Good Samaritan Society - Pine River
518 JEFFERSON AVENUE, PINE RIVER, MN 56474 · CCN 245476
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 33
- Avg residents/day
- 27.5
- Phone
- 2185874423
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 | 2025-02-05 | 3 | 8.1 | 9.5 | -5.1 better |
| 2 | 2024-01-09 | 4 | 7.8 | 9.8 | -3.8 better |
| 3 | 2023-04-19 | 1 | 7.4 | 9.3 | -6.4 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Nursing and physician services | 1 |
| Nutrition and dietary | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.73 | 46.2% |
| RN staffing (reported) | 1.34 | 37.5% |
| Total nurse staffing (adjusted) | 3.84 | — |
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 (8)
- CF0732Post nurse staffing information every day.2025-02-05 · Health · corrected 2025-03-12
Potential for minimal harm
- FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2025-02-05 · Health · corrected 2025-03-11
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.2025-02-05 · Health · corrected 2025-03-11
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-04-05 · Health · corrected 2024-05-05
Potential for more than minimal harm
- EF0641Ensure each resident receives an accurate assessment.2024-01-09 · Health · corrected 2024-01-29
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-01-09 · Health · corrected 2024-01-29
Potential for more than minimal harm
- EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-01-09 · Health · corrected 2024-01-29
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.2023-04-19 · Health · corrected 2023-05-22
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 |
| AHLF, CIERRA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-15 |
| MORRISON, TONY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-01-01 |
| OLSON, JULIE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-10-16 |
| 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 PINE RIVER
| 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.