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Good Samaritan Society - St. James

1000 South Second Street, St. James, MN 56081 · Watonwan County · (507) 375-3286

42 certified beds, about 36 residents a day · Non profit - Corporation · Medicare and Medicaid since 1992

Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 245593 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 28, 2026, inspectors cited 1 health deficiency (the Minnesota average is 7.1, the national average 9.2).

None of its 11 health citations since July 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 3.32 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 0.75 of those hours.

34.4% 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.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

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 11 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
9D
1E
0F
Potential for minimal harm
0A
0B
1C
July 28, 2026Standard inspection · 1 citation
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 21, 2026
    Inspectors wroteBased on interview and document review, the facility failed to provide supervision and supply adequate resources to protect skin from sun exposure for 1 of 1 resident reviewed for hospitalization.
May 29, 2025Standard inspection, Complaint inspection · 7 citations
  1. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) July 9, 2025
    Inspectors wroteBased on observation, interview and document review, the facility failed to implement bowel movement (BM) orders or notify the provider for 1 of 1 resident (R2) reviewed for constipation. In addition the facility failed to to administer eye drops according to professional standards of practice for 2 of 3 residents (R7, R133) reviewed for medication administration. In addition, the facility failed to comprehensively assess and monitor significant bruising and a contusion for 1 of 1 resident (R4) reviewed for non-pressure skin conditions. Further, the facility failed to perform quality controls on glucometers used to assess resident blood glucose for 1 of 3 residents (R7) reviewed for insulin.
  2. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 9, 2025
    Inspectors wroteBased on interview and document review, the facility failed to notify the resident representative and the medical provider following a fall with potential injury for 1 of 1 resident (R132) reviewed for notification of change.
  3. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 9, 2025
    Inspectors wroteBased on observation, interview and document review the facility failed to ensure a comprehensive care plan was developed and maintained for 1 of 1 resident (R2) reviewed reviewed for constipation.
  4. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 9, 2025
    Inspectors wroteBased on interview and document review, the facility failed to have an admission or quarterly care conference or invite and/or involve the resident and/or family representative to participate in their quarterly care conference for 3 of 3 residents (R26, R3, and R4) reviewed for care planning.
  5. D
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    F676 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 9, 2025
    Inspectors wroteBased of observation, interview, and record review, the facility failed to assist with personal hygiene (oral care, shaving) as directed by the plan of care for 2 of 2 resident (R12, R25) reviewed for activities of daily living (ADLs).
  6. D
    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.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 9, 2025
    Inspectors wroteBased on observation, interview and document review, the facility failed to provide services to maintain and/or prevent loss of range of motion (ROM) for 1 of 2 residents (R7) reviewed for limited range of motion.
  7. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 9, 2025
    Inspectors wroteBased on observation, interview and document review, the facility failed to ensure proper infection control practices were followed for 1 of 1 resident (R12) reviewed for infection control when the tip of urinary drainage tubing was observed laying on the bathroom floor. In addition, the facility failed to clean and maintain reusable urinary drainage bags to minimize the potential for infection for R12.
July 25, 2024Standard inspection · 3 citations
  1. D
    Give residents a notice of rights, rules, services and charges.
    F572 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 3, 2024
    Inspectors wroteBased on interview and document review, the facility failed to provide ongoing communication to residents about their rights (e.g., through resident groups) for 4 of 4 residents (R18, R25, R9, R22) who attended the council meetings.
  2. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 3, 2024
    Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure enhanced barrier precautions (EBP) were followed for 1 of 1 resident (R28) who had an indwelling catheter.
  3. C
    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
    F577 · Resident Rights · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) September 3, 2024
    Inspectors wroteBased on observation and interview, the facility failed to ensure state agency (SA) survey results were available for 4 of 31 residents (R18, R25, R9, R22) who attended resident council meetings. This had the potential to affect all 31 residents and families that may wish to review the results.

Fire safety inspections

9 fire safety citations on file: 4 on July 28, 2026, 5 on May 29, 2025.

Every fire safety citation9 citations
  1. F
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · July 28, 2026 · deficient, provider has
  2. F
    Install an approved automatic sprinkler system.
    K 351 · July 28, 2026 · deficient, provider has
  3. E
    Ensure proper usage of power strips and extension cords.
    K 920 · July 28, 2026 · deficient, provider has
  4. B
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · July 28, 2026 · deficient, provider has
  5. F
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · May 29, 2025 · Corrected (the home has a date of correction)
  6. F
    Properly provide smoke detection systems in areas open to corridors.
    K 347 · May 29, 2025 · Corrected (the home has a date of correction)
  7. F
    Have properly installed electrical wiring and gas equipment.
    K 511 · May 29, 2025 · Corrected (the home has a date of correction)
  8. F
    Provide a written emergency evacuation plan.
    K 711 · May 29, 2025 · Corrected (the home has a date of correction)
  9. D
    Install corridor and hallway doors that block smoke.
    K 363 · May 29, 2025 · Corrected (the home has a date of correction)

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.

MeasureThis homeMinnesotaUnited States
All nursing staff (RN, LPN and aides)3.324.193.86
Registered nurses0.751.060.69
All nursing staff on weekends2.953.713.42
Nurse aides2.18
Licensed practical nurses0.40
Nursing staff turnover (share who left in a year)34.4%42.2%45.8%
Registered nurse turnover0.0%38.6%42.9%
Administrators who left1

CMS expects 3.00 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 3.48 on weekdays and 2.95 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.64 in April to June 2025 to 3.32 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.320.753.482.95 0.3%0 of 9036
Oct to Dec 20253.460.813.613.07 0.2%0 of 9232
Jul to Sep 20253.700.883.853.30 0.2%0 of 9229
Apr to Jun 20253.640.863.793.25 0.0%0 of 9129
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Minnesota, Jan to Mar 20264.191.054.383.735.2%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.

MeasureThis homeMinnesotaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
26.718.213.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
5.61.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
3.02.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.04.03.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.61.91.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
31.620.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.15.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
18.717.115.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
6.323.523.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
21.214.812.0

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.

NameRoleTypeShareSince
Sanford5% or greater direct ownership interestOrganization100%01/01/2019
The Evangelical Lutheran Good Samaritan Society5% or greater indirect ownership interestOrganization100%01/01/2019
Brown, GeorgeCorporate directorIndividual01/01/2025
Dykhouse, DanaCorporate directorIndividual05/30/2024
Engbrecht, WesleyCorporate directorIndividual05/30/2024
Gassen, WilliamCorporate directorIndividual05/30/2024
Gulsvig, NeilCorporate directorIndividual05/30/2024
Herseth Sandlin, StephanieCorporate directorIndividual05/30/2024
Lundeen, MarkCorporate directorIndividual05/30/2024
McCausland, MaureenCorporate directorIndividual01/01/2025
Molbert, LaurisCorporate directorIndividual05/30/2024
North, AndrewCorporate directorIndividual05/30/2024
Schieffer, KevinCorporate directorIndividual01/01/2025
Shulkin, DavidCorporate directorIndividual05/30/2024
Teiken, BrentCorporate directorIndividual05/30/2024
Ventling-Herrmann, MarnieCorporate directorIndividual05/30/2024
Wenzel, ThomasCorporate directorIndividual01/01/2025
Fluit, JoelCorporate officerIndividual10/01/2022
Gassen, WilliamCorporate officerIndividual05/30/2024
Middleton, AimeeCorporate officerIndividual01/27/2022
Olson, NicholasCorporate officerIndividual04/08/2024
Schema, NathanCorporate officerIndividual01/01/2022
Hanson, MeeganOperational/managerial controlIndividual09/05/2023
Langbehn, JenniferOperational/managerial controlIndividual10/19/2022
Morrison, TonyOperational/managerial controlIndividual01/01/2019
Sandgren, DeeandraOperational/managerial controlIndividual07/16/2023
Fluit, JoelIndividual is an owner, partner or trustee of any ADP of the SNFIndividual05/13/2026
Dtn Staffing IncAdp of the SNFOrganization08/02/2024
Focusone SolutionsAdp of the SNFOrganization03/04/2024
Grape Tree Medical Staffing LLCAdp of the SNFOrganization04/13/2018
SanfordAdp of the SNFOrganization12/19/2025
The Evangelical Lutheran Good Samaritan SocietyAdp of the SNFOrganization01/01/2019
Brown, GeorgeAdp of the SNFIndividual01/01/2025
Dykhouse, DanaAdp of the SNFIndividual05/30/2024
Engbrecht, WesleyAdp of the SNFIndividual05/30/2024
Fluit, JoelAdp of the SNFIndividual10/01/2022
Gassen, WilliamAdp of the SNFIndividual05/30/2024
Gulsvig, NeilAdp of the SNFIndividual05/30/2024
Hanson, MeeganAdp of the SNFIndividual09/05/2023
Herseth Sandlin, StephanieAdp of the SNFIndividual05/30/2024
Langbehn, JenniferAdp of the SNFIndividual10/19/2022
Lundeen, MarkAdp of the SNFIndividual05/30/2024
McCausland, MaureenAdp of the SNFIndividual01/01/2025
Middleton, AimeeAdp of the SNFIndividual01/27/2022
Molbert, LaurisAdp of the SNFIndividual05/30/2024
Morrison, TonyAdp of the SNFIndividual01/01/2019
North, AndrewAdp of the SNFIndividual05/30/2024
Olson, NicholasAdp of the SNFIndividual04/08/2024
Sandgren, DeeandraAdp of the SNFIndividual07/16/2023
Schema, NathanAdp of the SNFIndividual01/01/2022
Schieffer, KevinAdp of the SNFIndividual01/01/2025
Shulkin, DavidAdp of the SNFIndividual05/30/2024
Teiken, BrentAdp of the SNFIndividual05/30/2024
Ventling-Herrmann, MarnieAdp of the SNFIndividual05/30/2024
Wenzel, ThomasAdp of the SNFIndividual01/01/2025

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on July 28, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on May 29, 2025: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on May 29, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  4. 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 May 29, 2025: "Provide and implement an infection prevention and control program."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.95 hours per resident per day, below the Minnesota average of 3.71.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

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Common questions

What is Good Samaritan Society - St. James's Medicare star rating?
CMS rates Good Samaritan Society - St. James 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Good Samaritan Society - St. James get at its last inspection?
1 health deficiency at the standard inspection on July 28, 2026. The Minnesota average is 7.1.
Has Good Samaritan Society - St. James been fined?
CMS lists no fines in the last three years.
Does Good Samaritan Society - St. James 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 - St. James?
CMS lists 55 owners and managers, and links the home to Good Samaritan Society. Legal business name: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY.

Sources

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