76.5/100
Above average
Knife River Care Center
118 22Nd St Ne, Beulah, ND 58523
- Certified beds
- 86
- Occupancy
- 97%
- Ownership
- Non-profit
- Accepts
- Medicare + Medicaid
What to ask about before you visit
These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.
$35,890 in federal fines
CMS has fined this facility across 1 penalty action(s).
Our read on Knife River Care Center
Knife River Care Center runs on a paradox: the raw staffing number is genuinely strong, 4.91 nurse hours per resident day against a national average of 3.86, and that's what earns it the top marks from CMS on staffing. But look at what's happened around that number. Turnover sits at 54.5%, well above the national 45.8%, meaning the aides and nurses in the building are cycling through frequently. Weekend staffing drops about 16% below weekday levels, so the coverage families see on a Tuesday isn't what shows up on a Saturday. And the inspection record is the real concern: 22 deficiencies, including two at harm or jeopardy level and three tied to abuse, plus a $35,890 fine. Strong hours, unstable workforce, and a troubling compliance history.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
27.5/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →5.65 total nurse hours per resident per day (national median 3.77)
- →1.1 RN hours per resident per day
- →Weekend staffing drops 16% against weekdays
Staff stability
9/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →55% of nursing staff left in the last year
Resident outcomes
5/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →2 of 5 stars on the CMS quality-measure rating
Enforcement history
5/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →$35,890 in federal fines across 1 action(s)
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: April 29, 2026 (6 months ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
What families say
Write a reviewNo family reviews yet for Knife River Care Center. If you or a relative have experience of this home, other families would find it useful.
Be the first to reviewEvery review is confirmed by email and read by a moderator before it appears. We remove reviews written by or for a facility. If something is wrong right now, report a concern , that routes you to your state ombudsman, who can actually intervene.
Common questions about Knife River Care Center
What is the ElderGrade for Knife River Care Center? +
Knife River Care Center holds an ElderGrade of B (76.5 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Knife River Care Center? +
Residents receive an average of 4.91 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Knife River Care Center been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Knife River Care Center accept Medicaid? +
Yes, Knife River Care Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
- Add another