North Dakota › Mercer County › Beulah
Knife River Care Center
118 22nd St Ne, Beulah, ND 58523
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 86 beds, Knife River Care Center serves Beulah in Mercer County, North Dakota and has taken Medicare and Medicaid residents since 1978.
CMS gives it 3 of 5 stars overall, equal to the North Dakota median; the health inspection rating is 2, staffing 5 and quality measures 2.
Inspectors recorded 22 health deficiencies across the three most recent survey cycles (1, 6, 15 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 25.6 per 100 beds, about the same as the state median of 27.1.
CMS lists 1 penalty in the period covered: fines totalling $36K.
Reported nurse staffing is 4.9 hours per resident per day (1.1 RN), close to the North Dakota median of 4.4; nursing staff turnover is 54.5%.
Compared with county, state and nation
| Measure | This facility | Mercer Co. median | North Dakota median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 22 | 22 | 13 | 28.7 |
| Citations per 100 beds | 25.6 | 25.6 | 27.1 | 26.8 |
| Total nurse hours per resident day | 4.9 | 4.9 | 4.4 | 3.9 |
| RN hours per resident day | 1.1 | 1.1 | 0.9 | 0.7 |
| Nursing staff turnover | 54.5% | 54.5% | 50.0% | 45.8% |
| Fines listed | $35,890 | $35,890 | $9,030 | — |
County and state figures are medians across facilities (1 in the county, 72 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: North Dakota average per facility for the same cycle, as published by CMS. Standard health survey dates: 29 Apr 2026, 26 Feb 2025.
Severity mix: K ×1 G ×1 D ×16 E ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 10 Dec 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 27 Nov 2025 |
| 26 Feb 2025 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Complaint investigation | 2 Apr 2025 |
| 26 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 2 Apr 2025 |
| 26 Nov 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 12 Nov 2024 |
| 26 Nov 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 31 Dec 2024 |
| 14 Aug 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 13 Aug 2024 |
| 14 Aug 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 13 Aug 2024 |
| 10 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint investigation | 31 Jul 2024 |
| 21 Dec 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 25 Jan 2024 |
| 21 Dec 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 25 Jan 2024 |
| 21 Dec 2023 | F0803 | 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. | E | Standard survey | 25 Jan 2024 |
| 21 Dec 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 25 Jan 2024 |
| 21 Dec 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 25 Jan 2024 |
| 21 Dec 2023 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 25 Jan 2024 |
| 21 Dec 2023 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard survey | 25 Jan 2024 |
| 21 Dec 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 25 Jan 2024 |
| 21 Dec 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 25 Jan 2024 |
| 21 Dec 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 25 Jan 2024 |
| 21 Dec 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 25 Jan 2024 |
| 21 Dec 2023 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 25 Jan 2024 |
| 21 Dec 2023 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard survey | 25 Jan 2024 |
| 21 Dec 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 25 Jan 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 10 Jul 2024 | Fine | $35,890 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the North Dakota average. Turnover: nursing staff 54.5%, RNs 28.6%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | North Dakota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 24.4% | 19.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 1.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.6% | 2.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.8% | 4.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 18.3% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.7% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 18.9% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Beulah Community Nursing Home.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Beulah Community Nursing Home | Operational/managerial control | NOT APPLICABLE | 03/01/1966 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Knife River Care Center been cited for?
22 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The North Dakota median is 13 per facility.
Has Knife River Care Center been fined?
Yes. CMS lists fines totalling $36K in the period covered.
How does staffing at Knife River Care Center compare?
Reported total nurse staffing is 4.9 hours per resident per day against a North Dakota median of 4.4 and a national average of 3.9.
Who operates Knife River Care Center?
Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Beulah Community Nursing Home. Individual owners and managers are not listed on this site.
When was Knife River Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 10 Dec 2025; the most recent standard health survey was 29 Apr 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.