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Nursing home report

Neilson Place

BEMIDJI, MN · Medicare-certified · 78 beds

Needs attention
Abuse citationNon-profitChain member
1 of 5 overall

Neilson Place (Bemidji, MN) has a 1-star overall rating, with a 1-star health inspection rating but stronger staffing at 4 stars; reported nurse staffing is 3.98 hours per resident per day versus the 4.1-hour federal benchmark. It also has $41,118 in fines in the last 24 months and a recent abuse citation.

Facility ratings

Health inspections

Staffing

3.98 hrs/resident/day

Quality measures

Last inspection: March 5, 2026Penalties, last 24 months: $41,118recent abuse citation

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.98.

Staffing detail

Registered nurses
1.12
Licensed practical nurses
0.62
Nurse aides
2.24
Weekend nursing
3.32

Hours per resident per day.

Total staff turnover: 54%
Registered nurse turnover: 33%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

19.4%Worsening

Residents with a fall causing major injury

4.8%Worsening

Residents with pressure ulcers (bedsores)

12.2%Worsening

Residents with a urinary tract infection

3.3%Worsening

Residents who lost too much weight

3.8%Worsening

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

25.4%Worsening

Residents whose ability to walk got worse

38.7%Steady
Show all measures

Long-stay residents on antianxiety or sleep medication

7.5%Improving

Short-stay residents newly given an antipsychotic

0%Steady

Residents with a long-term catheter

2.6%Improving

Residents with new or worsening incontinence

26.2%Worsening

Residents with depressive symptoms

2.7%Steady

Long-stay residents given the seasonal flu vaccine

92.8%Steady

Long-stay residents given the pneumonia vaccine

98.4%Worsening

Short-stay residents given the seasonal flu vaccine

66.2%Steady

Short-stay residents given the pneumonia vaccine

98.7%Improving

What the inspectors found

The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited September 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: G

The home failed to protect residents from being separated from others or confined to their rooms. Cited July 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 603 — 42 CFR §483.12 — S/S: G

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited February 2024 — isolated incident, actual harm.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: G

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 8 health deficiencies.

    See what inspectors found
  3. PENALTY

    A federal fine of $26,685 was recorded.

  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  6. PENALTY

    A federal fine of $14,433 was recorded.

Penalties & enforcement

On record with Medicare: 3 fines · $55,255 in total fines.

  • Federal fine

    Dec 9, 2025

    $26,685
  • Federal fine

    Sep 27, 2024

    $14,433
  • Federal fine

    Feb 29, 2024

    $14,137

Operator & ownership

Ownership
Non profit - Corporation
Chain
Part of SANFORD HEALTH · 4 homes · 2.5 stars avg
Occupancy
71.8 residents on an average day (92% of 78 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 47 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.