Federal inspection record · CMS data as of October 1, 2026

Good Samaritan Society - Blackduck

172 Summit Avenue West, Blackduck, MN · (218) 835-3410

CMS overall rating

1 of 5

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Certified beds
30
Residents per day
28
Ownership
Non-Profit
Chain
Good Samaritan Society
Medicare / Medicaid
Medicare + Medicaid
Certified since
April 1, 1992

1

How this home got 1 star

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Minnesota.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    −1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Minnesota homes

Good Samaritan Society - Blackduck carries 57 inspection points. That is fewer than 40% of Minnesota's 335 rated homes.

5★4★3★2★1★+11 homes above 194.7505102550100inspection points → fewer is better on the leftThis home · 57 pts · 2★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Minnesota: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–9 pts
  • 4★ 9–30 pts
  • 3★ 30–54 pts
  • 2★ 54–92 pts
  • 1★ over 92 pts

Bars show every rated home in Minnesota by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

22 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 1 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 16 4 pts
E 0 8 pts
F 5 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (1)

  1. J

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    July 1, 2026 · Complaint inspection · Nutrition and Dietary · F803 · Corrected June 11, 2026

Everything else, by area of care

Quality of Life and Care8D
  1. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    September 10, 2026 · Standard · F686 · Corrected October 12, 2026

  2. D

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    September 10, 2026 · Standard · F693 · Corrected October 12, 2026

  3. D

    Try 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.

    September 10, 2026 · Standard · F700 · Corrected October 12, 2026

  4. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    October 31, 2025 · Complaint · F686 · Corrected December 26, 2025

  5. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    August 20, 2025 · Standard · F686 · Corrected September 24, 2025

  6. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    August 20, 2025 · Standard · F689 · Corrected September 24, 2025

  7. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    August 20, 2025 · Standard · F690 · Corrected September 24, 2025

  8. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    February 7, 2024 · Complaint · F689 · Corrected March 13, 2024

Resident Assessment and Care Planning4D
  1. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    September 10, 2026 · Standard · F656 · Corrected October 12, 2026

  2. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    September 10, 2026 · Standard · F658 · Corrected October 12, 2026

  3. D

    Ensure each resident receives an accurate assessment.

    October 31, 2025 · Complaint · F641 · Corrected December 26, 2025

  4. D

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    October 31, 2025 · Complaint · F655 · Corrected December 26, 2025

Infection Control3F
  1. F

    Provide and implement an infection prevention and control program.

    September 10, 2026 · Standard · F880 · Corrected October 12, 2026

  2. F

    Provide and implement an infection prevention and control program.

    June 13, 2024 · Standard · F880 · Corrected July 22, 2024

  3. F

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    June 13, 2024 · Standard · F882 · Corrected July 22, 2024

Resident Rights2D
  1. D

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    June 13, 2024 · Standard · F623 · Corrected July 22, 2024

  2. D

    Notify 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.

    June 13, 2024 · Standard · F625 · Corrected July 22, 2024

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    August 20, 2025 · Standard · F605 · Corrected September 24, 2025

Pharmacy Service1D
  1. D

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    August 20, 2025 · Standard · F756 · Corrected September 24, 2025

Nutrition and Dietary1F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    June 13, 2024 · Standard · F812 · Corrected July 22, 2024

Administration1F
  1. F

    Have a plan that describes the process for conducting QAPI and QAA activities.

    June 13, 2024 · Standard · F865 · Corrected July 22, 2024

Inspection history

  1. 2026-09-10

    10 health deficiencies · 2 fire-safety deficiencies

    Top issue: Quality of Life and Care (4 deficiencies)

  2. 2025-08-20

    5 health deficiencies · 6 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

  3. 2024-06-13

    7 health deficiencies · 2 fire-safety deficiencies

    Top issue: Infection Control (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 4 h 8 min of nursing staff time a day, 44 min of it from a registered nurse.

This home

4 h 8 min

Minnesota average

4 h 16 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 51% of nursing staff and 63% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$22,205 in federal fines on record over the past three years.

DatePenaltyAmount
2026-07-01Fine$22,205

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine11.7 pts worse85.6%97.3%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine14.3 pts worse82.1%96.4%95.3%
Percentage of long-stay residents experiencing one or more falls with major injuryAbout the same4.1%4.1%3.2%
Percentage of long-stay residents who have depressive symptoms11.3 pts worse15.4%4.1%13.5%
Percentage of long-stay residents who lose too much weight0.3 pts better3.6%3.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication11.5 pts better1.2%12.7%19.5%
Percentage of long-stay residents who received an antipsychotic medication1.2 pts better16.0%17.2%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened14.8 pts worse33.6%18.8%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased4.1 pts better14.1%18.2%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1 pts worse2.7%1.7%0.7%
Percentage of long-stay residents with a urinary tract infection0.6 pts worse3.2%2.6%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence14.6 pts worse38.3%23.7%18.3%
Percentage of long-stay residents with pressure ulcers1.5 pts better3.6%5.1%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine70.3 pts worse17.8%88.1%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit14.6 pts better0.0%14.6%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.9 pts better0.0%1.9%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine70.8 pts worse12.5%83.3%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission5 pts better18.0%23.0%23.4%

·

Who owns and runs it

57 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Sanford5% Or Greater Direct Ownership Interest · Organization100%89 facilities
The Evangelical Lutheran Good Samaritan Society5% Or Greater Indirect Ownership Interest · Organization100%87 facilities
Billups, SherryOperational/Managerial Control · Individual0%1 facilities
Billups, SherryAdp Of The SNF · Individual0%1 facilities
Bjerke, BrandonOperational/Managerial Control · Individual0%1 facilities
Bjerke, BrandonAdp Of The SNF · Individual0%1 facilities
Brown, GeorgeCorporate Director · Individual0%72 facilities
Brown, GeorgeAdp Of The SNF · Individual0%72 facilities
Dtn Staffing IncAdp Of The SNF · Organization0%51 facilities
Dykhouse, DanaCorporate Director · Individual0%85 facilities
Dykhouse, DanaAdp Of The SNF · Individual0%85 facilities
Engbrecht, WesleyCorporate Director · Individual0%89 facilities
Engbrecht, WesleyAdp Of The SNF · Individual0%89 facilities
Fluit, JoelCorporate Officer · Individual0%87 facilities
Fluit, JoelIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%87 facilities
Fluit, JoelAdp Of The SNF · Individual0%87 facilities
Focusone SolutionsAdp Of The SNF · Organization0%50 facilities
Gassen, WilliamCorporate Director · Individual0%89 facilities
Gassen, WilliamCorporate Officer · Individual0%89 facilities
Gassen, WilliamAdp Of The SNF · Individual0%89 facilities
Grape Tree Medical Staffing LLCAdp Of The SNF · Organization0%64 facilities
Gulsvig, NeilCorporate Director · Individual0%89 facilities
Gulsvig, NeilAdp Of The SNF · Individual0%89 facilities
Herseth Sandlin, StephanieCorporate Director · Individual0%86 facilities
Herseth Sandlin, StephanieAdp Of The SNF · Individual0%86 facilities
Lundeen, MarkCorporate Director · Individual0%89 facilities
Lundeen, MarkAdp Of The SNF · Individual0%89 facilities
Mccausland, MaureenCorporate Director · Individual0%69 facilities
Mccausland, MaureenAdp Of The SNF · Individual0%69 facilities
Middleton, AimeeCorporate Officer · Individual0%87 facilities
Middleton, AimeeAdp Of The SNF · Individual0%87 facilities
Molbert, LaurisCorporate Director · Individual0%89 facilities
Molbert, LaurisAdp Of The SNF · Individual0%89 facilities
Morrison, TonyOperational/Managerial Control · Individual0%89 facilities
Morrison, TonyAdp Of The SNF · Individual0%89 facilities
North, AndrewCorporate Director · Individual0%89 facilities
North, AndrewAdp Of The SNF · Individual0%89 facilities
Olson, NicholasCorporate Officer · Individual0%87 facilities
Olson, NicholasAdp Of The SNF · Individual0%87 facilities
Sandgren, DeeandraOperational/Managerial Control · Individual0%50 facilities
Sandgren, DeeandraAdp Of The SNF · Individual0%50 facilities
SanfordOperational/Managerial Control · Organization0%89 facilities
SanfordAdp Of The SNF · Organization0%89 facilities
Schema, NathanCorporate Officer · Individual0%87 facilities
Schema, NathanAdp Of The SNF · Individual0%87 facilities
Schieffer, KevinCorporate Director · Individual0%69 facilities
Schieffer, KevinAdp Of The SNF · Individual0%69 facilities
Shulkin, DavidCorporate Director · Individual0%85 facilities
Shulkin, DavidAdp Of The SNF · Individual0%85 facilities
Teiken, BrentCorporate Director · Individual0%89 facilities
Teiken, BrentAdp Of The SNF · Individual0%89 facilities
The Evangelical Lutheran Good Samaritan SocietyOperational/Managerial Control · Organization0%87 facilities
The Evangelical Lutheran Good Samaritan SocietyAdp Of The SNF · Organization0%87 facilities
Ventling-Herrmann, MarnieCorporate Director · Individual0%90 facilities
Ventling-Herrmann, MarnieAdp Of The SNF · Individual0%90 facilities
Wenzel, ThomasCorporate Director · Individual0%69 facilities
Wenzel, ThomasAdp Of The SNF · Individual0%69 facilities

·

Fire safety

10 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Gas, Vacuum, and Electrical Systems4F
  1. D

    Ensure that testing and maintenance of electrical equipment is performed.

    September 10, 2026 · K921 · Corrected October 12, 2026

  2. F

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    August 20, 2025 · K914 · Corrected September 30, 2025

  3. D

    Ensure proper usage of power strips and extension cords.

    August 20, 2025 · K920 · Corrected September 30, 2025

  4. D

    Ensure proper usage of power strips and extension cords.

    June 13, 2024 · K920 · Corrected July 15, 2024

Smoke3E
  1. D

    Provide properly protected cooking facilities.

    August 20, 2025 · K324 · Corrected September 30, 2025

  2. D

    Install corridor and hallway doors that block smoke.

    August 20, 2025 · K363 · Corrected September 30, 2025

  3. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    June 13, 2024 · K321 · Corrected July 15, 2024

Miscellaneous2F
  1. F

    Have simulated fire drills held at unexpected times.

    September 10, 2026 · K712 · Corrected September 30, 2026

  2. F

    Have simulated fire drills held at unexpected times.

    August 20, 2025 · K712 · Corrected September 30, 2025

Egress1E
  1. E

    Install emergency lighting that can last at least 1 1/2 hours.

    August 20, 2025 · K291 · Corrected September 30, 2025

·

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  2. Havenwood Care Center

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