Knute Nelson Care Center

420 12th Avenue East · Alexandria, MN · 56308 · 3207636653

83 certified beds Non profit - Corporation Chain: Vivie

  • Cleaner inspection record than most facilities nationally.
  • Staffing hours comfortably above national benchmarks.
  • No federal fines or payment denials in CMS’s 3-year window.

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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 84
Serious harm & abuse 20% 100
Staffing 20% 89
Federal penalties 15% 100
Trend 10% 92
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 5 of 5 Inspections: 5 of 5 Staffing: 5 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day4.473.48 min · 4.1 strong
RN hours / resident-day1.090.55–0.75
Weekend hours / resident-day3.83≈ weekday level
Nursing turnover / year28%median 45%
Fines (3-yr window)none

Inspection citations (13 in the current record)

  • No harm found · C May 13, 2026

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

    Corrected June 5, 2026 · Resident Rights

  • No harm found · C May 13, 2026

    Post nurse staffing information every day.

    Corrected June 5, 2026 · Nursing and Physician Services

  • Potential for harm · D March 5, 2025

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

    Corrected April 9, 2025 · Resident Rights

  • Potential for harm · D March 5, 2025

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

    Corrected April 9, 2025 · Quality of Life and Care

  • Potential for harm · F March 5, 2025

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

    Corrected April 9, 2025 · Nutrition and Dietary

  • Potential for harm · D May 22, 2024

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

    Corrected July 1, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 22, 2024

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

    Corrected July 1, 2024 · Quality of Life and Care

  • Potential for harm · D May 22, 2024

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

    Corrected July 1, 2024 · Quality of Life and Care

  • Potential for harm · E May 22, 2024

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

    Corrected July 1, 2024 · Nutrition and Dietary

  • Potential for harm · E May 22, 2024

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

    Corrected July 1, 2024 · Infection Control

  • Potential for harm · D May 22, 2024 · found via complaint

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

    Corrected July 1, 2024 · Quality of Life and Care

  • Potential for harm · D September 22, 2023 · found via complaint

    Keep residents' personal and medical records private and confidential.

    Corrected October 18, 2023 · Resident Rights

  • Potential for harm · D July 13, 2023 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected August 25, 2023 · Infection Control

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 245435 · certified since February 1, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.