Nursing homeActive

Good Samaritan Society - Windom

705 Sixth Street, Windom, MN 56101507831178863 certified beds · 55 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
35
0341
Penalties · 3 yrs
$194,680
1 fine · 1 action
Last survey
2026-02-12
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 4
Quality 1
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
2026-02-12Standard0160CMS-2567 (Care Compare)
2026-01-27Complaint051CMS-2567 (Care Compare)
2024-12-11Standard040CMS-2567 (Care Compare)
2023-11-02Standard090CMS-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.

2026-02-12Standard survey · 16 deficienciesOfficial report
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-18Record 245558-20260212-F578
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-18Record 245558-20260212-F582
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-18Record 245558-20260212-F605
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-18Record 245558-20260212-F609
F610Respond appropriately to all alleged violations.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-18Record 245558-20260212-F610
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-18Record 245558-20260212-F628
F638Assure that each resident’s assessment is updated at least once every 3 months.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-18Record 245558-20260212-F638
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-18Record 245558-20260212-F645
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 2026-03-18Record 245558-20260212-F684
F685Assist a resident in gaining access to vision and hearing services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-18Record 245558-20260212-F685
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 2026-03-18Record 245558-20260212-F695
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-18Record 245558-20260212-F755
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 2026-03-18Record 245558-20260212-F756
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-18Record 245558-20260212-F759
F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyScope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-03-18Record 245558-20260212-F868
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 2026-03-18Record 245558-20260212-F880
2026-01-27Complaint survey · 6 deficienciesOfficial report
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity KHarm
Care planning
Pattern; immediate jeopardy to resident health or safety.Corrected 2026-02-25Record 245558-20260127-F686
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 2026-02-25Record 245558-20260127-F550
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-25Record 245558-20260127-F580
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-25Record 245558-20260127-F657
F791Provide or obtain dental services for each resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-25Record 245558-20260127-F791
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 2026-02-25Record 245558-20260127-F880
2024-12-11Standard 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 2025-01-17Record 245558-20241211-F550
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-17Record 245558-20241211-F688
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-17Record 245558-20241211-F690
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 2025-01-17Record 245558-20241211-F880
2023-11-02Standard survey · 9 deficienciesOfficial report
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-06Record 245558-20231102-F554
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-14Record 245558-20231102-F641
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 2023-12-08Record 245558-20231102-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 2023-12-08Record 245558-20231102-F684
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-08Record 245558-20231102-F688
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 2023-12-18Record 245558-20231102-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 2023-12-01Record 245558-20231102-F812
F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-08Record 245558-20231102-F847
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 2023-12-05Record 245558-20231102-F880

Penalties & enforcement

DateActionAmountSource
2026-01-27Civil money penalty$194,680CMS · Penalties
2026-01-27Denial of payment for new admissions
Payment denial for 20 days, from 2026-02-26
CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.84
Facility
Minnesota
National
Minnesota 1.06 · National 0.69
Total nurse hours per resident day4.47
Facility
Minnesota
National
Minnesota 4.19 · National 3.86
Weekend total nurse hours3.91
Facility
Minnesota
National
Minnesota 3.71 · National 3.42
Total nursing staff turnover41%
Facility
Minnesota
National
Minnesota 42% · National 46%
Registered nurse turnover44%
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
6.1%5.2%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
4.5%4.0%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
12.4%17.1%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.0%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
28.8%18.2%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
10.6%4.1%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
9.0%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%
Dynes, Rodney
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Morrison, Tony
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Sandgren, Deeandra
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Sanford
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
The Evangelical Lutheran Good Samaritan Society
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Wepplo, Nancy
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
Dynes, Rodney
Individual
ADP OF THE SNFNOT APPLICABLE
Engbrecht, Wesley
Individual
ADP OF THE SNFNOT APPLICABLE
Engbrecht, Wesley
Individual
CORPORATE DIRECTORNOT APPLICABLE
Fluit, Joel
Individual
CORPORATE OFFICERNOT APPLICABLE
Fluit, Joel
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Fluit, Joel
Individual
ADP OF THE SNFNOT APPLICABLE
Focusone Solutions
Organization
ADP OF THE SNFNOT APPLICABLE
Gassen, William
Individual
CORPORATE OFFICERNOT APPLICABLE
Gassen, William
Individual
CORPORATE DIRECTORNOT APPLICABLE
Gassen, William
Individual
ADP OF THE SNFNOT 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
CORPORATE DIRECTORNOT APPLICABLE
Herseth Sandlin, Stephanie
Individual
ADP OF THE SNFNOT APPLICABLE
Lundeen, Mark
Individual
CORPORATE DIRECTORNOT APPLICABLE
Lundeen, Mark
Individual
ADP OF THE SNFNOT APPLICABLE
Mccausland, Maureen
Individual
CORPORATE DIRECTORNOT APPLICABLE
Mccausland, Maureen
Individual
ADP OF THE SNFNOT 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, Nicholas
Individual
ADP OF THE SNFNOT APPLICABLE
Olson, Nicholas
Individual
CORPORATE OFFICERNOT APPLICABLE
Sandgren, Deeandra
Individual
ADP OF THE SNFNOT APPLICABLE
Sanford
Organization
ADP OF THE SNFNOT APPLICABLE
Schema, Nathan
Individual
ADP OF THE SNFNOT APPLICABLE
Schema, Nathan
Individual
CORPORATE OFFICERNOT APPLICABLE
Schieffer, Kevin
Individual
CORPORATE DIRECTORNOT APPLICABLE
Schieffer, Kevin
Individual
ADP OF THE SNFNOT APPLICABLE
Shulkin, David
Individual
CORPORATE DIRECTORNOT APPLICABLE
Shulkin, David
Individual
ADP OF THE SNFNOT APPLICABLE
Teiken, Brent
Individual
CORPORATE DIRECTORNOT APPLICABLE
Teiken, Brent
Individual
ADP OF THE SNFNOT APPLICABLE
The Evangelical Lutheran Good Samaritan Society
Organization
ADP OF THE SNFNOT APPLICABLE
Ventling-Herrmann, Marnie
Individual
ADP OF THE SNFNOT APPLICABLE
Ventling-Herrmann, Marnie
Individual
CORPORATE DIRECTORNOT APPLICABLE
Wenzel, Thomas
Individual
ADP OF THE SNFNOT APPLICABLE
Wenzel, Thomas
Individual
CORPORATE DIRECTORNOT APPLICABLE
Wepplo, Nancy
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 Cottonwood.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Colonial Manor Nursing Home
Lakefield
12.5 mi2026-01-290320
Good Samaritan Society - Mountain Lake
Mountain Lake
10.8 mi2026-04-29083
Good Samaritan Society - Jackson
Jackson
17.6 mi2024-09-05040
Good Samaritan Society - Westbrook
Westbrook
20.1 mi2026-03-190140
Valley View Manor Hcc
Lamberton
26.0 mi2026-07-090432
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