The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2025 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Nursing home report
Nelson Care Center by Vivie
Registered name: KNUTE NELSON CARE CENTER
ALEXANDRIA, MN · Medicare-certified · 83 beds
In good standing
Non-profitChain member
Data as of July 1, 2026
5 of 5 overall
Nelson Care Center by Vivie has a 5 out of 5 star overall rating, with 5-star ratings in health inspections, staffing, and quality measures. It reports nurse staffing slightly above the federal benchmark (4.16 vs. 4.1 hours per resident per day), no fines in the last 24 months, and recent inspection citations related to food service and vaccination policies.
Facility ratings
Health inspections
Staffing
4.1574 hrs/resident/day
Quality measures
Last inspection: May 13, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.1574.
Staffing detail
- Registered nurses
- 1.01
- Licensed practical nurses
- 0.86
- Nurse aides
- 2.29
- Weekend nursing
- 3.57
Hours per resident per day.
Total staff turnover: 29%
Registered nurse turnover: 19%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
14.3%4.5%Improving
Residents with a fall causing major injury
2.2%2.5%No change
Residents with pressure ulcers (bedsores)
8.3%0%Improving
Residents with a urinary tract infection
2.2%2.5%No change
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
6.7%11.5%Worsening
Residents whose ability to walk got worse
—21.5%—
Long-stay residents on antianxiety or sleep medication
19.4%11.5%Improving
Short-stay residents newly given an antipsychotic
2.5%2.1%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
28.5%35.6%Worsening
Residents with depressive symptoms
0%8.8%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—96.2%—
Long-stay residents given the pneumonia vaccine
97.8%100%Improving
Short-stay residents given the seasonal flu vaccine
—85.3%—
Short-stay residents given the pneumonia vaccine
77.3%89.6%Improving
What the inspectors found
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited May 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: E
The nursing home failed to develop and follow policies to make sure residents received flu and pneumonia vaccinations. Cited May 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 883 — 42 CFR §483.80 — S/S: E
The home failed to notify the resident and family in time before a transfer or discharge, including their right to appeal. Cited March 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 623 — 42 CFR §483.15 — S/S: D
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited March 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of VIVIE · 5 homes · 3.4 stars avg
- Occupancy
- 64.5 residents on an average day (78% of 83 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 39 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.