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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L1 |
| Actual harm | G2 | H· | I· |
| Potential harm | D28 | E6 | F5 |
| 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 | |
|---|---|---|---|---|---|---|
| Aug 26, 2026 | Health | Health Complaint | 2 | Potential harm | 2 | Open → |
| Jun 16, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jun 3, 2025 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Jun 3, 2025 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Jan 8, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jun 19, 2024 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Jun 19, 2024 | Health | Health Complaint, Health Standard | 12 | Actual harm | — | Open → |
| Oct 11, 2023 | Fire safety | Fire Safety Complaint | 1 | Immediate jeopardy | — | Open → |
| Oct 11, 2023 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| May 25, 2023 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| May 25, 2023 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jun 19, 2024 | Civil money penalty (fine) | $48,445 | — | 355104|Fine|99644 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L1 |
| Actual harm | G2 | H· | I· |
| Potential harm | D28 | E6 | F5 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 26, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | No plan of correction | Complaint |
| Aug 26, 2026 | 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 | D · Potential harm Isolated | No plan of correction |
“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 |
| 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 | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | 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 |
| 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 | 355104 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 355104 | 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
| Complaint |
| Jun 16, 2026 | 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 Jul 10, 2026 | Complaint |
| Jun 16, 2026 | 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 Jul 10, 2026 | Complaint |
| Jun 16, 2026 | 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 Jul 10, 2026 | Complaint |
| Jun 3, 2025 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 15, 2025 |
| Jun 3, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 15, 2025 |
| Jun 3, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 15, 2025 |
| Jun 3, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 7, 2025 |
| Jun 3, 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 Jul 7, 2025 |
| Jun 3, 2025 | 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 Jul 7, 2025 |
| Jun 3, 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 Jul 7, 2025 |
| Jun 3, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 7, 2025 |
| Jun 3, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 7, 2025 |
| Jun 3, 2025 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | C · Minimal Widespread | Corrected Jul 7, 2025 |
| Jan 8, 2025 | 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 Feb 21, 2025 | Complaint |
| Jan 8, 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 Feb 21, 2025 | Complaint |
| Jun 19, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Aug 14, 2024 | Complaint |
| Jun 19, 2024 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 9, 2024 |
| Jun 19, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 9, 2024 |
| Jun 19, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted Aug 30, 2024 |
| Jun 19, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 9, 2024 |
| Jun 19, 2024 | 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 9, 2024 |
| Jun 19, 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 Jul 25, 2024 | Complaint |
| Jun 19, 2024 | 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 | D · Potential harm Isolated | Corrected Jul 25, 2024 | Complaint |
| Jun 19, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 25, 2024 | Complaint |
| Jun 19, 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 Jul 25, 2024 | Complaint |
| Jun 19, 2024 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 25, 2024 | Complaint |
| Jun 19, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 25, 2024 | Complaint |
| Jun 19, 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 Jul 25, 2024 | Complaint |
| Jun 19, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 25, 2024 | Complaint |
| Jun 19, 2024 | 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 Jul 25, 2024 | Complaint |
| Jun 19, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 25, 2024 | Complaint |
| Jun 19, 2024 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 25, 2024 | Complaint |
| Oct 11, 2023 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | L · Immediate jeopardy Widespread | Corrected Nov 28, 2023 | Complaint |
| Oct 11, 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 | G · Actual harm Isolated | Corrected Oct 31, 2023 | Complaint |
| May 25, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 8, 2023 |
| May 25, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 8, 2023 |
| May 25, 2023 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 29, 2023 |
| May 25, 2023 | 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 | E · Potential harm Pattern | Corrected Jun 29, 2023 |
| May 25, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 29, 2023 |
| May 25, 2023 | 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 Jun 29, 2023 |
| May 25, 2023 | 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 Jun 29, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.16 (case-mix index 1.33).
| Wesley Engbrecht | 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 |
| Jonathon Berg | Individual | Managing employee | CONTRACTED MANAGING EMPLOYEE | not provided | Jan 1, 2019 |
| Anna Halvorson | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Jan 2, 2015 |
| 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 - Park River 301 South County Road 12b, Park River, ND 58270 CCN 355089 | 44 | Dec 4, 2025 | 40 | $27k |
| 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 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 |