Federal inspection record · CMS data as of October 1, 2026
Good Samaritan Society New Underwood
412 South Madison, New Underwood, SD · (605) 754-6489
- Certified beds
- 41
- Residents per day
- 38
- Ownership
- Non-Profit
- Chain
- Good Samaritan Society
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 1997
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 New Underwood carries 83 inspection points. That is fewer than 28% 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
29 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 (2)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Resident Assessment and Care Planning5E
- E
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.
- 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
Ensure services provided by the nursing facility meet professional standards of quality.
Nutrition and Dietary4F
- 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.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Quality of Life and Care4F
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide enough food/fluids to maintain a resident's health.
Infection Control3F
- E
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
Pharmacy Service3F
- F
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.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
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.
Resident Rights2E
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Administration2F
- D
Have a plan that describes the process for conducting QAPI and QAA activities.
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Nursing and Physician Services1D
- D
Post nurse staffing information every day.
Environmental1D
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspection history
2025-12-08
10 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2025-01-30
14 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2023-11-16
5 health deficiencies · 4 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 7 min of nursing staff time a day, 52 min of it from a registered nurse.
This home
3 h 7 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 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
$26,595 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-06-10 | Fine | $11,190 |
| 2025-01-30 | Fine | $15,405 |
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 vaccineAbout the same | 94.9% | 94.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.2 pts better | 97.4% | 97.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4 pts better | 1.5% | 5.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5 pts better | 0.9% | 5.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.5 pts worse | 7.2% | 5.7% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.5 pts better | 14.2% | 17.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.1 pts worse | 31.9% | 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 worsened4 pts worse | 22.3% | 18.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7 pts worse | 28.5% | 21.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.5 pts better | 0.4% | 1.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.1 pts worse | 3.0% | 2.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.6 pts better | 19.9% | 24.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers6.5 pts worse | 11.0% | 4.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16.4 pts worse | 67.5% | 83.9% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.2 pts better | 0.0% | 2.2% | 1.5% |
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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 Direct Ownership Interest · Organization | 100% | 89 facilities |
| The Evangelical Lutheran Good Samaritan Society | 5% Or Greater Indirect Ownership Interest · Organization | 100% | 87 facilities |
| Cain, James | Corporate Director · Individual | 0% | 20 facilities |
| Diamond, Kenneth | Contracted Managing Employee · Individual | 0% | 3 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 |
| Hubbeling, Paul | W-2 Managing Employee · Individual | 0% | 1 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 |
| Teiken, Brent | Corporate Director · Individual | 0% | 89 facilities |
| Ventling-Herrmann, Marnie | Corporate Director · Individual | 0% | 90 facilities |
·
Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3D
- C
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Provide properly protected cooking facilities.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
Miscellaneous1C
- C
Have simulated fire drills held at unexpected times.
Services1E
- E
Have an externally vented heating system.
Egress1D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
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Other homes nearby
-
Westhills Village Health Care Facility
Rapid City, SD
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 11 min
- Fines
- $8,788
-
Avantara North
Rapid City, SD · Legacy Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 8 min
- Fines
- $24,108
-
Avantara Saint Cloud
Rapid City, SD · Legacy Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 19 min
- Fines
- $39,131