Good Samaritan Society - Mountain Lake
745 BASINGER MEMORIAL DRIVE, MOUNTAIN LAKE, MN 56159 · CCN 245549
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★★★ 5
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 48
- Avg residents/day
- 46.5
- Phone
- 5074272464
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 | 2024-06-26 | 6 | 8.1 | 9.5 | -2.1 better |
| 2 | 2023-08-16 | 2 | 7.8 | 9.8 | -5.8 better |
| 3 | 2022-04-14 | 13 | 7.4 | 9.3 | +5.6 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident assessment and care planning | 1 |
| Resident rights | 2 |
| Nutrition and dietary | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.58 | 21.3% |
| RN staffing (reported) | 0.87 | 0.0% |
| Total nurse staffing (adjusted) | 4.28 | — |
Fines & penalties
- Total fines
- $21,645
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- GOOD SAMARITAN SOCIETY
- Facilities in chain
- 89
- Chain avg overall
- 3.00 / 5
Inspection citations (21)1 immediate jeopardy
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-07-03 · Health · corrected 2025-07-16
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-07-03 · Health · corrected 2025-07-16
Potential for more than minimal harm
- JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-02-12 · Health · corrected 2025-02-06
Immediate jeopardy
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-06-26 · Health · corrected 2024-07-17
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-06-26 · Health · corrected 2024-07-17
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.2024-06-26 · Health · corrected 2024-07-17
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-06-26 · Health · corrected 2024-07-17
Potential for more than minimal harm
- CF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-08-16 · Health · corrected 2023-09-20
Potential for minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-04-14 · Health · corrected 2022-05-20
Potential for more than minimal harm
- DF0578Honor 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.2022-04-14 · Health · corrected 2022-05-20
Potential for more than minimal harm
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2022-04-14 · Health · corrected 2022-05-20
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-04-14 · Health · corrected 2022-06-15
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-04-14 · Health · corrected 2022-05-20
Potential for more than minimal harm
- DF0761Ensure 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.2022-04-14 · Health · corrected 2022-05-20
Potential for more than minimal harm
- DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2022-04-14 · Health · corrected 2022-05-20
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.2022-04-14 · Health · corrected 2022-05-20
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-04-14 · Health · corrected 2022-05-20
Potential for more than minimal harm
- FF0881Implement a program that monitors antibiotic use.2022-04-14 · Health · corrected 2022-05-20
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2022-04-14 · Health · corrected 2022-05-20
Potential for more than minimal harm
- DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2022-04-14 · Health · corrected 2022-05-20
Potential for more than minimal harm
- EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2022-04-14 · Health · corrected 2022-05-20
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 | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-01-01 |
| MORRISON, TONY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-01-01 |
| REESE, ANNE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2011-08-23 |
| VAN KLEY, BRETT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-08-01 |
| 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 MOUNTAIN LAKE
| 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.