Home / North Dakota / New Rockford
Lutheran Home of the Good Shepherd
1226 1st Ave N, New Rockford, ND 58356 · Eddy County · (701) 947-2944
51 certified beds, about 47 residents a day · Non profit - Corporation · Medicare and Medicaid since 1978
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 355041 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 28, 2025, inspectors cited 3 health deficiencies (the North Dakota average is 5.6, the national average 9.2).
Of 9 health citations since June 2023, 3 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 3 fines totaling $31,829 in the last three years; the largest was $13,609, and the latest is dated August 28, 2025.
Nurses and nurse aides worked 4.47 hours per resident per day, against 4.42 across North Dakota and 3.86 nationally. Registered nurses accounted for 1.06 of those hours.
52.5% of nursing staff left within the year CMS measured (North Dakota average 48.8%).
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.
006/23
507/24
106/25
308/25
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 9 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
6D
0E
0F
Potential for minimal harm
0A
0B
0C
August 28, 2025Standard inspection · 3 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteThis REQUIREMENT is NOT MET as evidenced by:Based on record review, review of facility policy, and staff interview, the facility failed to provide adequate supervision and assistive devices to prevent accidents for 1 of 1 sampled resident (Resident #36) who was injured during van transport. Failure to provide the appropriate level of assistance ensuring Resident #36's extremities remained within the frame of the wheelchair/were supported while loading her into the van, resulted in a major injury to her left foot.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, record review, review of facility policy, review of professional reference, and staff interview, the facility failed to ensure staff followed professional standards of practice for 2 of 4 sampled residents (Resident #6 and #36) observed during medication administration. Failure to prime insulin pens correctly and failure to administer medications at the scheduled times may impede the therapeutic effectiveness of the medications.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, review of facility policy, and staff interview, the facility failed to follow standards of infection control and prevention for 2 of 14 sampled residents (Resident #3 and #6) observed during cares. Failure to practice infection control standards related to hand hygiene and glove use has the potential to spread infection throughout the facility.
June 4, 2025Complaint inspection · 1 citation
- G Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on review of a facility reported incident (FRI) investigation, record review, review of facility policy review, and staff interview, the facility failed to ensure residents have the right to remain free from possible physical abuse/neglect for 1 of 1 sampled resident (Resident #3) with a fracture or unknown source. Failure to provide necessary service to protect residents from physical harm resulted in Resident #3 sustaining a fracture from an unknown source. This citation is considered past non-compliance based on review of the corrective action the facility implemented immediately following discovery of the incident.
July 10, 2024Standard inspection, Complaint inspection · 5 citations
- J Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, review of manufacturer's instructions, and staff interview, the facility failed to follow infection control standards for 3 of 3 residents (Resident #7, #8, and #41) observed during blood glucose testing. Failure to properly disinfect glucometers may result in the spread of bloodborne pathogens between residents. During the on-site recertification survey, the team consulted with the State Survey Agency (SSA) and determined an Immediate Jeopardy (IJ) situation existed on 07/08/24 at 5:55 p.m. The IJ resulted from a staff member improperly cleaning a glucometer and attempting to use it with another resident. This finding placed residents in immediate danger due to the potential for exposure to bloodborne pathogens. [...]
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, record review, review of facility policy, and staff interview, the facility failed to review and revise the care plans to reflect residents' current status for 1 of 12 sampled residents (Resident #24). Failure to review and revise the care plan limited staff's ability to communicate needs, ensure continuity of care, and may negatively impact the care provided to the resident.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, record review, review of facility policy, review of professional reference, and staff interview, the facility failed to follow professional standards of practice for 1 of 1 sampled residents (Resident #15) observed receiving a topical medication and 1 supplemental resident (Resident #6) observed during medication administration. Failure to obtain a physician's order and to properly administer medications may result in a resident receiving an ineffective dose and/or experiencing adverse reactions.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wrote1. Based on observation and staff interview, the facility failed to ensure an environment free from accident hazards on 1 of 1 special care unit. Failure to ensure residents do not have access to laundry and soiled utility rooms placed them at risk for exposure to chemicals and other accident hazards.
- 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.
Inspectors wroteBased on observation, review of professional reference, and staff interview, the facility failed to label medications in accordance with professional standards for 2 of 4 supplemental residents (Resident #8 and #22) observed during medication pass. Failure to ensure appropriate labeling of medications placed residents at risk for medication errors.
June 21, 2023Standard inspection · 0 citations
Fire safety inspections
3 fire safety citations on file: 2 on July 10, 2024, 1 on June 21, 2023.
Every fire safety citation3 citations
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Have generator or other power source capable of supplying service within 10 seconds.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| August 28, 2025 | Fine | $9,110 |
| June 4, 2025 | Fine | $9,110 |
| July 10, 2024 | Fine | $13,609 |
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.
| Measure | This home | North Dakota | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.47 | 4.42 | 3.86 |
| Registered nurses | 1.06 | 0.93 | 0.69 |
| All nursing staff on weekends | 3.75 | 3.80 | 3.42 |
| Nurse aides | 2.93 | ||
| Licensed practical nurses | 0.48 | ||
| Nursing staff turnover (share who left in a year) | 52.5% | 48.8% | 45.8% |
| Registered nurse turnover | 41.7% | 40.3% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.02 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 4.76 on weekdays and 3.75 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 20.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.52 in April to June 2025 to 4.47 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 | 4.47 | 1.06 | 4.76 | 3.75 | 20.9% | 0 of 90 | 47 |
| Oct to Dec 2025 | 4.71 | 0.94 | 5.04 | 3.86 | 28.9% | 0 of 92 | 46 |
| Jul to Sep 2025 | 4.35 | 0.87 | 4.63 | 3.63 | 40.2% | 0 of 92 | 47 |
| Apr to Jun 2025 | 4.52 | 0.92 | 4.80 | 3.80 | 41.2% | 0 of 91 | 46 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| North Dakota, Jan to Mar 2026 | 4.57 | 0.92 | 4.81 | 3.96 | 11.7% | 0.2% 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 | North Dakota | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 12.9 | 19.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 3.8 | 1.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.5 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.3 | 5.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 6.3 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.8 | 17.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.2 | 4.9 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 19.3 | 22.7 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.9 | 1.8 |
Owners and operators
Legal business name: LUTHERAN HOME OF THE GOOD SHEPHERD INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Allmaras, Dianne | Corporate director | Individual | 11/01/2011 | |
| Anderson, Karen | Corporate director | Individual | 01/01/2021 | |
| Birkland, Karen | Corporate director | Individual | 10/01/2019 | |
| Bollingberg, Nancy | Corporate director | Individual | 10/01/2019 | |
| Guler, Josh | Corporate director | Individual | 10/01/2019 | |
| Hegland, Amanda | Corporate director | Individual | 10/01/2019 | |
| Labrensz, Jeffrey | Corporate director | Individual | 10/01/2019 | |
| Lutz, Lona | Corporate director | Individual | 10/01/2019 | |
| Parson, Lori | Corporate director | Individual | 01/01/2021 | |
| Rau, Richard | Corporate director | Individual | 10/01/2019 | |
| Schuster, Fern | Corporate director | Individual | 01/01/2021 | |
| Jensrud, Kim | Corporate officer | Individual | 03/11/2013 | |
| O'Connor, Kathleen | Corporate officer | Individual | 10/01/2019 | |
| Swanson, Dennis | Corporate officer | Individual | 10/01/2019 | |
| Wolkenhauer, Carol | Corporate officer | Individual | 10/01/2019 | |
| Lutheran Home of the Good Shepherd Inc | Operational/managerial control | Organization | 10/28/2009 | |
| Jensrud, Kim | Operational/managerial control | Individual | 03/11/2013 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on August 28, 2025: "Ensure services provided by the nursing facility meet professional standards of quality."
- 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 August 28, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- 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 August 28, 2025: "Provide and implement an infection prevention and control program."
- 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 June 4, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.75 hours per resident per day, below the North Dakota average of 3.80.
Other nursing homes nearby
- Golden Acres Manor Carrington, 19.3 mi · 2 of 5 stars · 12 citations
North Dakota contacts for a concern about a nursing home
These are the official offices in North Dakota. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: North Dakota Health and Human Services, Health Facilities Unit, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: North Dakota Long-Term Care Ombudsman Program, (855) 462-5465. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: North Dakota Deficiency Statement Search, where North Dakota publishes its own records on licensed homes.
Common questions
- What is Lutheran Home of the Good Shepherd's Medicare star rating?
- CMS rates Lutheran Home of the Good Shepherd 3 out of 5 stars overall, with 2 for health inspections, 5 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Lutheran Home of the Good Shepherd get at its last inspection?
- 3 health deficiencies at the standard inspection on August 28, 2025. The North Dakota average is 5.6.
- Has Lutheran Home of the Good Shepherd been fined?
- Yes. CMS lists 3 fines totaling $31,829 in the last three years.
- Does Lutheran Home of the Good Shepherd 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 Lutheran Home of the Good Shepherd?
- CMS lists 17 owners and managers. Legal business name: LUTHERAN HOME OF THE GOOD SHEPHERD INC.
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.