Quick answers
- Where is Neilson Place?
- 1000 Anne Street Northwest, Bemidji, MN 56601, in Beltrami County, Minnesota.
- What is the phone number of Neilson Place?
- (218) 751-0220, as listed by Medicare (CMS).
- What is the Medicare star rating of Neilson Place?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has Neilson Place been fined?
- Medicare lists 3 fines totaling $45,915.
- What did inspectors find at Neilson Place?
- In its last three inspection cycles (October 19, 2023 to March 5, 2026), Medicare lists 47 health citations; the most serious was level J. 6 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (October 19, 2023 to March 5, 2026), Neilson Place had 47 health citations; the most serious was level J (immediate jeopardy to resident health or safety). 6 of them were level G or higher (actual harm or immediate jeopardy). It was fined $45,915 in total (3 fines, the latest on December 9, 2025). Nurse staffing is 4.13 hours per resident per day; the Minnesota average is 4.27 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: March 5, 2026 — 9 health citations
Inspections in this cycle: December 9, 2025 (complaint investigation); March 5, 2026 (complaint investigation); March 5, 2026 (standard health inspection).
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 8 less serious citations (levels A to F)
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0605 Level D
“Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.”
F0637 Level D
“Assess the resident when there is a significant change in condition”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0688 Level D
“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.”
F0700 Level D
“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.”
Previous cycle: December 5, 2024 — 16 health citations
Inspections in this cycle: December 5, 2024 (standard health inspection); December 20, 2024 (complaint investigation); February 25, 2025 (complaint investigation); April 4, 2025 (complaint investigation); July 2, 2025 (complaint investigation).
F0603 Level G
“Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).”
actual harm to residents; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 14 less serious citations (levels A to F)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0557 Level D
“Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
F0732 Level D
“Post nurse staffing information every day.”
F0756 Level D
“Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”
F0758 Level D
“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.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
F0803 Level D
“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.”
F0883 Level D
“Develop and implement policies and procedures for flu and pneumonia vaccinations.”
Earlier cycle: October 25, 2023 — 22 health citations
Inspections in this cycle: October 19, 2023 (complaint investigation); October 25, 2023 (standard health inspection); November 9, 2023 (complaint investigation); February 29, 2024 (complaint investigation); July 2, 2024 (complaint investigation); September 27, 2024 (complaint investigation).
F0678 Level J
“Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
F0686 Level G
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 19 less serious citations (levels A to F)
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0609 Level E
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0610 Level E
“Respond appropriately to all alleged violations.”
F0740 Level D
“Ensure each resident must receive and the facility must provide necessary behavioral health care and services.”
F0760 Level D
“Ensure that residents are free from significant medication errors.”
F0585 Level D
“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.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0578 Level D
“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.”
F0679 Level D
“Provide activities to meet all resident's needs.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0803 Level D
“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.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0607 Level C
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (18)
K0211 Level F
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0372 Level F
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0761 Level F
“To conduct inspection, testing and maintenance of fire doors by qualified individuals.”
K0321 Level D
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0346 Level D
“Follow proper procedures when the fire alarm was out of service for more than 4 hours.”
K0354 Level D
“Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.”
K0355 Level D
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0321 Level F
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0761 Level F
“To conduct inspection, testing and maintenance of fire doors by qualified individuals.”
K0353 Level E
“Inspect, test, and maintain automatic sprinkler systems.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
K0222 Level F
“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.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0521 Level D
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
K0914 Level C
“Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.”
Fines and payment denials
Total fines over about the last three years: $45,915 (3 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| December 9, 2025 | Fine | $17,345 |
| September 27, 2024 | Fine | $14,433 |
| February 29, 2024 | Fine | $14,137 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Minnesota | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.93 | 1.08 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.60 | 0.61 | 0.86 |
| Nurse aide hours per resident per day | 2.61 | 2.58 | 2.35 |
| Total nurse staff hours per resident per day | 4.13 | 4.27 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.47 | 3.73 | 3.43 |
| RN hours per resident per day on the weekend | 0.60 | 0.71 | 0.48 |
| Nursing staff turnover (per year) | 49.0% | 42.1% | 45.3% |
| RN turnover (per year) | 36.8% | 39.3% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.5 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 4 nursing homes: Sanford Health.
Legal business name: Sanford Health of Northern Minnesota.
Owners and managers Medicare lists (2)
| Name | Role | Share | Since |
|---|---|---|---|
| Sanford North | Direct owner | 100% | May 1, 2014 |
| Sanford | Indirect owner | 100% | May 1, 2014 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 78 |
| Average residents per day | 70.9 |
| Takes part in | Medicare and Medicaid |
| Ownership | Non-profit – corporation |
| Group or chain (affiliated entity) | Sanford Health |
| Legal business name | Sanford Health of Northern Minnesota |
| First approved by Medicare/Medicaid | 1979-01-01 |
| Resident and family councils | Resident and family councils |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 1000 Anne Street Northwest, Bemidji, MN 56601 |
| County | Beltrami County |
| State | Minnesota |
| Phone | (218) 751‑0220 |
| CMS Certification Number | 245039 |
| Name in Medicare records | NEILSON PLACE |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Havenwood Care Center1.4 mi · Bemidji, MN · 2 of 5 stars
- Good Samaritan Society - Blackduck22 mi · Blackduck, MN · 1 of 5 stars
- Cornerstone Nursing & Rehab Center23 mi · Bagley, MN · 5 of 5 stars
- Jourdain Perpich Ext Care Fac27 mi · Redlake, MN · 5 of 5 stars
Nearest hospital emergency rooms
- Sanford Bemidji Medical Center0.2 mi · Bemidji, MN · Acute Care Hospital
- Cass Lake Indian Health Services Hospital16 mi · Cass Lake, MN · Critical Access Hospital
- Sanford Bagley Medical Center24 mi · Bagley, MN · Critical Access Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13