Nursing homeActive

Good Samaritan Society - Pine River

518 Jefferson Avenue, Pine River, MN 56474218587442333 certified beds · 29 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2024
Deficiencies
8
170
Penalties · 3 yrs
none on file
Last survey
2026-03-25
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
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
2026-03-25Standard010CMS-2567 (Care Compare)
2025-02-05Standard120CMS-2567 (Care Compare)
2024-04-05Complaint010CMS-2567 (Care Compare)
2024-01-09Standard030CMS-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.

2026-03-25Standard survey · 1 deficiencyOfficial report
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 2026-04-10Record 245476-20260325-F880
2025-02-05Standard survey · 3 deficienciesOfficial report
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 2025-03-11Record 245476-20250205-F801
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 2025-03-11Record 245476-20250205-F812
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2025-03-12Record 245476-20250205-F732
2024-04-05Complaint survey · 1 deficiencyOfficial report
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-05Record 245476-20240405-F609
2024-01-09Standard survey · 3 deficienciesOfficial report
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-29Record 245476-20240109-F641
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-29Record 245476-20240109-F695
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 2024-01-29Record 245476-20240109-F883

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day1.16
Facility
Minnesota
National
Minnesota 1.06 · National 0.69
Total nurse hours per resident day3.51
Facility
Minnesota
National
Minnesota 4.19 · National 3.86
Weekend total nurse hours2.99
Facility
Minnesota
National
Minnesota 3.71 · National 3.42
Total nursing staff turnover44%
Facility
Minnesota
National
Minnesota 42% · National 46%
Registered nurse turnover36%
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
3.2%5.2%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
7.7%4.0%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
22.2%17.1%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
3.4%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
10.8%18.2%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
0.0%4.1%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
15.2%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%
Ahlf, Cierra
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Morrison, Tony
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Olson, Julie
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Sandgren, Deeandra
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
The Evangelical Lutheran Good Samaritan Society
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Ahlf, Cierra
Individual
ADP OF THE SNFNOT 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
CORPORATE DIRECTORNOT APPLICABLE
Engbrecht, Wesley
Individual
ADP OF THE SNFNOT APPLICABLE
Fluit, Joel
Individual
ADP OF THE SNFNOT APPLICABLE
Fluit, Joel
Individual
CORPORATE OFFICERNOT APPLICABLE
Focusone Solutions
Organization
ADP OF THE SNFNOT APPLICABLE
Gassen, William
Individual
CORPORATE DIRECTORNOT APPLICABLE
Gassen, William
Individual
ADP OF THE SNFNOT APPLICABLE
Gassen, William
Individual
CORPORATE OFFICERNOT APPLICABLE
Grape Tree Medical Staffing LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Guardian Pharmacy Of Minnesota 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
ADP OF THE SNFNOT APPLICABLE
Mccausland, Maureen
Individual
CORPORATE DIRECTORNOT APPLICABLE
Middleton, Aimee
Individual
CORPORATE OFFICERNOT APPLICABLE
Middleton, Aimee
Individual
ADP OF THE SNFNOT 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
CORPORATE DIRECTORNOT APPLICABLE
North, Andrew
Individual
ADP OF THE SNFNOT APPLICABLE
Olson, Julie
Individual
ADP OF THE SNFNOT APPLICABLE
Olson, Nicholas
Individual
CORPORATE OFFICERNOT APPLICABLE
Olson, Nicholas
Individual
ADP OF THE SNFNOT APPLICABLE
Sandgren, Deeandra
Individual
ADP OF THE SNFNOT APPLICABLE
Schema, Nathan
Individual
ADP OF THE SNFNOT APPLICABLE
Schema, Nathan
Individual
CORPORATE OFFICERNOT APPLICABLE
Schieffer, Kevin
Individual
ADP OF THE SNFNOT APPLICABLE
Schieffer, Kevin
Individual
CORPORATE DIRECTORNOT APPLICABLE
Shulkin, David
Individual
ADP OF THE SNFNOT APPLICABLE
Shulkin, David
Individual
CORPORATE DIRECTORNOT APPLICABLE
Teiken, Brent
Individual
ADP OF THE SNFNOT APPLICABLE
Teiken, Brent
Individual
CORPORATE DIRECTORNOT APPLICABLE
Ventling-Herrmann, Marnie
Individual
ADP OF THE SNFNOT APPLICABLE
Ventling-Herrmann, Marnie
Individual
CORPORATE DIRECTORNOT APPLICABLE
Wenzel, Thomas
Individual
CORPORATE DIRECTORNOT APPLICABLE
Wenzel, Thomas
Individual
ADP OF THE SNFNOT 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 Cass.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Good Samaritan Society - Woodland
Brainerd
28.5 mi2026-02-11021
Good Samaritan Society - Bethany
Brainerd
28.4 mi2025-12-040150
Heartwood
Crosby
27.5 mi2025-07-23060
Lakewood Health System
Staples
30.3 mi2026-02-19151
Green Pine Acres Nursing Home
Menahga
32.3 mi2026-01-28070
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