Nursing homeActive
Knute Nelson Care Center
420 12th Avenue East, Alexandria, MN 56308320763665383 certified beds · 65 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
12
● 2● 10● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-05-13
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 5
Staffing 5
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Minnesota Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-05-13 | Standard | 200 | CMS-2567 (Care Compare) | — |
| 2025-03-05 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2024-05-22 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2023-09-22 | Complaint | 010 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Minnesota Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F572Give residents a notice of rights, rules, services and charges.Scope/severity CPaperwork
Dignity & rights
Widespread; potential for minimal harm.Corrected 2026-05-26Record 245435-20260513-F572
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2026-05-26Record 245435-20260513-F732
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-09Record 245435-20250305-F623
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-09Record 245435-20250305-F686
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-04-09Record 245435-20250305-F812
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-01Record 245435-20240522-F604
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-01Record 245435-20240522-F684
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-01Record 245435-20240522-F686
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-01Record 245435-20240522-F689
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-01Record 245435-20240522-F804
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-01Record 245435-20240522-F883
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-18Record 245435-20230922-F583
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.01
Facility
Minnesota
National
Minnesota 1.06 · National 0.69
Total nurse hours per resident day4.16
Facility
Minnesota
National
Minnesota 4.19 · National 3.86
Weekend total nurse hours3.57
Facility
Minnesota
National
Minnesota 3.71 · National 3.42
Total nursing staff turnover29%
Facility
Minnesota
National
Minnesota 42% · National 46%
Registered nurse turnover19%
Facility
Minnesota
National
Minnesota 39% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Minnesota | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 4.4% | 5.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.2% | 4.0% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 8.1% | 17.1% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.3% | 2.6% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 15.9% | 18.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 0.0% | 4.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 15.7% | 12.5% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Vivie Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Anderson, Mark Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Anderson, Mark Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Billberg, Greg Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Carlson, Pamela Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Coauette, Chad Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Critz, Julie Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Gugisberg, Marnie Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Gugisberg, Marnie Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Hanson, Phillip Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Jodsaas, Vicki Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Montgomery, Jeff Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| O'kane, Sara Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Perry, Katie Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Perry, Katie Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Semmer, Fred Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Steffl, Deena Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Urman, Angela Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Urman, Angela Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Wolf, David Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Part of a chain
Vivie — 5 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Minnesota.
No county cost figures on file for Douglas.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Bethany On The Lake LLC Alexandria | 0.8 mi | 2026-03-26 | 162 |
| Galeon Osakis | 10.2 mi | 2025-12-17 | 050 |
| Glenwood Village Care Center Glenwood | 16.3 mi | 2026-07-01 | 0222 |
| St Williams Living Center Parkers Prairie | 19.1 mi | 2026-02-25 | 082 |
| Minnewaska Community Health Services Starbuck | 19.9 mi | 2026-04-29 | 1152 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |