Neilson Place

Nursing Home · Bemidji, MN

CMS overall rating 1/5 Non profit - Corporation

CMS certification number245039

Contact & location

1000 Anne Street Northwest
Bemidji, MN 56601
Beltrami County
Phone
(218) 751-0220
ZIP code
56601 – all care providers

Open in Google Maps

Facility details

Certified beds
78
Residents per day
71.0 (91% occupied)
Ownership
Non profit - Corporation
Legal name
Sanford Health of Northern Minnesota
Chain
Sanford Health (4 facilities, avg 2.8★)
Medicare certified since
January 1, 1979
Participates in
Medicare and Medicaid
Council
Both council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.2
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 4/5
State avg 4.1
Quality measures★★★★★ 2/5
State avg 3.1
Long-stay quality★★★★★ 1/5
Short-stay quality★★★★★ 5/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.80 (state 4.19 · U.S. 3.86)
Registered nurses (RN)
0.89 (state 1.06 · U.S. 0.69)
Licensed practical nurses
0.64 (state 0.61 · U.S. 0.86)
Nurse aides
2.27 (state 2.52 · U.S. 2.32)
Weekend total
3.27 (state 3.71 · U.S. 3.42)
Nursing staff turnover
55.4 (state 42.2 · U.S. 45.8)%
RN turnover
42.9 (state 38.6 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
March 5, 2026
Health deficiencies (last cycle)
9.0 (state 7.0 · U.S. 9.3)
From complaints
2
Citations on record (3 years)
47 health · 18 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-03-05 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-04-17
2026-03-05 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 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.
F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-17
2026-03-05 Assess the resident when there is a significant change in condition
F0637 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-17
2026-03-05 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-17
2026-03-05 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0688 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0700 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-11-12
2025-07-02 Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
F0603 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 G
Actual harm		 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.
F0557 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-28
2025-04-04 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-28
2025-02-25 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 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.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-01-17
2024-12-05 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-01-17
2024-12-05 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-17
2024-12-05 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-17
2024-12-05 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0756 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0758 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-17
2024-12-05 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0803 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-17
2024-12-05 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0678 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2024-09-20
2024-07-02 Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
F0740 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-02
2024-07-02 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-02
2024-02-29 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 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.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 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.
F0585 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-22
2024-02-29 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-22
2024-02-29 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-12-06
2023-11-09 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-12-06
2023-11-09 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-12-06
2023-10-25 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-11-29
2023-10-25 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 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.
F0550 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0578 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-29
2023-10-25 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-29
2023-10-25 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-29
2023-10-25 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.
F0803 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-29
2023-10-25 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 C
No actual harm, potential for minimal harm		 Corrected 2023-11-29
2023-10-19 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-11-29
2023-10-19 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-11-29
2023-10-19 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-29

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

3 penalties in the last three years, including $45,915 in fines.

DateTypeAmount
2025-12-09Fine$17,345
2024-09-27Fine$14,433
2024-02-29Fine$14,137

Ownership & management

NameRoleSince
Sanford North (organization)5%+ Direct Ownership Interest · 100%
Sanford (organization)5%+ Indirect Ownership Interest · 100%
Cain, James (individual)Corporate Director · NOT APPLICABLE
Engbrecht, Wesley (individual)Corporate Director · NOT APPLICABLE
Gassen, William (individual)Corporate Director · NOT APPLICABLE
Gulsvig, Neil (individual)Corporate Director · NOT APPLICABLE
Jacobs, Donald (individual)Corporate Director · NOT APPLICABLE
Lundeen, Mark (individual)Corporate Director · NOT APPLICABLE
Molbert, Lauris (individual)Corporate Director · NOT APPLICABLE
North, Andrew (individual)Corporate Director · NOT APPLICABLE
Teiken, Brent (individual)Corporate Director · NOT APPLICABLE
Ventling-Herrmann, Marnie (individual)Corporate Director · NOT APPLICABLE
Gassen, William (individual)Corporate Officer · NOT APPLICABLE
Marlette, William (individual)Corporate Officer · NOT APPLICABLE
Morrison, Tony (individual)Corporate Officer · NOT APPLICABLE
Dulski, Karin (individual)W-2 Managing Employee · NOT APPLICABLE
Gassen, William (individual)W-2 Managing Employee · NOT APPLICABLE
Marlette, William (individual)W-2 Managing Employee · NOT APPLICABLE
Morrison, Tony (individual)W-2 Managing Employee · NOT APPLICABLE
Munson, Jolyn (individual)W-2 Managing Employee · NOT APPLICABLE
Swenson, Stephanie (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Neilson Place?

Neilson Place has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in Minnesota.

How many beds does Neilson Place have?

It has 78 certified beds and cares for about 71 residents per day.

Has Neilson Place been fined?

Yes. CMS lists 3 penalties totaling $45,915 in the last three years.

Who owns Neilson Place?

It is part of Sanford Health and is classified as non profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Neilson Place?

(218) 751-0220. The facility is located at 1000 Anne Street Northwest, Bemidji, MN 56601.

Other nursing homes in Bemidji

Compare all nursing homes in Bemidji, MN →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.