Home›North Dakota›Mercer County›KNIFE RIVER CARE CENTER
A+
Excellent

KNIFE RIVER CARE CENTER

118 22ND ST NE · BEULAH, ND 58523

7018734322 · Non profit - Corporation

86 beds80.6 residents131 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A+
Excellent
Total Staff
A+
Excellent
RN Staff
A+
Excellent
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

KNIFE RIVER CARE CENTER receives an overall staffing grade of A+ (Excellent). With 5.2074 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 1.31 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 23.82% compared to weekdays. The facility relies heavily on temporary agency staff (20.78% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️20.78% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
5.2074hrs/resident/day▲ 1.31
CMS benchmark: 3.48
RN HPRD
1.132hrs/resident/day▲ 0.45
Recommended: 0.75
Weekend Drop-off
23.82%
5.5832 weekday → 4.2532 weekend
⚠ Significant weekend reduction
Agency Staff
20.78%
13.89% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
3.4811hrs/resident/day
Direct care aides
LPN HPRD
0.1306hrs/resident/day
Licensed practical nurses
Consistency
0.7021std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Mercer County Average+0.00 HPRD
5.21
05.21 HPRD
vs. North Dakota State Average+0.78 HPRD
4.43
05.21 HPRD
vs. National Average+1.31 HPRD
3.90
05.21 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
KNIFE RIVER CARE CENTER ★
BEULAH · This facility
—
A+
5.20741.132★★★☆☆
GARRISON MEM HOSP NSG FAC
GARRISON
30.5 mi
A+
5.79512.247★★☆☆☆
BENEDICTINE LIVING CENTER OF GARRISON
GARRISON
30.9 mi
C
3.1440.7547★★☆☆☆
MARIAN MANOR HEALTHCARE CENTER
GLEN ULLIN
32.5 mi
A
4.90441.3001★☆☆☆☆
ELM CREST MANOR
NEW SALEM
33.7 mi
C
4.89460.5147★★★☆☆
RICHARDTON HEALTH CENTER INC
RICHARDTON
37.5 mi
A
4.25641.1697★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

7
Inspections
31
Total Deficiencies
$35,890
Fines Assessed
Dec 10, 2025Health
1 deficiency cited
▼
Feb 26, 2025Health
2 deficiencies cited
▼
Nov 26, 2024Health
2 deficiencies cited
▼
Aug 14, 2024Health
2 deficiencies cited· Includes actual harm
▼
Jul 10, 2024Health
1 deficiency cited· Includes actual harm
▼
Dec 21, 2023Health
14 deficiencies cited
▼
Dec 1, 2022Health
9 deficiencies cited· Includes actual harm
▼

Penalty History

Jul 10, 2024Fine
$35,890
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.