Federal inspection record · CMS data as of October 1, 2026
Good Samaritan Society - Bottineau
725 E 10th St, Bottineau, ND · (701) 228-3796
- Cited for abuse (CMS abuse icon)
- Certified beds
- 52
- Residents per day
- 47
- Ownership
- Non-Profit
- Chain
- Good Samaritan Society
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 1, 1989
1
How this home got 2 stars
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in North Dakota.
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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.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among North Dakota homes
Good Samaritan Society - Bottineau carries 72.75 inspection points. That is fewer than 23% of North Dakota's 71 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in North Dakota: 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★ 0–10 pts
- 4★ 10–23 pts
- 3★ 23–42.5 pts
- 2★ 42.5–76 pts
- 1★ over 76 pts
Bars show every rated home in North Dakota 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
31 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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 (3)
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J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Assessment and Care Planning7D
- D
Assess the resident when there is a significant change in condition
- D
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care5E
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 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.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Freedom from Abuse, Neglect, and Exploitation4D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Resident Rights4E
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Infection Control3E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Administration1D
- D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Environmental1D
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services1D
- D
Have 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.
Pharmacy Service1D
- D
Ensure medication error rates are not 5 percent or greater.
Inspection history
2026-03-11
4 health deficiencies · 0 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2025-09-11
17 health deficiencies · 0 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
2025-03-20
10 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 11 min of nursing staff time a day, 47 min of it from a registered nurse.
This home
3 h 11 min
North Dakota average
4 h 28 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 68% of nursing staff and 55% of registered nurses left in the past year, along with 1 administrator.
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
$110,247 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-03-20 | Fine | $96,272 |
| 2025-03-20 | Payment Denial · 4 day denial | $0 |
| 2024-07-16 | Fine | $13,975 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.6 pts worse | 2.1 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days5.4 pts worse | 7.2 | 1.8 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.5 pts better | 100.0% | 98.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.7 pts better | 100.0% | 98.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury7.1 pts worse | 12.2% | 5.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.8 pts better | 1.4% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.2 pts worse | 9.0% | 5.8% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication13.1 pts better | 4.5% | 17.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication10.3 pts better | 12.5% | 22.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3 pts worse | 19.3% | 16.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.5 pts better | 18.4% | 19.9% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts better | 0.0% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.1 pts worse | 2.6% | 2.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.8 pts better | 22.2% | 24.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.2 pts better | 4.5% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.2 pts better | 93.5% | 91.3% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.8 pts worse | 14.3% | 12.5% | 11.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.6 pts better | 17.2% | 19.8% | 23.4% |
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Who owns and runs it
23 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Sanford | 5% Or Greater Indirect Ownership Interest · Organization | 100% | 89 facilities |
| Brandenburg, Theresa | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Cain, James | Corporate Director · Individual | 0% | 20 facilities |
| Dykhouse, Dana | Corporate Director · Individual | 0% | 85 facilities |
| Engbrecht, Wesley | Corporate Director · Individual | 0% | 89 facilities |
| Fluit, Joel | Corporate Officer · Individual | 0% | 87 facilities |
| Gassen, William | Corporate Director · Individual | 0% | 89 facilities |
| Gassen, William | Corporate Officer · Individual | 0% | 89 facilities |
| Gulsvig, Neil | Corporate Director · Individual | 0% | 89 facilities |
| Herseth Sandlin, Stephanie | Corporate Director · Individual | 0% | 86 facilities |
| Lundeen, Mark | Corporate Director · Individual | 0% | 89 facilities |
| Middleton, Aimee | Corporate Officer · Individual | 0% | 87 facilities |
| Molbert, Lauris | Corporate Director · Individual | 0% | 89 facilities |
| Morrison, Tony | W-2 Managing Employee · Individual | 0% | 89 facilities |
| North, Andrew | Corporate Director · Individual | 0% | 89 facilities |
| Olson, Nicholas | Corporate Officer · Individual | 0% | 87 facilities |
| Rogers, Michael | Corporate Officer · Individual | 0% | 18 facilities |
| Schema, Nathan | Corporate Officer · Individual | 0% | 87 facilities |
| Shulkin, David | Corporate Director · Individual | 0% | 85 facilities |
| Skjolden, Jessica | Contracted Managing Employee · Individual | 0% | 1 facilities |
| Teiken, Brent | Corporate Director · Individual | 0% | 89 facilities |
| The Evangelical Lutheran Good Samaritan Society | Operational/Managerial Control · Organization | 0% | 87 facilities |
| Ventling-Herrmann, Marnie | Corporate Director · Individual | 0% | 90 facilities |
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