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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D17 | E8 | F6 |
| Minimal | A· | B· | C2 |
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 8, 2025 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Dec 8, 2025 | Health | Health Standard | 10 | Potential harm | — | Open → |
| Jul 9, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 10, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Jan 30, 2025 | Fire safety | Fire Safety Standard | 2 | Minimal | 2 | Open → |
| Jan 30, 2025 | Health | Health Standard | 12 | Actual harm | — | Open → |
| Nov 16, 2023 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Nov 16, 2023 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jun 10, 2025 | Civil money penalty (fine) | $11,190 | — | 435104|Fine|137548 |
| Jan 30, 2025 | Civil money penalty (fine) | $15,405 | — | 435104|Fine|100272 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D17 | E8 | F6 |
| Minimal | A· | B· | C2 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Dec 8, 2025 | 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 | D · Potential harm Isolated | Corrected Jan 29, 2026 | |
| Dec 8, 2025 | F-0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jan 29, 2026 | |
| Dec 8, 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 |
|---|---|---|---|---|---|
| Good Samaritan Society Luther Manor 1500 W 38th St, Sioux Falls, SD 57105 CCN 435044 | 92 | Jun 4, 2026 | 236 harm | $112k | |
| Good Samaritan Society Sioux Falls Village 3901 S Marion Rd, Sioux Falls, SD 57106 CCN 435045 | 177 |
Coordinates as published by CMS.
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 435104 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 435104 | 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
| 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 |
| D · Potential harm Isolated |
| Corrected Jan 29, 2026 |
| Dec 8, 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 Jan 16, 2026 |
| Dec 8, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jan 28, 2026 |
| Dec 8, 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 Jan 28, 2026 |
| Dec 8, 2025 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jan 23, 2026 |
| Dec 8, 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 |
| Dec 8, 2025 | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Jan 30, 2026 |
| Dec 8, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jan 29, 2026 |
| Jul 9, 2025 | 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 | D · Potential harm Isolated | Past non-compliance Jul 9, 2025 | Complaint |
| Jun 10, 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 | G · Actual harm Isolated | Corrected Jun 30, 2025 | Complaint |
| Jan 30, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Feb 27, 2025 |
| Jan 30, 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 Feb 27, 2025 |
| Jan 30, 2025 | 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 Feb 27, 2025 |
| Jan 30, 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 | F · Potential harm Widespread | Corrected Feb 27, 2025 |
| Jan 30, 2025 | 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 Feb 27, 2025 |
| Jan 30, 2025 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 27, 2025 |
| Jan 30, 2025 | 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 | E · Potential harm Pattern | Corrected Feb 27, 2025 |
| Jan 30, 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 | F · Potential harm Widespread | Corrected Feb 27, 2025 |
| Jan 30, 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 Feb 27, 2025 |
| Jan 30, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Feb 27, 2025 |
| Jan 30, 2025 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 27, 2025 |
| Jan 30, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Plan of correction, not yet verified Feb 27, 2025 |
| Jan 30, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | C · Minimal Widespread | Plan of correction, not yet verified Feb 27, 2025 |
| Nov 16, 2023 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 8, 2023 |
| Nov 16, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 12, 2023 |
| Nov 16, 2023 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 8, 2023 |
| Nov 16, 2023 | K-0522 | Have an externally vented heating system. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 16, 2023 |
| Nov 16, 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 Dec 15, 2023 |
| Nov 16, 2023 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Dec 15, 2023 |
| Nov 16, 2023 | 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 Dec 15, 2023 |
| Nov 16, 2023 | F-0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Dec 15, 2023 |
| Nov 16, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Dec 15, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.68 (case-mix index 1.18).
| 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 |
| Kenneth Diamond | Individual | Managing employee | CONTRACTED MANAGING EMPLOYEE | not provided | Aug 1, 2021 |
| Paul Hubbeling | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Aug 23, 2023 |
| 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 | — |
| Jul 2, 2026 |
322 IJ4 harm |
| $89k |
| Good Samaritan Society Sioux Falls Center 401 West Second Street, Sioux Falls, SD 57104 CCN 435046Abuse icon | 98 | Mar 19, 2026 | 253 harm1 open | $55k |
| Good Samaritan Society De Smet 411 Calumet Avenue NW, De Smet, SD 57231 CCN 435074 | 46 | Aug 6, 2026 | 244 harm | $28k |
| Good Samaritan Society Howard 300 West Hazel Avenue, Howard, SD 57349 CCN 435075 | 45 | May 21, 2026 | 122 open | — |
| Good Samaritan Society Canistota 700 West Main St, Canistota, SD 57012 CCN 435087 | 55 | Mar 24, 2026 | 272 harm2 open | $49k |
| Good Samaritan Society Scotland 130 6th Street, Scotland, SD 57059 CCN 435095 | 45 | Jul 16, 2026 | 8 | — |
| Good Samaritan Society Tyndall 2304 Laurel Street, Tyndall, SD 57066 CCN 435098 | 68 | Aug 27, 2026 | 234 harm | $79k |