Neilson Place
1000 ANNE STREET NORTHWEST, BEMIDJI, MN 56601 · CCN 245039
Abuse icon
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 78
- Avg residents/day
- 72.7
- Phone
- 2187510220
Inspection history vs Minnesota & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Minnesota avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-12-05 | 14 | 8.1 | 9.5 | +5.9 worse |
| 2 | 2023-10-25 | 14 | 7.8 | 9.8 | +6.2 worse |
| 3 | 2022-09-29 | 16 | 7.4 | 9.3 | +8.6 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 3 |
| Nursing and physician services | 1 |
| Resident rights | 1 |
| Nutrition and dietary | 2 |
| Pharmacy service | 3 |
| Infection control | 3 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.02 | 60.0% |
| RN staffing (reported) | 1.05 | 41.2% |
| Total nurse staffing (adjusted) | 4.43 | — |
Fines & penalties
- Total fines
- $36,342
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Chain
- Chain
- SANFORD HEALTH GOOD SAMARITAN (PROSPERA)
- Facilities in chain
- 4
- Chain avg overall
- 2.50 / 5
Inspection citations (44)1 immediate jeopardy5 actual harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-09 · Health
Actual harm
- DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2025-07-02 · Health · corrected 2025-07-28
Potential for more than minimal harm
- GF0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).2025-07-02 · Health · corrected 2025-07-28
Actual harm
- DF0880Provide and implement an infection prevention and control program.2025-04-04 · Health · corrected 2025-04-25
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-02-25 · Health · corrected 2025-02-28
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-02-25 · Health · corrected 2025-02-28
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-12-20 · Health · corrected 2024-12-19
Actual harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-12-05 · Health · corrected 2025-01-17
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2024-12-05 · Health · corrected 2025-01-17
Potential for more than minimal harm
- DF0732Post nurse staffing information every day.2024-12-05 · Health · corrected 2025-01-17
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-12-05 · Health · corrected 2025-01-17
Potential for more than minimal harm
- DF0758Implement 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.2024-12-05 · Health · corrected 2025-01-17
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2024-12-05 · Health · corrected 2025-01-17
Potential for more than minimal harm
- DF0803Ensure 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.2024-12-05 · Health · corrected 2025-01-17
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-12-05 · Health · corrected 2025-01-17
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2024-12-05 · Health · corrected 2025-01-17
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-12-05 · Health · corrected 2025-01-17
Potential for more than minimal harm
- JF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2024-09-27 · Health · corrected 2024-09-20
Immediate jeopardy
- DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2024-07-02 · Health · corrected 2024-08-02
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-07-02 · Health · corrected 2024-08-02
Potential for more than minimal harm
- DF0585Honor 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.2024-02-29 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-02-29 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-02-29 · Health · corrected 2024-03-22
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-02-29 · Health · corrected 2024-03-22
Actual harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-29 · Health · corrected 2024-03-22
Actual harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-11-09 · Health · corrected 2023-12-06
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-11-09 · Health · corrected 2023-12-06
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-11-09 · Health · corrected 2023-12-06
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-10-25 · Health · corrected 2023-11-29
Potential for more than minimal harm
- DF0578Honor 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.2023-10-25 · Health · corrected 2023-11-29
Potential for more than minimal harm
- CF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-10-25 · Health · corrected 2023-11-29
Potential for minimal harm
- DF0679Provide activities to meet all resident's needs.2023-10-25 · Health · corrected 2023-11-29
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-10-25 · Health · corrected 2023-11-29
Potential for more than minimal harm
- DF0803Ensure 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.2023-10-25 · Health · corrected 2023-11-29
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-10-25 · Health · corrected 2023-11-29
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2023-10-25 · Health · corrected 2023-11-29
Potential for more than minimal harm
- EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-10-19 · Health · corrected 2023-11-29
Potential for more than minimal harm
- EF0610Respond appropriately to all alleged violations.2023-10-19 · Health · corrected 2023-11-29
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-19 · Health · corrected 2023-11-29
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-17 · Health · corrected 2023-04-14
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-09-29 · Health · corrected 2022-11-10
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2022-09-29 · Health · corrected 2022-11-10
Potential for more than minimal harm
- DF0758Implement 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.2022-09-29 · Health · corrected 2022-11-10
Potential for more than minimal harm
- DF0881Implement a program that monitors antibiotic use.2022-09-29 · Health · corrected 2022-11-10
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| SANFORD NORTH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2014-05-01 |
| SANFORD | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2014-05-01 |
| CAIN, JAMES | Individual | CORPORATE DIRECTOR | — | 2015-11-19 |
| ENGBRECHT, WESLEY | Individual | CORPORATE DIRECTOR | — | 2021-01-01 |
| GASSEN, WILLIAM | Individual | CORPORATE DIRECTOR | — | 2020-11-24 |
| GULSVIG, NEIL | Individual | CORPORATE DIRECTOR | — | 2019-03-28 |
| JACOBS, DONALD | Individual | CORPORATE DIRECTOR | — | 2014-01-01 |
| LUNDEEN, MARK | Individual | CORPORATE DIRECTOR | — | 2014-01-01 |
| MOLBERT, LAURIS | Individual | CORPORATE DIRECTOR | — | 2021-01-01 |
| NORTH, ANDREW | Individual | CORPORATE DIRECTOR | — | 2017-01-01 |
| TEIKEN, BRENT | Individual | CORPORATE DIRECTOR | — | 2014-05-01 |
| VENTLING-HERRMANN, MARNIE | Individual | CORPORATE DIRECTOR | — | 2022-01-01 |
| GASSEN, WILLIAM | Individual | CORPORATE OFFICER | — | 2020-11-24 |
| MARLETTE, WILLIAM | Individual | CORPORATE OFFICER | — | 2023-06-16 |
| MORRISON, TONY | Individual | CORPORATE OFFICER | — | 1991-02-01 |
| DULSKI, KARIN | Individual | W-2 MANAGING EMPLOYEE | — | 2012-11-19 |
| GASSEN, WILLIAM | Individual | W-2 MANAGING EMPLOYEE | — | 2020-11-24 |
| MARLETTE, WILLIAM | Individual | W-2 MANAGING EMPLOYEE | — | 2023-06-16 |
| MORRISON, TONY | Individual | W-2 MANAGING EMPLOYEE | — | 1991-02-01 |
| MUNSON, JOLYN | Individual | W-2 MANAGING EMPLOYEE | — | 2013-02-25 |
| SWENSON, STEPHANIE | Individual | W-2 MANAGING EMPLOYEE | — | 2019-11-01 |
Other facilities in BEMIDJI
| Name | Overall | Beds |
|---|---|---|
| Havenwood Care Center | ★☆☆☆☆ | 65 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.