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.
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.
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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.
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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.
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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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $26,685 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
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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.