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Good Samaritan Society - Waconia and Westview Acre

333 Fifth Street West, Waconia, MN 55387 · Carver County · (952) 442-5111

75 certified beds, about 70 residents a day · Non profit - Corporation · Medicare and Medicaid since 1980

Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 245234 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 26, 2026, inspectors cited 15 health deficiencies (the Minnesota average is 7.1, the national average 9.2).

Of 46 health citations since August 2024, 3 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 1 fine totaling $27,378 in the last three years; the largest was $27,378, and the latest is dated May 12, 2026.

Nurses and nurse aides worked 4.02 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 1.10 of those hours.

51.9% 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 46 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
39D
2E
1F
Potential for minimal harm
0A
0B
1C
May 12, 2026Complaint inspection · 2 citations
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview, observation, and document review the facility failed to provide adequate supervision creating a likelihood for potential serious harm, injury, impairment, or death for 1 of 3 residents (R1) who was assessed to be at risk for elopement on [DATE] and wore a Wander Guard bracelet (security device that prevents alerts staff if a resident at risk of wandering attempts to leaving a designated area) and eloped from the facility on [DATE]. The immediate jeopardy began on [DATE], when R1 exited the facility front door at 12:54 a.m., then was found by a community member lying in the parking lot of an apartment building. The facility identified R1 was missing when a county sheriff came to the facility at 2:56 a.m., showed R1's photo to staff, and staff discovered R1 was not in his bed. [...]
  2. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · 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) June 17, 2026
    Inspectors wroteBased on interview and document review, the facility failed to include complete and accurate information when assessing elopement risk for 1 of 3 residents (R1) reviewed for elopement.
March 26, 2026Standard inspection · 15 citations
  1. E
    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, pattern · Corrected (the home has a date of correction) April 30, 2026
    Inspectors wroteBased on record review and interview, the facility failed to develop and implement comprehensive, person-centered care plans that included all identified needs and appropriate interventions for 4 of 18 residents (R10, R25, R72, and R88) reviewed for care planning.
  2. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident was treated with dignity and respect by continuing use of a Wander Guard device in a manner that caused ongoing distress and failed to attempt alternative placement to reduce discomfort for 1 of 3 residents reviewed for dignity (R25).
  3. D
    Allow resident to participate in the development and implementation of his or her person-centered plan of care.
    F553 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2026
    Inspectors wroteBased on record review and interview, the facility failed to conduct the initial and quarterly care conferences for 1 of 18 residents (R60) reviewed for care conferences.
  4. D
    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
    F568 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2026
    Inspectors wroteBased on record review and interviews, the facility failed to provide quarterly statements to 1 of 1 resident (R36) reviewed for personal funds.
  5. D
    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
    F627 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2026
    Inspectors wroteBased on interview and document review, facility failed to contact provider for 1 of 2 residents (R82) who expressed a plan to discharge against medical advice (AMA). R82's care plan dated 1/9/26, indicated R82 wished to return home in community pending therapy outcomes. Interventions included facility to make arrangements with required community resources to support independence post-discharge for example home care, physical and/or occupational therapy. R82 required assistance with dressing, transfers, ambulation, bathing and toile use. R82's face sheet undated, indicated R82 had diagnoses which included diabetes, dizziness, anxiety, chronic pain, muscle weakness, falls, abnormal gait and mobility, need for assistance with personal care. [...]
  6. D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2026
    Inspectors wroteBased on record review and interview, the facility failed to ensure a discharge summary (recapitulation of stay) was completed for 1 of 1 resident (R80) reviewed for hospitalization who did not return to the facility and for 1 of 1 resident (R82) reviewed for transfer and discharge.
  7. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2026
    Inspectors wroteBased on record review and interview, the facility failed to develop and implement a baseline care plan within 48 hours of admission for 2 of 18 residents (R10 and R11) reviewed for care planning.
  8. 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) April 30, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to revise a comprehensive, person-centered care plan to reflect a change in mobility status for 1 of 1 resident (R25) reviewed for care planning related to wheelchair use.
  9. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2026
    Inspectors wroteBased on observation, interview and document review, the facility failed to ensure shaving was offered or provided for 1 of 1 residents (R15) reviewed for assistance with activities of daily living (ADLs). R15's quarterly Minimum Data Set (MDS) dated [DATE], indicated R15 had severe cognitive impairments and required staff assistance with ADLs. R15's diagnoses included diabetes, Parkinson's disease, dementia, anxiety and chronic pain. R15's care plan revised 3/7/26, indicated R15 had a self-care deficit related to Parkinson's disease with interventions that included resident required assistance from one staff for bathing, dressing and personal hygiene. On 3/23/26, at 11:25 a.m. observed R15 to have gray hairs on chin, above upper lip and below lower lip, about an inch in length. [...]
  10. 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) April 30, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure care and services were provided in accordance with professional standards of practice by not following provider-ordered edema management interventions, including assistance with application and removal of compression stockings, and by inaccurately documenting care on the Treatment Administration Record (TAR) for 1 of 3 residents (R25) reviewed for edema management.
  11. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure ongoing monitoring of pressure ulcers for 2 of 4 residents (R2 and R15) reviewed for pressure ulcers. This had the potential to delay identification of changes in wound status and impact timely interventions to promote healing. F686 Based on observation, interview, and record review the facility failed to ensure ongoing monitoring of pressure ulcers for 3 of 4 residents (R2, R15 and R 72) reviewed for pressure ulcers. This had the potential to delay identification of changes in wound status and impact timely interventions to promote healing.
  12. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2026
    Inspectors wroteBased on record review and interview, the facility failed to ensure effective communication of necessary clinical information to the dialysis center for 1 of 1 resident (R88) reviewed for dialysis services.
  13. D
    Provide care or services that was trauma informed and/or culturally competent.
    F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2026
    Inspectors wroteBased on record review and interview, the facility failed to ensure a trauma-informed care approach was implemented by not completing a trauma assessment upon admission for 1 of 1 resident (R10) reviewed for trauma-informed care.
  14. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2026
    Inspectors wroteBased on record review and interview, the facility failed to act upon consultant pharmacist recommendations in a timely manner related to completion of an Abnormal Involuntary Movement Scale (AIMS) assessment for 1 of 3 residents (R11) reviewed for unnecessary medications.
  15. 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) April 30, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to establish and implement an infection prevention and control program to prevent the spread of infection by not initiating Enhanced Barrier Precautions (EBP) per Centers for Disease Control (CDC) guidance. when indicated and failing to ensure staff followed EBP during resident care for 3 of 6 residents reviewed for infection control (R11, R46, and R88).
May 27, 2025Standard inspection, Complaint inspection · 18 citations
  1. G
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 4, 2025
    Inspectors wroteBased on record review, staff interviews, and policy review, the facility failed to ensure that medications were accurately identified and dispensed upon discharge, resulting in one resident (R214) being sent home with another resident's (R221) medications. This failure led to R214 ingesting medications not prescribed to her. This resulted in actual harm when R214 required emergency medical intervention and hospitalization due to hypotension (low blood pressure).
  2. G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview and document review the facility failed to assure that 1 of 3 residents (R213) reviewed for pressure ulcers received care and services to prevent occurrence of newly developed pressure ulcer. This failure resulted in actual harm to R213 when the facility failed to follow R213's care plan resulting in the development of a deep tissue injury (a type of pressure injury where the underlying tissue is damaged, but the skin may appear intact. It's characterized by a localized discoloration, often purple or maroon, and may have a blood-filled blister. deep tissue injury can develop into a larger, open wound, but it's initially a localized injury). Although noncompliance was present at the time of the event, the facility implemented appropriate corrective action prior to the survey resulting in a finding of past-noncompliance for R213.
  3. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) July 4, 2025
    Inspectors wroteBased on interview and document review, the facility failed to revise the care plan to include current behaviors for 1 of 1 residents (R51), toileting needs for 1 of 1 residents (R20), discontinued medications for 1 of 1 residents (R24), resident receiving tube feedings for 1 of 1 residents (R7), and falls for 1 of 1 residents (R55) in the sample whose care plans were reviewed.
  4. D
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    F604 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 4, 2025
    Inspectors wroteBased on observation, interview and document review, the facility failed to ensure pillows were not used in a manner to restrain residents while in bed for 1 of 1 resident (R21) reviewed for restraints.
  5. D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 4, 2025
    Inspectors wroteBased on interview, and document review, the facility failed to ensure pharmacy consultant (PharmD) gradual dose reduction (GDR) recommendation was communicated to the Hospice prescriber for 1 of 5 residents (R43) reviewed for unnecessary medications.
  6. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 4, 2025
    Inspectors wroteBased on interview and document review, the facility failed to ensure incidents were reported timely to the State agency (SA) for 2 of 4 residents (R213 and R214) whose incidents were reviewed.
  7. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 4, 2025
    Inspectors wroteBased on interview and document review the facility failed to thoroughly investigate and protect residents from an allegation of neglect for 1 of 4 residents (R214) whose incidents were reviewed.
  8. D
    Ensure each resident receives an accurate assessment.
    F641 · 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 4, 2025
    Inspectors wroteBased on interview and document review, the facility failed to ensure the Minimum Data Set (MDS) was accurately coded with the potential for inaccurate federal reimbursement and resident care planning for 2 of 2 residents (R49 and R59) reviewed for MDS accuracy.
  9. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 4, 2025
    Inspectors wroteBased on interview and document review, the facility failed to notify the county (designated state mental health authority) when 1 of 3 residents (R2) had a new on-set of mental illness.
  10. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · 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 4, 2025
    Inspectors wroteBased on interview and document review, the facility failed to complete and implement a baseline care plan within 48 hours of admission for 3 of 5 residents (R35. R41 and R215) reviewed for care plans.
  11. 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 · Corrected (the home has a date of correction) July 4, 2025
    Inspectors wroteBased on interview and document review, the facility failed to ensure a comprehensive, person-centered care plan was developed, accurate, and revised to assure assessed care needs were implemented for 1 of 2 residents (R35) reviewed for dialysis.
  12. 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 · found on a complaint visit · Corrected (the home has a date of correction) July 4, 2025
    Inspectors wroteBased on interview and document review, the facility failed to ensure as needed (PRN) medications were administered per physician's order for 1 of 1 resident (R20) reviewed for edema.
  13. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 4, 2025
    Inspectors wroteBased on interview, and document review, the facility failed to comprehensively assess and develop interventions to address falls for 1 of 1 residents (R55) identified to have repeated falls.
  14. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 4, 2025
    Inspectors wroteBased on interview and document review, the facility failed to ensure consulting pharmacist recommendations for as needed (PRN) anti-psychotic medications were acted upon and addressed in a timely manner for 1 of 5 residents (R43) reviewed for unnecessary medication use.
  15. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 4, 2025
    Inspectors wroteBased on observation, interview and document review, the facility failed to ensure orthostatic blood pressure monitoring was completed for 1 of 5 residents (R55) reviewed for unnecessary medication use and who consumed antipsychotic medication on a routine basis. In addition, the facility failed to routinely assess residents who received antipsychotic medications for signs and symptoms of tardive dyskinesia (disorder that results in involuntary repetitive body movements) for 1 of 5 residents (R215) reviewed for unnecessary medications.
  16. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 4, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure proper hand hygiene was performed during dining services for 1 of 1 resident (R1) reviewed for assistance with meal set-up.
  17. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 4, 2025
    Inspectors wroteBased on interview and document review, the facility failed to ensure recommended pneumococcal vaccinations, as outlined by the Centers for Disease Control (CDC), were offered and/or provided in a timely manner to reduce the risk of severe disease for 2 of 6 residents (R20 and R49) reviewed for immunizations.
  18. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) July 4, 2025
    Inspectors wroteBased on observation, interview and document review, the facility failed to consistently post the census on the nurse staff posting. This had the potential to affect all 69 residents residing in the facility and/or visitors who may wish to view the information.
February 27, 2025Complaint inspection · 3 citations
  1. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 24, 2025
    Inspectors wroteBased on observation, interview, and document review, the facility failed to comprehensively assess wounds with measurements and consistently implement interventions to promote healing of current pressure ulcers (PU) for 1 of 3 residents (R3).
  2. D
    Provide appropriate foot care.
    F687 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 24, 2025
    Inspectors wroteBased on observation, interview and document review, the facility failed to ensure ongoing, routine toenail care was provided to prevent potential foot-related complications for 1 of 3 residents (R1) reviewed who had long, unkept toenails.
  3. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 24, 2025
    Inspectors wroteBased on observation, interview and document review the facility failed to perform a comprehensive assessment of falls to include identifying a root cause and also failed to implement appropriate interventions to reduce the risk of falls for 2 of 3 residents (R2 and R4) reviewed for falls.
October 1, 2024Complaint inspection · 2 citations
  1. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 6, 2024
    Inspectors wroteBased on interview and document review, the facility failed to complete a thorough investigation for 2 of 3 residents (R5, R9) who reported concerns related to quality of care.
  2. 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 · found on a complaint visit · Corrected (the home has a date of correction) November 6, 2024
    Inspectors wroteBased on observation and interview, the facility failed to consistently administer medication in the time frame allotted (one hour before and after assigned time) for 1 of 2 residents, (R2), reviewed for receiving a combination medication used for treatment of Parkinson's disease (a brain disorder that causes unintended or uncontrollable movements, such as shaking, stiffness, and difficulty with balance and coordination).
August 15, 2024Standard inspection · 6 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) September 9, 2024
    Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure 3 of 4 kitchen fans were free of lint buildup and cleaned on a regular schedule. This had the potential to affect all the residents, staff, and visitors who consumed food from the main kitchen. Findings Include: During observation in the main kitchen on 8/14/24 at 9:21 a.m., fan #1 was attached near a corner of a wall, approximately 7 ½ feet off the ground, and slightly angled down. This fan moved air into the dish return and cleaning area. Fan #2 was attached near a corner of a wall, approximately 7 ½ feet off the ground, and slight angled down. This fan moved air by one refrigerator, one freezer, and into the steam tray holding area. Fan #3 was attached on a wall, approximately 7 ½ feet off the ground, and angled down. [...]
  2. D
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 9, 2024
    Inspectors wroteBased on observation, interview, and document review, the facility failed to maintain wheelchairs in a clean and sanitary manner for 2 of 2 residents (R20 and R15) reviewed for safe, clean, comfortable, and home-like environment and for 1 of 1 resident (R31) reviewed who had enteral feeding liquid spilled on the tube feeding (TF) pump and support legs of the pole.
  3. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 9, 2024
    Inspectors wroteBased on interview and document review, the facility failed to ensure the administrative staff and State Agency (SA) were notified immediately but no later than 2 hours of an allegation of abuse for 1 of 1 residents (R5) who reported abusive cares during toileting cares provided by staff.
  4. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 9, 2024
    Inspectors wroteBased on interview and document review, the facility failed to thoroughly investigate allegations of abuse and implement appropriate interventions for 1 of 1 residents (R5) reviewed for abuse allegations.
  5. 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) September 9, 2024
    Inspectors wroteBased on interview and document review, the facility failed to ensure appropriate orthostatic blood pressure monitoring was in place for 1 of 5 residents (R5) reviewed for psychotropic medications; in addition, the facility failed to implement bowel movement (BM) protocol for 1 of 4 residents (r43) reviewed for constipation.
  6. 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 9, 2024
    Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure proper infection control practice for 1 of 2 residents (R17) reviewed for urinary catheter care. In addition, the facility failed to utilize enhanced barrier precautions (EBP) for 1 of 4 residents (R33) reviewed for infection control.

Fire safety inspections

18 fire safety citations on file: 6 on March 26, 2026, 7 on May 27, 2025, 5 on August 15, 2024.

Every fire safety citation18 citations
  1. F
    Provide a written emergency evacuation plan.
    K 711 · March 26, 2026 · Corrected (the home has a date of correction)
  2. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · March 26, 2026 · Corrected (the home has a date of correction)
  3. E
    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 · March 26, 2026 · Corrected (the home has a date of correction)
  4. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 26, 2026 · Corrected (the home has a date of correction)
  5. E
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · March 26, 2026 · Corrected (the home has a date of correction)
  6. D
    Install corridor and hallway doors that block smoke.
    K 363 · March 26, 2026 · Corrected (the home has a date of correction)
  7. 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 27, 2025 · Corrected (the home has a date of correction)
  8. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 27, 2025 · Corrected (the home has a date of correction)
  9. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · May 27, 2025 · Corrected (the home has a date of correction)
  10. F
    Have simulated fire drills held at unexpected times.
    K 712 · May 27, 2025 · Corrected (the home has a date of correction)
  11. E
    Have proper medical gas storage and administration areas.
    K 923 · May 27, 2025 · Corrected (the home has a date of correction)
  12. D
    Have stairways and smokeproof enclosures used as exits that meet safety requirements.
    K 225 · May 27, 2025 · Corrected (the home has a date of correction)
  13. D
    Provide properly protected cooking facilities.
    K 324 · May 27, 2025 · Corrected (the home has a date of correction)
  14. F
    Install an approved automatic sprinkler system.
    K 351 · August 15, 2024 · Corrected (the home has a date of correction)
  15. F
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · August 15, 2024 · Corrected (the home has a date of correction)
  16. F
    Ensure proper usage of power strips and extension cords.
    K 920 · August 15, 2024 · Corrected (the home has a date of correction)
  17. F
    Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
    K 926 · August 15, 2024 · Corrected (the home has a date of correction)
  18. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · August 15, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
May 12, 2026Fine $27,378

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

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)4.024.193.86
Registered nurses1.101.060.69
All nursing staff on weekends3.563.713.42
Nurse aides2.48
Licensed practical nurses0.44
Nursing staff turnover (share who left in a year)51.9%42.2%45.8%
Registered nurse turnover54.2%38.6%42.9%
Administrators who left3

CMS expects 3.32 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 4.20 on weekdays and 3.56 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.12 in April to June 2025 to 4.02 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.021.104.203.56 0.6%0 of 9070
Oct to Dec 20253.731.153.893.32 0.0%0 of 9270
Jul to Sep 20254.111.214.313.59 0.0%0 of 9267
Apr to Jun 20254.121.184.313.64 0.0%0 of 9164
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
2.31.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
5.22.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
5.24.03.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.81.91.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
27.220.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
8.45.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
11.017.115.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
20.023.523.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
16.914.812.0

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
Giwojna, AlyssaOperational/managerial controlIndividual08/04/2025
McMichael, TaraOperational/managerial controlIndividual04/01/2018
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 SNFIndividual11/25/2025
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
Pharmerica CorporationAdp of the SNFOrganization02/01/2025
SanfordAdp of the SNFOrganization01/01/2019
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
Giwojna, AlyssaAdp of the SNFIndividual08/04/2025
Gulsvig, NeilAdp of the SNFIndividual05/30/2024
Herseth Sandlin, StephanieAdp of the SNFIndividual05/30/2024
Lundeen, MarkAdp of the SNFIndividual05/30/2024
McCausland, MaureenAdp of the SNFIndividual01/01/2025
McMichael, TaraAdp of the SNFIndividual04/01/2018
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 14 problems in this area, most recently on May 12, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 9 problems in this area, most recently on May 12, 2026: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 7 problems in this area, most recently on March 26, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  4. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 7 problems in this area, most recently on May 27, 2025: "Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.56 hours per resident per day, below the Minnesota average of 3.71.
  6. How long has the current administrator been here?CMS counts 3 administrators who left in the period it measured.

Other nursing homes nearby

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Common questions

What is Good Samaritan Society - Waconia and Westview Acre's Medicare star rating?
CMS rates Good Samaritan Society - Waconia and Westview Acre 2 out of 5 stars overall, with 2 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 - Waconia and Westview Acre get at its last inspection?
15 health deficiencies at the standard inspection on March 26, 2026. The Minnesota average is 7.1.
Has Good Samaritan Society - Waconia and Westview Acre been fined?
Yes. CMS lists 1 fine totaling $27,378 in the last three years.
Does Good Samaritan Society - Waconia and Westview Acre 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 - Waconia and Westview Acre?
CMS lists 56 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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