Federal inspection record · CMS data as of October 1, 2026
Good Shepherd Lutheran Home
1115 4th Avenue North, Sauk Rapids, MN · (320) 252-6525
- Certified beds
- 146
- Residents per day
- 136
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 1984
1
How this home got 5 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 Minnesota.
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Staffing
★★★★★+1 star
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
★★★★★+1 star
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
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Minnesota homes
Good Shepherd Lutheran Home carries 54 inspection points. That is fewer than 43% of Minnesota's 335 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Minnesota: 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★ 0–9 pts
- 4★ 9–30 pts
- 3★ 30–54 pts
- 2★ 54–92 pts
- 1★ over 92 pts
Bars show every rated home in Minnesota 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care6E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Resident Rights5F
- F
Give residents a notice of rights, rules, services and charges.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Pharmacy Service4D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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.
- 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.
- 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.
Resident Assessment and Care Planning3D
- D
Ensure each resident receives an accurate assessment.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nutrition and Dietary2E
- 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.
Nursing and Physician Services1F
- F
Post nurse staffing information every day.
Administration1F
- F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation1E
- E
Respond appropriately to all alleged violations.
Inspection history
2026-07-09
9 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2025-04-17
9 health deficiencies · 2 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2024-05-02
6 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 43 min of nursing staff time a day, 45 min of it from a registered nurse.
This home
4 h 43 min
Minnesota average
4 h 16 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 32% of nursing staff and 31% 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
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 days0.2 pts worse | 1.7 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.1 pts better | 0.6 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.5 pts better | 99.8% | 97.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.8 pts better | 98.2% | 96.4% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.9 pts better | 3.2% | 4.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.9 pts worse | 5.0% | 4.1% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.3 pts better | 0.6% | 3.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.7 pts worse | 13.4% | 12.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.9 pts better | 14.3% | 17.2% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.8 pts worse | 20.6% | 18.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.7 pts better | 17.5% | 18.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.2 pts better | 0.5% | 1.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.3 pts better | 2.3% | 2.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1 pts worse | 24.7% | 23.7% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.2 pts better | 3.9% | 5.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.7 pts better | 99.8% | 88.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit9.2 pts better | 5.4% | 14.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.5 pts worse | 3.4% | 1.9% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.5 pts better | 86.8% | 83.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.4 pts better | 18.6% | 23.0% | 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 |
|---|---|---|---|
| Aegis Therapies, Inc. | Adp Of The SNF · Organization | 0% | 35 facilities |
| Bacon, Dennis | Corporate Director · Individual | 0% | 1 facilities |
| Barber, Jacquelyn | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Barber, Jacquelyn | Adp Of The SNF · Individual | 0% | 1 facilities |
| Cloeter, Paul | Corporate Director · Individual | 0% | 1 facilities |
| Fitch, Mike | Corporate Officer · Individual | 0% | 1 facilities |
| Grape Tree Medical Staffing LLC | Adp Of The SNF · Organization | 0% | 64 facilities |
| Kirchoff, Barry | Corporate Director · Individual | 0% | 1 facilities |
| Klever, Emily | Adp Of The SNF · Individual | 0% | 1 facilities |
| Leonard, Charles | Corporate Director · Individual | 0% | 1 facilities |
| Loidolt, Garry | Corporate Director · Individual | 0% | 1 facilities |
| Machula, Jennifer | Corporate Director · Individual | 0% | 1 facilities |
| Martini, Krista | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Martini, Krista | Adp Of The SNF · Individual | 0% | 1 facilities |
| Perleberg, Lois | Corporate Director · Individual | 0% | 1 facilities |
| Scapanski, Cheryl | Corporate Director · Individual | 0% | 1 facilities |
| Schoephoerster, George | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Schoephoerster, George | Adp Of The SNF · Individual | 0% | 1 facilities |
| Stordahl, Michael | Corporate Officer · Individual | 0% | 1 facilities |
| Stordahl, Michael | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Stordahl, Michael | Adp Of The SNF · Individual | 0% | 1 facilities |
| Strohschein, David | Corporate Director · Individual | 0% | 1 facilities |
| Zoeller, David | Corporate Director · Individual | 0% | 1 facilities |
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Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4F
- F
Provide properly protected cooking facilities.
- F
Install an approved automatic sprinkler system.
- E
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems2F
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Emergency Preparedness2F
- F
Establish policies and procedures including evacuation.
- F
Implement emergency and standby power systems.
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Other homes nearby
-
Country Manor Healthcare And Rehab Center
Sartell, MN
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 47 min
- Fines
- $0
-
Sterling Park Health Care Center
Waite Park, MN · Accura Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 18 min
- Fines
- $0
-
Edenbrook Of St Cloud
Saint Cloud, MN · Eden Senior Care
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h
- Fines
- $0