Neilson Place
BEMIDJI, MN · 78 beds · Non profit - Corporation
Red Flags
- ⚠ This facility has a substantiated finding of abuse
- ⚠ 1-star health inspection rating (lowest possible)
- ⚠ 1 citation(s) at the highest severity level — immediate risk to residents
- ⚠ 5 citation(s) where residents suffered actual harm
Green Flags
- ✓ 4-star staffing rating
Quick Facts
Violation Timeline
December 8, 2025
1 deficiencyQuality of Life and Care Deficiencies
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
July 1, 2025
2 deficiencyiesResident Rights Deficiencies
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Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
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Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
April 3, 2025
1 deficiencyInfection Control Deficiencies
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Provide and implement an infection prevention and control program.
February 24, 2025
2 deficiencyiesResident Assessment and Care Planning Deficiencies
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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
December 19, 2024
1 deficiencyQuality of Life and Care Deficiencies
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
December 4, 2024
10 deficiencyiesQuality of Life and Care Deficiencies
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Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
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Provide enough food/fluids to maintain a resident's health.
Nursing and Physician Services Deficiencies
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Post nurse staffing information every day.
Pharmacy Service Deficiencies
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Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies
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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.
Pharmacy Service Deficiencies
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Ensure medication error rates are not 5 percent or greater.
Nutrition and Dietary Deficiencies
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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.
Nutrition and Dietary Deficiencies
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
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Provide and implement an infection prevention and control program.
Infection Control Deficiencies
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Develop and implement policies and procedures for flu and pneumonia vaccinations.
September 26, 2024
1 deficiencyQuality of Life and Care Deficiencies
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Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
July 1, 2024
2 deficiencyiesQuality of Life and Care Deficiencies
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Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Pharmacy Service Deficiencies
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Ensure that residents are free from significant medication errors.
Staffing
A nurse checks on each resident roughly every 5.4 hours on average.
Fines & Penalties
- Fine Sep 26, 2024$22,205
- Fine Feb 28, 2024$14,137
Ownership
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SANFORD NORTH
5% OR GREATER DIRECT OWNERSHIP INTEREST
Since since 05/01/2014
100% Organization -
SANFORD
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Since since 05/01/2014
100% Organization -
CAIN, JAMES
CORPORATE DIRECTOR
Since since 11/19/2015
Individual -
ENGBRECHT, WESLEY
CORPORATE DIRECTOR
Since since 01/01/2021
Individual -
GASSEN, WILLIAM
CORPORATE DIRECTOR
Since since 11/24/2020
Individual -
GULSVIG, NEIL
CORPORATE DIRECTOR
Since since 03/28/2019
Individual -
JACOBS, DONALD
CORPORATE DIRECTOR
Since since 01/01/2014
Individual -
LUNDEEN, MARK
CORPORATE DIRECTOR
Since since 01/01/2014
Individual -
MOLBERT, LAURIS
CORPORATE DIRECTOR
Since since 01/01/2021
Individual -
NORTH, ANDREW
CORPORATE DIRECTOR
Since since 01/01/2017
Individual -
TEIKEN, BRENT
CORPORATE DIRECTOR
Since since 05/01/2014
Individual -
VENTLING-HERRMANN, MARNIE
CORPORATE DIRECTOR
Since since 01/01/2022
Individual -
GASSEN, WILLIAM
CORPORATE OFFICER
Since since 11/24/2020
Individual -
MARLETTE, WILLIAM
CORPORATE OFFICER
Since since 06/16/2023
Individual -
MORRISON, TONY
CORPORATE OFFICER
Since since 02/01/1991
Individual -
DULSKI, KARIN
W-2 MANAGING EMPLOYEE
Since since 11/19/2012
Individual -
GASSEN, WILLIAM
W-2 MANAGING EMPLOYEE
Since since 11/24/2020
Individual -
MARLETTE, WILLIAM
W-2 MANAGING EMPLOYEE
Since since 06/16/2023
Individual -
MORRISON, TONY
W-2 MANAGING EMPLOYEE
Since since 02/01/1991
Individual -
MUNSON, JOLYN
W-2 MANAGING EMPLOYEE
Since since 02/25/2013
Individual -
SWENSON, STEPHANIE
W-2 MANAGING EMPLOYEE
Since since 11/01/2019
Individual