C75

GOOD SAMARITAN SOCIETY - WESTBROOK

Grade C 75/100 composite score

Non profit - Corporation

CMS Star Ratings

Overall
2/5
Health Insp.
2/5
Quality
2/5
Staffing
4/5
RN Staffing
Not rated

Certified Beds

32

Ownership

Non profit - Corporation

Total Fines

None

Last Survey

N/A

149 FIRST STREET, BOX 218, WESTBROOK, MN 56183
5072746155

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.65h
LPN
1.05h
CNA
2.68h
Total
4.39h
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

KOPPERUD, ANDREW

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2023

MORRISON, TONY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2019

SWANSON, MARY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Nov 2023

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

No penalties or fines on record.

Health Inspection Deficiencies (19)

January 9, 2025Health8 deficiencies
0880FMinimal harm, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Feb 14, 2025
0686DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Feb 14, 2025
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Feb 14, 2025
0756DMinimal harm, Isolated

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies

Corrected Feb 14, 2025
0757DMinimal harm, Isolated

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies

Corrected Feb 14, 2025
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 Feb 14, 2025
0881EMinimal harm, Pattern

Implement a program that monitors antibiotic use.

Infection Control Deficiencies

Corrected Feb 14, 2025
0882EMinimal harm, Pattern

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Infection Control Deficiencies

Corrected Feb 14, 2025
December 6, 2023Health4 deficiencies
0758DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Jan 17, 2024
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 Jan 11, 2024
0851FMinimal harm, Widespread

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Administration Deficiencies

Corrected Jan 19, 2024
0883EMinimal harm, Pattern

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

Infection Control Deficiencies

Corrected Jan 2, 2024
February 16, 2023Health7 deficiencies
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Mar 29, 2023
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Mar 29, 2023
0584EMinimal harm, Pattern

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Resident Rights Deficiencies

Corrected Mar 29, 2023
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Mar 29, 2023
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 Mar 29, 2023
0602DMinimal harm, Isolated

Protect each resident from the wrongful use of the resident's belongings or money.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Mar 29, 2023
0661DMinimal harm, Isolated

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 29, 2023

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Frequently Asked Questions

What is the CareGrader rating for GOOD SAMARITAN SOCIETY - WESTBROOK?

GOOD SAMARITAN SOCIETY - WESTBROOK in WESTBROOK, Minnesota has a CareGrader grade of C (Average), with a composite score of 75.3 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 - WESTBROOK?

GOOD SAMARITAN SOCIETY - WESTBROOK has an overall CMS star rating of 2 out of 5, a health inspection rating of 2/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does GOOD SAMARITAN SOCIETY - WESTBROOK have?

GOOD SAMARITAN SOCIETY - WESTBROOK has 19 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.

How many beds does GOOD SAMARITAN SOCIETY - WESTBROOK have?

GOOD SAMARITAN SOCIETY - WESTBROOK has 32 certified beds with approximately 27 current residents (84% occupancy). The facility is located at 149 FIRST STREET, BOX 218, WESTBROOK, Minnesota 56183. 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.