Minnesota ›Alexandria

Knute Nelson Care Center

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420 12th Avenue East, Alexandria, MN 56308 (opens Google Maps) · Douglas County · (320) 763-6653· 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★)

5/5
Health inspection rating (on-site)
inspected May 13, 2026
0
Serious findings on record
$0
Fines, last 3 years
4.67
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 12 inspection findings. Open the full record below to read every finding.

  1. C · Potential for minimal harm, widespread

    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. F-0572

  2. C · Potential for minimal harm, widespread

    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. F-0732

  3. F · Potential for more than minimal harm, widespread

    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. F-0812

View all 12 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
May 13, 2026C · Potential for minimal harm, widespreadThe facility did not give residents the required written notice of their rights, the facility's rules, the services offered, and what those services cost. · F-0572
May 13, 2026C · Potential for minimal harm, widespreadThe 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. · F-0732
Mar 5, 2025F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Mar 5, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0623
Mar 5, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0686
May 22, 2024E · Potential for more than minimal harm, patternThe facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804
May 22, 2024E · Potential for more than minimal harm, patternThe facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883
May 22, 2024D · Potential for more than minimal harm, isolatedThe facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · F-0604
May 22, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
May 22, 2024D · Potential for more than minimal harm, isolatedThe 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 · F-0686
May 22, 2024D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Sep 22, 2023D · Potential for more than minimal harm, isolatedThe facility did not keep residents' personal and medical information private and confidential. · from a complaint · F-0583

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (3 → 2).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 1
Serious citations (G–L): 0
2024
All citations: 6
Serious citations (G–L): 0
2025
All citations: 3
Serious citations (G–L): 0
2026
All citations: 2
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202310D
202460E
202530F
202620C

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)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityMinnesota averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.67
Minnesota average: 4.83
U.S. average: 3.95
Registered Nurse hours
This facility: 1.14
Minnesota average: 1.22
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.01
Minnesota average: 4.27
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityMinnesota avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)4.674.833.95bottom 46% in Minnesota; top 19% in the U.S.
Registered Nurse hours1.141.220.69top 49% in Minnesota; top 11% in the U.S.
Weekend total nurse staffing4.014.273.50bottom 40% in Minnesota; top 22% in the U.S.
Weekend RN hours (not acuity-adjusted)0.700.690.48top 38% in Minnesota; top 16% in the U.S.
Total nursing staff turnover (%)29.142.245.8top 19% in Minnesota; top 13% in the U.S.
RN turnover (%)18.838.642.9top 16% in Minnesota; top 12% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.16 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Knute Nelson Care Center. CMS inspection and staffing records do not tell us what this home will charge you.

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Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

Non profit - Corporation

Owner / managerTypeRoleStakeSince
VivieOrganization5% or Greater Direct Ownership Interest100%01/01/2024
Anderson, MarkIndividualW-2 Managing EmployeeNOT APPLICABLE08/01/2004
Anderson, MarkIndividualCorporate OfficerNOT APPLICABLE08/01/2004
Billberg, GregIndividualCorporate DirectorNOT APPLICABLE03/01/2022
Carlson, PamelaIndividualCorporate DirectorNOT APPLICABLE02/15/2017
Coauette, ChadIndividualCorporate DirectorNOT APPLICABLE02/15/2017
Critz, JulieIndividualCorporate DirectorNOT APPLICABLE03/01/2020
Gugisberg, MarnieIndividualW-2 Managing EmployeeNOT APPLICABLE07/11/2005
Gugisberg, MarnieIndividualCorporate OfficerNOT APPLICABLE07/11/2005
Hanson, PhillipIndividualCorporate OfficerNOT APPLICABLE01/01/2024
Jodsaas, VickiIndividualCorporate DirectorNOT APPLICABLE03/01/2021
Montgomery, JeffIndividualCorporate DirectorNOT APPLICABLE02/15/2018
O'Kane, SaraIndividualCorporate DirectorNOT APPLICABLE03/01/2023
Perry, KatieIndividualW-2 Managing EmployeeNOT APPLICABLE07/24/2006
Perry, KatieIndividualCorporate OfficerNOT APPLICABLE02/01/2023
Semmer, FredIndividualCorporate OfficerNOT APPLICABLE01/01/2024
Steffl, DeenaIndividualCorporate DirectorNOT APPLICABLE02/15/2016
Urman, AngelaIndividualW-2 Managing EmployeeNOT APPLICABLE11/16/2010
Urman, AngelaIndividualCorporate OfficerNOT APPLICABLE11/16/2010
Wolf, DavidIndividualCorporate OfficerNOT APPLICABLE02/15/2015

All 20 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Vivie — 5 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Minnesota midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 29% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 20 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Bethany on the Lake LLC0.8 miAlexandria, MN★★★☆☆2/5abuse
Galeon10.2 miOsakis, MN★★★★★5/5
Glenwood Village Care Center16.3 miGlenwood, MN★☆☆☆☆1/5
Evansville Care Center18.0 miEvansville, MN★★★★★4/5
St Williams Living Center19.1 miParkers Prairie, MN★★★★★4/5
Minnewaska Community Health Services19.9 miStarbuck, 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.

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