SUNSET DRIVE - A PROSPERA COMMUNITY
1011 BOUNDARY ST NW, MANDAN, ND 58554 · CCN 355065
SFF Candidate Abuse icon
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 128
- Avg residents/day
- 115.4
- Phone
- 7013231411
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 | 2025-05-15 | 29 | 5.4 | 9.5 | +23.6 worse |
| 2 | 2024-05-02 | 20 | 6.3 | 9.8 | +13.7 worse |
| 3 | 2023-05-11 | 16 | 5.1 | 9.3 | +10.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 3 |
| Quality of life and care | 7 |
| Resident assessment and care planning | 5 |
| Nursing and physician services | 2 |
| Resident rights | 8 |
| Nutrition and dietary | 2 |
| Pharmacy service | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.04 | 65.0% |
| RN staffing (reported) | 0.76 | 52.2% |
| Total nurse staffing (adjusted) | 4.44 | — |
Fines & penalties
- Total fines
- $41,552
- Number of fines
- 2
- Number of penalties
- 3
- Payment denials
- 1
Chain
- Chain
- GOOD SAMARITAN SOCIETY
- Facilities in chain
- 89
- Chain avg overall
- 3.00 / 5
Inspection citations (65)1 immediate jeopardy1 actual harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-12-10 · Health
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-08-25 · Health · corrected 2025-09-09
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-07-28 · Health · corrected 2025-08-20
Potential for more than minimal harm
- LF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-07-28 · Health · corrected 2025-08-20
Immediate jeopardy
- DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-07-28 · Health · corrected 2025-08-20
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-07-09 · Health · corrected 2025-08-20
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-05-15 · Health · corrected 2025-06-30
Potential for more than minimal harm
- DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2025-05-15 · Health · corrected 2025-06-30
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-05-15 · Health · corrected 2025-08-20
Potential for more than minimal harm
- DF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2025-05-15 · Health · corrected 2025-08-20
Potential for more than minimal harm
- DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2025-05-15 · Health · corrected 2025-06-30
Potential for more than minimal harm
- EF0578Honor 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.2025-05-15 · Health · corrected 2025-06-30
Potential for more than minimal harm
- EF0584Honor 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.2025-05-15 · Health · corrected 2025-06-30
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.2025-05-15 · Health · corrected 2025-06-30
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-05-15 · Health · corrected 2025-06-30
Potential for more than minimal harm
- DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-05-15 · Health · corrected 2025-06-30
Potential for more than minimal harm
- DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2025-05-15 · Health · corrected 2025-06-30
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.2025-05-15 · Health · corrected 2025-06-30
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-05-15 · Health · corrected 2025-06-30
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-05-15 · Health · corrected 2025-06-30
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2025-05-15 · Health · corrected 2025-06-30
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.2025-05-15 · Health · corrected 2025-08-20
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-15 · Health · corrected 2025-03-05
Actual harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-05-15 · Health · corrected 2025-06-30
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-05-15 · Health · corrected 2025-06-30
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2025-05-15 · Health · corrected 2025-06-30
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-05-15 · Health · corrected 2025-06-30
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-05-15 · Health · corrected 2025-06-30
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-05-15 · Health · corrected 2025-06-30
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.2025-01-08 · Health · corrected 2025-02-12
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-01-08 · Health · corrected 2025-02-12
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.2024-11-05 · Health · corrected 2024-12-10
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-10-03 · Health · corrected 2024-11-07
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.2024-07-31 · Health · corrected 2024-09-04
Potential for more than minimal harm
- EF0558Reasonably accommodate the needs and preferences of each resident.2024-07-31 · Health · corrected 2024-09-04
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.2024-07-31 · Health · corrected 2024-09-04
Potential for more than minimal harm
- DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-07-31 · Health · corrected 2024-09-04
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-07-31 · Health · corrected 2024-09-04
Potential for more than minimal harm
- DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2024-06-19 · Health · corrected 2024-06-14
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.2024-05-02 · Health · corrected 2024-06-06
Potential for more than minimal harm
- DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2024-05-02 · Health · corrected 2024-06-06
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-05-02 · Health · corrected 2024-06-06
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-05-02 · Health · corrected 2024-06-06
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-05-02 · Health · corrected 2024-06-06
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-05-02 · Health · corrected 2024-06-06
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-02 · Health · corrected 2024-06-06
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.2024-05-02 · Health · corrected 2024-06-06
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.2024-05-02 · Health · corrected 2024-06-06
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-05-02 · Health · corrected 2024-06-06
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-09-27 · Health · corrected 2023-11-01
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.2023-05-11 · Health · corrected 2023-06-15
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.2023-05-11 · Health · corrected 2023-06-15
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-05-11 · Health · corrected 2023-06-15
Potential for more than minimal harm
- EF0641Ensure each resident receives an accurate assessment.2023-05-11 · Health · corrected 2023-06-15
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2023-05-11 · Health · corrected 2023-06-15
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.2023-05-11 · Health · corrected 2023-06-15
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-05-11 · Health · corrected 2023-06-15
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.2023-05-11 · Health · corrected 2023-06-15
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-05-11 · Health · corrected 2023-06-15
Potential for more than minimal harm
- DF0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.2023-05-11 · Health · corrected 2023-06-15
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.2023-05-11 · Health · corrected 2023-06-15
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-05-11 · Health · corrected 2023-06-15
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.2023-03-09 · Health · corrected 2023-04-21
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-03-09 · Health · corrected 2023-04-21
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-03-09 · Health · corrected 2023-04-21
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 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 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 |
| JOHNSON, ANTHONY | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2022-12-01 |
| MORRISON, TONY | Individual | W-2 MANAGING EMPLOYEE | — | 2019-01-01 |
| VANDERVORSTE, KELLY | Individual | W-2 MANAGING EMPLOYEE | — | 2021-07-26 |
Other facilities in MANDAN
| Name | Overall | Beds |
|---|---|---|
| DAKOTA ALPHA | ★★★★★ | 20 |
| GOOD SAMARITAN SOCIETY MILLER POINTE A PROSPERA CO | ★★☆☆☆ | 120 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.