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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D24 | E10 | F6 |
| Minimal | A· | B· | C· |
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 4, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 21, 2025 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Aug 21, 2025 | Health | Health Complaint, Health Standard | 5 | Potential harm | — | Open → |
| Feb 19, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jul 11, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Jul 11, 2024 | Health | Health Complaint, Health Standard | 8 | Potential harm | — | Open → |
| Mar 12, 2024 | Health | Health Complaint | 9 | Potential harm | — | Open → |
| Jun 8, 2023 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jun 8, 2023 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jan 14, 2026 | Civil money penalty (fine) | $27,417 | — | 355089|Fine|136918 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D24 | E10 | F6 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Dec 4, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Past non-compliance Sep 25, 2025 | Complaint |
| Aug 21, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 29, 2025 | |
“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 | 100% | Jan 1, 2019 |
| The Evangelical Lutheran Good Samaritan Society | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Jan 1, 2019 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Sanford | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jan 1, 2019 |
| The Evangelical Lutheran Good Samaritan Society | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 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 |
| 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 | |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| St Vincent's - a Prospera Community 1021 N 26th St, Bismarck, ND 58501 CCN 355060 | 97 | Jun 4, 2026 | 433 harm | $45k | |
| Sunset Drive - a Prospera Community 1011 Boundary St NW, Mandan, ND 58554 CCN 355065SFF Candidate |
Coordinates as published by CMS.
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 355089 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 355089 | 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
| K-0345 |
| Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety |
| F · Potential harm Widespread |
| Corrected Sep 12, 2025 |
| Aug 21, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 5, 2025 |
| Aug 21, 2025 | 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 Sep 12, 2025 |
| Aug 21, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 16, 2025 |
| Aug 21, 2025 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 12, 2025 |
| Aug 21, 2025 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 29, 2025 |
| Aug 21, 2025 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 25, 2025 | Complaint |
| Aug 21, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 25, 2025 |
| Aug 21, 2025 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Sep 25, 2025 | Complaint |
| Aug 21, 2025 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 25, 2025 |
| Aug 21, 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 | E · Potential harm Pattern | Corrected Sep 25, 2025 | Complaint |
| Feb 19, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 24, 2025 | Complaint |
| Feb 19, 2025 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 24, 2025 | Complaint |
| Feb 19, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 24, 2025 | Complaint |
| Jul 11, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 25, 2024 |
| Jul 11, 2024 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 30, 2024 |
| Jul 11, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 25, 2024 |
| Jul 11, 2024 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 9, 2024 | Complaint |
| Jul 11, 2024 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 9, 2024 | Complaint |
| Jul 11, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 9, 2024 | Complaint |
| Jul 11, 2024 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 9, 2024 | Complaint |
| Jul 11, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 9, 2024 | Complaint |
| Jul 11, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 9, 2024 | Complaint |
| Jul 11, 2024 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 9, 2024 | Complaint |
| Jul 11, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 9, 2024 | Complaint |
| Mar 12, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 16, 2024 | Complaint |
| Mar 12, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 16, 2024 | Complaint |
| Mar 12, 2024 | 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 Apr 16, 2024 | Complaint |
| Mar 12, 2024 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 16, 2024 | Complaint |
| Mar 12, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 16, 2024 | Complaint |
| Mar 12, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 16, 2024 | Complaint |
| Mar 12, 2024 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 16, 2024 | Complaint |
| Mar 12, 2024 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Apr 16, 2024 | Complaint |
| Mar 12, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 16, 2024 | Complaint |
| Jun 8, 2023 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 19, 2023 |
| Jun 8, 2023 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 12, 2023 |
| Jun 8, 2023 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 12, 2023 |
| Jun 8, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 12, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.08 (case-mix index 1.12).
| Individual |
| Corporate officer / director |
| CORPORATE DIRECTOR |
| not provided |
| May 30, 2024 |
| William Gassen | 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 |
| Joel Fluit | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 1, 2022 |
| 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 |
| Joel Johnson | Individual | Managing employee | CONTRACTED MANAGING EMPLOYEE | not provided | Jan 9, 2013 |
| Lara Carlson | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Jul 17, 2022 |
| Tony Morrison | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Jan 1, 2019 |
| 64 |
| Dec 4, 2025 |
22 |
| — |
| Creekstone Health and Wellness 1500 Southgate Drive, Kissimmee, FL 34746 CCN 105559 | 161 | Dec 11, 2025 | 271 harm | $12k |
| 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 | — |
| 128 |
| Jul 9, 2026 |
762 IJ2 harm |
| $79k |
| Good Samaritan Society - Bottineau 725 E 10th St, Bottineau, ND 58318 CCN 355093Abuse icon | 52 | Jun 29, 2026 | 311 IJ2 harm | $110k |
| Good Samaritan Society - Oakes 213 N 9th St, Oakes, ND 58474 CCN 355095Abuse icon | 46 | Jun 18, 2026 | 301 IJ | $8,281 |
| Good Samaritan Society - Larimore 501 E Front St, Larimore, ND 58251 CCN 355097SFF | 40 | Not rated | May 19, 2026 | 753 harm | $81k |
| Good Samaritan Society - Lakota 608 4th Ave SW, Lakota, ND 58344 CCN 355104 | 38 | Aug 26, 2026 | 431 IJ2 harm2 open | $48k |
| Good Samaritan Society Miller Pointe a Prospera Co 3500 21st St SE, Mandan, ND 58554 CCN 355106 | 120 | Dec 31, 2025 | 161 IJ1 harm | $36k |
| Souris Valley Care Center 300 Main St S, Velva, ND 58790 CCN 355109SFF Candidate | 46 | Jun 11, 2026 | 293 IJ2 harm | $132k |