Nursing homes › Minnesota › Good Samaritan Society - Pine River
518 Jefferson Avenue, Pine River, MN 56474 · 2185874423 · 33 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 above its group average (3.0/5).
Total nurse staffing: 3.51 (Minnesota median: 4.16). RN hours: 1.16. Weekend total: 2.99. Nursing staff turnover: 44%.
All-time on record: 8 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-03-25 | Provide and implement an infection prevention and control program. | D | Health | corrected 2026-04-10 |
| 2025-02-05 | 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. | F | Health | corrected 2025-03-11 |
| 2025-02-05 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-03-11 |
| 2025-02-05 | Post nurse staffing information every day. | C | Health | corrected 2025-03-12 |
| 2024-04-05 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-05-05 |
| 2024-01-09 | Ensure each resident receives an accurate assessment. | E | Health | corrected 2024-01-29 |
| 2024-01-09 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Health | corrected 2024-01-29 |
| 2024-01-09 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2024-01-29 |
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 |
| 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 |
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/01/2019 |
| AHLF, CIERRA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/15/2024 |
| MORRISON, TONY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2019 |
| OLSON, JULIE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/16/2018 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 245476. Corrections: data@carerecords.org.