Nursing homes › Minnesota › Good Samaritan Society - Blackduck
172 Summit Avenue West, Blackduck, MN 56630 · 2188353410 · 30 certified beds
Per CMS filings, this facility is affiliated with Good Samaritan Society, a group operating 91 facilities in 9 states. Group record: average rating 3.0/5, 7 abuse citation icons, 5 facilities on the Special Focus list, $2,237,184 in federal fines. This facility rates below its group average (3.0/5).
Total nurse staffing: 4.01 (Minnesota median: 4.16). RN hours: 0.74. Weekend total: 3.73. Nursing staff turnover: 54%.
All-time on record: 22 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-10-31 | Ensure each resident receives an accurate assessment. | D | complaint | corrected 2025-12-26 |
| 2025-10-31 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | complaint | corrected 2025-12-26 |
| 2025-10-31 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2025-12-26 |
| 2025-08-20 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Health | corrected 2025-09-24 |
| 2025-08-20 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2025-09-24 |
| 2025-08-20 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2025-09-24 |
| 2025-08-20 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2025-09-24 |
| 2025-08-20 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2025-09-24 |
| 2024-06-13 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-07-22 |
| 2024-06-13 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Health | corrected 2024-07-22 |
| 2024-06-13 | Provide and implement an infection prevention and control program. | F | Health | corrected 2024-07-22 |
| 2024-06-13 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Health | corrected 2024-07-22 |
| 2024-06-13 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Health | corrected 2024-07-22 |
| 2024-06-13 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Health | corrected 2024-07-22 |
| 2024-02-07 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2024-03-13 |
| 2023-08-10 | 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. | E | Health | corrected 2023-09-20 |
| 2023-08-10 | Allow residents to self-administer drugs if determined clinically appropriate. | D | complaint | corrected 2023-09-20 |
| 2023-08-10 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Health | corrected 2023-09-20 |
| 2023-08-10 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Health | corrected 2023-09-20 |
| 2023-08-10 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2023-09-20 |
| 2023-08-10 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2023-09-20 |
| 2023-08-10 | Ensure each resident receives an accurate assessment. | B | Health | corrected 2023-09-20 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| SANFORD | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 01/01/2019 |
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | 5% Or Greater Indirect Ownership Interest | Organization | 100% | since 01/01/2019 |
| BROWN, GEORGE | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2025 |
| DYKHOUSE, DANA | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| ENGBRECHT, WESLEY | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| GASSEN, WILLIAM | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| GULSVIG, NEIL | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| HERSETH SANDLIN, STEPHANIE | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| LUNDEEN, MARK | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| MCCAUSLAND, MAUREEN | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2025 |
| MOLBERT, LAURIS | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| NORTH, ANDREW | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| SCHIEFFER, KEVIN | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2025 |
| SHULKIN, DAVID | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| TEIKEN, BRENT | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| VENTLING-HERRMANN, MARNIE | Corporate Director | Individual | NOT APPLICABLE | since 05/30/2024 |
| WENZEL, THOMAS | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2025 |
| FLUIT, JOEL | Corporate Officer | Individual | NOT APPLICABLE | since 10/01/2022 |
| GASSEN, WILLIAM | Corporate Officer | Individual | NOT APPLICABLE | since 05/30/2024 |
| MIDDLETON, AIMEE | Corporate Officer | Individual | NOT APPLICABLE | since 01/27/2022 |
| OLSON, NICHOLAS | Corporate Officer | Individual | NOT APPLICABLE | since 04/08/2024 |
| SCHEMA, NATHAN | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2022 |
| SANFORD | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/01/2019 |
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/01/2019 |
| BILLUPS, SHERRY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/14/2018 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 245600. Corrections: data@carerecords.org.