Sunset Drive - a Prospera Community

Nursing Home · Mandan, ND

CMS overall rating 1/5 SFF candidate Abuse citation Non profit - Corporation

CMS certification number355065
CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

1011 Boundary St NW
Mandan, ND 58554
Morton County
Phone
(701) 323-1411
ZIP code
58554 – all care providers

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Facility details

Certified beds
128
Residents per day
121.0 (95% 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
July 1, 1978
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.2
Health inspections★★★★★ 1/5
State avg 2.9
Staffing★★★★★ 3/5
State avg 4.2
Quality measures★★★★★ 1/5
State avg 2.7
Long-stay quality★★★★★ 1/5
Short-stay quality★★★★★ 1/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.57 (state 4.42 · U.S. 3.86)
Registered nurses (RN)
0.62 (state 0.93 · U.S. 0.69)
Licensed practical nurses
0.68 (state 0.52 · U.S. 0.86)
Nurse aides
2.27 (state 2.97 · U.S. 2.32)
Weekend total
3.22 (state 3.80 · U.S. 3.42)
Nursing staff turnover
64.5 (state 48.8 · U.S. 45.8)%
RN turnover
67.7 (state 40.3 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
May 15, 2025
Health deficiencies (last cycle)
32.0 (state 5.7 · U.S. 9.3)
From complaints
30
Citations on record (3 years)
69 health · 5 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-05-28 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.
F0584 · Resident Rights Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-06-26
2026-05-28 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-26
2026-05-28 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-26
2026-05-28 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 2026-06-26
2026-05-28 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-26
2026-05-28 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-26
2026-02-05 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 2025-12-24
2025-12-10 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Past Non-Compliance
2025-08-25 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-09
2025-07-28 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
L
Immediate jeopardy to resident health or safety
Corrected 2025-08-20
2025-07-28 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-20
2025-07-28 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-20
2025-07-09 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-08-20
2025-05-15 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
G
Actual harm
Corrected 2025-03-05
2025-05-15 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
F0578 · Resident Rights Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-06-30
2025-05-15 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.
F0584 · Resident Rights Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-06-30
2025-05-15 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-06-30
2025-05-15 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-06-30
2025-05-15 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-06-30
2025-05-15 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-06-30
2025-05-15 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-06-30
2025-05-15 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 2025-06-30
2025-05-15 Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
F0557 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-30
2025-05-15 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-20
2025-05-15 Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
F0559 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-20
2025-05-15 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
F0561 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-30
2025-05-15 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-30
2025-05-15 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 2025-06-30
2025-05-15 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-30
2025-05-15 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 · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-30
2025-05-15 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-30
2025-05-15 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-30
2025-05-15 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
F0688 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-20
2025-05-15 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-30
2025-05-15 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-30
2025-05-15 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 · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-30
2025-01-08 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-12
2025-01-08 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 2025-02-12
2024-11-05 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-10
2024-10-03 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-07
2024-07-31 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-09-04
2024-07-31 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-04
2024-07-31 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 · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-04
2024-07-31 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-04
2024-07-31 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-04
2024-06-19 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-14
2024-05-02 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
E
No actual harm, potential for more than minimal harm
Corrected 2024-06-06
2024-05-02 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-06-06
2024-05-02 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-06
2024-05-02 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-06

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

3 penalties in the last three years, including $42,226 in fines.

DateTypeAmount
2025-05-15Payment Denial25 days payment denial
2025-05-15Fine$33,814
2025-05-15Fine$8,412

Ownership & management

NameRoleSince
Sanford (organization)5%+ Direct Ownership Interest · 100%
The Evangelical Lutheran Good Samaritan Society (organization)5%+ Indirect Ownership Interest · 100%
Brown, George (individual)Administrator · NOT APPLICABLE
Cartmill, Kayley (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
Johnson, Anthony (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
Cartmill, Kayley (individual)Operational/managerial Control · NOT APPLICABLE
Johnson, Anthony (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 Sunset Drive - a Prospera Community?

Sunset Drive - a Prospera Community 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 North Dakota.

How many beds does Sunset Drive - a Prospera Community have?

It has 128 certified beds and cares for about 121 residents per day.

Has Sunset Drive - a Prospera Community been fined?

Yes. CMS lists 3 penalties totaling $42,226 in the last three years.

Who owns Sunset Drive - a Prospera Community?

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 Sunset Drive - a Prospera Community?

(701) 323-1411. The facility is located at 1011 Boundary St NW, Mandan, ND 58554.

Other nursing homes in Mandan

Compare all nursing homes in Mandan, ND →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.