Minnesota › Douglas County › Alexandria
Knute Nelson Care Center
420 12th Avenue East, Alexandria, MN 56308
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.
Knute Nelson Care Center, in Alexandria, Minnesota, is certified for 83 beds under non-profit, corporation ownership and belongs to the Vivie chain.
CMS gives it 5 of 5 stars overall, above the Minnesota median of 3; the health inspection rating is 5, staffing 5 and quality measures 5.
Inspectors recorded 12 health deficiencies across the three most recent survey cycles (2, 3, 7 by cycle, most recent first), none at the actual-harm level. That is 14.5 per 100 beds, fewer than the state median of 30.0.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.2 hours per resident per day (1.0 RN), close to the Minnesota median of 4.2; nursing staff turnover is 29.1%.
Compared with county, state and nation
| Measure | This facility | Douglas Co. median | Minnesota median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 12 | 10 | 20 | 28.7 |
| Citations per 100 beds | 14.5 | 14.5 | 30.0 | 26.8 |
| Total nurse hours per resident day | 4.2 | 4.2 | 4.2 | 3.9 |
| RN hours per resident day | 1.0 | 1.1 | 1.0 | 0.7 |
| Nursing staff turnover | 29.1% | 29.1% | 40.0% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (4 in the county, 338 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: Minnesota average per facility for the same cycle, as published by CMS. Standard health survey dates: 13 May 2026, 5 Mar 2025.
Severity mix: D ×7 E ×2 F ×1 C ×2
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 |
|---|---|---|---|---|---|
| 13 May 2026 | F0572 | Give residents a notice of rights, rules, services and charges. | C | Standard survey | 26 May 2026 |
| 13 May 2026 | F0732 | Post nurse staffing information every day. | C | Standard survey | 26 May 2026 |
| 5 Mar 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 9 Apr 2025 |
| 5 Mar 2025 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 9 Apr 2025 |
| 5 Mar 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 9 Apr 2025 |
| 22 May 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 1 Jul 2024 |
| 22 May 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 1 Jul 2024 |
| 22 May 2024 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 1 Jul 2024 |
| 22 May 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 1 Jul 2024 |
| 22 May 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 1 Jul 2024 |
| 22 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 1 Jul 2024 |
| 22 Sep 2023 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 18 Oct 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Minnesota average. Turnover: nursing staff 29.1%, RNs 18.8%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Minnesota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 15.9% | 18.0% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 1.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.3% | 2.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.2% | 3.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.0% | 1.4% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 21.5% | 20.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.4% | 4.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 8.1% | 15.9% | 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. Chain: Vivie (5 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Vivie | 5% or greater direct ownership interest | 100% | 01/01/2024 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Douglas County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Evansville Care Center | Evansville | 27 | 5 | 4 | 5 | 8 | 29.6 | — | 21 Jan 2026 |
| Galeon | Osakis | 40 | 5 | 5 | 5 | 5 | 12.5 | — | 20 Feb 2025 |
| Bethany On the Lake LLCabuse icon | Alexandria | 83 | 3 | 2 | 5 | 10 | 12.0 | $19K | 26 Mar 2026 |
All 4 facilities in Douglas County
Questions and answers
How many deficiencies has Knute Nelson Care Center been cited for?
12 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Minnesota median is 20 per facility.
Has Knute Nelson Care Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Knute Nelson Care Center compare?
Reported total nurse staffing is 4.2 hours per resident per day against a Minnesota median of 4.2 and a national average of 3.9.
Who operates Knute Nelson Care Center?
It is part of the Vivie chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Vivie. Individual owners and managers are not listed on this site.
When was Knute Nelson Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 13 May 2026; the most recent standard health survey was 13 May 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.