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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D10 | E6 | F9 |
| 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.
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.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Dec 11, 2025 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Dec 11, 2025 | Health | Health Complaint, Health Standard | 7 | Potential harm | — | Open → |
| Feb 1, 2024 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Feb 1, 2024 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Nov 10, 2023 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Mar 24, 2022 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Mar 24, 2022 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Nov 10, 2023 | Civil money penalty (fine) | $11,629 | — | 105559|Fine|30989 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D10 | E6 | F9 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Dec 11, 2025 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 26, 2026 | |
| Dec 11, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 26, 2026 | |
| Dec 11, 2025 | K-0353 |
“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.
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.
CMS legal business name of the certified provider. Operates 87 facilities.
92 facilities in 9 states. CMS chain ID 726.
Chain average overall rating (CMS): 3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Sanford | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2019 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Sanford | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2019 |
| James Cain | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 30, 2024 |
| Dana Dykhouse | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 30, 2024 |
| Wesley Engbrecht | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 30, 2024 |
| William Gassen |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Good Samaritan - Loveland Village 2101 S Garfield Ave, Loveland, CO 80537 CCN 065139Abuse icon | 104 | Apr 2, 2026 | 271 IJ4 harm | $46k | |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Kissimmee Health and Rehabilitation Center 320 N Mitchell St, Kissimmee, FL 34741 CCN 105379 | 5.2 km | 59 | May 28, 2026 | 32 | — | |
| The Terrace of Kissimmee 221 Park Place Blvd, Kissimmee, FL 34741 CCN 105839 | 6.5 km | 120 | Dec 23, 2025 | 262 IJ | $39k | |
| Aviata at Kissimmee Gardens 1120 W Donegan Ave, Kissimmee, FL 34741 CCN 106074 | 6.8 km | 120 | Jan 15, 2026 | 25 | — | |
| Kissimmee Nursing & Rehabilitation Center 2511 John Young Parkway North, Kissimmee, FL 34741 CCN 106011 | 6.8 km | 120 | Feb 28, 2025 | 271 harm | — | |
| Hunters Creek Nursing and Rehab Center 14155 Town Loop Blvd, Orlando, FL 32837 CCN 105987 | 11.6 km | 116 | May 22, 2026 | 152 IJ1 harm | $67k | |
| The Terrace of St Cloud 3855 Old Canoe Creek Road, Saint Cloud, FL 34769 CCN 105528 | 12.2 km | 120 | Nov 5, 2025 | 192 IJ1 harm | $8,512 | |
| Aviata at St Cloud 4641 Old Canoe Creek Road, Saint Cloud, FL 34769 CCN 105888 | 12.3 km | 120 | Jun 30, 2026 | 382 harm | $92k | |
| Solaris Healthcare Osceola 4201 W New Nolte Road, Saint Cloud, FL 34772 CCN 105734 | 12.8 km | 120 | Nov 21, 2024 | 91 IJ | $19k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 105559 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 105559 | 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 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety |
| F · Potential harm Widespread |
| Corrected Jan 26, 2026 |
| Dec 11, 2025 | K-0911 | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 26, 2026 |
| Dec 11, 2025 | K-0912 | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 26, 2026 |
| Dec 11, 2025 | F-0585 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 23, 2026 | Complaint |
| Dec 11, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 23, 2026 |
| Dec 11, 2025 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 23, 2026 |
| Dec 11, 2025 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 23, 2026 |
| Dec 11, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jan 23, 2026 |
| Dec 11, 2025 | F-0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jan 23, 2026 |
| Dec 11, 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 23, 2026 |
| Feb 1, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 28, 2024 |
| Feb 1, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 28, 2024 |
| Feb 1, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 23, 2024 |
| Feb 1, 2024 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 23, 2024 |
| Feb 1, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 23, 2024 |
| Nov 10, 2023 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Dec 4, 2023 | Complaint |
| Mar 24, 2022 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Apr 25, 2022 |
| Mar 24, 2022 | K-0111 | Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. Construction Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 25, 2022 |
| Mar 24, 2022 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 23, 2022 |
| Mar 24, 2022 | 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 Apr 25, 2022 |
| Mar 24, 2022 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 25, 2022 |
| Mar 24, 2022 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 25, 2022 |
| Mar 24, 2022 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 25, 2022 |
| Mar 24, 2022 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | C · Minimal Widespread | Corrected Apr 25, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 1.50 (case-mix index 1.15).
| Individual |
| Corporate officer / director |
| CORPORATE DIRECTOR |
| not provided |
| May 30, 2024 |
| Neil Gulsvig | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 30, 2024 |
| Stephanie Herseth Sandlin | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 30, 2024 |
| Mark Lundeen | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 30, 2024 |
| Lauris Molbert | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 30, 2024 |
| Andrew North | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 30, 2024 |
| David Shulkin | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 30, 2024 |
| Brent Teiken | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 30, 2024 |
| Marnie Ventling-Herrmann | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 30, 2024 |
| William Gassen | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 30, 2024 |
| Aimee Middleton | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 27, 2022 |
| Nicholas Olson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Apr 8, 2024 |
| Michael Rogers | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 13, 2022 |
| Nathan Schema | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2022 |
| Christopher Chappel | Individual | Managing employee | CONTRACTED MANAGING EMPLOYEE | not provided | Sep 17, 2018 |
| Joel Fluit | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Oct 1, 2022 |
| Tony Morrison | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Jan 1, 2019 |
| Dorene Spies | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Sep 26, 2022 |
| 64 |
| Dec 4, 2025 |
22 |
| — |
| Harry and Jeanette Weinberg Care Center 45-090 Namoku St, Kaneohe, HI 96744 CCN 125033 | 44 | Jan 30, 2025 | 20 | — |
| Good Samaritan - Davenport 700 Waverly Road, Davenport, IA 52804 CCN 165169 | 119 | Jan 29, 2026 | 35 | — |
| Good Samaritan - Indianola 708 South Jefferson, Indianola, IA 50125 CCN 165186 | 105 | May 14, 2026 | 691 IJ3 harm | $20k |
| Good Samaritan - West Union 201 Hall Street, West Union, IA 52175 CCN 165187 | 52 | May 20, 2026 | 32 | — |
| Good Samaritan - Villisca 202 North Central Avenue, Villisca, IA 50864 CCN 165189 | 46 | Jan 29, 2026 | 341 harm | — |
| Good Samaritan - Algona 412 West Kennedy Street, Algona, IA 50511 CCN 165190 | 72 | Dec 4, 2025 | 413 harm | $7,070 |