Alexandria, MN · Douglas County
★★★★★CMS 5/583 bedsNon-profitMedicaid
- Nurse hours
- 4.16 /day
- Staff turnover
- 29%
- Serious cites
- 0
Knute Nelson Care Center in Alexandria runs about 4.16 nurse hours per resident day, roughly 8% above the national average, and weekend staffing drops about 14% from its weekday level. Staff turnover sits at 29.1% against a national average of 45.8%, so the people caring for residents tend to stay. The home carries 13 deficiencies on its current record, none at the harm or jeopardy level, though one is abuse-related. Its last inspection was May 13, 2026, and it's a nonprofit, which matters for how dollars get allocated. All three CMS star ratings land at 5/5. Worth asking about that one abuse-related citation and how weekends are covered.
Pelican Rapids, MN · Otter Tail County
★★★★★CMS 5/528 bedsGovernmentMedicaid
- Nurse hours
- 5.11 /day
- Staff turnover
- 28%
- Serious cites
- 0
Pelican Valley Health Center runs on hospital-district ownership in Otter Tail County, which tends to mean steadier budgets than the for-profit chains. The numbers back that up: 5.11 nurse hours per resident day against a national average of 3.86, with weekend staffing dipping about 19% below weekdays, worth asking about if your family visits on Saturdays. Staff turnover sits at 27.5%, well under the 45.8% national figure, so the people caring for residents are more likely to still be there next year. Seven deficiencies on record, none at harm or jeopardy level and none abuse-related, with the last inspection in March 2026. For 28 beds, that's a clean record.
Park Rapids, MN · Hubbard County
★★★☆☆CMS 3/548 bedsGovernmentMedicaid
- Nurse hours
- 3.87 /day
- Staff turnover
- 49%
- Serious cites
- 0
Heritage Living Center is county-owned and holds 48 beds in Park Rapids, and the numbers behind its grade are mostly steady. Nurse staffing sits at 3.87 hours per resident day, essentially level with the national average, though weekends run about 9% thinner than weekdays, worth asking about if your family member needs care on Saturdays and Sundays. The inspection record is stronger than average, with a recent visit in August 2025 and nine deficiencies, but two of those stand out: one at the harm or jeopardy level and one abuse-related. Staff turnover of 48.9% edges past the national 45.8%, so expect some churn among caregivers.
West Saint Paul, MN · Dakota County
★★☆☆☆CMS 2/537 bedsNon-profit
- Nurse hours
- 5.32 /day
- Staff turnover
- n/a
- Serious cites
- 0
Walker Methodist Westwood Ridge II runs a high-staffing operation: 5.32 nurse hours per resident day, roughly 38% above the national average of 3.86. That's a real cushion, though weekend coverage drops about 18% below its own weekday level, so the weekday numbers overstate what a Saturday looks like. The inspection record is where it gets harder to read. Thirty deficiencies on the current record, including one at the harm level and three tied to abuse, with a $15,646 fine and a 2-star health inspection rating, the most recent survey was April 2026. A nonprofit with strong weekday staffing but a documented history of serious findings.
---
**A note on the last inspection date:** You gave April 15, 2026, which is in the future relative to now. I used it as written since I can't invent a different date, but if that was meant to be 2025, swap it, the rest of the piece doesn't change. Worth double-checking before this goes live.
Glenwood, MN · Pope County
★★☆☆☆CMS 2/564 bedsNon-profitMedicaid
- Nurse hours
- 4.17 /day
- Staff turnover
- 93%
- Serious cites
- 0
Glenwood Village Care Center runs a nonprofit home with 64 certified beds, and its nurses put in 4.17 hours per resident day, about 8 percent more than the national average. That sounds reassuring until you look at the weekend, where coverage drops roughly 10 percent below the home's own weekday level, and at turnover that hits 93.1 percent against a national figure near 46 percent. Nearly every aide and nurse you'd meet is relatively new. The current inspection record carries 32 deficiencies, including three serious enough to put residents in harm's way and two tied to abuse, with a $15,592 fine attached. The last full inspection was in May 2025. Stable, experienced hands are what make daily care reliable, and that's the piece missing here.