit · 39 beds
★★★★★2Below average
Frequently asked questions
What is Knute Nelson Care Center's rating?
Knute Nelson Care Center has 5 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 Knute Nelson Care Center receive?
Its most recent standard health inspection found 2 citations, compared with a Minnesota average of 7.1. Every citation is listed on this page with its severity.
Does Knute Nelson Care Center 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 Knute Nelson Care Center?
It is non profit - corporation and part of Vivie. The ownership section on this page lists the owners and managers reported to CMS.
Where is Knute Nelson Care Center and how do I contact it?
Knute Nelson Care Center is at 420 12th Avenue East, Alexandria, MN 56308. Phone: (320) 763-6653.
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.