Nursing homes › Minnesota › Neilson Place
1000 Anne Street Northwest, Bemidji, MN 56601 · 2187510220 · 78 certified beds
Per CMS filings, this facility is affiliated with Sanford Health, a group operating 4 facilities in 3 states. Group record: average rating 2.5/5, 1 abuse citation icons, 0 facilities on the Special Focus list, $316,298 in federal fines. This facility rates below its group average (2.5/5).
Total nurse staffing: 3.80 (Minnesota median: 4.16). RN hours: 0.89. Weekend total: 3.27. Nursing staff turnover: 55%.
All-time on record: 47 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-03-05 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2026-04-17 |
| 2026-03-05 | Provide and implement an infection prevention and control program. | E | Health | corrected 2026-04-17 |
| 2026-03-05 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Health | corrected 2026-04-17 |
| 2026-03-05 | Assess the resident when there is a significant change in condition | D | complaint | corrected 2026-04-17 |
| 2026-03-05 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2026-04-17 |
| 2026-03-05 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2026-04-17 |
| 2026-03-05 | 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 | Health | corrected 2026-04-17 |
| 2026-03-05 | 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 | Health | corrected 2026-04-17 |
| 2025-12-09 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2025-11-12 |
| 2025-07-02 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | G | complaint | corrected 2025-07-28 |
| 2025-07-02 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | complaint | corrected 2025-07-28 |
| 2025-04-04 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-04-25 |
| 2025-02-25 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2025-02-28 |
| 2025-02-25 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-02-28 |
| 2024-12-20 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2024-12-19 |
| 2024-12-05 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-01-17 |
| 2024-12-05 | Provide and implement an infection prevention and control program. | F | Health | corrected 2025-01-17 |
| 2024-12-05 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2025-01-17 |
| 2024-12-05 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2025-01-17 |
| 2024-12-05 | Post nurse staffing information every day. | D | Health | corrected 2025-01-17 |
| 2024-12-05 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2025-01-17 |
| 2024-12-05 | 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 | Health | corrected 2025-01-17 |
| 2024-12-05 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2025-01-17 |
| 2024-12-05 | 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 | Health | corrected 2025-01-17 |
| 2024-12-05 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2025-01-17 |
| 2024-09-27 | 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 | corrected 2024-09-20 |
| 2024-07-02 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | complaint | corrected 2024-08-02 |
| 2024-07-02 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2024-08-02 |
| 2024-02-29 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | complaint | corrected 2024-03-22 |
| 2024-02-29 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2024-03-22 |
| 2024-02-29 | 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 | corrected 2024-03-22 |
| 2024-02-29 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-03-22 |
| 2024-02-29 | Respond appropriately to all alleged violations. | D | complaint | corrected 2024-03-22 |
| 2023-11-09 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2023-12-06 |
| 2023-11-09 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2023-12-06 |
| 2023-11-09 | Respond appropriately to all alleged violations. | D | complaint | corrected 2023-12-06 |
| 2023-10-25 | Provide and implement an infection prevention and control program. | F | Health | corrected 2023-11-29 |
| 2023-10-25 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2023-11-29 |
| 2023-10-25 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2023-11-29 |
| 2023-10-25 | 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 | Health | corrected 2023-11-29 |
| Date | Type | Amount |
|---|---|---|
| 2025-12-09 | Fine | $17,345 |
| 2024-09-27 | Fine | $14,433 |
| 2024-02-29 | Fine | $14,137 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| SANFORD NORTH | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 05/01/2014 |
| SANFORD | 5% Or Greater Indirect Ownership Interest | Organization | 100% | since 05/01/2014 |
| CAIN, JAMES | Corporate Director | Individual | NOT APPLICABLE | since 11/19/2015 |
| ENGBRECHT, WESLEY | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2021 |
| GASSEN, WILLIAM | Corporate Director | Individual | NOT APPLICABLE | since 11/24/2020 |
| GULSVIG, NEIL | Corporate Director | Individual | NOT APPLICABLE | since 03/28/2019 |
| JACOBS, DONALD | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2014 |
| LUNDEEN, MARK | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2014 |
| MOLBERT, LAURIS | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2021 |
| NORTH, ANDREW | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2017 |
| TEIKEN, BRENT | Corporate Director | Individual | NOT APPLICABLE | since 05/01/2014 |
| VENTLING-HERRMANN, MARNIE | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2022 |
| GASSEN, WILLIAM | Corporate Officer | Individual | NOT APPLICABLE | since 11/24/2020 |
| MARLETTE, WILLIAM | Corporate Officer | Individual | NOT APPLICABLE | since 06/16/2023 |
| MORRISON, TONY | Corporate Officer | Individual | NOT APPLICABLE | since 02/01/1991 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 245039. Corrections: data@carerecords.org.