GOOD SAMARITAN SOCIETY - BOTTINEAU
725 E 10TH ST, BOTTINEAU, ND 58318 · CCN 355093
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Ratings
- Overall
- — —
- Health inspection
- — —
- Quality measures
- — —
- Staffing
- — —
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 52
- Avg residents/day
- 43.3
- Phone
- 7012283796
Inspection history vs North Dakota & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | North Dakota avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-09-11 | 16 | 5.4 | 9.5 | +10.6 worse |
| 2 | 2025-03-20 | 4 | 6.3 | 9.8 | -2.3 better |
| 3 | 2024-09-18 | 26 | 5.1 | 9.3 | +20.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 3 |
| Quality of life and care | 4 |
| Resident assessment and care planning | 4 |
| Resident rights | 2 |
| Environmental | 1 |
| Administration | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.45 | 66.1% |
| RN staffing (reported) | 0.95 | 50.0% |
| Total nurse staffing (adjusted) | 4.18 | — |
Fines & penalties
- Total fines
- $132,380
- Number of fines
- 3
- Number of penalties
- 4
- Payment denials
- 1
Chain
- Chain
- GOOD SAMARITAN SOCIETY
- Facilities in chain
- 89
- Chain avg overall
- 3.00 / 5
Inspection citations (46)4 immediate jeopardy2 actual harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-09-11 · Health · corrected 2025-10-10
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-09-11 · Health · corrected 2025-10-10
Potential for more than minimal harm
- DF0637Assess the resident when there is a significant change in condition2025-09-11 · Health · corrected 2025-10-10
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-09-11 · Health · corrected 2025-10-10
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.2025-09-11 · Health · corrected 2025-10-10
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-09-11 · Health · corrected 2025-10-10
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-09-11 · Health · corrected 2025-10-10
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-11 · Health · corrected 2025-10-10
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.2025-09-11 · Health · corrected 2025-10-10
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.2025-09-11 · Health · corrected 2025-10-10
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-09-11 · Health · corrected 2025-10-10
Potential for more than minimal harm
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-09-11 · Health · corrected 2025-10-10
Potential for more than minimal harm
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-07-16 · Health · corrected 2025-08-13
Immediate jeopardy
- DF0610Respond appropriately to all alleged violations.2025-07-16 · Health · corrected 2025-08-13
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.2025-05-13 · Health · corrected 2025-06-04
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-05-13 · Health · corrected 2025-06-04
Actual harm
- DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2025-03-20 · Health · corrected 2025-04-24
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-03-20 · Health · corrected 2025-04-24
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-01-22 · Health · corrected 2025-01-14
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-09-18 · Health · corrected 2024-10-23
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-09-18 · Health · corrected 2024-10-23
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2024-09-18 · Health · corrected 2024-10-23
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-09-18 · Health · corrected 2024-10-23
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-16 · Health · corrected 2024-07-26
Actual harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-10-05 · Health · corrected 2023-10-27
Potential for more than minimal harm
- DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2023-10-05 · Health · corrected 2023-10-27
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-10-05 · Health · corrected 2023-10-27
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-10-05 · Health · corrected 2023-10-27
Potential for more than minimal harm
- DF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2023-10-05 · Health · corrected 2023-10-27
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2023-10-05 · Health · corrected 2023-10-27
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-10-05 · Health · corrected 2023-10-27
Potential for more than minimal harm
- KF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-05-24 · Health · corrected 2023-06-22
Immediate jeopardy
- EF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2023-05-24 · Health · corrected 2023-06-22
Potential for more than minimal harm
- KF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-05-24 · Health · corrected 2023-06-22
Immediate jeopardy
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-05-24 · Health · corrected 2023-06-22
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-05-24 · Health · corrected 2023-06-22
Potential for more than minimal harm
- DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2023-05-24 · Health · corrected 2023-06-22
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.2023-05-24 · Health · corrected 2023-07-24
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-05-24 · Health · corrected 2023-06-22
Potential for more than minimal harm
- KF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-05-24 · Health · corrected 2023-06-22
Immediate jeopardy
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-05-24 · Health · corrected 2023-07-24
Potential for more than minimal harm
- FF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-05-24 · Health · corrected 2023-06-22
Potential for more than minimal harm
- EF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2023-05-24 · Health · corrected 2023-06-22
Potential for more than minimal harm
- DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2023-05-24 · Health · corrected 2023-06-22
Potential for more than minimal harm
- 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.2023-05-24 · Health · corrected 2023-06-22
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.2023-05-24 · Health · corrected 2023-07-24
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| SANFORD | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2019-01-01 |
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-01-01 |
| CAIN, JAMES | Individual | CORPORATE DIRECTOR | — | 2024-05-30 |
| 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 |
| MOLBERT, LAURIS | Individual | CORPORATE DIRECTOR | — | 2024-05-30 |
| NORTH, ANDREW | Individual | CORPORATE DIRECTOR | — | 2024-05-30 |
| 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 |
| 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 |
| ROGERS, MICHAEL | Individual | CORPORATE OFFICER | — | 2022-06-13 |
| SCHEMA, NATHAN | Individual | CORPORATE OFFICER | — | 2022-01-01 |
| SKJOLDEN, JESSICA | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2022-01-01 |
| BRANDENBURG, THERESA | Individual | W-2 MANAGING EMPLOYEE | — | 2024-02-11 |
| MORRISON, TONY | Individual | W-2 MANAGING EMPLOYEE | — | 2019-01-01 |
Other facilities in BOTTINEAU
| 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.