Federal inspection record · CMS data as of October 1, 2026
Good Samaritan Society De Smet
411 Calumet Avenue Nw, De Smet, SD · (605) 854-3327
- Certified beds
- 46
- Residents per day
- 38
- Ownership
- Non-Profit
- Chain
- Good Samaritan Society
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 1, 1994
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 South Dakota.
-
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.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among South Dakota homes
Good Samaritan Society De Smet carries 94 inspection points. That is fewer than 20% of South Dakota's 94 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in South 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★ 0–14 pts
- 4★ 14–31.5 pts
- 3★ 31.5–55 pts
- 2★ 55–95.25 pts
- 1★ over 95.25 pts
Bars show every rated home in South 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
24 health citations on record since 2024. 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 (4)
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Resident Assessment and Care Planning6E
- 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
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- E
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- E
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
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care4E
- E
Provide 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.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service3E
- E
Ensure 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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure 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.
Resident Rights2E
- E
Ensure that residents are fully informed and understand their health status, care and treatments.
- E
Honor 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.
Freedom from Abuse, Neglect, and Exploitation2E
- E
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2026-08-06
10 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2025-05-22
11 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2024-01-11
3 health deficiencies · 0 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 55 min of nursing staff time a day, 1 h of it from a registered nurse.
This home
3 h 55 min
South Dakota average
3 h 51 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 63% of nursing staff and 27% 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
$27,989 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-10-23 | Fine | $17,342 |
| 2025-01-02 | Fine | $10,647 |
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. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.1 pts worse | 92.8% | 94.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.8 pts better | 100.0% | 97.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.9 pts better | 3.6% | 5.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5.1 pts better | 0.8% | 5.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight5.7 pts better | 0.0% | 5.7% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1 pts better | 16.7% | 17.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.4 pts worse | 31.2% | 24.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.9 pts worse | 22.2% | 18.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.4 pts worse | 23.9% | 21.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder2.1 pts worse | 4.0% | 1.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.7 pts better | 2.2% | 2.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.8 pts better | 23.7% | 24.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.1 pts better | 2.4% | 4.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine28.1 pts worse | 55.8% | 83.9% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.9 pts worse | 3.1% | 2.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine8.8 pts worse | 66.7% | 75.5% | 80.1% |
·
Who owns and runs it
54 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 Direct Ownership Interest · Organization | 100% | 89 facilities |
| The Evangelical Lutheran Good Samaritan Society | 5% Or Greater Indirect Ownership Interest · Organization | 100% | 87 facilities |
| Brown, George | Corporate Director · Individual | 0% | 72 facilities |
| Brown, George | Adp Of The SNF · Individual | 0% | 72 facilities |
| Dtn Staffing Inc | Adp Of The SNF · Organization | 0% | 51 facilities |
| Dykhouse, Dana | Corporate Director · Individual | 0% | 85 facilities |
| Dykhouse, Dana | Adp Of The SNF · Individual | 0% | 85 facilities |
| Engbrecht, Wesley | Corporate Director · Individual | 0% | 89 facilities |
| Engbrecht, Wesley | Adp Of The SNF · Individual | 0% | 89 facilities |
| Fluit, Joel | Corporate Officer · Individual | 0% | 87 facilities |
| Fluit, Joel | Adp Of The SNF · Individual | 0% | 87 facilities |
| Focusone Solutions | Adp Of The SNF · Organization | 0% | 50 facilities |
| Gassen, William | Corporate Director · Individual | 0% | 89 facilities |
| Gassen, William | Corporate Officer · Individual | 0% | 89 facilities |
| Gassen, William | Adp Of The SNF · Individual | 0% | 89 facilities |
| Grape Tree Medical Staffing LLC | Adp Of The SNF · Organization | 0% | 64 facilities |
| Gulsvig, Neil | Corporate Director · Individual | 0% | 89 facilities |
| Gulsvig, Neil | Adp Of The SNF · Individual | 0% | 89 facilities |
| Herseth Sandlin, Stephanie | Corporate Director · Individual | 0% | 86 facilities |
| Herseth Sandlin, Stephanie | Adp Of The SNF · Individual | 0% | 86 facilities |
| Lundeen, Mark | Corporate Director · Individual | 0% | 89 facilities |
| Lundeen, Mark | Adp Of The SNF · Individual | 0% | 89 facilities |
| Mccausland, Maureen | Corporate Director · Individual | 0% | 69 facilities |
| Mccausland, Maureen | Adp Of The SNF · Individual | 0% | 69 facilities |
| Middleton, Aimee | Corporate Officer · Individual | 0% | 87 facilities |
| Middleton, Aimee | Adp Of The SNF · Individual | 0% | 87 facilities |
| Molbert, Lauris | Corporate Director · Individual | 0% | 89 facilities |
| Molbert, Lauris | Adp Of The SNF · Individual | 0% | 89 facilities |
| Morrison, Tony | Operational/Managerial Control · Individual | 0% | 89 facilities |
| Morrison, Tony | Adp Of The SNF · Individual | 0% | 89 facilities |
| North, Andrew | Corporate Director · Individual | 0% | 89 facilities |
| North, Andrew | Adp Of The SNF · Individual | 0% | 89 facilities |
| Olson, Nicholas | Corporate Officer · Individual | 0% | 87 facilities |
| Olson, Nicholas | Adp Of The SNF · Individual | 0% | 87 facilities |
| Orstad, Keri | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Orstad, Keri | Adp Of The SNF · Individual | 0% | 4 facilities |
| Sandgren, Deeandra | Operational/Managerial Control · Individual | 0% | 50 facilities |
| Sandgren, Deeandra | Adp Of The SNF · Individual | 0% | 50 facilities |
| Sanford | Adp Of The SNF · Organization | 0% | 89 facilities |
| Schema, Nathan | Corporate Officer · Individual | 0% | 87 facilities |
| Schema, Nathan | Adp Of The SNF · Individual | 0% | 87 facilities |
| Schieffer, Kevin | Corporate Director · Individual | 0% | 69 facilities |
| Schieffer, Kevin | Adp Of The SNF · Individual | 0% | 69 facilities |
| Shulkin, David | Corporate Director · Individual | 0% | 85 facilities |
| Shulkin, David | Adp Of The SNF · Individual | 0% | 85 facilities |
| Smith, Brittany | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Smith, Brittany | Adp Of The SNF · Individual | 0% | 4 facilities |
| Teiken, Brent | Corporate Director · Individual | 0% | 89 facilities |
| Teiken, Brent | Adp Of The SNF · Individual | 0% | 89 facilities |
| The Evangelical Lutheran Good Samaritan Society | Adp Of The SNF · Organization | 0% | 87 facilities |
| Ventling-Herrmann, Marnie | Corporate Director · Individual | 0% | 90 facilities |
| Ventling-Herrmann, Marnie | Adp Of The SNF · Individual | 0% | 90 facilities |
| Wenzel, Thomas | Corporate Director · Individual | 0% | 69 facilities |
| Wenzel, Thomas | Adp Of The SNF · Individual | 0% | 69 facilities |
·
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