Good Samaritan Society - Pine River
Nursing Home · Pine River, MN
CMS certification number245476
Contact & location
518 Jefferson AvenuePine River, MN 56474
Cass County
- Phone
- (218) 587-4423
- ZIP code
- 56474 – all care providers
Facility details
- Certified beds
- 33
- Residents per day
- 29.1 (88% occupied)
- Ownership
- Non profit - Corporation
- Legal name
- The Evangelical Lutheran Good Samaritan Society
- Chain
- Good Samaritan Society (92 facilities, avg 3.0★)
- Medicare certified since
- May 1, 1987
- Participates in
- Medicare and Medicaid
- Council
- Both council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.51 (state 4.19 · U.S. 3.86)
- Registered nurses (RN)
- 1.16 (state 1.06 · U.S. 0.69)
- Licensed practical nurses
- 0.66 (state 0.61 · U.S. 0.86)
- Nurse aides
- 1.69 (state 2.52 · U.S. 2.32)
- Weekend total
- 2.99 (state 3.71 · U.S. 3.42)
- Nursing staff turnover
- 44.1 (state 42.2 · U.S. 45.8)%
- RN turnover
- 36.4 (state 38.6 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- March 25, 2026
- Health deficiencies (last cycle)
- 1.0 (state 7.0 · U.S. 9.3)
- From complaints
- 0
- Citations on record (3 years)
- 8 health · 17 fire safety
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-03-25 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-10 |
| 2025-02-05 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. F0801 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-03-11 |
| 2025-02-05 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-03-11 |
| 2025-02-05 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies |
C No actual harm, potential for minimal harm |
Corrected 2025-03-12 |
| 2024-04-05 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-05 |
| 2024-01-09 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-01-29 |
| 2024-01-09 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-01-29 |
| 2024-01-09 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-29 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
No federal fines or payment denials in the last three years.
Ownership & management
| Name | Role | Since |
|---|---|---|
| Sanford (organization) | 5%+ Direct Ownership Interest · 100% | |
| Ahlf, Cierra (individual) | Administrator · NOT APPLICABLE | |
| Brown, George (individual) | Administrator · NOT APPLICABLE | |
| DTN Staffing INC (organization) | Administrator · NOT APPLICABLE | |
| Dykhouse, Dana (individual) | Administrator · NOT APPLICABLE | |
| Engbrecht, Wesley (individual) | Administrator · NOT APPLICABLE | |
| Fluit, Joel (individual) | Administrator · NOT APPLICABLE | |
| Focusone Solutions (organization) | Administrator · NOT APPLICABLE | |
| Gassen, William (individual) | Administrator · NOT APPLICABLE | |
| Grape Tree Medical Staffing LLC (organization) | Administrator · NOT APPLICABLE | |
| Guardian Pharmacy of Minnesota LLC (organization) | Administrator · NOT APPLICABLE | |
| Gulsvig, Neil (individual) | Administrator · NOT APPLICABLE | |
| Herseth Sandlin, Stephanie (individual) | Administrator · NOT APPLICABLE | |
| Lundeen, Mark (individual) | Administrator · NOT APPLICABLE | |
| McCausland, Maureen (individual) | Administrator · NOT APPLICABLE | |
| Middleton, Aimee (individual) | Administrator · NOT APPLICABLE | |
| Molbert, Lauris (individual) | Administrator · NOT APPLICABLE | |
| Morrison, Tony (individual) | Administrator · NOT APPLICABLE | |
| North, Andrew (individual) | Administrator · NOT APPLICABLE | |
| Olson, Julie (individual) | Administrator · NOT APPLICABLE | |
| Olson, Nicholas (individual) | Administrator · NOT APPLICABLE | |
| Sandgren, Deeandra (individual) | Administrator · NOT APPLICABLE | |
| Schema, Nathan (individual) | Administrator · NOT APPLICABLE | |
| Schieffer, Kevin (individual) | Administrator · NOT APPLICABLE | |
| Shulkin, David (individual) | Administrator · NOT APPLICABLE | |
| Teiken, Brent (individual) | Administrator · NOT APPLICABLE | |
| Ventling-Herrmann, Marnie (individual) | Administrator · NOT APPLICABLE | |
| Wenzel, Thomas (individual) | Administrator · NOT APPLICABLE | |
| Brown, George (individual) | Corporate Director · NOT APPLICABLE | |
| Dykhouse, Dana (individual) | Corporate Director · NOT APPLICABLE | |
| Engbrecht, Wesley (individual) | Corporate Director · NOT APPLICABLE | |
| Gassen, William (individual) | Corporate Director · NOT APPLICABLE | |
| Gulsvig, Neil (individual) | Corporate Director · NOT APPLICABLE | |
| Herseth Sandlin, Stephanie (individual) | Corporate Director · NOT APPLICABLE | |
| Lundeen, Mark (individual) | Corporate Director · NOT APPLICABLE | |
| McCausland, Maureen (individual) | Corporate Director · NOT APPLICABLE | |
| Molbert, Lauris (individual) | Corporate Director · NOT APPLICABLE | |
| North, Andrew (individual) | Corporate Director · NOT APPLICABLE | |
| Schieffer, Kevin (individual) | Corporate Director · NOT APPLICABLE | |
| Shulkin, David (individual) | Corporate Director · NOT APPLICABLE | |
| Teiken, Brent (individual) | Corporate Director · NOT APPLICABLE | |
| Ventling-Herrmann, Marnie (individual) | Corporate Director · NOT APPLICABLE | |
| Wenzel, Thomas (individual) | Corporate Director · NOT APPLICABLE | |
| Fluit, Joel (individual) | Corporate Officer · NOT APPLICABLE | |
| Gassen, William (individual) | Corporate Officer · NOT APPLICABLE | |
| Middleton, Aimee (individual) | Corporate Officer · NOT APPLICABLE | |
| Olson, Nicholas (individual) | Corporate Officer · NOT APPLICABLE | |
| Schema, Nathan (individual) | Corporate Officer · NOT APPLICABLE | |
| Ahlf, Cierra (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Morrison, Tony (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Olson, Julie (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Sandgren, Deeandra (individual) | Operational/managerial Control · NOT APPLICABLE | |
| The Evangelical Lutheran Good Samaritan Society (organization) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Good Samaritan Society - Pine River?
Good Samaritan Society - Pine River has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in Minnesota.
How many beds does Good Samaritan Society - Pine River have?
It has 33 certified beds and cares for about 29 residents per day.
Has Good Samaritan Society - Pine River been fined?
CMS lists no federal fines or payment denials in the last three years.
Who owns Good Samaritan Society - Pine River?
It is part of Good Samaritan Society and is classified as non profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Good Samaritan Society - Pine River?
(218) 587-4423. The facility is located at 518 Jefferson Avenue, Pine River, MN 56474.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.