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Good Samaritan Society - Westbrook

149 First Street, Box 218, Westbrook, MN 56183 · Cottonwood County · (507) 274-6155

32 certified beds, about 31 residents a day · Non profit - Corporation · Medicare and Medicaid since 1992

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 245595 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 19, 2026, inspectors cited 2 health deficiencies (the Minnesota average is 7.1, the national average 9.2).

None of its 14 health citations since December 2023 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 3.55 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 0.67 of those hours.

29.0% 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 14 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
6D
3E
5F
Potential for minimal harm
0A
0B
0C
March 19, 2026Standard inspection, Complaint inspection · 2 citations
  1. F
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    F868 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 16, 2026
    Inspectors wroteBased on interview and document review, the facility failed to ensure the IP brought data forth measurable data to 1 of 1 Quality Assurance Performance Improvement (QAPI) committee. This had the potential to affect all 32 residents.
  2. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) April 16, 2026
    Inspectors wroteBased on observation, interview and document review the facility failed to provide surveillance and implement Transmission Based Precautions (TBP) for 7 of 7 residents (R6, R12, R16, R25, R29, R30 and R31) who were experiencing cold/respiratory signs and symptoms. The facility also failed to ensure nebulizer equipment was appropriately rinsed and dried after each use for 3 of 3 residents (R25, R29, and R30) and ensure appropriate cleaning and disinfection occurred for 1 of 1 multi-resident use whirlpool tub. This deficient practice had the ability to affect all 32 residents in the facility.
January 9, 2025Standard inspection, Complaint inspection · 8 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) February 14, 2025
    Inspectors wroteBased on observation, interview, and document review the facility failed to appropriately prepare unpasteurized eggs, monitor temperatures of food prior to serving, and to monitor the refrigerator and freezer temperatures to prevent food borne illnesses.
  2. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) February 14, 2025
    Inspectors wroteBased on observation, interview and document review the facility failed to have a current, ongoing, system of surveillance to identify potential outbreaks of infectious disease, ensure transmission based precautions were implemented timely, perform root cause analysis to identify patterns of illness in staff or residents, report an outbreak of Norovirus (highly contagious gastrointestinal (GI) virus that causes inflammation of the stomach and intestines), prohibit staff from returning to work until 72 hours from resolution of gastrointestinal symptoms occurred. and ensure 1 of 1 whirlpool tub was appropriately disinfected between resident use according to the manufacturer's directions. This had the potential to affect all 29 residents.
  3. E
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 14, 2025
    Inspectors wroteBased on interview and document review, the facility failed to develop an antibiotic stewardship program which included development of protocols and a system to monitor antibiotic use, to ensure appropriate antibiotics were utilized to prevent antibiotic resistance. This deficient practice had the potential to affect all 29 residents who resided in the facility.
  4. E
    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
    F882 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 14, 2025
    Inspectors wroteBased on interview and document review, the facility failed to ensure 1 of 1 infection preventionist (IP) had appropriate training and oversight of the infection control (IC) program to management by performing current, daily cumulative infection control surveillance activities, maintain documentation of incidents, findings, and any corrective actions required, and ensure the IC program continued in her absence.
  5. 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) February 14, 2025
    Inspectors wroteBased on observation, interview and document review, the facility failed to update the provider following re-development of an unstageable pressure area for 1 of 1 resident (R2).
  6. 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) February 14, 2025
    Inspectors wroteBased on observation, interview and document review the facility failed to prevent potential accident hazards for 2 of 2 residents (R7 and R19) due to wandering behaviors into unsecured areas containing hazardous substances.
  7. 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) February 14, 2025
    Inspectors wroteBased on interview and document review the facility failed to ensure that consultant pharmacist reviews were completed monthly for 3 of 5 residents (R10, R19, and R21) reviewed for unnecessary medications.
  8. 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) February 14, 2025
    Inspectors wroteBased on interview and document review the facility failed to investigate and/or document the justification for a prophylactic antibiotic for 1 of 1 resident (R7).
December 6, 2023Standard inspection · 4 citations
  1. F
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    F851 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 19, 2024
    Inspectors wroteBased on interview and document review, the facility failed to submit accurate and/or complete data for staffing information at least quarterly or more often, including information for agency and contract staff, based on payroll and other verifiable and auditable data during 1 of 1 quarter reviewed (Quarter 3) in Federal Fiscal Year 2023, to the Centers for Medicare and Medicaid Services (CMS), according to specifications established by CMS. The facility also failed to have a policy for PBJ that instructed how and when staff were to submit data and run verification reports to ensure data submitted was complete and accurate. This has the potential to affect all 34 residents residing in the facility.
  2. E
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 2, 2024
    Inspectors wroteBased on interview and document review, the facility failed to ensure 4 of 5 (R3, R4, R12 and R24) residents were appropriately vaccinated against pneumococcal disease upon admission and/or offered updated vaccination per Centers for Disease Control (CDC) vaccination recommendations.
  3. D
    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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 17, 2024
    Inspectors wroteBased on interview, and record review the facility failed to have an appropriate diagnosis and target behavior for the use of an antipsychotic medication for 1 of 5 residents reviewed (R21).
  4. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 11, 2024
    Inspectors wroteBased on observation, interview and document review, the facility failed to ensure 1 of 2 E-kits (emergency kit) did not have expired medication and also ensure staff removed expired medications from the medication carts. E-Kit Observation, interview, and document review on 12/4/23 at 7:16 p.m. with registered nurse (RN)-A in the medication room identified a locked emergency medication container. The E-kit medication list on back of the E-kit listed four packages, one tablet of tramadol 50 milligram pills, that had expired on 10/18/23. Review of E-kit log sheet indicated the local pharmacy last checked the E-kit on 10/20/23. RN-A stated E-kit medications were checked and replaced by the pharmacy for expired medication during their monthly visits. Interview on 12/05/23 at 1:11 p.m., with local licensed pharmacist (RPh)-A identified they agreed the E-kit had expired medication. [...]

Fire safety inspections

17 fire safety citations on file: 9 on March 19, 2026, 5 on January 9, 2025, 3 on December 6, 2023.

Every fire safety citation17 citations
  1. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · March 19, 2026 · Corrected (the home has a date of correction)
  2. F
    Provide properly protected cooking facilities.
    K 324 · March 19, 2026 · Corrected (the home has a date of correction)
  3. F
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · March 19, 2026 · Corrected (the home has a date of correction)
  4. F
    Have simulated fire drills held at unexpected times.
    K 712 · March 19, 2026 · Corrected (the home has a date of correction)
  5. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · March 19, 2026 · Corrected (the home has a date of correction)
  6. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · March 19, 2026 · Corrected (the home has a date of correction)
  7. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · March 19, 2026 · Corrected (the home has a date of correction)
  8. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · March 19, 2026 · Corrected (the home has a date of correction)
  9. D
    Install corridor and hallway doors that block smoke.
    K 363 · March 19, 2026 · Corrected (the home has a date of correction)
  10. F
    Have simulated fire drills held at unexpected times.
    K 712 · January 9, 2025 · Corrected (the home has a date of correction)
  11. F
    Have proper medical gas storage and administration areas.
    K 923 · January 9, 2025 · Corrected (the home has a date of correction)
  12. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · January 9, 2025 · Corrected (the home has a date of correction)
  13. E
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · January 9, 2025 · Corrected (the home has a date of correction)
  14. D
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · January 9, 2025 · Corrected (the home has a date of correction)
  15. F
    Conduct testing and exercise requirements.
    E 39 · December 6, 2023 · Corrected (the home has a date of correction)
  16. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · December 6, 2023 · Corrected (the home has a date of correction)
  17. D
    Have proper medical gas storage and administration areas.
    K 923 · December 6, 2023 · 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)3.554.193.86
Registered nurses0.671.060.69
All nursing staff on weekends2.973.713.42
Nurse aides2.19
Licensed practical nurses0.69
Nursing staff turnover (share who left in a year)29.0%42.2%45.8%
Registered nurse turnover40.0%38.6%42.9%
Administrators who left0

CMS expects 3.27 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 3.78 on weekdays and 2.97 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.57 in April to June 2025 to 3.55 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.550.673.782.97 0.1%0 of 9031
Oct to Dec 20253.830.724.073.22 0.6%0 of 9229
Jul to Sep 20253.760.563.933.33 0.3%0 of 9228
Apr to Jun 20253.570.453.743.15 0.8%1 of 9130
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
20.818.213.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.21.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.82.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.94.03.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.91.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
26.620.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
6.85.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
23.717.115.4

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
Kopperud, AndrewOperational/managerial controlIndividual02/01/2023
Morrison, TonyOperational/managerial controlIndividual01/01/2019
Sandgren, DeeandraOperational/managerial controlIndividual07/16/2023
Swanson, MaryOperational/managerial controlIndividual11/20/2023
Fluit, JoelIndividual is an owner, partner or trustee of any ADP of the SNFIndividual04/30/2026
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 SNFOrganization11/26/2025
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
Herseth Sandlin, StephanieAdp of the SNFIndividual05/30/2024
Kopperud, AndrewAdp of the SNFIndividual02/01/2023
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
Swanson, MaryAdp of the SNFIndividual11/20/2023
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. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 5 problems in this area, most recently on March 19, 2026: "Provide and implement an infection prevention and control program."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on January 9, 2025: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
  3. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 2 problems in this area, most recently on March 19, 2026: "Have the Quality Assessment and Assurance group have the required members and meet at least quarterly"
  4. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on January 9, 2025: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.97 hours per resident per day, below the Minnesota average of 3.71.

Other nursing homes nearby

Minnesota contacts for a concern about a nursing home

These are the official offices in Minnesota. NursingHomeClear cannot take or act on complaints.

Common questions

What is Good Samaritan Society - Westbrook's Medicare star rating?
CMS rates Good Samaritan Society - Westbrook 3 out of 5 stars overall, with 3 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 - Westbrook get at its last inspection?
2 health deficiencies at the standard inspection on March 19, 2026. The Minnesota average is 7.1.
Has Good Samaritan Society - Westbrook been fined?
CMS lists no fines in the last three years.
Does Good Samaritan Society - Westbrook 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 - Westbrook?
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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