Nursing homeFAID #6422
Neilson Place
1000 ANNE STREET NORTHWEST, BEMIDJI, MN, 56601
(218) 751-0220
78 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections4/5 staffing2/5 quality measuresSource: CMS Care Compare
Public record summary
What we can show you for free.
Bed capacity
78
CMS facility ID
245039
Care type
Nursing home
County
Beltrami
Facility name
Neilson Place
Street address
1000 ANNE STREET NORTHWEST
City / state / ZIP
Bemidji, MN 56601
Phone
(218) 751-0220
About this facility — Neilson Place
Neilson Place is a Medicare/Medicaid-certified skilled nursing facility in Bemidji, Minnesota. It is licensed for 78 beds — above the median for skilled nursing facilities in Minnesota (60 beds).
It is one of 17 senior care facilities in Bemidji 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 Neilson Place 65 times across 17 inspections in the last three years, including 5 food-safety citations, and CMS has imposed $45,915 in fines. 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.
Facility background
What the public record shows.
Ownership & operator
Parent company
Sanford Health
Ownership type
Non profit - Corporation
Registered owners & officers
Sanford
Indirect owner — 100% stake — since 2014
Sanford North
Direct owner — 100% stake — since 2014
Cain, James
Director — since 2015
Dulski, Karin
Managing employee — since 2012
Engbrecht, Wesley
Director — since 2021
Gassen, William
Managing employee · Director · Officer — since 2020
Gulsvig, Neil
Director — since 2019
Jacobs, Donald
Director — since 2014
Lundeen, Mark
Director — since 2014
Marlette, William
Managing employee · Officer — since 2023
Molbert, Lauris
Director — since 2021
Morrison, Tony
Managing employee · Officer — since 1991
Munson, Jolyn
Managing employee — since 2013
North, Andrew
Director — since 2017
Swenson, Stephanie
Managing employee — since 2019
Teiken, Brent
Director — since 2014
Ventling-herrmann, Marnie
Director — since 2022
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
1979-01-01
CMS overall rating
1 of 5 stars
Health deficiencies
9 at the last standard inspection
Federal fines
$45,915 total
Last standard inspection
2026-03-05
Nurse staffing
3.8 hours per resident per day
Services & coverage
Licensed beds
78
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset · last verified 2026-08-31. Facilities can submit a correction.
Inspection record
Every citation, dated and graded.
Kitchen & food safety
Federal surveyors inspect the kitchen at every standard visit. This facility has 5 food-safety citations on its three-year record — flagged below among the inspections.
2026-03-05Health inspectionComplaint-triggered8 citations
F-0605
D · No harm found
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2026-04-17
F-0637
D · No harm foundFrom a complaint
Assess the resident when there is a significant change in condition
Corrected 2026-04-17
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-04-17
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-04-17
F-0688
D · No harm found
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.
Corrected 2026-04-17
F-0700
D · No harm found
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.
Corrected 2026-04-17
F-0812
E · 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 2026-04-17
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-04-17
2025-12-09Health inspectionComplaint-triggered1 citation
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-11-12
14 earlier / fire-safety inspections (56 citations)
2025-07-02Health inspectionComplaint-triggered2 citations
F-0557
D · No harm foundFrom a complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2025-07-28
F-0603
G · Actual harmFrom a complaint
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Corrected 2025-07-28
2025-04-04Health inspectionComplaint-triggered1 citation
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-04-25
2025-02-25Health inspectionComplaint-triggered2 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-02-28
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-02-28
2024-12-20Health inspectionComplaint-triggered1 citation
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-19
2024-12-05Health inspection10 citations
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-01-17
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-01-17
F-0732
D · No harm found
Post nurse staffing information every day.
Corrected 2025-01-17
F-0756
D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-01-17
F-0758
D · No harm found
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.
Corrected 2025-01-17
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-01-17
F-0803
D · No harm foundFood safety
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.
Corrected 2025-01-17
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 2025-01-17
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-01-17
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-01-17
2024-09-27Health inspectionComplaint-triggered1 citation
F-0678
J · Immediate jeopardyFrom a complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2024-09-20
2024-07-02Health inspectionComplaint-triggered2 citations
F-0740
D · No harm foundFrom a complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2024-08-02
F-0760
D · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2024-08-02
2024-02-29Health inspectionComplaint-triggered5 citations
F-0585
D · No harm foundFrom a complaint
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.
Corrected 2024-03-22
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-03-22
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2024-03-22
F-0686
G · Actual harmFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-03-22
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-22
2023-11-09Health inspectionComplaint-triggered3 citations
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-12-06
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-12-06
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2023-12-06
2023-10-25Health inspection8 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-11-29
F-0578
D · No harm found
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.
Corrected 2023-11-29
F-0607
C · No harm found
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-11-29
F-0679
D · No harm found
Provide activities to meet all resident's needs.
Corrected 2023-11-29
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-11-29
F-0803
D · No harm foundFood safety
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.
Corrected 2023-11-29
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-11-29
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-11-29
2023-10-19Health inspectionComplaint-triggered3 citations
F-0609
E · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-11-29
F-0610
E · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2023-11-29
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-29
2026-03-05Fire-safety inspection10 citations
K-0211
F · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2026-04-17
K-0321
D · 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 2026-04-17
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2026-04-17
K-0346
D · No harm found
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2026-04-17
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-04-22
K-0354
D · No harm found
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2026-04-17
K-0355
D · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2026-04-17
K-0372
F · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2026-04-17
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2026-04-17
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2026-04-17
2024-12-05Fire-safety inspection4 citations
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 2024-12-31
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-01-08
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-03-04
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2025-01-10
2023-10-25Fire-safety inspection4 citations
K-0222
F · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2023-11-29
K-0521
D · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-11-29
K-0914
C · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-11-29
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-11-29
Federal penalties
2025-12-09Fine$17,345
2024-09-27Fine$14,433
2024-02-29Fine$14,137
Total fines$45,915
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 245039.
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 65 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 onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
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