C77

Good Samaritan Society - Mountain Lake

Grade C 77/100 composite score

Non profit - Corporation

CMS Star Ratings

Overall
4/5
Health Insp.
3/5
Quality
4/5
Staffing
5/5
RN Staffing
Not rated

Certified Beds

48

Ownership

Non profit - Corporation

Total Fines

$21,645

Last Survey

N/A

745 BASINGER MEMORIAL DRIVE, MOUNTAIN LAKE, MN 56159
5074272464

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
1.04h
LPN
0.67h
CNA
2.57h
Total
4.28h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

SANFORD

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jan 2019

100%

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jan 2019

MORRISON, TONY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2019

REESE, ANNE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Aug 2011

VAN KLEY, BRETT

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Aug 2019

BROWN, GEORGE

IndividualCORPORATE DIRECTORSince Jan 2025

DYKHOUSE, DANA

IndividualCORPORATE DIRECTORSince May 2024

ENGBRECHT, WESLEY

IndividualCORPORATE DIRECTORSince May 2024

GASSEN, WILLIAM

IndividualCORPORATE DIRECTORSince May 2024

GULSVIG, NEIL

IndividualCORPORATE DIRECTORSince May 2024

HERSETH SANDLIN, STEPHANIE

IndividualCORPORATE DIRECTORSince May 2024

LUNDEEN, MARK

IndividualCORPORATE DIRECTORSince May 2024

MCCAUSLAND, MAUREEN

IndividualCORPORATE DIRECTORSince Jan 2025

MOLBERT, LAURIS

IndividualCORPORATE DIRECTORSince May 2024

NORTH, ANDREW

IndividualCORPORATE DIRECTORSince May 2024

SCHIEFFER, KEVIN

IndividualCORPORATE DIRECTORSince Jan 2025

SHULKIN, DAVID

IndividualCORPORATE DIRECTORSince May 2024

TEIKEN, BRENT

IndividualCORPORATE DIRECTORSince May 2024

VENTLING-HERRMANN, MARNIE

IndividualCORPORATE DIRECTORSince May 2024

WENZEL, THOMAS

IndividualCORPORATE DIRECTORSince Jan 2025

FLUIT, JOEL

IndividualCORPORATE OFFICERSince Oct 2022

GASSEN, WILLIAM

IndividualCORPORATE OFFICERSince May 2024

MIDDLETON, AIMEE

IndividualCORPORATE OFFICERSince Jan 2022

OLSON, NICHOLAS

IndividualCORPORATE OFFICERSince Apr 2024

SCHEMA, NATHAN

IndividualCORPORATE OFFICERSince Jan 2022

Penalties & Fines (1)

$21,645total fines
DateTypeDescriptionAmount
Feb 12, 2025Fine$21,645

Health Inspection Deficiencies (21)

July 3, 2025Health2 deficiencies
0580DMinimal harm, Isolated

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies

Corrected Jul 16, 2025
0686DMinimal harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Jul 16, 2025
February 12, 2025Health1 deficiency1 severe
0684JImmediate jeopardy, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Feb 6, 2025
June 26, 2024Health4 deficiencies
0554DMinimal harm, Isolated

Allow residents to self-administer drugs if determined clinically appropriate.

Resident Rights Deficiencies

Corrected Jul 17, 2024
0658DMinimal harm, Isolated

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Jul 17, 2024
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Jul 17, 2024
0883DMinimal harm, Isolated

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Infection Control Deficiencies

Corrected Jul 17, 2024
August 16, 2023Health1 deficiency
0812CNo harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Sep 20, 2023
April 14, 2022Health13 deficiencies
0550DMinimal harm, Isolated

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected May 20, 2022
0578DMinimal harm, Isolated

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Resident Rights Deficiencies

Corrected May 20, 2022
0676DMinimal harm, Isolated

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Quality of Life and Care Deficiencies

Corrected May 20, 2022
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Jun 15, 2022
0686DMinimal harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected May 20, 2022
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected May 20, 2022
0804DMinimal harm, Isolated

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nutrition and Dietary Deficiencies

Corrected May 20, 2022
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected May 20, 2022
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected May 20, 2022
0881FMinimal harm, Widespread

Implement a program that monitors antibiotic use.

Infection Control Deficiencies

Corrected May 20, 2022
0883DMinimal harm, Isolated

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Infection Control Deficiencies

Corrected May 20, 2022
0887DMinimal harm, Isolated

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Infection Control Deficiencies

Corrected May 20, 2022
0921EMinimal harm, Pattern

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Environmental Deficiencies

Corrected May 20, 2022

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Frequently Asked Questions

What is the CareGrader rating for Good Samaritan Society - Mountain Lake?

Good Samaritan Society - Mountain Lake in MOUNTAIN LAKE, Minnesota has a CareGrader grade of C (Average), with a composite score of 77.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for Good Samaritan Society - Mountain Lake?

Good Samaritan Society - Mountain Lake has an overall CMS star rating of 4 out of 5, a health inspection rating of 3/5, and a staffing rating of 5/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Good Samaritan Society - Mountain Lake have?

Good Samaritan Society - Mountain Lake has 21 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has Good Samaritan Society - Mountain Lake been fined?

Yes. Good Samaritan Society - Mountain Lake has $21,645 in total fines from CMS enforcement actions across 1 penalty.

How many beds does Good Samaritan Society - Mountain Lake have?

Good Samaritan Society - Mountain Lake has 48 certified beds with approximately 46 current residents (96% occupancy). The facility is located at 745 BASINGER MEMORIAL DRIVE, MOUNTAIN LAKE, Minnesota 56159. It is a non profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.