Good Samaritan Society - Blackduck
Nursing Home · Blackduck, MN
CMS certification number245600
Contact & location
172 Summit Avenue WestBlackduck, MN 56630
Beltrami County
- Phone
- (218) 835-3410
- ZIP code
- 56630 – all care providers
Facility details
- Certified beds
- 30
- Residents per day
- 27.6 (92% 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
- April 1, 1992
- Participates in
- Medicare and Medicaid
- Council
- Resident 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
- 4.01 (state 4.19 · U.S. 3.86)
- Registered nurses (RN)
- 0.74 (state 1.06 · U.S. 0.69)
- Licensed practical nurses
- 0.67 (state 0.61 · U.S. 0.86)
- Nurse aides
- 2.60 (state 2.52 · U.S. 2.32)
- Weekend total
- 3.73 (state 3.71 · U.S. 3.42)
- Nursing staff turnover
- 53.7 (state 42.2 · U.S. 45.8)%
- RN turnover
- 50.0 (state 38.6 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- August 20, 2025
- Health deficiencies (last cycle)
- 9.0 (state 7.0 · U.S. 9.3)
- From complaints
- 4
- Citations on record (3 years)
- 23 health · 17 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-07-01 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. F0803 · Nutrition and Dietary Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2026-06-11 |
| 2025-10-31 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-26 |
| 2025-10-31 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-26 |
| 2025-10-31 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-26 |
| 2025-08-20 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-24 |
| 2025-08-20 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-24 |
| 2025-08-20 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-24 |
| 2025-08-20 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-24 |
| 2025-08-20 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-24 |
| 2024-06-13 | 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 2024-07-22 |
| 2024-06-13 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-07-22 |
| 2024-06-13 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-07-22 |
| 2024-06-13 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F0882 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-07-22 |
| 2024-06-13 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-22 |
| 2024-06-13 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. F0625 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-22 |
| 2024-02-07 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-13 |
| 2023-08-10 | 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. F0758 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-09-20 |
| 2023-08-10 | Allow residents to self-administer drugs if determined clinically appropriate. F0554 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-09-20 |
| 2023-08-10 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. F0640 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-09-20 |
| 2023-08-10 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. F0661 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-09-20 |
| 2023-08-10 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-09-20 |
| 2023-08-10 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-09-20 |
| 2023-08-10 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
B No actual harm, potential for minimal harm |
Corrected 2023-09-20 |
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
1 penalty in the last three years, including $22,205 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-07-01 | Fine | $22,205 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Sanford (organization) | 5%+ Direct Ownership Interest · 100% | |
| The Evangelical Lutheran Good Samaritan Society (organization) | 5%+ Indirect Ownership Interest · 100% | |
| Billups, Sherry (individual) | Administrator · NOT APPLICABLE | |
| Bjerke, Brandon (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 | |
| 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, Nicholas (individual) | Administrator · NOT APPLICABLE | |
| Sandgren, Deeandra (individual) | Administrator · NOT APPLICABLE | |
| Sanford (organization) | 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 | |
| The Evangelical Lutheran Good Samaritan Society (organization) | 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 | |
| Fluit, Joel (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Billups, Sherry (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Bjerke, Brandon (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Morrison, Tony (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Sandgren, Deeandra (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Sanford (organization) | 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 - Blackduck?
Good Samaritan Society - Blackduck has a 1-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 - Blackduck have?
It has 30 certified beds and cares for about 28 residents per day.
Has Good Samaritan Society - Blackduck been fined?
Yes. CMS lists 1 penalty totaling $22,205 in the last three years.
Who owns Good Samaritan Society - Blackduck?
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 - Blackduck?
(218) 835-3410. The facility is located at 172 Summit Avenue West, Blackduck, MN 56630.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.