37/100
Poor
1000 Anne Street Northwest, Bemidji, MN 56601
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.
Abuse icon on record
CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.
6 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$45,915 in federal fines
CMS has fined this facility across 3 penalty action(s).
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours 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.
Last standard health inspection: March 5, 2026 (5 months ago).
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
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.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
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) Cor...
No actual harm, potential for more than minimal harm
Part of SANFORD HEALTH, which operates 4 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| DULSKI, KARIN | Individual | W-2 MANAGING EMPLOYEE | — |
| GASSEN, WILLIAM | Individual | W-2 MANAGING EMPLOYEE | — |
| MARLETTE, WILLIAM | Individual | W-2 MANAGING EMPLOYEE | — |
| MORRISON, TONY | Individual | W-2 MANAGING EMPLOYEE | — |
| MUNSON, JOLYN | Individual | W-2 MANAGING EMPLOYEE | — |
| SWENSON, STEPHANIE | Individual | W-2 MANAGING EMPLOYEE | — |
| CAIN, JAMES | Individual | CORPORATE DIRECTOR | — |
| ENGBRECHT, WESLEY | Individual | CORPORATE DIRECTOR | — |
| GASSEN, WILLIAM | Individual | CORPORATE DIRECTOR | — |
| GULSVIG, NEIL | Individual | CORPORATE DIRECTOR | — |
| JACOBS, DONALD | Individual | CORPORATE DIRECTOR | — |
| LUNDEEN, MARK | Individual | CORPORATE DIRECTOR | — |
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Neilson Place holds an ElderGrade of F (37 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.80 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 6 of the 47 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Neilson Place 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.