Good Samaritan Society - Windom
705 SIXTH STREET, WINDOM, MN 56101 · CCN 245558
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 63
- Avg residents/day
- 58.5
- Phone
- 5078311788
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 | 2026-02-12 | 22 | 8.1 | 9.5 | +13.9 worse |
| 2 | 2024-12-11 | 4 | 7.8 | 9.8 | -3.8 better |
| 3 | 2023-11-02 | 9 | 7.4 | 9.3 | +1.6 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 3 |
| Quality of life and care | 5 |
| Resident assessment and care planning | 3 |
| Resident rights | 5 |
| Pharmacy service | 3 |
| Administration | 1 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | — | 41.9% |
| RN staffing (reported) | — | 25.0% |
| Total nurse staffing (adjusted) | — | — |
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 (35)1 immediate jeopardy
- 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.2026-02-12 · Health
Potential for more than minimal harm
- EF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2026-02-12 · Health
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.2026-02-12 · Health
Potential for more than minimal harm
- EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2026-02-12 · Health
Potential for more than minimal harm
- EF0610Respond appropriately to all alleged violations.2026-02-12 · Health
Potential for more than minimal harm
- DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2026-02-12 · Health
Potential for more than minimal harm
- DF0638Assure that each resident’s assessment is updated at least once every 3 months.2026-02-12 · Health
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2026-02-12 · Health
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2026-02-12 · Health
Potential for more than minimal harm
- DF0685Assist a resident in gaining access to vision and hearing services.2026-02-12 · Health
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2026-02-12 · Health
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2026-02-12 · Health
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.2026-02-12 · Health
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2026-02-12 · Health
Potential for more than minimal harm
- FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2026-02-12 · Health
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2026-02-12 · Health
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2026-01-27 · Health
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2026-01-27 · Health
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.2026-01-27 · Health
Potential for more than minimal harm
- KF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2026-01-27 · Health
Immediate jeopardy
- DF0791Provide or obtain dental services for each resident.2026-01-27 · Health
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2026-01-27 · Health
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-12-11 · Health · corrected 2025-01-17
Potential for more than minimal harm
- DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2024-12-11 · Health · corrected 2025-01-17
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-12-11 · Health · corrected 2025-01-17
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2024-12-11 · Health · corrected 2025-01-17
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-11-02 · Health · corrected 2023-12-06
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2023-11-02 · Health · corrected 2023-11-14
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-11-02 · Health · corrected 2023-12-08
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-11-02 · Health · corrected 2023-12-08
Potential for more than minimal harm
- DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2023-11-02 · Health · corrected 2023-12-08
Potential for more than 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.2023-11-02 · Health · corrected 2023-12-18
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.2023-11-02 · Health · corrected 2023-12-01
Potential for more than minimal harm
- DF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2023-11-02 · Health · corrected 2023-12-08
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2023-11-02 · Health · corrected 2023-12-05
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 |
| DYNES, RODNEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-10-20 |
| MORRISON, TONY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-01-01 |
| WEPPLO, NANCY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-05-06 |
| 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 WINDOM
| 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.