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CMS nursing home

GOOD SAMARITAN SOCIETY - SPECIALTY CARE COMMUNITY

ROBBINSDALE, MN

CMS CCN 2452796123324262Listed in the current CMS nursing-home directoryCMS source updated August 1, 2026

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Independent research from official CMS public records. No paid ranking. No Trust Hub quality score.

Research this nursing home using CMS and federal public records. CMS Certification Number 245279.

At a glance

CMS research snapshot

CMS overall rating

CMS health inspection rating

CMS staffing rating

CMS quality-measure rating

CMS ownership-change history

No attached CMS ownership-change event.

These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.

Quality & care evidence

What CMS reports about quality

MDS quality observations: Available
PBJ staffing records: Available
Inspection evidence: Available
Fire-safety evidence: Available

Staffing, inspections, and fire safety are separate CMS evidence families below.

Ownership & management

Who CMS/PECOS connects to this nursing home

Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.

Current owners

FLUIT, JOELIndividual ownerINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
SANFORDOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETYOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST100% ownership interest

Operators

BLAESER, KALIIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
MIELKE, JOHNIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
MORRISON, TONYIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
SANDGREN, DEEANDRAIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
BLAESER, KALIIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
MIELKE, JOHNIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
MORRISON, TONYIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
SANDGREN, DEEANDRAIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL

Managers

No resolved CMS/PECOS relationships in this category.

Enrollment organizations

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETYOrganization · CURRENTMedicare-enrolled legal organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETYOrganization · UNKNOWNMedicare-enrolled legal organization

Historical ownership observations

Historical

No resolved CMS/PECOS relationships in this category.

Ownership observations with UNKNOWN status

These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.

UNKNOWN

FLUIT, JOELIndividual owner · UNKNOWNINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
SANFORDOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETYOrganization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST100% ownership interest

Ownership change history

CMS ownership-change records

No CMS ownership-change event is currently attached to this profile in the Trust Hub research graph. That is not proof that ownership never changed.

Source freshness

How current each evidence family is

nursing-home-mds-quality-measures: AGING · source as of 2026-08-01
nursing-home-provider-information: AGING · source as of 2026-08-01
skilled-nursing-facility-all-owners: AGING · source as of 2026-08-17
skilled-nursing-facility-change-of-ownership: CURRENT · source as of 2026-08-24

Profile generated 2026-10-02. That timestamp is not CMS evidence freshness.

Methodology

How Trust Hub researches this provider

CMS is the source for national nursing-home evidence.
Trust Hub does not create the CMS star ratings.
Ownership evidence does not measure care quality.
CMS CHOW records document reported ownership-change events.
Missing evidence is not interpreted as zero.
UNKNOWN ownership history is not interpreted as divestiture.

Ownership evidence is not a quality measure.
Missing evidence is not a zero score.
CMS ratings are CMS ratings, not Trust Hub ratings.
UNKNOWN ownership does not prove an owner left.
CHOW records are CMS transaction records, not Trust Hub judgments or sales.

CMS overview

CMS overall

Health inspection

Staffing

Quality-measure

No proprietary TrustHub score. These ratings are published separately by CMS.

How CMS describes these ratings

CMS overall rating: The CMS overall rating summarizes health inspections, staffing, and quality measures within Medicare's Five-Star system.
Health inspection rating: The CMS health inspection rating reflects findings from standard and complaint inspections used in Medicare's Five-Star system.
Staffing rating: The CMS staffing rating reflects staffing levels and related measures used in Medicare's Five-Star system.
Quality-measure rating: The CMS quality-measure rating summarizes selected resident assessment and claims-based measures used in Medicare's Five-Star system.

CMS certified beds: 96
Ownership descriptor: Non profit - Corporation
Medicare participation: Yes
Medicaid participation: Yes

Facility information

Contact

CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.

Phone: 6123324262Verified public information · checked Aug 2026

CMS designations

Special Focus and abuse-icon status

This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.

Not currently SFF or candidate

CMS does not currently identify this nursing home as a Special Focus Facility or candidate in the loaded Provider Information extract.

CMS field value: (blank). Observed Aug 1, 2026.

CMS abuse-icon designation

CMS does not currently apply its abuse-icon designation to this facility in the loaded Provider Information extract.

CMS field value: N. Observed Aug 1, 2026.

Enrollment identity

Medicare enrollment organization NPI associated with this CMS Certification Number

These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.

NPI 1659361061 · enrollment O20070811000064
NPI 1659361061 · enrollment O20070811000064

MDS quality measures

Individual CMS quality measures

These MDS quality measures are individual CMS-published scores. They are not the CMS quality-measure star rating.

MDS source release 2026-08-01.

View individual MDS measures

Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (Long Stay): 96.837945
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (Long Stay): 92.957746
Percentage of long-stay residents experiencing one or more falls with major injury (Long Stay): 1.976285 · CMS uses this measure in the quality-measure star rating
Percentage of long-stay residents who have depressive symptoms (Long Stay): 0.947867
Percentage of long-stay residents who lose too much weight (Long Stay): 4.891304
Percentage of long-stay residents who received an antianxiety or hypnotic medication (Long Stay): 15.053763
Percentage of long-stay residents who received an antipsychotic medication (Long Stay): 30.107527 · CMS uses this measure in the quality-measure star rating
Percentage of long-stay residents who were physically restrained (Long Stay): 6.719368
Percentage of long-stay residents whose ability to walk independently worsened (Long Stay): 21.451693 · CMS uses this measure in the quality-measure star rating
Percentage of long-stay residents whose need for help with daily activities has increased (Long Stay): 25.000000 · CMS uses this measure in the quality-measure star rating
Percentage of long-stay residents with a catheter inserted and left in their bladder (Long Stay): 2.228868 · CMS uses this measure in the quality-measure star rating
Percentage of long-stay residents with a urinary tract infection (Long Stay): 0.000000 · CMS uses this measure in the quality-measure star rating
Percentage of long-stay residents with new or worsened bowel or bladder incontinence (Long Stay): 25.142324
Percentage of long-stay residents with pressure ulcers (Long Stay): 2.965756 · CMS uses this measure in the quality-measure star rating
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (Short Stay): 82.537961
Percentage of short-stay residents who newly received an antipsychotic medication (Short Stay): 1.397206 · CMS uses this measure in the quality-measure star rating
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (Short Stay): 84.873950

Fire-safety citations

CMS fire-safety citations

These are fire-safety citations, not health deficiencies and not a count of fires.

2026-06-04 · tag 0324 · scope/severity D — Provide properly protected cooking facilities.
2026-06-04 · tag 0918 · scope/severity F — Have generator or other power source capable of supplying service within 10 seconds.
2026-06-04 · tag 0353 · scope/severity E — Inspect, test, and maintain automatic sprinkler systems.
2026-06-04 · tag 0362 · scope/severity E — Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
2026-06-04 · tag 0293 · scope/severity D — Have properly located and lighted "Exit" signs.
2025-02-14 · tag 0321 · scope/severity F — Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
2025-02-14 · tag 0324 · scope/severity F — Provide properly protected cooking facilities.
2025-02-14 · tag 0372 · scope/severity F — Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
2025-02-14 · tag 0521 · scope/severity F — Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
2025-02-14 · tag 0712 · scope/severity F — Have simulated fire drills held at unexpected times.
2023-12-07 · tag 0291 · scope/severity F — Install emergency lighting that can last at least 1 1/2 hours.
2023-12-07 · tag 0353 · scope/severity F — Inspect, test, and maintain automatic sprinkler systems.

Decision guide

What to review

Factual evidence to examine before you decide. These summaries are not a score or recommendation.

Staffing

CMS publishes a 5-star staffing rating for this facility.

RN staffing was 1.33 hours per resident day in 2026Q1, calculated from CMS PBJ records.

View staffing evidence

Inspections

The latest standard inspection on Jun 4, 2026 cited 11 deficiencies.

View inspection evidence

Ownership

CMS-published records list 57 ownership or control parties.

View ownership evidence

Chain context

CMS groups this facility with a chain covering 91 facilities across 9 states or territories.

View chain evidence

Ownership & operation

Ownership & Operation

Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.

Ownership type: Non profit - CorporationCMS
Chain: GOOD SAMARITAN SOCIETYCMS identifies this facility as part of the GOOD SAMARITAN SOCIETY chain.
Related facilities: 91Current CMS organization identity

Explore ownership network →

Who is behind this facility?

SeniorTrustHub found evidence connecting this facility to:

2 CMS-reported ownership organizations
CMS reports 48 individual ownership interests
a CMS chain / common-control group

Related facilities

91 currently connected nursing homes share this CMS organization identity with THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY.

Average CMS overall rating: 3 stars across 90 reporting facilities
CMS monetary penalties: 47 of 91 facilities had a recorded monetary penalty in the available CMS period.
Recent CMS penalties: 26 facilities had a CMS penalty in the last 18 months.
Recent high-value CMS enforcement: 21 facilities had a high-value CMS fine or payment denial in the last 18 months.
Recent CMS complaint inspections: 55 facilities had a CMS complaint inspection in the last 18 months.
Total recorded CMS fines: $2,237,184

These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.

Ownership

Who CMS records show is connected to this facility

These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.

Reported party records: 57
Organizations shown: 9
Individuals shown: 48
Latest ownership source update: Aug 17, 2026

CMS-published ownership and control parties

SANFORD
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jan 1, 2019
Other facilities connected through this exact CMS organization identity: 0 across MN.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jan 1, 2019
Other facilities connected through this exact CMS organization identity: 0 across MN.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
BLAESER, KALI
Individual · ADP OF THE SNF
Association date reported to CMS: Dec 27, 2021
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
BROWN, GEORGE
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
DTN STAFFING INC
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 2, 2024
Other facilities connected through this exact CMS organization identity: 0 across MN.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
DYKHOUSE, DANA
Individual · ADP OF THE SNF
Association date reported to CMS: May 30, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
ENGBRECHT, WESLEY
Individual · ADP OF THE SNF
Association date reported to CMS: May 30, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
FLUIT, JOEL
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2022
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
FOCUSONE SOLUTIONS
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 4, 2024
Other facilities connected through this exact CMS organization identity: 0 across MN.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
GASSEN, WILLIAM
Individual · ADP OF THE SNF
Association date reported to CMS: May 30, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
GRAPE TREE MEDICAL STAFFING LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 13, 2018
Other facilities connected through this exact CMS organization identity: 0 across MN.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
GULSVIG, NEIL
Individual · ADP OF THE SNF
Association date reported to CMS: May 30, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
HERSETH SANDLIN, STEPHANIE
Individual · ADP OF THE SNF
Association date reported to CMS: May 30, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
LUNDEEN, MARK
Individual · ADP OF THE SNF
Association date reported to CMS: May 30, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
MCCAUSLAND, MAUREEN
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
MIDDLETON, AIMEE
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 27, 2022
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
MIELKE, JOHN
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 27, 2020
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
MOLBERT, LAURIS
Individual · ADP OF THE SNF
Association date reported to CMS: May 30, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
MORRISON, TONY
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2019
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
NORTH, ANDREW
Individual · ADP OF THE SNF
Association date reported to CMS: May 30, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
OLSON, NICHOLAS
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 8, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
SANDGREN, DEEANDRA
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 16, 2023
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
SANFORD
Organization · ADP OF THE SNF
Association date reported to CMS: Dec 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across MN.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
SCHEMA, NATHAN
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2022
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
SCHIEFFER, KEVIN
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
SHULKIN, DAVID
Individual · ADP OF THE SNF
Association date reported to CMS: May 30, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
TEIKEN, BRENT
Individual · ADP OF THE SNF
Association date reported to CMS: May 30, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2019
Other facilities connected through this exact CMS organization identity: 0 across MN.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
THRIFTY DRUG STORES INC
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2017
Other facilities connected through this exact CMS organization identity: 0 across MN.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
VENTLING-HERRMANN, MARNIE
Individual · ADP OF THE SNF
Association date reported to CMS: May 30, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
WENZEL, THOMAS
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
BROWN, GEORGE
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 1, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
DYKHOUSE, DANA
Individual · CORPORATE DIRECTOR
Association date reported to CMS: May 30, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
ENGBRECHT, WESLEY
Individual · CORPORATE DIRECTOR
Association date reported to CMS: May 30, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
GASSEN, WILLIAM
Individual · CORPORATE DIRECTOR
Association date reported to CMS: May 30, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
GULSVIG, NEIL
Individual · CORPORATE DIRECTOR
Association date reported to CMS: May 30, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
HERSETH SANDLIN, STEPHANIE
Individual · CORPORATE DIRECTOR
Association date reported to CMS: May 30, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
LUNDEEN, MARK
Individual · CORPORATE DIRECTOR
Association date reported to CMS: May 30, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
MCCAUSLAND, MAUREEN
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 1, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
MOLBERT, LAURIS
Individual · CORPORATE DIRECTOR
Association date reported to CMS: May 30, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
NORTH, ANDREW
Individual · CORPORATE DIRECTOR
Association date reported to CMS: May 30, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
SCHIEFFER, KEVIN
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 1, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
SHULKIN, DAVID
Individual · CORPORATE DIRECTOR
Association date reported to CMS: May 30, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
TEIKEN, BRENT
Individual · CORPORATE DIRECTOR
Association date reported to CMS: May 30, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
VENTLING-HERRMANN, MARNIE
Individual · CORPORATE DIRECTOR
Association date reported to CMS: May 30, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
WENZEL, THOMAS
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 1, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
FLUIT, JOEL
Individual · CORPORATE OFFICER
Association date reported to CMS: Oct 1, 2022
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
GASSEN, WILLIAM
Individual · CORPORATE OFFICER
Association date reported to CMS: May 30, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
MIDDLETON, AIMEE
Individual · CORPORATE OFFICER
Association date reported to CMS: Jan 27, 2022
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
OLSON, NICHOLAS
Individual · CORPORATE OFFICER
Association date reported to CMS: Apr 8, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
SCHEMA, NATHAN
Individual · CORPORATE OFFICER
Association date reported to CMS: Jan 1, 2022
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
FLUIT, JOEL
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Jan 8, 2026
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
BLAESER, KALI
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Dec 27, 2021
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
MIELKE, JOHN
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 27, 2020
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
MORRISON, TONY
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2019
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
SANDGREN, DEEANDRA
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 16, 2023
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 113 across CO, FL, HI, IA, KS, MN, ND, NE, SD.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility Enrollments
CMS dataset identifier
5f2c306f-3b1c-42cd-b037-187b2ce22126
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source

What this means

Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.

Questions to ask

CMS records list several organizations with ownership or control roles. Which entity is responsible for day-to-day operations at this facility?
CMS records connect THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY to 114 facilities. Which policies and staffing decisions are managed centrally versus locally?

Chain context

CMS groups this facility with GOOD SAMARITAN SOCIETY

Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 726 is a grouping identifier, not a legal organization.

Facilities: 91
States and territories: 9
Average overall rating: 3
Average staffing rating: 4
Average total nurse HPRD: 3.7
Total fines: 81

Review CMS chain evidence

CMS-published history

Monthly chain measures
Month	Facilities	Overall rating	Staffing rating
Wed Jul	91	3	4
Mon Jun	92	2.9	3.9
Fri May	92	3	3.8
Wed Apr	88	3	3.9
Sun Mar	89	3	3.8
Sun Feb	92	2.9	3.8

Questions to ask

CMS groups facilities in 9 states or territories under this chain. Which operational policies are set at the chain level?
CMS reports 81 fines across the chain in this dataset. What compliance functions are managed centrally?

CMS chain source and methodology

Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.

View official CMS source

Inspections & deficiencies

What CMS inspection records show

Scope and severity terms below are CMS classifications. They are not a TrustHub score.

Latest recorded inspection

Date: Jun 4, 2026
Survey type: Fire Safety Standard
Linked findings: 0
Highest linked CMS classification: No linked health-deficiency finding in the loaded record

View source details

Dataset: Inspection Dates
CMS dataset ID: svdt-c123
CMS source updated: Aug 1, 2026
CMS provider ID: 245279
Source record locator: csv-row:65945:ccn:245279

View official CMS source

Jun 4, 2026 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Jun 4, 2026 — Health Complaint — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Jun 4, 2026 — Health Standard — 11 linked findings

F0550 — Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 10, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185572:ccn:245279
View official CMS source
F0552 — Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 10, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185573:ccn:245279
View official CMS source
F0574 — Resident Rights Deficiencies
The resident has the right to receive notices in a format and a language he or she understands.
CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Jul 10, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185581:ccn:245279
View official CMS source
F0577 — Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Jul 10, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185582:ccn:245279
View official CMS source
F0605 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 10, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185569:ccn:245279
View official CMS source
F0637 — Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 10, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185576:ccn:245279
View official CMS source
F0684 — Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 10, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185578:ccn:245279
View official CMS source
F0812 — Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 10, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185567:ccn:245279
View official CMS source
F0880 — Infection Control Deficiencies
Provide and implement an infection prevention and control program.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 10, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185568:ccn:245279
View official CMS source
F0883 — Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 10, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185579:ccn:245279
View official CMS source
F0887 — Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 10, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185580:ccn:245279
View official CMS source

May 14, 2026 — Health Complaint — 3 linked findings

F0550 — Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 19, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185583:ccn:245279
View official CMS source
F0656 — Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 19, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185584:ccn:245279
View official CMS source
F0689 — Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 19, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185585:ccn:245279
View official CMS source

Apr 2, 2026 — Health Complaint — 2 linked findings

F0585 — Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 8, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185587:ccn:245279
View official CMS source
F0744 — Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 8, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185586:ccn:245279
View official CMS source

Jul 30, 2025 — Health Complaint — 1 linked finding

F0806 — Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 22, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185588:ccn:245279
View official CMS source

Feb 14, 2025 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Feb 14, 2025 — Health Standard — 8 linked findings

F0554 — Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 6, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185591:ccn:245279
View official CMS source
F0584 — Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 6, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185592:ccn:245279
View official CMS source
F0585 — Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 6, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185589:ccn:245279
View official CMS source
F0684 — Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 6, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185593:ccn:245279
View official CMS source
F0686 — Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 6, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185594:ccn:245279
View official CMS source
F0690 — Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 6, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185595:ccn:245279
View official CMS source
F0805 — Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 6, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185596:ccn:245279
View official CMS source
F0812 — Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 6, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185590:ccn:245279
View official CMS source

Jan 29, 2025 — Health Complaint — 1 linked finding

F0755 — Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 6, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185597:ccn:245279
View official CMS source

Dec 24, 2024 — Health Complaint — 3 linked findings

F0655 — Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 24, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185599:ccn:245279
View official CMS source
F0689 — Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 24, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185600:ccn:245279
View official CMS source
F0838 — Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 24, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185598:ccn:245279
View official CMS source

Dec 6, 2024 — Health Complaint — 8 linked findings

F0550 — Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 24, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185603:ccn:245279
View official CMS source
F0558 — Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 24, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185601:ccn:245279
View official CMS source
F0604 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 24, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185602:ccn:245279
View official CMS source
F0656 — Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 24, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185604:ccn:245279
View official CMS source
F0677 — Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 24, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185605:ccn:245279
View official CMS source
F0684 — Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 24, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185606:ccn:245279
View official CMS source
F0686 — Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 24, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185607:ccn:245279
View official CMS source
F0804 — Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 24, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185608:ccn:245279
View official CMS source

Jul 17, 2024 — Health Complaint — 1 linked finding

F0609 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 15, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185609:ccn:245279
View official CMS source

Dec 7, 2023 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Dec 7, 2023 — Health Complaint — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Dec 7, 2023 — Health Standard — 6 linked findings

F0584 — Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 18, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185610:ccn:245279
View official CMS source
F0658 — Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 18, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185611:ccn:245279
View official CMS source
F0689 — Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 18, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185612:ccn:245279
View official CMS source
F0690 — Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 18, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185613:ccn:245279
View official CMS source
F0695 — Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 18, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185614:ccn:245279
View official CMS source
F0757 — Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 18, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185616:ccn:245279
View official CMS source

Nov 26, 2023 — Health Complaint — 1 linked finding

F0600 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 26, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
245279
Source record locator
csv-row:185618:ccn:245279
View official CMS source

Penalties & enforcement

CMS penalty records in the loaded three-year dataset

No penalty records were found for this provider in the currently loaded CMS Penalties dataset.

Questions to ask

Questions generated from the evidence above

CMS records show F0550 in 3 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0684 in 3 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0689 in 3 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0584 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0585 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0656 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0686 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0690 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0812 in 2 inspections in the available record. What changes has the facility made to address this issue?

Facility history

Facility History

12 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.

What changed recently?

Health inspection completed16 deficiencies were recorded.

2026

Jun 4
Health inspection completed
16 deficiencies were recorded.
CMS · Recorded event date · View related evidence
May 14
Complaint inspection recorded
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Apr 2
Complaint inspection recorded
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence

2025

Jul 30
Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
Feb 14
Health inspection completed
8 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Jan 29
Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence

2024

Dec 24
Complaint inspection recorded
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Dec 6
Complaint inspection recorded
8 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Jul 17
Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence

2023

Dec 7
Health inspection completed
6 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Dec 7
Complaint inspection recorded
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
Nov 26
Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence

Staffing

Reported nursing staffing at a glance

CMS staffing rating: 5 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).

Inspect a PBJ quarter

Total nursing: 4.215
RN categories: 1.326
LPN/LVN categories: 0.603
CNA: 0.894

Weekday and weekend calculations

2026Q1 reported hours per resident day
Measure	Monday–Friday	Saturday–Sunday
Total nursing	4.424	3.697
RN categories	1.515	0.856

Contract staff accounted for 0% of reported nursing hours included in this quarter calculation.

Reported RN-category hours per resident day were 0.076 higher than the prior loaded quarter.

Staffing over time

Solid bar: Total nursing · Outlined bar: RN categories

Calculated reported hours per resident day by PBJ quarter
Quarter	Total nursing	RN categories	LPN/LVN	CNA	Contract share	Days
2025Q2	4.376	1.396	0.663	0.823	0%	91
2025Q3	4.188	1.298	0.623	0.87	0%	92
2025Q4	4.219	1.25	0.601	0.937	0%	92
2026Q1	4.215	1.326	0.603	0.894	0%	90

Questions to ask

PBJ records show lower calculated RN-category hours per resident day on weekends this quarter. How does the facility plan RN coverage on Saturdays and Sundays?

Staffing source and calculation details

Source: Centers for Medicare & Medicaid Services (CMS)
Dataset: Payroll Based Journal Daily Nurse Staffing
CMS dataset ID: 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Quarter: 2026Q1
Coverage: Jan 1, 2026–Mar 31, 2026
Days represented: 90 (90 with positive MDS census)
CMS source updated: Jul 29, 2026
Calculation version: pbj-quarter-ratio-of-sums-v1

Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.

View official CMS PBJ source

What we can verify today

Current Provider Information facts

These measures come from the current successfully ingested CMS Nursing Home Provider Information release.

CMS reports a 2-star overall rating.
CMS reports a 1-star health inspection rating.
CMS reports a 5-star staffing rating.
CMS reports a 4-star quality-measure rating.

Planned evidence layers

Additional public-source research

These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.

Home health national spine remains a separate CMS provider class, not this profile.
Hospice national spine remains a separate CMS provider class, not this profile.

Trust participation

See something that needs correction?

Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.

Suggest a correction Report a source-data concern Represent this facility? Submit a representation claim

Representation claims are reviewed manually. Live profile-management tools are not yet enabled for this facility.

How corrections work

Source register

See where this record came from

Provider Information

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 4pq5-n9py
Source updated: Aug 1, 2026
Retrieved: Aug 26, 2026
Supports: Overview, facility facts, and CMS ratings

View official CMS source

Inspection Dates

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: svdt-c123
Source updated: Aug 1, 2026
Retrieved: Aug 26, 2026
Supports: Inspections and facility history

View official CMS source

Health Deficiencies

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: r5ix-sfxw
Source updated: Aug 1, 2026
Retrieved: Aug 26, 2026
Supports: Health deficiencies and facility history

View official CMS source

Payroll Based Journal Daily Nurse Staffing

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Coverage: Apr 1, 2025–Mar 31, 2026
Source updated: Jul 29, 2026
Retrieved: Aug 15, 2026
Supports: PBJ staffing cards, history, and transparent calculations

View official CMS source

Ownership

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: y2hd-n93e
Source updated: Aug 1, 2026
Retrieved: Aug 26, 2026
Supports: Ownership parties, organization connections, and ownership history

View official CMS source

Skilled Nursing Facility Enrollments

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 5f2c306f-3b1c-42cd-b037-187b2ce22126
Source updated: Aug 17, 2026
Retrieved: Aug 26, 2026
Supports: Ownership parties, organization connections, and ownership history

View official CMS source

Nursing Home Chain Performance Measures

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 97ecfad1-d3f1-4d42-b774-d74661d830bc
Coverage: Wed Jul
Source updated: Aug 12, 2026
Retrieved: Aug 16, 2026
Supports: CMS chain context, performance, and monthly history

View official CMS source

Verified public facility information

Source organization: Public facility listing
Dataset identifier: commercial-corroboration:public-listing
Source updated: Aug 18, 2026
Retrieved: Aug 18, 2026
Supports: Independently verified public website, phone, or publicly used name. Not a CMS rating or regulatory status.

How sources work

No paid placements. Facilities cannot pay to rank higher. We cite. You decide.

Ask about this facility

CMS research snapshot

CMS overall rating

CMS health inspection rating

CMS staffing rating

CMS quality-measure rating

CMS ownership-change history

What CMS reports about quality

Who CMS/PECOS connects to this nursing home

Current owners

Operators

Managers

Enrollment organizations

Historical

UNKNOWN

CMS ownership-change records

How current each evidence family is

How Trust Hub researches this provider

CMS rating overview

CMS overall

Health inspection

Staffing

Quality-measure

Contact

Special Focus and abuse-icon status

Not currently SFF or candidate

CMS abuse-icon designation

Medicare enrollment organization NPI associated with this CMS Certification Number

Individual CMS quality measures

CMS fire-safety citations

What to review

Staffing

Inspections

Ownership

Chain context

Ownership & Operation

Who is behind this facility?

Related facilities

Facilities currently connected to this organization

Who CMS records show is connected to this facility

CMS-published ownership and control parties

SANFORD

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

BLAESER, KALI

BROWN, GEORGE

DTN STAFFING INC

DYKHOUSE, DANA

ENGBRECHT, WESLEY

FLUIT, JOEL

FOCUSONE SOLUTIONS

GASSEN, WILLIAM

GRAPE TREE MEDICAL STAFFING LLC

GULSVIG, NEIL

HERSETH SANDLIN, STEPHANIE

LUNDEEN, MARK

MCCAUSLAND, MAUREEN

MIDDLETON, AIMEE

MIELKE, JOHN

MOLBERT, LAURIS

MORRISON, TONY

NORTH, ANDREW

OLSON, NICHOLAS

SANDGREN, DEEANDRA

SANFORD

SCHEMA, NATHAN

SCHIEFFER, KEVIN

SHULKIN, DAVID

TEIKEN, BRENT

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

THRIFTY DRUG STORES INC

VENTLING-HERRMANN, MARNIE

WENZEL, THOMAS

BROWN, GEORGE

DYKHOUSE, DANA

ENGBRECHT, WESLEY

GASSEN, WILLIAM

GULSVIG, NEIL

HERSETH SANDLIN, STEPHANIE

LUNDEEN, MARK

MCCAUSLAND, MAUREEN