Knute Nelson Care Center
Alexandria, Douglas County, Minnesota · CCN 245435 · Non-profit (Corporation) · part of Vivie (5 facilities, chain average 3.4 stars)
CMS rates Knute Nelson Care Center 5 of 5 overall as of August 2026. 83 certified beds, 65 residents a day on average. 12 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★★ 5 of 5 |
|---|---|
| Health inspections | ★★★★★ 5 of 5 |
| Staffing | ★★★★★ 5 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 5 / 5 of 5 |
Staffing
| Total nurse staffing | 4.15739 hours per resident per day |
|---|---|
| Registered nurses | 1.01154 hours per resident per day |
| Weekend total | 3.56928 hours per resident per day |
| Nursing staff turnover | 29.1% (registered nurses 18.8%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-05-13 | Give residents a notice of rights, rules, services and charges. Resident Rights Deficiencies · tag F0572 |
C No actual harm, with potential for minimal harm; widespread | No revisit needed 2026-05-26 |
| 2026-05-13 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · tag F0732 |
C No actual harm, with potential for minimal harm; widespread | No revisit needed 2026-05-26 |
| 2025-03-05 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-04-09 |
| 2025-03-05 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · tag F0623 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-09 |
| 2025-03-05 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-09 |
| 2024-05-22 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-07-01 |
| 2024-05-22 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-07-01 |
| 2024-05-22 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0604 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-07-01 |
| 2024-05-22 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-07-01 |
| 2024-05-22 complaint survey |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-07-01 |
| 2024-05-22 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-07-01 |
| 2023-09-22 complaint survey |
Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · tag F0583 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-18 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Vivie Organization | 5% or greater direct ownership interest | 100% | 2024-01-01 |
| Billberg, Greg Individual | corporate director | — | 2022-03-01 |
| Carlson, Pamela Individual | corporate director | — | 2017-02-15 |
| Coauette, Chad Individual | corporate director | — | 2017-02-15 |
| Critz, Julie Individual | corporate director | — | 2020-03-01 |
| Jodsaas, Vicki Individual | corporate director | — | 2021-03-01 |
| Montgomery, Jeff Individual | corporate director | — | 2018-02-15 |
| O'Kane, Sara Individual | corporate director | — | 2023-03-01 |
| Steffl, Deena Individual | corporate director | — | 2016-02-15 |
| Anderson, Mark Individual | corporate officer | — | 2004-08-01 |
| Gugisberg, Marnie Individual | corporate officer | — | 2005-07-11 |
| Hanson, Phillip Individual | corporate officer | — | 2024-01-01 |
| Perry, Katie Individual | corporate officer | — | 2023-02-01 |
| Semmer, Fred Individual | corporate officer | — | 2024-01-01 |
| Urman, Angela Individual | corporate officer | — | 2010-11-16 |
| Wolf, David Individual | corporate officer | — | 2015-02-15 |
| Anderson, Mark Individual | w-2 managing employee | — | 2004-08-01 |
| Gugisberg, Marnie Individual | w-2 managing employee | — | 2005-07-11 |
| Perry, Katie Individual | w-2 managing employee | — | 2006-07-24 |
| Urman, Angela Individual | w-2 managing employee | — | 2010-11-16 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Knute Nelson Care Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Douglas County.