Nursing homeActive
Good Samaritan Society - Mary Jane Brown
110 South Walnut Avenue, Luverne, MN 56156507283237551 certified beds · 46 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
6
since 2023
Deficiencies
32
● 0● 31● 1
Penalties · 3 yrs
$57,045
1 fine
Last survey
2026-04-01
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 2
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| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-01 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2025-01-14 | Standard | 070 | CMS-2567 (Care Compare) | — |
| 2024-12-27 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-08-06 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2024-02-08 | Complaint | 040 | CMS-2567 (Care Compare) | — |
| 2023-10-18 | Standard | 0150 | CMS-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.
F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-08Record 245568-20260401-F693
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 2026-05-08Record 245568-20260401-F812
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-05-08Record 245568-20260401-F851
F576Ensure residents have reasonable access to and privacy in their use of communication methods.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-14Record 245568-20250114-F576
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 DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-14Record 245568-20250114-F657
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 2025-02-14Record 245568-20250114-F755
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-14Record 245568-20250114-F758
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-14Record 245568-20250114-F761
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 2025-02-14Record 245568-20250114-F880
F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-14Record 245568-20250114-F949
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 2024-12-30Record 245568-20241227-F880
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-09-06Record 245568-20240806-F689
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 2024-09-06Record 245568-20240806-F690
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-06Record 245568-20240208-F558
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-06Record 245568-20240208-F610
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 2024-03-06Record 245568-20240208-F684
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-06Record 245568-20240208-F692
F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-28Record 245568-20231018-F622
F625Notify 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-28Record 245568-20231018-F625
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 DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-28Record 245568-20231018-F657
F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-28Record 245568-20231018-F676
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 2023-11-28Record 245568-20231018-F688
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 2023-11-28Record 245568-20231018-F695
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-11-28Record 245568-20231018-F725
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-28Record 245568-20231018-F758
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-28Record 245568-20231018-F761
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 2023-11-28Record 245568-20231018-F812
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-11-28Record 245568-20231018-F867
F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyScope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-28Record 245568-20231018-F868
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-28Record 245568-20231018-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 2023-11-28Record 245568-20231018-F883
F908Keep all essential equipment working safely.Scope/severity FStandard
Environment
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-11-28Record 245568-20231018-F908
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-08-06 | Civil money penalty | $57,045 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.97
Facility
Minnesota
National
Minnesota 1.06 · National 0.69
Total nurse hours per resident day3.88
Facility
Minnesota
National
Minnesota 4.19 · National 3.86
Weekend total nurse hours3.08
Facility
Minnesota
National
Minnesota 3.71 · National 3.42
Total nursing staff turnover60%
Facility
Minnesota
National
Minnesota 42% · National 46%
Registered nurse turnover50%
Facility
Minnesota
National
Minnesota 39% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Minnesota | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 4.0% | 5.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 4.3% | 4.0% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 24.2% | 17.1% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 3.8% | 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 | 25.5% | 18.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 8.0% | 4.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 21.3% | 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)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Sanford Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| The Evangelical Lutheran Good Samaritan Society Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | — | — |
| Chesley, Stephan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Morrison, Tony Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Sandgren, Deeandra Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Yeaton, Timothy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Brown, George Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Brown, George Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Chesley, Stephan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Dtn Staffing Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Dykhouse, Dana Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Dykhouse, Dana Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Engbrecht, Wesley Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Engbrecht, Wesley Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fluit, Joel Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Fluit, Joel Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Focusone Solutions Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gassen, William Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Gassen, William Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Gassen, William Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Grape Tree Medical Staffing LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gulsvig, Neil Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gulsvig, Neil Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Herseth Sandlin, Stephanie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Herseth Sandlin, Stephanie Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Lundeen, Mark Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lundeen, Mark Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Mccausland, Maureen Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Mccausland, Maureen Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Middleton, Aimee Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Middleton, Aimee Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Molbert, Lauris Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Molbert, Lauris Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Morrison, Tony Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| North, Andrew Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| North, Andrew Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Olson, Nicholas Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Olson, Nicholas Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Sandgren, Deeandra Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sanford Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Schema, Nathan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Schema, Nathan Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Schieffer, Kevin Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Schieffer, Kevin Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Shulkin, David Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Shulkin, David Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Teiken, Brent Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Teiken, Brent Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| The Evangelical Lutheran Good Samaritan Society Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ventling-Herrmann, Marnie Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Ventling-Herrmann, Marnie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wenzel, Thomas Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wenzel, Thomas Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Yeaton, Timothy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Good Samaritan Society — 92 facilities
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 Rock.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Mn Veterans Home-Luverne Luverne | 1.1 mi | 2026-07-01 | 091 |
| Tuff Memorial Home Hills | 11.0 mi | 2026-05-26 | 060 |
| Lyon Specialty Care Rock Rapids | 16.3 mi | 2026-02-02 | 080 |
| Edgebrook Care Center Edgerton | 16.0 mi | 2025-11-19 | 0141 |
| Parkview Manor Nursing Home Ellsworth | 13.8 mi | 2026-05-12 | 0210 |
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
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |