18 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Larimore, ND
1-star overall rating with 1-star inspections with Special Focus status with $9,110 in total fines with 18 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
501 E Front St, Larimore, ND
(701) 343-6244
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
40
Certified beds
Average residents
32
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Good Samaritan Society
Operator or chain grouping
Approved since
1991-01-02
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
89 facilities
Chain averages 3 overall / 3 health / 4 staffing / 3 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.72
Registered nurse staffing · state 0.93 · national 0.68
LPN hours / resident day
0.54
Licensed practical nurse staffing · state 0.50 · national 0.87
Aide hours / resident day
1.87
Nurse aide staffing · state 2.99 · national 2.35
Total nurse hours
3.14
All reported nurse hours · state 4.41 · national 3.89
Licensed hours
1.27
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
2.66
Weekend nurse staffing · state 3.75 · national 3.43
Weekend RN hours
0.54
Weekend registered nurse coverage · state 0.59 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.84
CMS adjusted RN staffing hours
Adjusted total hours
3.65
CMS adjusted total nurse staffing hours
Case-mix index
1.18
Higher values indicate more complex resident acuity
RN turnover
55%
Annual RN turnover · state 38% · national 45%
Total nurse turnover
76%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Program rank
12,840
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
10.13
Composite VBP score used to determine payment impact.
Payment multiplier
0.9809
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
0
Baseline 58.97% · Performance 75.56% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
2.03
Baseline 4.13 hours · Performance 3.65 hours · Measure score 2.03 · Achievement 2.03 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 20 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | Not Available |
1.02
|
Too few residents or stays to report publicly. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 12 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 13 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 38 |
| Staff flu vaccination coverage | 64.86% |
42%
22.9 pts better
|
Numerator 24 · Denominator 37 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.0% |
98.3%
4.3 pts worse
|
93.4%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 87.5% · Q2 92.9% · Q3 96.3% · Q4 100.0% · 4Q avg 94.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.5% |
98.8%
5.3 pts worse
|
95.5%
2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.7% |
5.1%
3.4 pts better
|
3.3%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.7% · Q4 3.4% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.4% |
4.4%
About the same
|
11.4%
7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.0% · Q3 9.5% · 4Q avg 4.4% |
| Percentage of long-stay residents who lose too much weight | 10.2% |
5.5%
4.7 pts worse
|
5.4%
4.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 8.7% · Q3 12.5% · Q4 12.0% · 4Q avg 10.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.1% |
17.4%
0.3 pts better
|
19.6%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.4% · Q2 19.2% · Q3 19.2% · Q4 8.0% · 4Q avg 17.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 24.7% |
23.4%
1.3 pts worse
|
16.7%
8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.0% · Q4 20.0% · 4Q avg 24.7% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 24.3% |
19.0%
5.3 pts worse
|
16.3%
8 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 24.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.8% |
20.1%
9.3 pts better
|
14.9%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 15.4% · Q3 15.4% · Q4 8.0% · 4Q avg 10.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 5.6% |
1.8%
3.8 pts worse
|
1.0%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 5.4% · Q3 0.0% · Q4 13.0% · 4Q avg 5.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 7.3% |
3.1%
4.2 pts worse
|
1.7%
5.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 0.0% · Q3 8.0% · Q4 10.3% · 4Q avg 7.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 43.6% |
25.2%
18.4 pts worse
|
19.8%
23.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.7% · Q2 63.5% · Q3 35.6% · Q4 37.1% · 4Q avg 43.6% |
| Percentage of long-stay residents with pressure ulcers | 14.9% |
5.3%
9.6 pts worse
|
5.1%
9.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.1% · Q2 22.9% · Q3 0.0% · Q4 16.6% · 4Q avg 14.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 87.5% |
93.6%
6.1 pts worse
|
81.7%
5.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q4 93.1% · 4Q avg 87.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.9% |
10.7%
5.8 pts better
|
12.0%
7.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.9% · Observed 4.8% · Expected 10.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.9%
1.9 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 52.4% |
88.3%
35.9 pts worse
|
79.7%
27.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 52.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.3% |
20.5%
5.8 pts worse
|
23.9%
2.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.3% · Observed 28.6% · Expected 25.9% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (6 deficiencies)
8 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Fire safety
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-03-10
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-03-10
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-03-10
Fire Safety
Have exits that are accessible at all times.
Corrected 2025-03-10
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-03-10
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-10
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-03-10
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-03-10
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-03-21
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-03-21
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-03-21
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-03-21
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-03-21
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-03-21
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-03-21
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-03-21
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-04-03
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-04-03
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-04-03
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-04-03
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-04-03
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-04-03
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-04-03
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2023-04-03
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-04-03
Inspection history
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-01-09
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-07
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2025-03-13
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2025-03-13
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2025-03-13
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-03-15
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-03-14
Health
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2025-03-14
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-03-14
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-03-15
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-03-15
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-03-13
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-03-13
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-14
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-03-15
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-03-15
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-03-14
Health
Post nurse staffing information every day.
Corrected 2025-03-14
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-03-15
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-03-15
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-03-15
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-03-15
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-03-15
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-03-15
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-03-15
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-03-28
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-28
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-03-15
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-03-15
Health
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.
Corrected 2024-03-15
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-03-15
Health
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.
Corrected 2024-03-15
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2023-03-17
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-03-17
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-03-17
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-03-17
Health
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2023-03-17
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-03-17
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-03-17
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-03-17
Health
Provide activities to meet all resident's needs.
Corrected 2023-03-17
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-03-17
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-03-17
Health
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.
Corrected 2023-03-16
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2023-03-17
Penalties and ownership
Fine · fine $9,110
Fine
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Officer · Individual
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
Corporate Director · Individual
Contracted Managing Employee · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
Corporate Director · Individual
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