Nursing homes › Minnesota › Good Samaritan Society - Mary Jane Brown
110 South Walnut Avenue, Luverne, MN 56156 · 5072832375 · 51 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: 3.88 (Minnesota median: 4.16). RN hours: 0.97. Weekend total: 3.08. Nursing staff turnover: 60%.
All-time on record: 32 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-01 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2026-05-08 |
| 2026-04-01 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Health | corrected 2026-05-08 |
| 2026-04-01 | 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. | D | Health | corrected 2026-05-08 |
| 2025-01-14 | 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 | Health | corrected 2025-02-14 |
| 2025-01-14 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | Health | corrected 2025-02-14 |
| 2025-01-14 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2025-02-14 |
| 2025-01-14 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2025-02-14 |
| 2025-01-14 | 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. | D | Health | corrected 2025-02-14 |
| 2025-01-14 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-02-14 |
| 2025-01-14 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D | Health | corrected 2025-02-14 |
| 2024-12-27 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2024-12-30 |
| 2024-08-06 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2024-09-06 |
| 2024-08-06 | 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 | complaint | corrected 2024-09-06 |
| 2024-02-08 | Reasonably accommodate the needs and preferences of each resident. | D | complaint | corrected 2024-03-06 |
| 2024-02-08 | Respond appropriately to all alleged violations. | D | complaint | corrected 2024-03-06 |
| 2024-02-08 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-03-06 |
| 2024-02-08 | Provide enough food/fluids to maintain a resident's health. | D | complaint | corrected 2024-03-06 |
| 2023-10-18 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | complaint | corrected 2023-11-28 |
| 2023-10-18 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2023-11-28 |
| 2023-10-18 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Health | corrected 2023-11-28 |
| 2023-10-18 | Keep all essential equipment working safely. | F | Health | corrected 2023-11-28 |
| 2023-10-18 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2023-11-28 |
| 2023-10-18 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Health | corrected 2023-11-28 |
| 2023-10-18 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Health | corrected 2023-11-28 |
| 2023-10-18 | 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 2023-11-28 |
| 2023-10-18 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2023-11-28 |
| 2023-10-18 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Health | corrected 2023-11-28 |
| 2023-10-18 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | complaint | corrected 2023-11-28 |
| 2023-10-18 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2023-11-28 |
| 2023-10-18 | 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. | D | Health | corrected 2023-11-28 |
| 2023-10-18 | 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 | Health | corrected 2023-11-28 |
| 2023-10-18 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Health | corrected 2023-11-28 |
| Date | Type | Amount |
|---|---|---|
| 2024-08-06 | Fine | $57,045 |
| 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 |
| CHESLEY, STEPHAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/09/2018 |
| MORRISON, TONY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2019 |
| SANDGREN, DEEANDRA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/16/2023 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 245568. Corrections: data@carerecords.org.