KNUTE NELSON CARE CENTER – ALEXANDRIA, MN

CMS Verified | 2026-03-01

Knute Nelson Care Center

420 12TH AVENUE EAST, Alexandria, MN 56308
(320) 763-6653
83 beds
All Alexandria facilities
5.0*
Overall
4.0*
Health Inspection
4.0*
Quality Care
5.0*
Staffing
81.15
Score /100
#3173
National Rank

#3173
of 14703 facilities
National
78.4% position
#65
of 338 in MN
State Rank
#1
of 4 in Douglas
County Rank
#1
of 2 in Alexandria
City Rank
#1
of 2 in ZIP 56308
ZIP Rank






About Knute Nelson Care CenterKnute Nelson Care Center is located at 420 12Th Avenue East, Alexandria, MN, reachable at (320) 763-6653. This Non profit – Corporation facility operates 83.0 certified beds and serves an average of 64 residents per day. Medicare and Medicaid services have been provided since 1987-02-01. The facility currently holds a excellent (5-star) overall rating from the Centers for Medicare & Medicaid Services (CMS).
Facility

Knute Nelson Care Center

Address

420 12Th Avenue East, Alexandria, MN 56308

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 83 Certified Beds
  • Ownership: Non profit – Corporation
  • Resident Council: Resident
  • Automatic Sprinklers: Yes

Quick Verdict

Overall Quality
✅ Excellent (5★) overall rating
Health Inspection
✅ Above Average (4★) health inspection
Staffing
✅ Excellent (5★) staffing rating
Quality of Care
✅ Above Average (4★) quality of care
Compliance
❌ 5 fine(s) over 5 years
5-Year Trend
Improving over 5 years
81.15
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#3173 of 14703 nationally – #65 of 338 in Minnesota

Who Is This Facility Best For?

Knute Nelson Care Center is a strong choice for families in the Alexandria, MN area seeking a well-inspected, high-quality care environment. It performs well for short-stay and post-acute rehabilitation patients. Above-average staffing levels make it a good option for residents needing intensive nursing care.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

5 / 5
Health Inspection

4 / 5
Staffing Rating

5 / 5
Quality Measures (QM)

4 / 5
Long-Stay QM Rating

3 / 5
Short-Stay QM Rating

4 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightKnute Nelson Care Center currently provides 4 hours 8 minutes of total nurse staffing per resident per day, including 1 hour 1 minute of Registered Nurse (RN) coverage. The CMS Staffing Rating of 5 out of 5 reflects strong nurse coverage. Total nursing staff turnover stands at 37.8% — above the national average of ~35%.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing4 hours 8 minutes
Nurse Aide Hours2 hours 16 minutes
Licensed Practical Nurse (LPN) Hours51 minutes
Registered Nurse (RN) Hours1 hour 1 minute
Physical Therapist Hours8 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours3 hours 32 minutes
Weekend Registered Nurse (RN) Hours39 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryThe facility has received 5 fine(s) over the 5-year period, totaling $61,500. No substantiated complaints have been recorded in the available data.
Number of Fines (current period) 0
Total Fines Amount $0.0
Payment Denials 0
Total Penalties 0
Abuse Flag on Record N
Total Weighted Health Survey Score 28.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#3,173
of 14,703
National
Top 22%
#65
of 338
MN State
Top 19% in MN
#1
of 4
️ Douglas County
Best in county
#1
of 2
️ Alexandria
Best in city
#1
of 2
ZIP 56308
Best in ZIP

Nationally, Knute Nelson Care Center ranks 3173rd out of 14,703 facilities (composite score: 81.2/100), placing it in the top 25% nationwide. Within MN, it ranks 65th out of 338 nursing homes. In Alexandria, it ranks 1st out of 2 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #4,016 nationally and RN hours rank #1,971 nationally (#147 in MN).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank MN State Rank Note
2022 4.72 #1,632 / 14,703 #70 / 338 Top 25%
2023 4.28 #2,812 / 14,703 #122 / 338 Top 25%
2024 4.03 #4,072 / 14,703 #163 / 338 Above average
2025 4.32 #2,918 / 14,703 #136 / 338 Top 25%
2026 4.13 #4,016 / 14,703 #165 / 338 Above average

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank MN State Rank Note
2022 1.10 #1,564 / 14,703 #111 / 338 Top 25%
2023 1.05 #1,523 / 14,703 #103 / 338 Top 25%
2024 1.00 #1,787 / 14,703 #119 / 338 Top 25%
2025 0.88 #2,745 / 14,703 #183 / 338 Top 25%
2026 1.01 #1,971 / 14,703 #147 / 338 Top 25%

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Knute Nelson Care Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1987-02-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (320) 763-6653 or your local Medicaid office to verify current eligibility.

Knute Nelson Care Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 5 out of 5 stars. This is made up of three components: Health Inspection (4★), Staffing (5★), and Quality of Resident Care (4★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 81.2/100, placing it #3173 of 14703 facilities nationally and #65 of 338 in Minnesota. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Knute Nelson Care Center receives a reported average of 4 hours 8 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 1 hour 1 minute; Licensed Practical Nurse (LPN) — 51 minutes; Nurse Aide — 2 hours 16 minutes. On weekends, total nurse staffing is 3 hours 32 minutes per resident per day. The CMS Staffing Rating for this facility is 5 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 37.8%. Families are encouraged to ask about current staffing schedules during their facility visit.

The facility has received 5 fine(s) over the 5-year period, totaling $61,500. No substantiated complaints have been recorded in the available data. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 28.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Knute Nelson Care Center ranks 3173rd out of 14,703 facilities (composite score: 81.2/100), placing it in the top 25% nationwide. Within MN, it ranks 65th out of 338 nursing homes. In Alexandria, it ranks 1st out of 2 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #4,016 nationally and RN hours rank #1,971 nationally (#147 in MN). Our composite quality score of 81.2/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Alexandria, visit: https://nursinghomesnearme.org/minnesota/alexandria/

Contact and Location

ADR
Address

420 12TH AVENUE EAST, Alexandria, MN 56308
Get directions on Google Maps

TEL
LLC
Legal Name

KNUTE NELSON

MAP
Browse by Location

All Minnesota ·
Douglas County ·
Alexandria ·
ZIP 56308

Facility Details

Number of Certified Beds 83
Average Residents / Day 64 (77% occupancy)
Ownership Type Non profit – Corporation
Provider Type Medicare and Medicaid
County Douglas County, MN
City Alexandria, MN
ZIP Code 56308
Approved Since February 1, 1987
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 245435
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org