Good Samaritan Society - Blackduck
172 SUMMIT AVENUE WEST, BLACKDUCK, MN 56630 · CCN 245600
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 30
- Avg residents/day
- 26.2
- Phone
- 2188353410
Inspection history vs Minnesota & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Minnesota avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-06-13 | 9 | 8.1 | 9.5 | +0.9 worse |
| 2 | 2023-08-10 | 6 | 7.8 | 9.8 | -1.8 better |
| 3 | 2022-09-08 | 5 | 7.4 | 9.3 | -2.4 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident assessment and care planning | 2 |
| Resident rights | 2 |
| Nutrition and dietary | 1 |
| Administration | 1 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.39 | 45.0% |
| RN staffing (reported) | 1.17 | 33.3% |
| Total nurse staffing (adjusted) | 4.20 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- GOOD SAMARITAN SOCIETY
- Facilities in chain
- 89
- Chain avg overall
- 3.00 / 5
Inspection citations (20)
- DF0641Ensure each resident receives an accurate assessment.2025-10-31 · Health · corrected 2025-12-26
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-10-31 · Health · corrected 2025-12-26
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-10-31 · Health · corrected 2025-12-26
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-06-13 · Health · corrected 2024-07-22
Potential for more than minimal harm
- DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2024-06-13 · Health · corrected 2024-07-22
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-06-13 · Health · corrected 2024-07-22
Potential for more than minimal harm
- FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2024-06-13 · Health · corrected 2024-07-22
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2024-06-13 · Health · corrected 2024-07-22
Potential for more than minimal harm
- FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2024-06-13 · Health · corrected 2024-07-22
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-07 · Health · corrected 2024-03-13
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-08-10 · Health · corrected 2023-09-20
Potential for more than minimal harm
- DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2023-08-10 · Health · corrected 2023-09-20
Potential for more than minimal harm
- BF0641Ensure each resident receives an accurate assessment.2023-08-10 · Health · corrected 2023-09-20
Potential for minimal harm
- DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2023-08-10 · Health · corrected 2023-09-20
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-08-10 · Health · corrected 2023-09-20
Potential for more than minimal harm
- EF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2023-08-10 · Health · corrected 2023-09-20
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-08-10 · Health · corrected 2023-09-20
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2022-09-08 · Health · corrected 2022-10-28
Potential for more than minimal harm
- DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2022-09-08 · Health · corrected 2022-10-28
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-09-08 · Health · corrected 2022-10-28
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| SANFORD | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2019-01-01 |
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2019-01-01 |
| SANFORD | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-01-01 |
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-01-01 |
| BILLUPS, SHERRY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-08-14 |
| BJERKE, BRANDON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-04-12 |
| MORRISON, TONY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-01-01 |
| SANDGREN, DEEANDRA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-16 |
| BROWN, GEORGE | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| DYKHOUSE, DANA | Individual | CORPORATE DIRECTOR | — | 2024-05-30 |
| ENGBRECHT, WESLEY | Individual | CORPORATE DIRECTOR | — | 2024-05-30 |
| GASSEN, WILLIAM | Individual | CORPORATE DIRECTOR | — | 2024-05-30 |
| GULSVIG, NEIL | Individual | CORPORATE DIRECTOR | — | 2024-05-30 |
| HERSETH SANDLIN, STEPHANIE | Individual | CORPORATE DIRECTOR | — | 2024-05-30 |
| LUNDEEN, MARK | Individual | CORPORATE DIRECTOR | — | 2024-05-30 |
| MCCAUSLAND, MAUREEN | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| MOLBERT, LAURIS | Individual | CORPORATE DIRECTOR | — | 2024-05-30 |
| NORTH, ANDREW | Individual | CORPORATE DIRECTOR | — | 2024-05-30 |
| SCHIEFFER, KEVIN | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| SHULKIN, DAVID | Individual | CORPORATE DIRECTOR | — | 2024-05-30 |
| TEIKEN, BRENT | Individual | CORPORATE DIRECTOR | — | 2024-05-30 |
| VENTLING-HERRMANN, MARNIE | Individual | CORPORATE DIRECTOR | — | 2024-05-30 |
| WENZEL, THOMAS | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| FLUIT, JOEL | Individual | CORPORATE OFFICER | — | 2022-10-01 |
| GASSEN, WILLIAM | Individual | CORPORATE OFFICER | — | 2024-05-30 |
| MIDDLETON, AIMEE | Individual | CORPORATE OFFICER | — | 2022-01-27 |
| OLSON, NICHOLAS | Individual | CORPORATE OFFICER | — | 2024-04-08 |
| SCHEMA, NATHAN | Individual | CORPORATE OFFICER | — | 2022-01-01 |
Other facilities in BLACKDUCK
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.