Knife River Care Center
118 22nd St Ne · Beulah, ND · 58523 · 7018734322
86 certified beds Non profit - Corporation
- Staffing hours comfortably above national benchmarks.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
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.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 5 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.80 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.18 | 0.55–0.75 |
| Weekend hours / resident-day | 4.10 | ≈ weekday level |
| Nursing turnover / year | 59% | median 45% |
| Fines (3-yr window) | 1 · $35,890 |
Inspection citations (22 in the current record)
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Potential for harm · D December 10, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 27, 2025 · Quality of Life and Care
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Potential for harm · D February 26, 2025 · found via complaint
Honor 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.
Corrected April 2, 2025 · Resident Rights
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Potential for harm · D February 26, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 2, 2025 · Quality of Life and Care
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Potential for harm · D November 26, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 12, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 26, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected December 31, 2024 · Resident Assessment and Care Planning
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Actual harm · G August 14, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 13, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 14, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 13, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K July 10, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 31, 2024 · Quality of Life and Care
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Potential for harm · E December 21, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 25, 2024 · Resident Rights
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Potential for harm · D December 21, 2023
Reasonably accommodate the needs and preferences of each resident.
Corrected January 25, 2024 · Resident Rights
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Potential for harm · D December 21, 2023
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected January 25, 2024 · Resident Rights
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Potential for harm · D December 21, 2023
Honor 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.
Corrected January 25, 2024 · Resident Rights
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Potential for harm · D December 21, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 25, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 21, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 25, 2024 · Quality of Life and Care
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Potential for harm · D December 21, 2023
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected January 25, 2024 · Quality of Life and Care
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Potential for harm · E December 21, 2023
Provide enough food/fluids to maintain a resident's health.
Corrected January 25, 2024 · Quality of Life and Care
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Potential for harm · D December 21, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected January 25, 2024 · Quality of Life and Care
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Potential for harm · D December 21, 2023
Ensure 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.
Corrected January 25, 2024 · Pharmacy Service
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Potential for harm · D December 21, 2023
Provide routine and 24-hour emergency dental care for each resident.
Corrected January 25, 2024 · Quality of Life and Care
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Potential for harm · E December 21, 2023
Ensure 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.
Corrected January 25, 2024 · Nutrition and Dietary
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Potential for harm · E December 21, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 25, 2024 · Nutrition and Dietary
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Potential for harm · D December 21, 2023
Provide and implement an infection prevention and control program.
Corrected January 25, 2024 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 10, 2024 | Fine | $35,890 |
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.
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 355053 · certified since May 1, 1978. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.