01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-03-05 | 9 | 2026-03-05 | 10 |
| Cycle 2 | 2024-12-05 | 17 | 2024-12-05 | 4 |
| Cycle 3 | 2023-10-25 | 21 | 2023-10-25 | 4 |
CMS CCN 2450392026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Neilson Place
1000 Anne Street Northwest · Bemidji, MN 56601 · Beltrami County
Certified beds78CMS provider file
Recent citation rows65current CMS citation release
Penalty rows3current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
65 rows in the current release
6 rows carry G–L scope/severity codes; 1 carry J–L. 11 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-03-05 · HEALTHF0605Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Deficient, Provider has date of correction · 2026-04-172026-03-05 · HEALTHF0637Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Correction field: Deficient, Provider has date of correction · 2026-04-17 · complaint2026-03-05 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2026-04-172026-03-05 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2026-04-172026-03-05 · HEALTHF0688Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-04-172026-03-05 · HEALTHF0700Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-04-172026-03-05 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-04-172026-03-05 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-04-172026-03-05 · FIREK0211Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2026-04-172026-03-05 · FIREK0321Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2026-04-172026-03-05 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2026-04-172026-03-05 · FIREK0346Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Correction field: Deficient, Provider has date of correction · 2026-04-172026-03-05 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2026-04-222026-03-05 · FIREK0354Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Correction field: Deficient, Provider has date of correction · 2026-04-172026-03-05 · FIREK0355Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2026-04-172026-03-05 · FIREK0372Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2026-04-172026-03-05 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2026-04-172026-03-05 · FIREK0761Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2026-04-172025-12-09 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Past Non-Compliance · 2025-11-12 · complaint2025-07-02 · HEALTHF0557Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Correction field: Deficient, Provider has date of correction · 2025-07-28 · complaint2025-07-02 · HEALTHF0603Severity G · isolated actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Correction field: Deficient, Provider has date of correction · 2025-07-28 · complaint2025-04-04 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-04-25 · complaint2025-02-25 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2025-02-28 · complaint2025-02-25 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-02-28 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-12-09 | Fine | $17,345 | 0 |
| 2024-09-27 | Fine | $14,433 | 0 |
| 2024-02-29 | Fine | $14,137 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- SANFORD NORTHOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 05/01/2014
- SANFORDOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST100% · since 05/01/2014
- DULSKI, KARINIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 11/19/2012
- GASSEN, WILLIAMIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 11/24/2020
- MARLETTE, WILLIAMIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 06/16/2023
- MORRISON, TONYIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 02/01/1991
- MUNSON, JOLYNIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 02/25/2013
- SWENSON, STEPHANIEIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 11/01/2019
- CAIN, JAMESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/19/2015
- ENGBRECHT, WESLEYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- GASSEN, WILLIAMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/24/2020
- GULSVIG, NEILIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/28/2019
- JACOBS, DONALDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2014
- LUNDEEN, MARKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2014
- MOLBERT, LAURISIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- NORTH, ANDREWIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2017
- TEIKEN, BRENTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/01/2014
- VENTLING-HERRMANN, MARNIEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2022
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.80per resident day
RN hours0.89per resident day
Weekend nurse hours3.27per resident day
Staff turnover55.4%CMS reported field
06 / LOCAL RECORDS
Open the Bemidji ledger →