Minnesota › Beltrami County › Bemidji
Neilson Place
1000 Anne Street Northwest, Bemidji, MN 56601
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.
Neilson Place, in Bemidji, Minnesota, is certified for 78 beds under non-profit, corporation ownership and belongs to the Sanford Health chain.
CMS gives it 1 of 5 stars overall, below the Minnesota median of 3; the health inspection rating is 1, staffing 4 and quality measures 2.
Inspectors recorded 47 health deficiencies across the three most recent survey cycles (9, 17, 21 by cycle, most recent first), 6 of them at the actual-harm or immediate-jeopardy level. That is 60.3 per 100 beds, more than the state median of 30.0.
CMS lists 3 penalties in the period covered: fines totalling $46K.
Reported nurse staffing is 3.8 hours per resident per day (0.9 RN), close to the Minnesota median of 4.2; nursing staff turnover is 55.4%.
Compared with county, state and nation
| Measure | This facility | Beltrami Co. median | Minnesota median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 47 | 47 | 20 | 28.7 |
| Citations per 100 beds | 60.3 | 75.4 | 30.0 | 26.8 |
| Total nurse hours per resident day | 3.8 | 4.0 | 4.2 | 3.9 |
| RN hours per resident day | 0.9 | 0.8 | 1.0 | 0.7 |
| Nursing staff turnover | 55.4% | 53.7% | 40.0% | 45.8% |
| Fines listed | $45,915 | $45,915 | $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: 5 Mar 2026, 5 Dec 2024.
Severity mix: J ×1 G ×5 D ×32 E ×5 F ×3 C ×1
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 |
|---|---|---|---|---|---|
| 5 Mar 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 17 Apr 2026 |
| 5 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 17 Apr 2026 |
| 5 Mar 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 17 Apr 2026 |
| 5 Mar 2026 | F0637 | Assess the resident when there is a significant change in condition | D | Complaint investigation | 17 Apr 2026 |
| 5 Mar 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 17 Apr 2026 |
| 5 Mar 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 17 Apr 2026 |
| 5 Mar 2026 | F0688 | 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. | D | Standard survey | 17 Apr 2026 |
| 5 Mar 2026 | F0700 | 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. | D | Standard survey | 17 Apr 2026 |
| 9 Dec 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 12 Nov 2025 |
| 2 Jul 2025 | F0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | G | Complaint investigation | 28 Jul 2025 |
| 2 Jul 2025 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint investigation | 28 Jul 2025 |
| 4 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 25 Apr 2025 |
| 25 Feb 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 28 Feb 2025 |
| 25 Feb 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 28 Feb 2025 |
| 20 Dec 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 19 Dec 2024 |
| 5 Dec 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 17 Jan 2025 |
| 5 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 17 Jan 2025 |
| 5 Dec 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 17 Jan 2025 |
| 5 Dec 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 17 Jan 2025 |
| 5 Dec 2024 | F0732 | Post nurse staffing information every day. | D | Standard survey | 17 Jan 2025 |
| 5 Dec 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 17 Jan 2025 |
| 5 Dec 2024 | F0758 | 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. | D | Standard survey | 17 Jan 2025 |
| 5 Dec 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 17 Jan 2025 |
| 5 Dec 2024 | 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. | D | Standard survey | 17 Jan 2025 |
| 5 Dec 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 17 Jan 2025 |
| 27 Sep 2024 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Complaint investigation | 20 Sep 2024 |
| 2 Jul 2024 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Complaint investigation | 2 Aug 2024 |
| 2 Jul 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 2 Aug 2024 |
| 29 Feb 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 22 Mar 2024 |
| 29 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 22 Mar 2024 |
| 29 Feb 2024 | F0585 | 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. | D | Complaint investigation | 22 Mar 2024 |
| 29 Feb 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 22 Mar 2024 |
| 29 Feb 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 22 Mar 2024 |
| 9 Nov 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 6 Dec 2023 |
| 9 Nov 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 6 Dec 2023 |
| 9 Nov 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 6 Dec 2023 |
| 25 Oct 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 29 Nov 2023 |
| 25 Oct 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 29 Nov 2023 |
| 25 Oct 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 29 Nov 2023 |
| 25 Oct 2023 | F0578 | 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. | D | Standard survey | 29 Nov 2023 |
| 25 Oct 2023 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 29 Nov 2023 |
| 25 Oct 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 29 Nov 2023 |
| 25 Oct 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. | D | Standard survey | 29 Nov 2023 |
| 25 Oct 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | C | Standard survey | 29 Nov 2023 |
| 19 Oct 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 29 Nov 2023 |
| 19 Oct 2023 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 29 Nov 2023 |
| 19 Oct 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 29 Nov 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 9 Dec 2025 | Fine | $17,345 | |
| 27 Sep 2024 | Fine | $14,433 | |
| 29 Feb 2024 | Fine | $14,137 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Minnesota average. Turnover: nursing staff 55.4%, RNs 42.9%; 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 | 28.6% | 18.0% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.7% | 1.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 4.5% | 2.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.7% | 3.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.5% | 1.4% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 38.0% | 20.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 12.5% | 4.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 22.0% | 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. Legal business name: Sanford Health Of Northern Minnesota. Chain: Sanford Health (4 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Sanford North | 5% or greater direct ownership interest | 100% | 05/01/2014 |
| Sanford | 5% or greater indirect ownership interest | 100% | 05/01/2014 |
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 Beltrami County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Jourdain Perpich Ext Care Fac | Redlake | 47 | 5 | 5 | 1 | 2 | 4.3 | — | 8 Jan 2026 |
| Havenwood Care Center | Bemidji | 65 | 2 | 1 | 5 | 49 | 75.4 | $137K | 29 Apr 2026 |
| Good Samaritan Society - Blackduck | Blackduck | 30 | 1 | 2 | 4 | 23 | 76.7 | $22K | 1 Jul 2026 |
All 4 facilities in Beltrami County
Questions and answers
How many deficiencies has Neilson Place been cited for?
47 health deficiencies across the three most recent survey cycles, 6 at the actual-harm or immediate-jeopardy level. The Minnesota median is 20 per facility.
Has Neilson Place been fined?
Yes. CMS lists fines totalling $46K in the period covered.
How does staffing at Neilson Place compare?
Reported total nurse staffing is 3.8 hours per resident per day against a Minnesota median of 4.2 and a national average of 3.9.
Who operates Neilson Place?
It is part of the Sanford Health chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Sanford North and Sanford. Individual owners and managers are not listed on this site.
When was Neilson Place last inspected?
The most recent survey or investigation in the CMS record is dated 5 Mar 2026; the most recent standard health survey was 5 Mar 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.