GOOD SAMARITAN SOCIETY - WINDOM

Cottonwood · MN · Non profit - Corporation · GOOD SAMARITAN SOCIETY chain · 63 certified beds · CCN 245558 · THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY


GOOD SAMARITAN SOCIETY - WINDOM operates 63 certified beds in WINDOM, Minnesota. Its Medicare and Medicaid certification dates to 1991-05-01. It averages 54.6 residents a day.

What harm was found in the violations cited at GOOD SAMARITAN SOCIETY - WINDOM?

CMS lists 35 health-inspection deficiencies for GOOD SAMARITAN SOCIETY - WINDOM, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-02-12.

Survey dateTagDeficiencySeverity
2026-02-12F0868, F0880Have the Quality Assessment and Assurance group have the required members and meet at least quarterly / Provide and implement an infection prevention and control program.F
2026-02-12F0582, F0609, F0610Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations.E
2026-02-12F0578, F0605, F0628, F0638, F0645, F0684, F0685, F0695, F0755, F0756, F0759Honor 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. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Assure that each resident’s assessment is updated at least once every 3 months. / PASARR screening for Mental disorders or Intellectual Disabilities / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Assist a resident in gaining access to vision and hearing services. / Provide safe and appropriate respiratory care for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure medication error rates are not 5 percent or greater.D
2026-01-27F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.K
2026-01-27F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E
2026-01-27F0550, F0580, F0791, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide or obtain dental services for each resident. / Provide and implement an infection prevention and control program.D
2024-12-11F0880Provide and implement an infection prevention and control program.F
2024-12-11F0550, F0688, F0690Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2023-11-02F0801, F0812, F0880Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.F
2023-11-02F0554, F0641, F0677, F0684, F0688, F0847Allow residents to self-administer drugs if determined clinically appropriate. / Ensure each resident receives an accurate assessment. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.D

Why was GOOD SAMARITAN SOCIETY - WINDOM fined?

DateTypeAmount
2026-01-27Fine$194,680

Has GOOD SAMARITAN SOCIETY - WINDOM had payment denied by Medicare?

Payment denial startLength in days
2026-02-2620

How is GOOD SAMARITAN SOCIETY - WINDOM staffed?

MeasureThis facilityMN average
Total nurse staffing hours per resident per day4.467484.19318
Total nursing staff turnover (%)40.742.2
Average number of residents per day54.660.3

Who owns GOOD SAMARITAN SOCIETY - WINDOM, and what chain is it in?

GOOD SAMARITAN SOCIETY - WINDOM 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.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTSANFORDsince 01/01/2019
5% OR GREATER INDIRECT OWNERSHIP INTERESTTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETYsince 01/01/2019
CORPORATE DIRECTORBROWN, 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, THOMASsince 01/01/2025
CORPORATE OFFICERFLUIT, JOEL, GASSEN, WILLIAM, MIDDLETON, AIMEE, OLSON, NICHOLAS, SCHEMA, NATHANsince 01/01/2022
OPERATIONAL/MANAGERIAL CONTROLSANFORD, THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY, DYNES, RODNEY, MORRISON, TONY, SANDGREN, DEEANDRA, WEPPLO, NANCYsince 01/01/2019
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFFLUIT, JOELsince 04/06/2026
ADP OF THE SNFDTN STAFFING INC, FOCUSONE SOLUTIONS, GRAPE TREE MEDICAL STAFFING LLC, SANFORD, THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY, BROWN, GEORGE, DYKHOUSE, DANA, DYNES, RODNEY, 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, WEPPLO, NANCYsince 01/01/2019

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