GOOD SAMARITAN SOCIETY - BLACKDUCK
GOOD SAMARITAN SOCIETY - BLACKDUCK is a 30-bed nursing home in BLACKDUCK, Minnesota. CMS has certified it for Medicare and Medicaid since 1992-04-01. It averages 27.6 residents a day.
What harm was found in the violations cited at GOOD SAMARITAN SOCIETY - BLACKDUCK?
CMS lists 23 health-inspection deficiencies for GOOD SAMARITAN SOCIETY - BLACKDUCK, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-07-01.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-07-01 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | J |
| 2025-10-31 | F0641, F0655, F0686 | Ensure each resident receives an accurate assessment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| 2025-08-20 | F0605, F0686, F0689, F0690, F0756 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D |
| 2024-06-13 | F0812, F0865, F0880, F0882 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Have a plan that describes the process for conducting QAPI and QAA activities. / Provide and implement an infection prevention and control program. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F |
| 2024-06-13 | F0623, F0625 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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 |
| 2024-02-07 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2023-08-10 | F0758 | 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. | E |
| 2023-08-10 | F0554, F0640, F0661, F0756, F0883 | Allow residents to self-administer drugs if determined clinically appropriate. / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| 2023-08-10 | F0641 | Ensure each resident receives an accurate assessment. | B |
Why was GOOD SAMARITAN SOCIETY - BLACKDUCK fined?
| Date | Type | Amount |
|---|---|---|
| 2026-07-01 | Fine | $22,205 |
How is GOOD SAMARITAN SOCIETY - BLACKDUCK staffed relative to the MN average?
| Measure | This facility | MN average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.00830 | 4.19318 |
| Total nursing staff turnover (%) | 53.7 | 42.2 |
| Average number of residents per day | 27.6 | 60.3 |
Who owns GOOD SAMARITAN SOCIETY - BLACKDUCK, and what chain is it in?
GOOD SAMARITAN SOCIETY - BLACKDUCK is registered with CMS as Non profit - Corporation, operates under the legal business name THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY and belongs to the GOOD SAMARITAN SOCIETY chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | SANFORD | since 01/01/2019 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | since 01/01/2019 |
| CORPORATE DIRECTOR | BROWN, GEORGE, DYKHOUSE, DANA, ENGBRECHT, WESLEY, GASSEN, WILLIAM, GULSVIG, NEIL, HERSETH SANDLIN, STEPHANIE, LUNDEEN, MARK, MCCAUSLAND, MAUREEN, MOLBERT, LAURIS, NORTH, ANDREW, SCHIEFFER, KEVIN, SHULKIN, DAVID, TEIKEN, BRENT, VENTLING-HERRMANN, MARNIE, WENZEL, THOMAS | since 01/01/2025 |
| CORPORATE OFFICER | FLUIT, JOEL, GASSEN, WILLIAM, MIDDLETON, AIMEE, OLSON, NICHOLAS, SCHEMA, NATHAN | since 01/01/2022 |
| OPERATIONAL/MANAGERIAL CONTROL | SANFORD, THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY, BILLUPS, SHERRY, BJERKE, BRANDON, MORRISON, TONY, SANDGREN, DEEANDRA | since 01/01/2019 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | FLUIT, JOEL | since 04/13/2026 |
| ADP OF THE SNF | DTN STAFFING INC, FOCUSONE SOLUTIONS, GRAPE TREE MEDICAL STAFFING LLC, SANFORD, THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY, BILLUPS, SHERRY, BJERKE, BRANDON, BROWN, GEORGE, DYKHOUSE, DANA, ENGBRECHT, WESLEY, FLUIT, JOEL, GASSEN, WILLIAM, GULSVIG, NEIL, HERSETH SANDLIN, STEPHANIE, LUNDEEN, MARK, MCCAUSLAND, MAUREEN, MIDDLETON, AIMEE, MOLBERT, LAURIS, MORRISON, TONY, NORTH, ANDREW, OLSON, NICHOLAS, SANDGREN, DEEANDRA, SCHEMA, NATHAN, SCHIEFFER, KEVIN, SHULKIN, DAVID, TEIKEN, BRENT, VENTLING-HERRMANN, MARNIE, WENZEL, THOMAS | since 01/01/2019 |
Were you or a family member harmed at GOOD SAMARITAN SOCIETY - BLACKDUCK?