GOOD SAMARITAN SOCIETY - WACONIA AND WESTVIEW ACRE
333 FIFTH STREET WEST, WACONIA, MN 55387 · CCN 245234
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 75
- Avg residents/day
- 66.6
- Phone
- 9524425111
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 | 2025-05-27 | 19 | 8.1 | 9.5 | +10.9 worse |
| 2 | 2024-08-15 | 11 | 7.8 | 9.8 | +3.2 worse |
| 3 | 2023-09-14 | 7 | 7.4 | 9.3 | -0.4 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 4 |
| Quality of life and care | 4 |
| Resident assessment and care planning | 5 |
| Nursing and physician services | 1 |
| Resident rights | 1 |
| Pharmacy service | 2 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.11 | 56.6% |
| RN staffing (reported) | 1.21 | 52.2% |
| Total nurse staffing (adjusted) | 4.48 | — |
Fines & penalties
- Total fines
- $12,649
- 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 (37)2 immediate jeopardy2 actual harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-07-24 · Health · corrected 2025-07-19
Immediate jeopardy
- DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2025-05-27 · Health · corrected 2025-07-04
Potential for more than minimal harm
- DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-05-27 · Health · corrected 2025-07-04
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-05-27 · Health · corrected 2025-07-04
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2025-05-27 · Health · corrected 2025-07-04
Potential for more than minimal harm
- GF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-05-27 · Health · corrected 2025-07-04
Actual harm
- DF0641Ensure each resident receives an accurate assessment.2025-05-27 · Health · corrected 2025-07-04
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-05-27 · Health · corrected 2025-07-04
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 admitted2025-05-27 · Health · corrected 2025-07-04
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-05-27 · Health · corrected 2025-07-04
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-05-27 · Health · corrected 2025-07-04
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-05-27 · Health · corrected 2025-07-04
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-05-27 · Health · corrected 2025-05-06
Actual harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-27 · Health · corrected 2025-07-04
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2025-05-27 · Health · corrected 2025-07-04
Potential for 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.2025-05-27 · Health · corrected 2025-07-04
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-05-27 · Health · corrected 2025-07-04
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-05-27 · Health · corrected 2025-07-04
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-05-27 · Health · corrected 2025-07-04
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-02-27 · Health · corrected 2025-04-24
Potential for more than minimal harm
- DF0687Provide appropriate foot care.2025-02-27 · Health · corrected 2025-04-24
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-27 · Health · corrected 2025-04-24
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-10-01 · Health · corrected 2024-11-06
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-10-01 · Health · corrected 2024-11-06
Potential for more than minimal harm
- DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2024-08-15 · Health · corrected 2024-09-09
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-08-15 · Health · corrected 2024-09-09
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-08-15 · Health · corrected 2024-09-09
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-08-15 · Health · corrected 2024-09-09
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.2024-08-15 · Health · corrected 2024-09-09
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-08-15 · Health · corrected 2024-09-09
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-09-14 · Health · corrected 2023-10-13
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-09-14 · Health · corrected 2023-10-13
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-09-14 · Health · corrected 2023-10-13
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2023-09-14 · Health · corrected 2023-10-13
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.2023-09-14 · Health · corrected 2023-10-13
Potential for more than minimal harm
- DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2023-09-14 · Health · corrected 2023-10-13
Potential for more than minimal harm
- JF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2023-06-29 · Health · corrected 2023-07-24
Immediate jeopardy
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 |
| GIWOJNA, ALYSSA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-08-04 |
| MCMICHAEL, TARA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-04-01 |
| 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 WACONIA
| Name | Overall | Beds |
|---|---|---|
| AUBURN HOME IN WACONIA | ★☆☆☆☆ | 37 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.