Nursing homeActive

Knife River Care Center

118 22nd St Ne, Beulah, ND 58523701873432286 certified beds · 83 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
7
since 2023
Deficiencies
22
0202
Penalties · 3 yrs
$35,890
1 fine
Last survey
2026-04-29
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 2
Staffing 5
Quality 2
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · North Dakota Department of Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-04-29Standard000CMS-2567 (Care Compare)
2025-12-10Complaint010CMS-2567 (Care Compare)
2025-02-26Standard020CMS-2567 (Care Compare)
2024-11-26Complaint020CMS-2567 (Care Compare)
2024-08-14Complaint011CMS-2567 (Care Compare)
2024-07-10Complaint001CMS-2567 (Care Compare)
2023-12-21Standard0140CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · North Dakota 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.

2025-12-10Complaint survey · 1 deficiencyOfficial report
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 2025-11-27Record 355053-20251210-F689
2025-02-26Standard survey · 2 deficienciesOfficial report
F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-02Record 355053-20250226-F584
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 2025-04-02Record 355053-20250226-F689
2024-11-26Complaint survey · 2 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-12Record 355053-20241126-F600
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-31Record 355053-20241126-F657
2024-08-14Complaint survey · 2 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-08-13Record 355053-20240814-F600
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-13Record 355053-20240814-F609
2024-07-10Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity KHarm
Care planningFalls
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-07-31Record 355053-20240710-F689
2023-12-21Standard survey · 14 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-25Record 355053-20231221-F550
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-25Record 355053-20231221-F558
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-25Record 355053-20231221-F561
F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-25Record 355053-20231221-F584
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-25Record 355053-20231221-F657
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 2024-01-25Record 355053-20231221-F686
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-25Record 355053-20231221-F690
F692Provide enough food/fluids to maintain a resident's health.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-25Record 355053-20231221-F692
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-25Record 355053-20231221-F695
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-25Record 355053-20231221-F761
F790Provide routine and 24-hour emergency dental care for each resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-25Record 355053-20231221-F790
F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-25Record 355053-20231221-F803
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-25Record 355053-20231221-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-25Record 355053-20231221-F880

Penalties & enforcement

DateActionAmountSource
2024-07-10Civil money penalty$35,890CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day1.10
Facility
North Dakota
National
North Dakota 0.93 · National 0.69
Total nurse hours per resident day4.91
Facility
North Dakota
National
North Dakota 4.42 · National 3.86
Weekend total nurse hours4.12
Facility
North Dakota
National
North Dakota 3.80 · National 3.42
Total nursing staff turnover55%
Facility
North Dakota
National
North Dakota 49% · National 46%
Registered nurse turnover29%
Facility
North Dakota
National
North Dakota 40% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityNorth DakotaNational
Percentage of long-stay residents with pressure ulcers
lower is better
3.7%4.9%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
6.8%5.1%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
18.9%22.7%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
2.6%2.6%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.2%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
24.4%19.8%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
3.7%5.8%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
7.9%17.4%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)
EntityRoleInterestSinceRegistry
Beulah Community Nursing Home
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Borlaug, Carla
Individual
CORPORATE OFFICERNOT APPLICABLE
Czywczynski, Linda
Individual
W-2 MANAGING EMPLOYEENOT APPLICABLE
Czywczynski, Linda
Individual
CORPORATE OFFICERNOT APPLICABLE
Gendreau, Keith
Individual
W-2 MANAGING EMPLOYEENOT APPLICABLE
Gendreau, Keith
Individual
CORPORATE OFFICERNOT APPLICABLE
Kemmet, Dena
Individual
CORPORATE OFFICERNOT APPLICABLE
Stern, Frederick
Individual
CORPORATE OFFICERNOT APPLICABLE

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 North Dakota.

No county cost figures on file for Mercer.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Marian Manor Healthcare Center
Glen Ullin
32.6 mi2026-06-031122
Garrison Mem Hosp Nsg Fac
Garrison
30.5 mi2026-04-080240
Benedictine Living Center Of Garrison
Garrison
30.9 mi2025-07-220131
Elm Crest Manor
New Salem
33.8 mi2026-01-220100
Richardton Health Center Inc
Richardton
37.6 mi2025-12-17080
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

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01