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Nursing homeFAID #6612

Knute Nelson Care Center

420 12TH AVENUE EAST, ALEXANDRIA, MN, 56308
(320) 763-6653
83 licensed beds
★★★★★5/5CMS Five-Star overall5/5 health inspections5/5 staffing5/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
83
CMS facility ID
245435
Care type
Nursing home
County
Douglas
Facility name
Knute Nelson Care Center
Street address
420 12TH AVENUE EAST
City / state / ZIP
Alexandria, MN 56308
Phone
(320) 763-6653
Website

Knute Nelson Care Center is a Medicare/Medicaid-certified skilled nursing facility in Alexandria, Minnesota. It is licensed for 83 beds — above the median for skilled nursing facilities in Minnesota (60 beds).

It is one of 20 senior care facilities in Alexandria and 338 skilled nursing facilities across Minnesota. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Knute Nelson Care Center 33 times across 8 inspections in the last three years, including 2 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Vivie
Ownership type
Non profit - Corporation

Registered owners & officers

Vivie
Direct owner — 100% stake — since 2024
Anderson, Mark
Managing employee · Officer — since 2004
Billberg, Greg
Director — since 2022
Carlson, Pamela
Director — since 2017
Coauette, Chad
Director — since 2017
Critz, Julie
Director — since 2020
Gugisberg, Marnie
Managing employee · Officer — since 2005
Hanson, Phillip
Officer — since 2024
Jodsaas, Vicki
Director — since 2021
Montgomery, Jeff
Director — since 2018
O'kane, Sara
Director — since 2023
Perry, Katie
Managing employee · Officer — since 2006
Semmer, Fred
Officer — since 2024
Steffl, Deena
Director — since 2016
Urman, Angela
Managing employee · Officer — since 2010
Wolf, David
Officer — since 2015

Regulatory standing

Federal court records
20 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1987-02-01
CMS overall rating
5 of 5 stars
Health deficiencies
2 at the last standard inspection
Federal fines
None on record
Last standard inspection
2026-05-13
Nurse staffing
4.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$104 per day (≈ $3,160/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
9% Medicaid · 27% Medicare · 64% private/other
Occupancy
100% (fiscal year 2023)
Vs. state median
74% below the MN median of $407/day — full state cost breakdown

Services & coverage

Licensed beds
83
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2026-05-13Health inspection2 citations
F-0572
C · No harm found
Give residents a notice of rights, rules, services and charges.
Corrected 2026-05-26
F-0732
C · No harm found
Post nurse staffing information every day.
Corrected 2026-05-26
2025-03-05Health inspection3 citations
F-0623
D · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-04-09
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-04-09
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-09
5 earlier / fire-safety inspections (28 citations)
2024-05-22Health inspectionComplaint-triggered6 citations
F-0604
D · No harm found
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2024-07-01
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-07-01
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-07-01
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-01
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-07-01
F-0883
E · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-07-01
2023-09-22Health inspectionComplaint-triggered1 citation
F-0583
D · No harm foundFrom a complaint
Keep residents' personal and medical records private and confidential.
Corrected 2023-10-18
2026-05-13Fire-safety inspection5 citations
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-06-05
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2026-06-05
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-06-05
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2026-06-05
K-0921
F · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2026-06-30
2025-03-05Fire-safety inspection9 citations
K-0211
D · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-03-18
K-0321
F · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-04-09
K-0341
D · No harm found
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-04-09
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-09
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2025-04-09
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-04-09
K-0712
D · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2025-04-09
K-0761
D · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-04-09
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2025-04-09
2024-05-22Fire-safety inspection7 citations
K-0223
F · No harm found
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2024-07-31
K-0321
F · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-07-31
K-0324
E · No harm found
Provide properly protected cooking facilities.
Corrected 2024-07-31
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-31
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-07-31
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-07-31
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-07-31
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 245435.
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 33 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered