Knute Nelson Care Center
420 12th Avenue East, Alexandria, MN 56308 · Douglas County · 83 certified beds · avg 65 residents/day · certified since Feb 1, 1987 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: VIVIE (5 facilities, chain avg rating 3.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (12)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 13, 2026 | C · Minimal risk, facility-wide | The facility did not give residents the required written notice of their rights, the facility's rules, the services offered, and what those services cost. |
| May 13, 2026 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Mar 5, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 5, 2025 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Mar 5, 2025 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| May 22, 2024 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| May 22, 2024 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| May 22, 2024 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. |
| May 22, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| May 22, 2024 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| May 22, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Sep 22, 2023 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. · from a complaint |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (3 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | D |
| 2024 | 6 | 0 | E |
| 2025 | 3 | 0 | F |
| 2026 | 2 | 0 | C |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Minnesota avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.67 | 4.83 | 3.95 | bottom 46% in Minnesota; top 19% in the U.S. |
| Registered Nurse hours | 1.14 | 1.22 | 0.69 | top 49% in Minnesota; top 11% in the U.S. |
| Weekend total nurse staffing | 4.01 | 4.27 | 3.50 | bottom 40% in Minnesota; top 22% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.70 | 0.69 | 0.48 | top 38% in Minnesota; top 16% in the U.S. |
| Total nursing staff turnover (%) | 29.1 | 42.2 | 45.8 | top 19% in Minnesota; top 13% in the U.S. |
| RN turnover (%) | 18.8 | 38.6 | 42.9 | top 16% in Minnesota; top 12% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.16, RN 1.01, weekend 3.57. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Vivie | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/2024 |
| Anderson, Mark | Individual | W-2 Managing Employee | NOT APPLICABLE | 08/01/2004 |
| Anderson, Mark | Individual | Corporate Officer | NOT APPLICABLE | 08/01/2004 |
| Billberg, Greg | Individual | Corporate Director | NOT APPLICABLE | 03/01/2022 |
| Carlson, Pamela | Individual | Corporate Director | NOT APPLICABLE | 02/15/2017 |
| Coauette, Chad | Individual | Corporate Director | NOT APPLICABLE | 02/15/2017 |
| Critz, Julie | Individual | Corporate Director | NOT APPLICABLE | 03/01/2020 |
| Gugisberg, Marnie | Individual | W-2 Managing Employee | NOT APPLICABLE | 07/11/2005 |
| Gugisberg, Marnie | Individual | Corporate Officer | NOT APPLICABLE | 07/11/2005 |
| Hanson, Phillip | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
| Jodsaas, Vicki | Individual | Corporate Director | NOT APPLICABLE | 03/01/2021 |
| Montgomery, Jeff | Individual | Corporate Director | NOT APPLICABLE | 02/15/2018 |
| O'Kane, Sara | Individual | Corporate Director | NOT APPLICABLE | 03/01/2023 |
| Perry, Katie | Individual | W-2 Managing Employee | NOT APPLICABLE | 07/24/2006 |
| Perry, Katie | Individual | Corporate Officer | NOT APPLICABLE | 02/01/2023 |
| Semmer, Fred | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
| Steffl, Deena | Individual | Corporate Director | NOT APPLICABLE | 02/15/2016 |
| Urman, Angela | Individual | W-2 Managing Employee | NOT APPLICABLE | 11/16/2010 |
| Urman, Angela | Individual | Corporate Officer | NOT APPLICABLE | 11/16/2010 |
| Wolf, David | Individual | Corporate Officer | NOT APPLICABLE | 02/15/2015 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can I get a written copy of resident rights, house rules, and a full list of services and charges today?"
- "Where do you post your daily staffing numbers, and can I see today's?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "What is your policy on physical restraints, and what alternatives do you try first?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Bethany on the Lake LLC | 0.8 mi | Alexandria, MN | ★★★☆☆ | 2/5 | abuse |
| Galeon | 10.2 mi | Osakis, MN | ★★★★★ | 5/5 | |
| Glenwood Village Care Center | 16.3 mi | Glenwood, MN | ★☆☆☆☆ | 1/5 | |
| Evansville Care Center | 18.0 mi | Evansville, MN | ★★★★★ | 4/5 | |
| St Williams Living Center | 19.1 mi | Parkers Prairie, MN | ★★★★★ | 4/5 | |
| Minnewaska Community Health Services | 19.9 mi | Starbuck, MN | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
All facilities in Alexandria →
Facility data as of CMS processing date 2026-08-01. CCN 245435.