Nelson Care Center in Alexandria, Minnesota has been approved by the Minnesota Department of Health for a moratorium exception project—a competitive state process that authorizes major renovations for nursing facilities. This exciting project marks a $15.3 million investment in the future of skilled nursing care for older adults in Douglas County.
A once-in-a-generation investment in skilled nursing care
Over the next 18 months, beginning in early 2026, Nelson Care Center will undergo a phased renovation of its short-term rehab, Maples, and Pines households. These updates are designed to create a more welcoming, modern, and supportive home for residents and team members alike.
Renovations will feature:
- State-of-the-art resident rooms with private bathrooms and walk-in showers.
- Private climate control for comfort in every room.
- Inviting dining and activity spaces designed to encourage connection and engagement.
- Upgraded nursing stations and care areas that support efficient workflows for teams.
These improvements will bring Nelson Care Center in line with today’s CMS, ADA, and infection prevention standards, ensuring safety, accessibility, and high-quality care for all residents.
Why this matters for Douglas County families
Nelson Care Center has a long tradition of service, caring for nearly 300 residents in 2024 with the support of more than 326 team members. This renovation ensures that the people of Douglas County will continue to have access to modern, high-quality skilled nursing care for decades to come.
“This once-in-a-generation investment will create better living spaces for residents and better work spaces for our team—keeping Nelson Care Center strong for the community well into the future,” said Brady Johnsrud, executive director of Nelson Care Center.
Mark Anderson, president and CEO, added: “This renovation represents more than construction—it’s about growth and commitment. We’re making an investment that supports the residents who call Nelson Care Center home today and ensures we’re ready to welcome and care for those who will need us in the years ahead.”
What is a moratorium exception project?
Minnesota has a moratorium, or restriction, on new nursing home construction. However, the state allows for moratorium exception projects—highly competitive applications that let facilities move forward with renovations, replacements, or upgrades if they demonstrate need and community benefit.
Nelson Care Center’s approval through this process signals strong confidence in our ability to continue serving the people of Alexandria and Douglas County with excellence.
Looking ahead
The project is expected to begin in early 2026 and take approximately 18 months to complete, with work done in phases to minimize disruption to residents and families. Throughout the process, Nelson Care Center remains committed to delivering compassionate, high-quality care for older adults.
Stay tuned for updates as this exciting transformation begins—and see how Nelson Care Center continues to grow as a trusted provider of skilled nursing care in Minnesota.
Libbie Chapuran
Libbie Chapuran is the director of communications at Vivie, where she leads strategies that elevate the voices of those Vivie serves and supports. A graduate of the University of Wisconsin–Madison with degrees in communication arts and political science, she’s spent her career in communications and advocacy across the public and nonprofit sectors, with a focus on senior care. Her love of storytelling and purposeful messaging led her to aging services, where she now brings Vivie’s mission to life through thoughtful, people-centered communication. Libbie is an active member of LeadingAge Minnesota, serving on the Engagement Committee, and contributes to local advocacy as a member of the Legislative Advisory Council for District 196 (Eagan–Apple Valley–Rosemount). Inspired by the incredible people she works alongside—and the many more Vivie serves—Libbie is motivated to share their stories in ways that move hearts and drive change.
