1010 Anne Street, Bemidji, MN 56601
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A wide range of experiences converges around this care facility, painting a picture that is at once loving, troubling, and alarming. On one end, families recount moments of genuine kindness, attentive care, and relief in knowing their loved ones were receiving support during fragile recovery. On the other end, others describe frightening neglect, disrespect, alleged theft, dangerous lapses in medical management, and experiences that left them convinced the place should be shut down. The stories come from different residents, different units, and different points in time, yet together they form a tapestry of contrasts that is hard to ignore.
Several reviewers insist that the staff can be incredibly compassionate. One family member spoke of a "very great" experience with the caregivers during the first night of staying beside a relative to help him access physical therapy and everyday needs. They felt at ease knowing their loved one was getting the recovery support he needed, and they point to the kindness of the team as a bright spot in what could have been a scary transition. Another account highlights a positive, long-standing impression: a mother who recovered from a broken hip was treated with attentive nursing and CNA care, with physical therapists who were described as kind and diligent. The food was generous, and desserts were appreciated, with a specific nursing staff member named as a favorite, indicating that individual caregivers made a meaningful impact in a positive way. These passages show that for some families, the facility provided reassurance, competent rehabilitation, and personal warmth.
However, these positive notes sit alongside deeply troubling accusations that cannot be ignored. One reviewer described the facility as a place where a decorated war veteran was treated with "total disrespect," neglected to the point of falling and breaking bones due to a lack of timely assistance, and even denied appropriate facility treatment and visitation. The most disturbing detail in that account is the veteran's experience of being left on a bathroom floor for hours after pulling a nurse's call cord, with injuries mounting and the patient's report allegedly disregarded by leadership. The same reviewer claimed theft and mishandling of a resident's belongings - alleging that staff rifled through personal items and took cash and other valuables, with at least one nurse reportedly caught red-handed. The tone was unmistakably urgent: a call that the place be shut down and reported to authorities.
Other narratives focus on a nightmare of medical management and medication issues. In one harrowing account, a family member described staying with a father who was suffering from cancer with severe nausea and vomiting and an intestinal blockage. According to the account, the facility failed to administer nausea or anxiety medications for several hours, despite requests, and the patient's condition worsened as a result. The reviewer asserted that they had to escalate concerns to hospital social workers to secure his release to hospice care. The most alarming allegation in this story is that, during the ambulance transport back to hospice, the patient became unresponsive due to what was described as an overdose of pain medication administered by hospice staff at the facility. The account goes on to say that continuous analgesia was interrupted by medical personnel, leading to a near-fatal sequence of events, including apnea and a slow heart rate. The assertion is that the patient would have died of overdose if not for the family's intervention, and it led to a broader denunciation of the care atmosphere - complaints about nurses who allegedly complained when asked to assist with basic cleaning. The reviewer concludes with a strong judgment that the place is abhorrent and should be shut down.
There are also concise, sharp condemnations about specific units. One reviewer labeled the Mulberry unit as having "mean and very rude" registered nurses toward residents, signaling not merely sporadic missteps but a pattern of disrespect that colors the daily experience of those living there. In another stark reflection, the phrase, "Never ever think of sending your loved ones here," appears as a warning that encapsulates a deeply felt fear: a sense that the institution cannot be trusted to safeguard health, dignity, or even basic comfort.
Between the extremes lies a more mixed reality. A report of care turning sour came after an initially positive period: a family member noted that after several weeks, a visit to the hospital revealed that the wing had been closed, suggesting a change in operations or an escalation in care needs. That shift - from a place of capable, supportive care to an environment perceived as unstable or unsafe - adds to the sense that experiences at this facility can vary wildly over time and across different parts of the building. For families trying to chart a steady course for a loved one, this inconsistency can be especially distressing.
Taken together, these accounts present a facility where care quality is not uniform, where strong personal connections to particular nurses or aides can coexist with allegations of systemic neglect and safety failures, and where the same environment that can foster hope and recovery can also become a source of fear and lasting trauma. The strongest messages come from those who feel they witnessed or endured preventable harm - whether through delays in medication, mishandling of confidential belongings, or dangerous lapses that put a patient at risk. Yet balanced against them are stories of care that felt present, patient, and kind, with staff members who went above and beyond to support recovery, comfort, and normalcy during difficult times.
For readers weighing whether to place a loved one in this facility, the spectrum of experiences here matters. It underscores the necessity of careful scrutiny, proactive communication, and clear escalation pathways when concerns arise. The narratives together suggest that while some residents may benefit from attentive, compassionate care, others - and in some cases large portions of a given unit - face serious risks that demand accountability, oversight, and perhaps systemic review. The conflicting memories of those who lived through these days remind us that guardians of vulnerable family members must ask detailed questions, seek corroboration, and insist on transparency about care plans, medication management, safety protocols, and staff accountability.
Sanford Health Neilson Place I is an assisted living community located in Bemidji, MN, offering a range of amenities and care services to ensure the comfort and well-being of its residents. The community provides various amenities such as cable or satellite TV, a dining room, fully furnished accommodations, a beautiful garden, housekeeping services, a convenient kitchenette, move-in coordination assistance, outdoor space for relaxation and leisure activities, telephone services, and Wi-Fi/high-speed internet access.
In terms of care services, Sanford Health Neilson Place I offers 24-hour supervision to ensure safety and personalized assistance with activities of daily living including bathing, dressing, and transfers as needed. The community also coordinates with health care providers to meet any specific medical needs of the residents. They have expertise in diabetes diet management and can provide meal preparation and service according to special dietary restrictions. Medication management is also available to ensure proper and timely administration of medications. Additionally, there is a mental wellness program in place to support the emotional well-being of the residents.
Transportation arrangements for medical appointments are provided by the community along with transportation to doctors' appointments. For dining options that cater to specific dietary requirements or preferences of the residents, special dietary restrictions are taken into consideration.
Sanford Health Neilson Place I promotes an engaging lifestyle with resident-run activities that encourage social interaction and scheduled daily activities for entertainment and stimulation. The community benefits from its proximity to various amenities in the area with 6 cafes nearby for convenient dining options outside of the community. There are also 7 parks nearby which offer opportunities for outdoor recreation and enjoyment. With 8 pharmacies within close distance, medication needs can be easily met. The presence of 11 physicians nearby ensures easy access to healthcare professionals when required.
Residents also have plenty of options for eating out with 28 restaurants nearby offering various cuisines and styles. For transportation needs beyond medical appointments or doctor visits, there are 3 transportation options nearby. The community is also conveniently located close to 13 places of worship, providing spiritual support and opportunities for religious participation. In the case of emergencies or specialized medical care, residents have access to 4 hospitals in close proximity.
Overall, Sanford Health Neilson Place I offers a comprehensive and comfortable assisted living community experience with a wide range of amenities, personalized care services, and easy access to various amenities in the local area.
Sanford Health Neilson Place I is located at 1010 Anne Street, Bemidji, MN 56601 in Hubbard County, Minnesota
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