Data / Nursing homes / Minnesota / Neilson Place
Neilson Place, Bemidji, MN: 1 star rating, fined $45,915 across 3 fines
Neilson Place in Bemidji, MN is owned by Sanford, is rated 1 of 5 stars by Medicare, and was fined $45,915 across 3 fines in the three years to October 1, 2026. CMS lists 47 health citations from inspections in that time, the latest survey on March 5, 2026, and 6 of them found actual harm or immediate jeopardy.
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- Address
- 1000 Anne Street Northwest, Bemidji, MN 56601
- Overall rating
- 1 of 5 stars
- Health inspection rating
- 1 of 5
- Staffing rating
- 4 of 5
- Quality measure rating
- 3 of 5
- Certified beds
- 78
- Residents per day
- 71 on average
- Ownership type
- Nonprofit, corporation
- Legal business name
- Sanford Health of Northern Minnesota
- Chain
- Sanford Health, 4 facilities
- Fines
- $45,915 across 3 fines, three years to October 1, 2026
- Payment denials
- 0
- Health citations
- 47, of which 6 with actual harm or immediate jeopardy
- Latest survey
- March 5, 2026
- CMS Certification Number
- 245039
- On Care Compare
- Medicare Care Compare
Fines and payment denials
Every fine and payment denial CMS lists for this facility in the three years, newest first.
| Date | Type | Fine amount | Denial starts | Denial days | Source |
|---|---|---|---|---|---|
| December 9, 2025 | Fine | $17,345 | Not listed | data.cms.gov | |
| September 27, 2024 | Fine | $14,433 | Not listed | data.cms.gov | |
| February 29, 2024 | Fine | $14,137 | Not listed | data.cms.gov |
Recent health citations
Citations from health inspections, newest first.
| Survey date | Tag | What CMS cited | Scope and severity | Status | Corrected on | Source |
|---|---|---|---|---|---|---|
| March 5, 2026 | F880 | Provide and implement an infection prevention and control program. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | April 17, 2026 | data.cms.gov |
| March 5, 2026 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | April 17, 2026 | data.cms.gov |
| March 5, 2026 | F700 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 17, 2026 | data.cms.gov |
| March 5, 2026 | F688 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 17, 2026 | data.cms.gov |
| March 5, 2026 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 17, 2026 | data.cms.gov |
| March 5, 2026 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 17, 2026 | data.cms.gov |
| March 5, 2026 | F637 | Assess the resident when there is a significant change in condition | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 17, 2026 | data.cms.gov |
| March 5, 2026 | F605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 17, 2026 | data.cms.gov |
| December 9, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G: isolated, actual harm | Past noncompliance | November 12, 2025 | data.cms.gov |
| July 2, 2025 | F603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | G: isolated, actual harm | Corrected | July 28, 2025 | data.cms.gov |
| July 2, 2025 | F557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 28, 2025 | data.cms.gov |
| April 4, 2025 | F880 | Provide and implement an infection prevention and control program. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 25, 2025 | data.cms.gov |
| February 25, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 28, 2025 | data.cms.gov |
| February 25, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 28, 2025 | data.cms.gov |
| December 20, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G: isolated, actual harm | Past noncompliance | December 19, 2024 | data.cms.gov |
| December 5, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | January 17, 2025 | data.cms.gov |
| December 5, 2024 | F880 | Provide and implement an infection prevention and control program. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | January 17, 2025 | data.cms.gov |
| December 5, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | January 17, 2025 | data.cms.gov |
| December 5, 2024 | F803 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | January 17, 2025 | data.cms.gov |
| December 5, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | January 17, 2025 | data.cms.gov |
| December 5, 2024 | F758 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | January 17, 2025 | data.cms.gov |
| December 5, 2024 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | January 17, 2025 | data.cms.gov |
| December 5, 2024 | F732 | Post nurse staffing information every day. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | January 17, 2025 | data.cms.gov |
| December 5, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | January 17, 2025 | data.cms.gov |
| December 5, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | January 17, 2025 | data.cms.gov |
| September 27, 2024 | F678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J: isolated, immediate jeopardy | Past noncompliance | September 20, 2024 | data.cms.gov |
| July 2, 2024 | F760 | Ensure that residents are free from significant medication errors. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 2, 2024 | data.cms.gov |
| July 2, 2024 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 2, 2024 | data.cms.gov |
| February 29, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G: isolated, actual harm | Corrected | March 22, 2024 | data.cms.gov |
| February 29, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G: isolated, actual harm | Corrected | March 22, 2024 | data.cms.gov |
| February 29, 2024 | F610 | Respond appropriately to all alleged violations. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 22, 2024 | data.cms.gov |
| February 29, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 22, 2024 | data.cms.gov |
| February 29, 2024 | F585 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 22, 2024 | data.cms.gov |
| November 9, 2023 | F610 | Respond appropriately to all alleged violations. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | December 6, 2023 | data.cms.gov |
| November 9, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | December 6, 2023 | data.cms.gov |
| November 9, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | December 6, 2023 | data.cms.gov |
| October 25, 2023 | F880 | Provide and implement an infection prevention and control program. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | November 29, 2023 | data.cms.gov |
| October 25, 2023 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | November 29, 2023 | data.cms.gov |
| October 25, 2023 | F803 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | November 29, 2023 | data.cms.gov |
| October 25, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | November 29, 2023 | data.cms.gov |
| October 25, 2023 | F679 | Provide activities to meet all resident's needs. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | November 29, 2023 | data.cms.gov |
| October 25, 2023 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | C: widespread, minimal harm potential | Corrected | November 29, 2023 | data.cms.gov |
| October 25, 2023 | F578 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | November 29, 2023 | data.cms.gov |
| October 25, 2023 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | November 29, 2023 | data.cms.gov |
| October 19, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | November 29, 2023 | data.cms.gov |
| October 19, 2023 | F610 | Respond appropriately to all alleged violations. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | November 29, 2023 | data.cms.gov |
| October 19, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | November 29, 2023 | data.cms.gov |
Owners and managers
Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 20 individual or personal trusts (1 owners, 6 managers, 13 officers, directors or trustees). Their names are not shown on this page.
| Organization | Role | Share | Since | Source |
|---|---|---|---|---|
| Sanford | Indirect owner | 100% | May 1, 2014 | data.cms.gov |
Also on SpecStream
- All nursing homes in Minnesota
- Every nursing home Sanford owns or manages
- This facility on Medicare Care Compare
Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.