Starfile

Starfile / Minnesota

Good Samaritan Society - Jackson

601 WEST JACKSON, JACKSON, MN 56143 · CCN 245455

Ratings

Overall
★★★★☆ 4
Health inspection
★★★☆☆ 3
Quality measures
★★★★★ 5
Staffing
★★★★☆ 4

Facility

Ownership type
Non profit - Corporation
Certified beds
46
Avg residents/day
40.4
Phone
5078473100

Inspection history vs Minnesota & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityMinnesota avgNational avgvs state
12024-09-0538.19.5-5.1 better
22023-07-2047.89.8-3.8 better
32021-04-2987.49.3+0.6 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Nutrition and dietary1
Pharmacy service1
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.8137.0%
RN staffing (reported)0.9911.1%
Total nurse staffing (adjusted)4.33

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 (15)

  1. DF0759Ensure medication error rates are not 5 percent or greater.2024-09-05 · Health · corrected 2024-10-08

    Potential for more than minimal harm

  2. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-09-05 · Health · corrected 2024-10-08

    Potential for more than minimal harm

  3. FF0880Provide and implement an infection prevention and control program.2024-09-05 · Health · corrected 2024-10-08

    Potential for more than minimal harm

  4. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-01-31 · Health · corrected 2024-03-01

    Potential for more than minimal harm

  5. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-07-20 · Health · corrected 2023-08-25

    Potential for more than minimal harm

  6. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-07-20 · Health · corrected 2023-08-25

    Potential for more than minimal harm

  7. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-07-20 · Health · corrected 2023-08-25

    Potential for more than minimal harm

  8. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-07-20 · Health · corrected 2023-08-25

    Potential for more than minimal harm

  9. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2021-04-29 · Health · corrected 2021-05-28

    Potential for more than minimal harm

  10. DF0693Ensure 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.2021-04-29 · Health · corrected 2021-05-28

    Potential for more than minimal harm

  11. FF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2021-04-29 · Health · corrected 2021-05-28

    Potential for more than minimal harm

  12. DF0758Implement 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.2021-04-29 · Health · corrected 2021-05-28

    Potential for more than minimal harm

  13. EF0761Ensure 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.2021-04-29 · Health · corrected 2021-05-28

    Potential for more than minimal harm

  14. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2021-04-29 · Health · corrected 2021-05-28

    Potential for more than minimal harm

  15. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2021-04-29 · Health · corrected 2021-05-28

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
SANFORDOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2019-01-01
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETYOrganizationOPERATIONAL/MANAGERIAL CONTROL2019-01-01
BLOOM, PAIGEIndividualOPERATIONAL/MANAGERIAL CONTROL2020-12-20
KLINE, RONALDIndividualOPERATIONAL/MANAGERIAL CONTROL2024-01-01
MORRISON, TONYIndividualOPERATIONAL/MANAGERIAL CONTROL2019-01-01
BROWN, GEORGEIndividualCORPORATE DIRECTOR2025-01-01
DYKHOUSE, DANAIndividualCORPORATE DIRECTOR2024-05-30
ENGBRECHT, WESLEYIndividualCORPORATE DIRECTOR2024-05-30
GASSEN, WILLIAMIndividualCORPORATE DIRECTOR2024-05-30
GULSVIG, NEILIndividualCORPORATE DIRECTOR2024-05-30
HERSETH SANDLIN, STEPHANIEIndividualCORPORATE DIRECTOR2024-05-30
LUNDEEN, MARKIndividualCORPORATE DIRECTOR2024-05-30
MCCAUSLAND, MAUREENIndividualCORPORATE DIRECTOR2025-01-01
MOLBERT, LAURISIndividualCORPORATE DIRECTOR2024-05-30
NORTH, ANDREWIndividualCORPORATE DIRECTOR2024-05-30
SCHIEFFER, KEVINIndividualCORPORATE DIRECTOR2025-01-01
SHULKIN, DAVIDIndividualCORPORATE DIRECTOR2024-05-30
TEIKEN, BRENTIndividualCORPORATE DIRECTOR2024-05-30
VENTLING-HERRMANN, MARNIEIndividualCORPORATE DIRECTOR2024-05-30
WENZEL, THOMASIndividualCORPORATE DIRECTOR2025-01-01
FLUIT, JOELIndividualCORPORATE OFFICER2022-10-01
GASSEN, WILLIAMIndividualCORPORATE OFFICER2024-05-30
MIDDLETON, AIMEEIndividualCORPORATE OFFICER2022-01-27
OLSON, NICHOLASIndividualCORPORATE OFFICER2024-04-08
SCHEMA, NATHANIndividualCORPORATE OFFICER2022-01-01

Other facilities in JACKSON

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.