Federal inspection record · CMS data as of October 1, 2026
Knute Nelson Care Center
420 12th Avenue East, Alexandria, MN · (320) 763-6653
- CMS high-performer trophy
- Certified beds
- 83
- Residents per day
- 63
- Ownership
- Non-Profit
- Chain
- Vivie
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 1, 1987
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Minnesota.
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Staffing
★★★★★no change (already 5)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change (already 5)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Minnesota homes
Knute Nelson Care Center carries 7 inspection points. That is fewer than 92% of Minnesota's 335 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Minnesota: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–30 pts
- 3★ 30–54 pts
- 2★ 54–92 pts
- 1★ over 92 pts
Bars show every rated home in Minnesota by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
11 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care4D
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights2D
- C
Give residents a notice of rights, rules, services and charges.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nursing and Physician Services1C
- C
Post nurse staffing information every day.
Infection Control1E
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspection history
2026-05-13
2 health deficiencies · 5 fire-safety deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
2025-03-05
3 health deficiencies · 9 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2024-05-22
6 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 13 min of nursing staff time a day, 1 h 8 min of it from a registered nurse.
This home
4 h 13 min
Minnesota average
4 h 16 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 32% of nursing staff and 17% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.5 pts better | 98.8% | 97.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.6 pts better | 100.0% | 96.4% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.9 pts better | 1.2% | 4.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.1 pts worse | 6.2% | 4.1% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.9 pts better | 0.0% | 3.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1 pts better | 11.7% | 12.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication10.1 pts better | 7.1% | 17.2% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.5 pts better | 18.3% | 18.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.9 pts worse | 19.1% | 18.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.7 pts better | 0.0% | 1.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.2 pts better | 2.4% | 2.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.2 pts worse | 31.9% | 23.7% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.8 pts better | 2.3% | 5.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.9 pts worse | 85.2% | 88.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.1 pts better | 10.5% | 14.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1 pts worse | 2.9% | 1.9% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.8 pts better | 87.1% | 83.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission7.6 pts better | 15.4% | 23.0% | 23.4% |
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Who owns and runs it
20 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Vivie | 5% Or Greater Direct Ownership Interest · Organization | 100% | 2 facilities |
| Anderson, Mark | W-2 Managing Employee · Individual | 0% | 5 facilities |
| Anderson, Mark | Corporate Officer · Individual | 0% | 5 facilities |
| Billberg, Greg | Corporate Director · Individual | 0% | 2 facilities |
| Carlson, Pamela | Corporate Director · Individual | 0% | 1 facilities |
| Coauette, Chad | Corporate Director · Individual | 0% | 2 facilities |
| Critz, Julie | Corporate Director · Individual | 0% | 2 facilities |
| Gugisberg, Marnie | W-2 Managing Employee · Individual | 0% | 5 facilities |
| Gugisberg, Marnie | Corporate Officer · Individual | 0% | 5 facilities |
| Hanson, Phillip | Corporate Officer · Individual | 0% | 8 facilities |
| Jodsaas, Vicki | Corporate Director · Individual | 0% | 2 facilities |
| Montgomery, Jeff | Corporate Director · Individual | 0% | 2 facilities |
| O'kane, Sara | Corporate Director · Individual | 0% | 1 facilities |
| Perry, Katie | W-2 Managing Employee · Individual | 0% | 2 facilities |
| Perry, Katie | Corporate Officer · Individual | 0% | 2 facilities |
| Semmer, Fred | Corporate Officer · Individual | 0% | 2 facilities |
| Steffl, Deena | Corporate Director · Individual | 0% | 1 facilities |
| Urman, Angela | W-2 Managing Employee · Individual | 0% | 4 facilities |
| Urman, Angela | Corporate Officer · Individual | 0% | 4 facilities |
| Wolf, David | Corporate Officer · Individual | 0% | 2 facilities |
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Fire safety
21 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9F
- D
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Install a fire alarm system that can be heard throughout the facility.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Provide properly protected cooking facilities.
- D
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems6F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- E
Ensure proper usage of power strips and extension cords.
- E
Ensure proper usage of power strips and extension cords.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D
Ensure proper usage of power strips and extension cords.
Miscellaneous4F
- F
Have simulated fire drills held at unexpected times.
- D
Have simulated fire drills held at unexpected times.
- D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Egress2F
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
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Other homes nearby
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Bethany On The Lake LLC
Alexandria, MN · Monarch Healthcare Management · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 51 min
- Fines
- $19,330
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Galeon
Osakis, MN
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 50 min
- Fines
- $0
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Glenwood Village Care Center
Glenwood, MN · Vivie
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 11 min
- Fines
- $0