Pelican Valley Health Center — nursing home in Pelican Rapids, MN

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 28 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 25.2 CMS, MDS-derived
CMS Certification Number: 245373
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Dec 1, 1986
Ownership type: Government - Hospital district
Operator (legal business name): Pelican Valley Health Center
CMS chain: Vivie 5 facilities
Phone: (218) 863-2991
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Mar 25, 2026

Citations

20

7 health · 13 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D9	E2	F8
Minimal	A·	B·	C1

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 245373
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 28
First approved: Dec 1, 1986
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Minnesota.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Mar 25, 2026	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Mar 25, 2026	Health	Health Standard	1	Potential harm	—	Open →
Jan 8, 2025	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Jan 8, 2025	Health	Health Standard	2	Potential harm	—	Open →
Nov 8, 2023	Fire safety	Fire Safety Standard	9	Potential harm	—	Open →
Nov 8, 2023	Health	Health Standard	4	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D9	E2	F8
Minimal	A·	B·	C1

By concept

Date	Tag	Deficiency	Scope / severity	Correction
Mar 25, 2026	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 15, 2026
Mar 25, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Apr 15, 2026
Jan 8, 2025	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 29, 2025
Jan 8, 2025	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 29, 2025
Jan 8, 2025	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 29, 2025
Jan 8, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Jan 29, 2025
Jan 8, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Jan 29, 2025
Nov 8, 2023	K-0281	Install proper backup exit lighting. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 12, 2023
Nov 8, 2023	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 12, 2023
Nov 8, 2023	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 12, 2023
Nov 8, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 12, 2023
Nov 8, 2023	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 12, 2023
Nov 8, 2023	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 12, 2023
Nov 8, 2023	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 12, 2023
Nov 8, 2023	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 12, 2023
Nov 8, 2023	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 12, 2023
Nov 8, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected Dec 12, 2023
Nov 8, 2023	F-0881	Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected Dec 12, 2023
Nov 8, 2023	F-0883	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Dec 12, 2023
Nov 8, 2023	E-0041	Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness	C · Minimal Widespread	Corrected Dec 12, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.2

Health inspectionsstate 2.8

Staffingstate 4.2

Quality measuresstate 3.2

Long-stay QM

Short-stay QMNot rated

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing5.36

State avg 4.27US avg 3.90

Registered nurse (RN)1.09

State avg 1.08US avg 0.69

Licensed practical nurse0.78

State avg 0.61US avg 0.86

Nurse aide3.49

State avg 2.58US avg 2.35

Weekend total nurse4.59

State avg 3.73US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 6.67 (case-mix index 1.13).

Staff turnover

Total nursing staff turnover25.0%

State avg 42.1%US avg 45.3%

Registered nurse turnover12.5%

State avg 39.3%US avg 42.5%

Administrators who leftNot reported

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Mar 25, 2026
Cycle 1 health score: 4
Total weighted score: 9

Operating entity

Pelican Valley Health Center

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Vivie

5 facilities in 1 states. CMS chain ID 886.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.4

Ownership disclosures

Disclosures

15

Organizations

2

Individuals

13

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Pelican Valley Health Center	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Oct 1, 2018

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Pelican Valley Health Center	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Oct 1, 2018
Knute Nelson	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 1, 2018
Mark Anderson	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 1, 2018
Marnie Gugisberg	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 1, 2018
Angela Urman	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 1, 2018
Tyler Ahlf	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jun 10, 2019
Susan Bruggeman	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2007
Shannon Erickson	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2008
Bradley Knorr	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2015
Patrick Patterson	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2023
Richard Bratlien	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2006
Brian Evenson	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2018
Mark Sjostrom	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2019
David Slotten	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2017
Tyler Ahlf	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Jun 10, 2019

Same chain in Minnesota

All 4 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Glenwood Village Care Center 719 Southeast 2nd Street, Glenwood, MN 56334 CCN 245402	64	Jul 1, 2026	441 IJ1 harm	—
Heritage Living Center 619 West Sixth Street, Park Rapids, MN 56470 CCN 245405	48	Aug 5, 2026	101 harm	—
Knute Nelson Care Center 420 12th Avenue East, Alexandria, MN 56308 CCN 245435	83	May 13, 2026	32	—
Walker Methodist Westwood Ridge II 61 Thompson Avenue West, West Saint Paul, MN 55118 CCN 245618	37	Apr 15, 2026	471 IJ	$16k

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 211 East Mill Avenue, Pelican Rapids, MN 56572
ZIP: 56572
County: Otter Tail County FIPS 27111
State: Minnesota
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

No nearby facilities with coordinates.

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	245373	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	245373	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 245373

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction