Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

NEILSON PLACE

BEMIDJI, MN · 78 certified beds · Last Life Safety survey March 5, 2026

CMS Certification Number 245039 · first certified January 1979

Ownership

Operated by SANFORD HEALTH · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

18
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
10
Inspection & testing records
Of the citations on file

Position within MN

18 citations — more than 77% of the 338 certified nursing homes in MN. Compared within MN rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 10 citations; the earlier surveys in the window averaged 4. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens February 2027 — about 4 months from now. This facility’s last Life Safety survey was March 2026. Facilities in MN are typically surveyed 11–14 months after the last one (median 13), measured over 613 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

8 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 18 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in MN, and nationally. Surveyors differ markedly between states, so the MN figure is the meaningful one.

This facility18MN median12National median11
Citations on file over three years, compared
MeasureCitations
This facility18
Median facility in MN12
Median facility nationally11

Survey history

Citations at each Life Safety survey
42023-1042024-12102026-03
Citations at each Life Safety survey
Survey dateCitations
October 25, 20234
December 5, 20244
March 5, 202610

Most-cited tags

Most-cited tags at this facility
K-07612K-03212K-03532K-03461K-05211K-03721K-03451K-07121
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.22026-03-05
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.22026-03-05
K-0353Inspect, test, and maintain automatic sprinkler systems.22026-03-05
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.12026-03-05
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12023-10-25
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12026-03-05
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12026-03-05
K-0712Have simulated fire drills held at unexpected times.12026-03-05

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 9
  • Miscellaneous Deficiencies 3
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Egress Deficiencies 2
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies9
Miscellaneous Deficiencies3
Gas, Vacuum, and Electrical Systems Deficiencies3
Egress Deficiencies2
Services Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

March 5, 2026 — 10 citations

Citations issued on March 5, 2026
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (April 17, 2026)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (April 17, 2026)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (April 17, 2026)
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has date of correction (April 17, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 22, 2026)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (April 17, 2026)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (April 17, 2026)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (April 17, 2026)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (April 17, 2026)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (April 17, 2026)

December 5, 2024 — 4 citations

Citations issued on December 5, 2024
TagWhat the surveyor checksStatus
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (December 31, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 8, 2025)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (March 4, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (January 10, 2025)

October 25, 2023 — 4 citations

Citations issued on October 25, 2023
TagWhat the surveyor checksStatus
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (November 29, 2023)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (November 29, 2023)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (November 29, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (November 29, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.