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

Good Samaritan Society - Lakota

608 4th Ave Sw, Lakota, ND · (701) 247-2902

CMS overall rating

1 of 5

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Certified beds
38
Residents per day
34
Ownership
Non-Profit
Chain
Good Samaritan Society
Medicare / Medicaid
Medicare + Medicaid
Certified since
April 1, 1991

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 North Dakota.

  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

    no change (already 1)

    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 North Dakota homes

Good Samaritan Society - Lakota carries 82.5 inspection points. That is fewer than 15% of North Dakota's 71 rated homes.

5★4★3★2★1★+3 homes above 15205102550100inspection points → fewer is better on the leftThis home · 82.5 pts · 1★

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

32 health citations on record since 2023. 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 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 2 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 23 4 pts
E 5 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 1 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 (2)

  1. G

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    June 19, 2024 · Complaint inspection · Quality of Life and Care · F684 · Corrected August 14, 2024

  2. G

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

    October 11, 2023 · Complaint inspection · Quality of Life and Care · F689 · Corrected October 31, 2023

Everything else, by area of care

Quality of Life and Care13D
  1. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    August 26, 2026 · Complaint · F684 · Not yet marked corrected

  2. D

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

    June 16, 2026 · Complaint · F686 · Corrected July 10, 2026

  3. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    June 3, 2025 · Standard · F677 · Corrected July 7, 2025

  4. D

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

    June 3, 2025 · Standard · F686 · Corrected July 7, 2025

  5. 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.

    June 3, 2025 · Standard · F690 · Corrected July 7, 2025

  6. D

    Provide safe and appropriate respiratory care for a resident when needed.

    June 3, 2025 · Standard · F695 · Corrected July 7, 2025

  7. D

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

    January 8, 2025 · Complaint · F686 · Corrected February 21, 2025

  8. 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.

    January 8, 2025 · Complaint · F690 · Corrected February 21, 2025

  9. D

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

    June 19, 2024 · Complaint · F686 · Corrected July 25, 2024

  10. 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.

    June 19, 2024 · Complaint · F693 · Corrected July 25, 2024

  11. D

    Provide safe and appropriate respiratory care for a resident when needed.

    June 19, 2024 · Complaint · F695 · Corrected July 25, 2024

  12. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    May 25, 2023 · Standard · F684 · Corrected June 29, 2023

  13. D

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

    May 25, 2023 · Standard · F686 · Corrected June 29, 2023

Resident Assessment and Care Planning5E
  1. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    June 16, 2026 · Complaint · F657 · Corrected July 10, 2026

  2. E

    Ensure each resident receives an accurate assessment.

    June 3, 2025 · Standard · F641 · Corrected July 7, 2025

  3. D

    Ensure each resident receives an accurate assessment.

    June 19, 2024 · Complaint · F641 · Corrected July 25, 2024

  4. E

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    May 25, 2023 · Standard · F657 · Corrected June 29, 2023

  5. D

    Ensure each resident receives an accurate assessment.

    May 25, 2023 · Standard · F641 · Corrected June 29, 2023

Nursing and Physician Services3E
  1. D

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    August 26, 2026 · Complaint · F725 · Not yet marked corrected

  2. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    June 16, 2026 · Complaint · F725 · Corrected July 10, 2026

  3. C

    Post nurse staffing information every day.

    June 3, 2025 · Standard · F732 · Corrected July 7, 2025

Pharmacy Service3D
  1. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    June 19, 2024 · Complaint · F755 · Corrected July 25, 2024

  2. D

    Ensure medication error rates are not 5 percent or greater.

    June 19, 2024 · Complaint · F759 · Corrected July 25, 2024

  3. D

    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.

    May 25, 2023 · Standard · F761 · Corrected June 29, 2023

Infection Control2E
  1. E

    Provide and implement an infection prevention and control program.

    June 3, 2025 · Standard · F880 · Corrected July 7, 2025

  2. D

    Provide and implement an infection prevention and control program.

    June 19, 2024 · Complaint · F880 · Corrected July 25, 2024

Resident Rights2D
  1. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    June 19, 2024 · Complaint · F580 · Corrected July 25, 2024

  2. D

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

    June 19, 2024 · Complaint · F623 · Corrected July 25, 2024

Environmental1F
  1. F

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    June 19, 2024 · Complaint · F921 · Corrected July 25, 2024

Nutrition and Dietary1E
  1. E

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

    June 19, 2024 · Complaint · F812 · Corrected July 25, 2024

Inspection history

  1. 2025-06-03

    12 health deficiencies · 3 fire-safety deficiencies

    Top issue: Quality of Life and Care (6 deficiencies)

  2. 2024-06-19

    14 health deficiencies · 5 fire-safety deficiencies

    Top issue: Quality of Life and Care (6 deficiencies)

  3. 2023-05-25

    6 health deficiencies · 3 fire-safety deficiencies

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

4

Nursing time per resident, per day

Each resident here gets about 3 h 57 min of nursing staff time a day, 59 min of it from a registered nurse.

This home

3 h 57 min

North Dakota average

4 h 28 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 46% of nursing staff and 67% of registered nurses left in the past year, along with 2 administrators.

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

$48,445 in federal fines on record over the past three years.

DatePenaltyAmount
2024-06-19Fine$48,445

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 vaccine9 pts worse89.5%98.5%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.2 pts worse94.1%98.3%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury3.5 pts better1.6%5.1%3.2%
Percentage of long-stay residents who have depressive symptoms7 pts worse11.2%4.2%13.5%
Percentage of long-stay residents who lose too much weight0.1 pts better5.7%5.8%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication3.7 pts better13.9%17.6%19.5%
Percentage of long-stay residents who received an antipsychotic medication5.4 pts better17.4%22.8%15.4%
Percentage of long-stay residents who were physically restrained0.2 pts better0.0%0.2%0.1%
Percentage of long-stay residents whose ability to walk independently worsened13 pts worse29.3%16.3%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased10.7 pts worse30.6%19.9%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder2.3 pts worse3.7%1.4%0.7%
Percentage of long-stay residents with a urinary tract infection0.8 pts worse3.3%2.5%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.2 pts worse24.2%24.0%18.3%
Percentage of long-stay residents with pressure ulcers8.3 pts worse13.0%4.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7.8 pts worse83.5%91.3%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication1.7 pts better0.0%1.7%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine37.7 pts worse48.0%85.7%80.1%

·

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
NameRoleShareHomes
Sanford5% Or Greater Direct Ownership Interest · Organization100%89 facilities
Berg, JonathonContracted Managing Employee · Individual0%2 facilities
Cain, JamesCorporate Director · Individual0%20 facilities
Dykhouse, DanaCorporate Director · Individual0%85 facilities
Engbrecht, WesleyCorporate Director · Individual0%89 facilities
Fluit, JoelCorporate Officer · Individual0%87 facilities
Gassen, WilliamCorporate Director · Individual0%89 facilities
Gassen, WilliamCorporate Officer · Individual0%89 facilities
Gulsvig, NeilCorporate Director · Individual0%89 facilities
Halvorson, AnnaW-2 Managing Employee · Individual0%1 facilities
Herseth Sandlin, StephanieCorporate Director · Individual0%86 facilities
Lundeen, MarkCorporate Director · Individual0%89 facilities
Middleton, AimeeCorporate Officer · Individual0%87 facilities
Molbert, LaurisCorporate Director · Individual0%89 facilities
Morrison, TonyW-2 Managing Employee · Individual0%89 facilities
North, AndrewCorporate Director · Individual0%89 facilities
Olson, NicholasCorporate Officer · Individual0%87 facilities
Rogers, MichaelCorporate Officer · Individual0%18 facilities
Schema, NathanCorporate Officer · Individual0%87 facilities
Shulkin, DavidCorporate Director · Individual0%85 facilities
Teiken, BrentCorporate Director · Individual0%89 facilities
The Evangelical Lutheran Good Samaritan SocietyOperational/Managerial Control · Organization0%87 facilities
Ventling-Herrmann, MarnieCorporate Director · Individual0%90 facilities

·

Fire safety

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

Smoke5F
  1. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    June 3, 2025 · K345 · Corrected July 15, 2025

  2. F

    Inspect, test, and maintain automatic sprinkler systems.

    June 3, 2025 · K353 · Corrected July 15, 2025

  3. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    June 19, 2024 · K345 · Corrected August 30, 2024

  4. D

    Provide properly protected cooking facilities.

    June 19, 2024 · K324 · Corrected August 9, 2024

  5. D

    Provide properly protected cooking facilities.

    May 25, 2023 · K324 · Corrected July 8, 2023

Egress2D
  1. D

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    June 3, 2025 · K211 · Corrected July 15, 2025

  2. D

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

    June 19, 2024 · K291 · Corrected August 9, 2024

Gas, Vacuum, and Electrical Systems1F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    June 19, 2024 · K918 · Corrected August 9, 2024

Services1D
  1. D

    Have properly installed electrical wiring and gas equipment.

    June 19, 2024 · K511 · Corrected August 9, 2024

Miscellaneous1E
  1. E

    Have simulated fire drills held at unexpected times.

    May 25, 2023 · K712 · Corrected July 8, 2023

·

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