Good Samaritan Society - Pine River
518 Jefferson Avenue, Pine River, MN 56474 · Cass County · (218) 587-4423
33 certified beds, about 29 residents a day · Non profit - Corporation · Medicare and Medicaid since 1987
CMS Care Compare ratings, data as of September 1, 2026 · CCN 245476 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 25, 2026, inspectors cited 1 health deficiency (the Minnesota average is 7.1, the national average 9.2).
None of its 8 health citations since January 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.51 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 1.16 of those hours.
44.1% of nursing staff left within the year CMS measured (Minnesota average 42.2%).
CMS links it to Good Samaritan Society, an affiliated group of 92 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 8 health citations on file.
March 25, 2026Standard inspection · 1 citation · risk-based survey (a shorter visit CMS gives only to higher performing homes)
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and document review the facility failed to ensure appropriate hand hygiene was used during personal cares for 1 of 1 resident (R3) reviewed for activities of daily living (ADL's).
February 5, 2025Standard inspection · 3 citations
- F Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Inspectors wroteBased on observation, interview, and document review the facility failed to ensure dietary staff were educated on the required dishwasher tempuratures for 4 of 5 staff (cook (CK)-A, dietary aide (DA)-A, DA-B, DA-C, dietary manager (DM) who used the dishwasher. This had the potential to affect all 26 residents who consumed foods from the kitchen.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and document review the facility failed to ensure the dishwasher rinse cycle reached or exceeded a tempurature to effectively sanitize dishes. This had the potential to affect 26 residents that consumed food from the kitchen.
- C Post nurse staffing information every day.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure the required nurse staffing information was consistently posted on a daily basis and failed to identify when the posting changed due to call ins. This had potential to affect all 26 residents along with staff and visitors who could wish to review this information.
April 5, 2024Complaint inspection · 1 citation
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and document review the facility filed to ensure timely reporting of allegations of abuse to the state agency (SA) for 2 of 3 residents (R2, R3) reviewed who alleged abuse at the facility.
January 9, 2024Standard inspection · 3 citations
- E Ensure each resident receives an accurate assessment.
Inspectors wroteBased on interview and document review, the facility failed to accurately code the Minimum Data Set (MDS) for 3 of 4 residents (R5, R21, R19) related to medications and 1 of 1 resident (R8) related to treatment who were reviewed for MDS accuracy.
- E Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on interview and document review, the facility failed to offer and provide the most recent Centers for Disease Control (CDC) education in conjunction with their provider regarding the potential risks and benefits of the pneumococcal vaccine for 4 of 5 residents (R1, R7, R16, R22) reviewed for immunizations. This had the potential to affect all residents who were eligible for the pneumococcal booster.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview and document review, the facility failed to assess, care plan, and obtain orders for 1 of 1 resident (R8) using a continuous positive airway pressure (CPAP) device.
Fire safety inspections
17 fire safety citations on file: 1 on March 25, 2026, 9 on February 5, 2025, 7 on January 9, 2024.
Every fire safety citation17 citations
- D Inspect, test, and maintain automatic sprinkler systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Provide a written emergency evacuation plan.
- E Install emergency lighting that can last at least 1 1/2 hours.
- E Have approved installation, maintenance and testing program for fire alarm systems.
- E Install corridor and hallway doors that block smoke.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Install proper backup exit lighting.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Ensure proper usage of power strips and extension cords.
- F Address subsistence needs for staff and patients.
- F Implement emergency and standby power systems.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Provide a written emergency evacuation plan.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Have generator or other power source capable of supplying service within 10 seconds.
- C Conduct testing and exercise requirements.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Minnesota | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.51 | 4.19 | 3.86 |
| Registered nurses | 1.16 | 1.06 | 0.69 |
| All nursing staff on weekends | 2.99 | 3.71 | 3.42 |
| Nurse aides | 1.69 | ||
| Licensed practical nurses | 0.66 | ||
| Nursing staff turnover (share who left in a year) | 44.1% | 42.2% | 45.8% |
| Registered nurse turnover | 36.4% | 38.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.58 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.71 on weekdays and 2.99 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.75 in April to June 2025 to 3.51 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.51 | 1.16 | 3.71 | 2.99 | 0.4% | 0 of 90 | 29 |
| Oct to Dec 2025 | 3.59 | 1.21 | 3.80 | 3.05 | 0.7% | 0 of 92 | 28 |
| Jul to Sep 2025 | 3.73 | 1.34 | 3.96 | 3.14 | 0.2% | 0 of 92 | 28 |
| Apr to Jun 2025 | 3.75 | 1.27 | 3.94 | 3.26 | 0.4% | 0 of 91 | 27 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Minnesota, Jan to Mar 2026 | 4.19 | 1.05 | 4.38 | 3.73 | 5.2% | 0.8% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Minnesota | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 10.8 | 18.2 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.9 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.4 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 7.7 | 4.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.8 | 1.9 | 1.6 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.2 | 5.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 22.2 | 17.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 28.5 | 23.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 27.0 | 14.8 | 12.0 |
Owners and operators
Legal business name: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY. CMS links this home to Good Samaritan Society, a group of 92 nursing homes averaging 3.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Sanford | 5% or greater direct ownership interest | Organization | 100% | 01/01/2019 |
| Brown, George | Corporate director | Individual | 01/01/2025 | |
| Dykhouse, Dana | Corporate director | Individual | 05/30/2024 | |
| Engbrecht, Wesley | Corporate director | Individual | 05/30/2024 | |
| Gassen, William | Corporate director | Individual | 05/30/2024 | |
| Gulsvig, Neil | Corporate director | Individual | 05/30/2024 | |
| Herseth Sandlin, Stephanie | Corporate director | Individual | 05/30/2024 | |
| Lundeen, Mark | Corporate director | Individual | 05/30/2024 | |
| McCausland, Maureen | Corporate director | Individual | 01/01/2025 | |
| Molbert, Lauris | Corporate director | Individual | 05/30/2024 | |
| North, Andrew | Corporate director | Individual | 05/30/2024 | |
| Schieffer, Kevin | Corporate director | Individual | 01/01/2025 | |
| Shulkin, David | Corporate director | Individual | 05/30/2024 | |
| Teiken, Brent | Corporate director | Individual | 05/30/2024 | |
| Ventling-Herrmann, Marnie | Corporate director | Individual | 05/30/2024 | |
| Wenzel, Thomas | Corporate director | Individual | 01/01/2025 | |
| Fluit, Joel | Corporate officer | Individual | 10/01/2022 | |
| Gassen, William | Corporate officer | Individual | 05/30/2024 | |
| Middleton, Aimee | Corporate officer | Individual | 01/27/2022 | |
| Olson, Nicholas | Corporate officer | Individual | 04/08/2024 | |
| Schema, Nathan | Corporate officer | Individual | 01/01/2022 | |
| The Evangelical Lutheran Good Samaritan Society | Operational/managerial control | Organization | 01/01/2019 | |
| Ahlf, Cierra | Operational/managerial control | Individual | 01/15/2024 | |
| Morrison, Tony | Operational/managerial control | Individual | 01/01/2019 | |
| Olson, Julie | Operational/managerial control | Individual | 10/16/2018 | |
| Sandgren, Deeandra | Operational/managerial control | Individual | 07/16/2023 | |
| Dtn Staffing Inc | Adp of the SNF | Organization | 08/02/2024 | |
| Focusone Solutions | Adp of the SNF | Organization | 03/04/2024 | |
| Grape Tree Medical Staffing LLC | Adp of the SNF | Organization | 04/13/2018 | |
| Guardian Pharmacy of Minnesota LLC | Adp of the SNF | Organization | 09/26/2024 | |
| Ahlf, Cierra | Adp of the SNF | Individual | 01/15/2024 | |
| Brown, George | Adp of the SNF | Individual | 01/01/2025 | |
| Dykhouse, Dana | Adp of the SNF | Individual | 05/30/2024 | |
| Engbrecht, Wesley | Adp of the SNF | Individual | 05/30/2024 | |
| Fluit, Joel | Adp of the SNF | Individual | 10/01/2022 | |
| Gassen, William | Adp of the SNF | Individual | 05/30/2024 | |
| Gulsvig, Neil | Adp of the SNF | Individual | 05/30/2024 | |
| Herseth Sandlin, Stephanie | Adp of the SNF | Individual | 05/30/2024 | |
| Lundeen, Mark | Adp of the SNF | Individual | 05/30/2024 | |
| McCausland, Maureen | Adp of the SNF | Individual | 01/01/2025 | |
| Middleton, Aimee | Adp of the SNF | Individual | 01/27/2022 | |
| Molbert, Lauris | Adp of the SNF | Individual | 05/30/2024 | |
| Morrison, Tony | Adp of the SNF | Individual | 01/01/2019 | |
| North, Andrew | Adp of the SNF | Individual | 05/30/2024 | |
| Olson, Julie | Adp of the SNF | Individual | 10/16/2018 | |
| Olson, Nicholas | Adp of the SNF | Individual | 04/08/2024 | |
| Sandgren, Deeandra | Adp of the SNF | Individual | 07/16/2023 | |
| Schema, Nathan | Adp of the SNF | Individual | 01/01/2022 | |
| Schieffer, Kevin | Adp of the SNF | Individual | 01/01/2025 | |
| Shulkin, David | Adp of the SNF | Individual | 05/30/2024 | |
| Teiken, Brent | Adp of the SNF | Individual | 05/30/2024 | |
| Ventling-Herrmann, Marnie | Adp of the SNF | Individual | 05/30/2024 | |
| Wenzel, Thomas | Adp of the SNF | Individual | 01/01/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on March 25, 2026: "Provide and implement an infection prevention and control program."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on February 5, 2025: "Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on February 5, 2025: "Post nurse staffing information every day."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on April 5, 2024: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.99 hours per resident per day, below the Minnesota average of 3.71.
Minnesota contacts for a concern about a nursing home
These are the official offices in Minnesota. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Minnesota Department of Health, Health Regulation Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
- State inspection reports: MDH Nursing and Boarding Care Home Survey and Complaint Inspection Findings, where Minnesota publishes its own records on licensed homes.
Common questions
- What is Good Samaritan Society - Pine River's Medicare star rating?
- CMS rates Good Samaritan Society - Pine River 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Good Samaritan Society - Pine River get at its last inspection?
- 1 health deficiency at the standard inspection on March 25, 2026. The Minnesota average is 7.1.
- Has Good Samaritan Society - Pine River been fined?
- CMS lists no fines in the last three years.
- Does Good Samaritan Society - Pine River accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Good Samaritan Society - Pine River?
- CMS lists 53 owners and managers, and links the home to Good Samaritan Society. Legal business name: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.