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Good Samaritan Society - Blackduck

172 Summit Avenue West, Blackduck, MN 56630
2188353410
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Overall CMS Rating

2.0/5

vs State Average: 3.2 stars

2.0/5

Health Inspections

vs State Average: 2.8/5

4.0/5

Staffing Level

vs State Average: 4.1/5

2.0/5

Quality Measures

vs State Average: 3.2/5

0 penalties in last 3 years
Penalties
vs State Average: 1 penalties

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Ratings Deep Dive

Score
2.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
0 Penalties in last 3 years
0 Fines issued
Citation Date Description Severity
Oct 31, 2025 Ensure each resident receives an accurate assessment. D
Oct 31, 2025 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D
Oct 31, 2025 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D
Jun 13, 2024 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
Jun 13, 2024 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. D
Score
4.0
State Average
4.1
National Average
2.9
1.2 RN Hours / Resident / Day
4.4 Total Nurse Hours / Resident / Day
33.3% RN Turnover Rate
Score
2.0
State Average
3.2
National Average
3.6
2.0 Long-Stay QM Rating
Short-Stay QM Rating
26.2 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST SANFORD
5% OR GREATER INDIRECT OWNERSHIP INTEREST THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
OPERATIONAL/MANAGERIAL CONTROL SANFORD
OPERATIONAL/MANAGERIAL CONTROL THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
OPERATIONAL/MANAGERIAL CONTROL BILLUPS, SHERRY
OPERATIONAL/MANAGERIAL CONTROL BJERKE, BRANDON
OPERATIONAL/MANAGERIAL CONTROL MORRISON, TONY
OPERATIONAL/MANAGERIAL CONTROL SANDGREN, DEEANDRA
CORPORATE DIRECTOR BROWN, GEORGE
CORPORATE DIRECTOR DYKHOUSE, DANA
Recent Penalties

No penalty records found.

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