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Nursing HomeMedicaid Top Rated

Knute Nelson Care Center

Strong Medicare quality ratings; families often praise attentive and caring nursing staff. Still worth an in-person visit.

420 12th Avenue East, Alexandria, MN 5630883 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.7/5

based on 12 Google reviews

5
4
3
2
1
Knute Nelson Care Center Nursing Home in Alexandria, MN — Street View
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What this means for your family

This facility is highly regarded for its rehabilitation services and staff responsiveness to individual care needs. However, given the serious report regarding hygiene and response times, we strongly recommend that families conduct a site visit and ask specific questions about call-light response protocols and staffing ratios during night and weekend shifts.

Google Reviews

Google Reviews

12 reviews on Google
Knute Nelson Care Center receives high praise for its attentive nursing staff and effective rehabilitation services, with several families noting that their loved ones thrived under their care. However, there is a serious report of neglect regarding hygiene and delayed response times, which families should investigate further. Overall, the facility is commended for its comfortable environment and proactive communication with families.

Quality Themes

Tap a score for details
Food9.0Staff8.0Clean6.0ActivitiesN/AMedsN/AMemoryN/AComms8.0ValueN/A

Strengths

  • Attentive and caring nursing staff
  • Effective physical and occupational therapy
  • Spacious and well-maintained facility
  • Proactive approach to resident comfort

Concerns

  • Neglect regarding hygiene and delayed response to resident falls or needs

Rating Trends

Tap a year to see what changed

2345.02024(4)4.62025(5)4.62026(5)

Distribution · 14 analyzed

5
12
4
0
3
2
2
0
1
0

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1It is wonderful to see how much the management engages with the community through their responses; how does that proactive communication style translate to how you interact with families daily?
  • 2The facility looks very spacious and well-maintained; how do you ensure that the larger common areas are kept clean and comfortable for the residents throughout the day?
  • 3We are so impressed by the high staffing ratings here; how do you ensure that the nursing team can respond quickly to a resident's immediate needs or if someone happens to have a fall?
  • 4Since the physical and occupational therapy programs are a highlight here, how do you integrate those services into a resident's regular weekly routine?
  • 5What kind of daily activities or social outings do you organize to keep the residents engaged and connected with one another?
  • 6In the event of a medical emergency after hours, what is the specific protocol for notifying the family and coordinating with doctors?

Personalized based on this facility's data


Key Review Excerpts

My mother was there a short time but she thrived while she was. She had a stay at a different facility after a long hospital stay and was not doing well. I believe and know that at Nelson she was looked after so much closer and it showed

Long-term resident's family · 2025★★★★★

Staff were caring, knowledgeable, a pleasure to be at Nelson Care Center (wish circumstances were different). Occupational and physical therapy were awesome!!

Rehab patient · 2026★★★★★

Ma moved in with a large sore on her back and went and talked to Megan and decided after food she should maybe be laid down right away after she eats. Think that was excellent idea! They certainly seem to really care!

Long-term resident's family · 2024★★★★★
Source: 12 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.09hrs
OK
Registered nurses for medical care
Total Nursing
4.47hrs
OK
All nurses + aides combined
Staff Turnover
28%
Lower is better (< 30% = good)
RN Turnover
13%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

9

measures

Worse Than Avg

5

measures

Mixed Results

3

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility29.9%
Worse than Avg
Here
29.9%
US
19.4%
MN
24.5%
Douglas
24.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility9.3%
Better than Avg
Here
9.3%
US
15.5%
MN
17.0%
Douglas
17.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility4.6%
Mixed vs Avgs
Here
4.6%
US
12.1%
MN
4.3%
Douglas
9.5%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility21.4%
Worse than Avg
Here
21.4%
US
15.3%
MN
21.4%
Douglas
18.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility97.8%
Better than Avg
Here
97.8%
US
93.4%
MN
97.3%
Douglas
92.0%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
5.3%
MN
4.1%
Douglas
4.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility79.7%
Worse than Avg
Here
79.7%
US
81.8%
MN
88.3%
Douglas
79.8%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility85.3%
Better than Avg
Here
85.3%
US
79.8%
MN
82.7%
Douglas
78.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.2%
Worse than Avg
Here
3.2%
US
1.6%
MN
1.8%
Douglas
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

2deficiencies
Well below state avg (8.0)
3 complaint-triggered

Knute Nelson Care Center has ongoing fire safety and building compliance issues that persist across multiple surveys, with deficiencies in fire protection systems, sprinkler maintenance, and smoke barriers appearing repeatedly from 2023 to 2025. Three families have filed complaints resulting in citations for pressure ulcer care, infection control, and privacy violations. While all deficiencies show correction dates, the recurring pattern of fire safety problems suggests systemic maintenance challenges that families should discuss during visits.

May 13, 2026Routine
7
0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0572Minimal · Widespread

Resident Rights Deficiencies

Give residents a notice of rights, rules, services and charges.

0732Minimal · Widespread

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Mar 5, 2025Routine
12
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0374Potential for harm · PatternCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0341Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0712Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0761Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

May 22, 2024Routine
12
0223Potential for harm · WidespreadCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0883Potential for harm · PatternCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

May 22, 2024Complaint
1
0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Sep 22, 2023Complaint
1
0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

Jul 13, 2023Complaint
1
0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Knute Nelson Care Center

Organization Type

nonprofit

Chain Affiliation

Chain Name

Vivie

Chain Size

5 facilities nationwide

Ownership & Management

Owners

Vivie

Owner · Organization

100%

Key personnel

Anderson, MarkW-2 Managing EmployeeGugisberg, MarnieW-2 Managing EmployeePerry, KatieW-2 Managing EmployeeUrman, AngelaW-2 Managing EmployeeBillberg, GregOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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