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Medically Complex

With a pediatrician as our medical director, two certified Family Nurse Practitioners, respiratory therapists and around-the-clock nursing and CNA support, our medically complex unit, River’s Bend, is able to provide care at the level of a step-down pediatric intensive care unit. We also serve clients in our Horseshoe Park area, offering medical “step-down” support for those that have started to show an increase in independence from our River’s Bend unit. In addition to our medical team, our Nutritional Therapy team is dedicated to the health of our clients by ensuring they receive a well-balanced, specialized diet with the correct caloric intake. We also consult with outside agencies for Neurology, Orthopedics and Pulmonology in which these medical providers come to our campus for consultation or follow-up appointments. Through the support of this medical team, our clients are able to participate in many opportunities such as attending school, going to movies, and shopping with friends.


701 3rd St NW
Jamestown, ND 58402
(701) 252-3850


Expert Care

As part of our Anne Carlsen standard of care, we continually strive to advance our ability to meet the complex and unique needs of those we serve. The following specialty areas are vital components of our approach to Medically Complex services.

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Adaptive Equipment

Our Adaptive Equipment Specialist constructs environmental controls, switch activated devices, alarms, and various other items to assure our clients can access their environments in a safe and functional manner.

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Behavioral Support

Our Behavioral Support team, including Board Certified Behavior Analysts and Registered Behavior Technicians, spend time in each residential area. They are responsible for assessments, establishing behavioral support programs, staff training, and monitoring of program success.

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Respiratory Therapy

Respiratory Therapy is an integral part of the care provided to our Medically Complex clients with a variety of respiratory needs including those that may have a tracheostomy or require the use of a ventilator.


Spiritual Care

Our full-time Spiritual Care Coordinator serves the spiritual needs of clients, families, and team members through visits, worship services, Vacation Bible School, and being a resource in times of need.

Get Started

Due to the individualized nature of medically complex care, we welcome your call or email to discuss your unique needs and the specialized services we can provide.

(701) 252-3850

Integrated Services

Through collaboration and our continuum of services, we utilize a team approach in order to provide individualized and person-centered services. For individuals receiving Medically Complex services, the following departments and services are vital components of this continuum.

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Occupational Therapy, Physical Therapy, and Speech Therapy conduct assessments, establish programs, and train staff in multiple areas that include eating, communication, daily living skills, sensory integration, and walking/stretching programs.

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There is a close relationship between residential and educational services. Our Direct Support Professional staff are with the clients before school, go with them to school, and come back to the residential settings after school. This allows for consistent program implementation and communication between teachers and the evening/weekend residential staff.

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Anne Carlsen student using assistive technology to communicate
Recreation Services at Anne Carlsen


The recreation department helps guide the recreational activities that take place in the residential area throughout the day and evening hours. They also coordinate all extracurricular activities (e.g., Special Olympics, Boy/Girl Scouts, etc.). Residential clients and staff also have access to the swimming pool and gymnasium during evening and weekend hours.

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Medically Complex Frequently Asked Questions

Get Started

Due to the individualized nature of medically complex care, we welcome your call or email to discuss your unique needs and the specialized services we can provide.

(701) 252-3850