Nursing homeActive

Good Samaritan Society - Stillwater

1119 Owens Street North, Stillwater, MN 55082651439718050 certified beds · 33 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
5
since 2024
Deficiencies
30
1281
Penalties · 3 yrs
none on file
Last survey
2026-06-04
Complaint
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 4
Quality 2
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Minnesota Department of Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-06-04Complaint020CMS-2567 (Care Compare)
2026-02-12Standard160CMS-2567 (Care Compare)
2025-12-10Complaint010CMS-2567 (Care Compare)
2025-01-30Standard040CMS-2567 (Care Compare)
2024-04-23Standard0151CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Minnesota Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-06-04Complaint survey · 2 deficienciesOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-19Record 245207-20260604-F684
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-19Record 245207-20260604-F697
2026-02-12Standard survey · 7 deficienciesOfficial report
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-26Record 245207-20260212-F686
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-26Record 245207-20260212-F689
F699Provide care or services that was trauma informed and/or culturally competent.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-26Record 245207-20260212-F699
F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-26Record 245207-20260212-F700
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-03-26Record 245207-20260212-F801
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-26Record 245207-20260212-F880
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2026-03-26Record 245207-20260212-F732
2025-12-10Complaint survey · 1 deficiencyOfficial report
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-17Record 245207-20251210-F760
2025-01-30Standard survey · 4 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-07Record 245207-20250130-F550
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-07Record 245207-20250130-F677
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-07Record 245207-20250130-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-07Record 245207-20250130-F689
2024-04-23Standard survey · 16 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-05-28Record 245207-20240423-F689
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-28Record 245207-20240423-F550
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-28Record 245207-20240423-F655
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-28Record 245207-20240423-F656
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-28Record 245207-20240423-F677
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-28Record 245207-20240423-F684
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-28Record 245207-20240423-F686
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-28Record 245207-20240423-F756
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-28Record 245207-20240423-F757
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-05-28Record 245207-20240423-F801
F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-05-28Record 245207-20240423-F802
F803Ensure 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.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-28Record 245207-20240423-F803
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-05-28Record 245207-20240423-F812
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-05-28Record 245207-20240423-F880
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-28Record 245207-20240423-F883
F908Keep all essential equipment working safely.Scope/severity FStandard
Environment
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-05-28Record 245207-20240423-F908

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day1.32
Facility
Minnesota
National
Minnesota 1.06 · National 0.69
Total nurse hours per resident day4.09
Facility
Minnesota
National
Minnesota 4.19 · National 3.86
Weekend total nurse hours3.62
Facility
Minnesota
National
Minnesota 3.71 · National 3.42
Total nursing staff turnover51%
Facility
Minnesota
National
Minnesota 42% · National 46%
Registered nurse turnover62%
Facility
Minnesota
National
Minnesota 39% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityMinnesotaNational
Percentage of long-stay residents with pressure ulcers
lower is better
4.2%5.2%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
6.4%4.0%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
26.9%17.1%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
3.2%2.6%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.1%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
27.3%18.2%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
6.1%4.1%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
1.5%12.5%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Sanford
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
The Evangelical Lutheran Good Samaritan Society
Organization
5% OR GREATER INDIRECT OWNERSHIP INTEREST100%
Morrison, Tony
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Pfannes, Loretta
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Sandgren, Deeandra
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Trammel, Matthew
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Brown, George
Individual
CORPORATE DIRECTORNOT APPLICABLE
Brown, George
Individual
ADP OF THE SNFNOT APPLICABLE
Dtn Staffing Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Dykhouse, Dana
Individual
ADP OF THE SNFNOT APPLICABLE
Dykhouse, Dana
Individual
CORPORATE DIRECTORNOT APPLICABLE
Engbrecht, Wesley
Individual
ADP OF THE SNFNOT APPLICABLE
Engbrecht, Wesley
Individual
CORPORATE DIRECTORNOT APPLICABLE
Fluit, Joel
Individual
ADP OF THE SNFNOT APPLICABLE
Fluit, Joel
Individual
CORPORATE OFFICERNOT APPLICABLE
Fluit, Joel
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Focusone Solutions
Organization
ADP OF THE SNFNOT APPLICABLE
Gassen, William
Individual
ADP OF THE SNFNOT APPLICABLE
Gassen, William
Individual
CORPORATE DIRECTORNOT APPLICABLE
Gassen, William
Individual
CORPORATE OFFICERNOT APPLICABLE
Grape Tree Medical Staffing LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Gulsvig, Neil
Individual
ADP OF THE SNFNOT APPLICABLE
Gulsvig, Neil
Individual
CORPORATE DIRECTORNOT APPLICABLE
Herseth Sandlin, Stephanie
Individual
ADP OF THE SNFNOT APPLICABLE
Herseth Sandlin, Stephanie
Individual
CORPORATE DIRECTORNOT APPLICABLE
Lundeen, Mark
Individual
ADP OF THE SNFNOT APPLICABLE
Lundeen, Mark
Individual
CORPORATE DIRECTORNOT APPLICABLE
Mccausland, Maureen
Individual
CORPORATE DIRECTORNOT APPLICABLE
Mccausland, Maureen
Individual
ADP OF THE SNFNOT APPLICABLE
Middleton, Aimee
Individual
ADP OF THE SNFNOT APPLICABLE
Middleton, Aimee
Individual
CORPORATE OFFICERNOT APPLICABLE
Molbert, Lauris
Individual
CORPORATE DIRECTORNOT APPLICABLE
Molbert, Lauris
Individual
ADP OF THE SNFNOT APPLICABLE
Morrison, Tony
Individual
ADP OF THE SNFNOT APPLICABLE
North, Andrew
Individual
ADP OF THE SNFNOT APPLICABLE
North, Andrew
Individual
CORPORATE DIRECTORNOT APPLICABLE
Olson, Nicholas
Individual
ADP OF THE SNFNOT APPLICABLE
Olson, Nicholas
Individual
CORPORATE OFFICERNOT APPLICABLE
Pfannes, Loretta
Individual
ADP OF THE SNFNOT APPLICABLE
Pharmerica Corporation
Organization
ADP OF THE SNFNOT APPLICABLE
Sandgren, Deeandra
Individual
ADP OF THE SNFNOT APPLICABLE
Sanford
Organization
ADP OF THE SNFNOT APPLICABLE
Schema, Nathan
Individual
CORPORATE OFFICERNOT APPLICABLE
Schema, Nathan
Individual
ADP OF THE SNFNOT APPLICABLE
Schieffer, Kevin
Individual
ADP OF THE SNFNOT APPLICABLE
Schieffer, Kevin
Individual
CORPORATE DIRECTORNOT APPLICABLE
Shulkin, David
Individual
CORPORATE DIRECTORNOT APPLICABLE
Shulkin, David
Individual
ADP OF THE SNFNOT APPLICABLE
Teiken, Brent
Individual
ADP OF THE SNFNOT APPLICABLE
Teiken, Brent
Individual
CORPORATE DIRECTORNOT APPLICABLE
The Evangelical Lutheran Good Samaritan Society
Organization
ADP OF THE SNFNOT APPLICABLE
Trammel, Matthew
Individual
ADP OF THE SNFNOT APPLICABLE
Ventling-Herrmann, Marnie
Individual
CORPORATE DIRECTORNOT APPLICABLE
Ventling-Herrmann, Marnie
Individual
ADP OF THE SNFNOT APPLICABLE
Wenzel, Thomas
Individual
ADP OF THE SNFNOT APPLICABLE
Wenzel, Thomas
Individual
CORPORATE DIRECTORNOT APPLICABLE
Part of a chain
Good Samaritan Society92 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Minnesota.

No county cost figures on file for Washington.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
The Estates At Greeley LLC
Stillwater
0.8 mi2026-07-021201
The Estates At Linden LLC
Stillwater
0.7 mi2026-01-080111
Gables Of Boutwells Landing
Oak Park Heights
2.4 mi2026-06-100101
Christian Community Home
Hudson
7.5 mi2025-02-120101
Cerenity Care Center White Bear Lake
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9.9 mi2026-02-020212
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01