GOOD SAMARITAN SOCIETY AUGUSTA PLACE A PROSPERA CO

BISMARCK, ND · 48 beds · Non profit - Corporation

43 Trust Score
Grade: D HIGH Risk → Stable

Red Flags

  • 2 citation(s) where residents suffered actual harm

Green Flags

  • 4-star staffing rating

Quick Facts

★★★☆☆
CMS Overall
★★★☆☆
Health Inspection
4
0.8x state avg
Deficiencies
$16,036
Fines (3-yr)
★★★★☆
Staffing

Violation Timeline

January 29, 2025

8 deficiencyies
F0657 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F0658 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure services provided by the nursing facility meet professional standards of quality.

F0812 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0880 Potential Harm Scope/Severity: E

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0657 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F0658 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Ensure services provided by the nursing facility meet professional standards of quality.

F0812 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

Show details

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0880 Potential Harm Scope/Severity: E

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

July 31, 2024

2 deficiencyies
F0760 Actual Harm Scope/Severity: G

Pharmacy Service Deficiencies

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Ensure that residents are free from significant medication errors.

F0760 Actual Harm Scope/Severity: G

Pharmacy Service Deficiencies

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Ensure that residents are free from significant medication errors.

May 8, 2024

2 deficiencyies
F0689 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0689 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

January 17, 2024

8 deficiencyies
F0641 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure each resident receives an accurate assessment.

F0644 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0757 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure each resident’s drug regimen must be free from unnecessary drugs.

F0761 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure 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.

F0804 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

F0812 Potential Harm Scope/Severity: D

Nutrition and Dietary Deficiencies

Show details

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0641 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Ensure each resident receives an accurate assessment.

See full violation history →

Staffing

1.06
RN hrs/res/day
0.64
LPN hrs/res/day
2.75
CNA hrs/res/day
3.93
Weekend hrs/res/day
45%
Total nurse turnover
36%
RN turnover

A nurse checks on each resident roughly every 5.4 hours on average.

Fines & Penalties

  • Fine Jul 31, 2024
    $8,018
  • Fine May 8, 2024
    $8,018
Total $16,036

Ownership

Non profit - Corporation Chain: GOOD SAMARITAN SOCIETY
  • SANFORD

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 01/01/2019

    NO PERCENTAGE PROVIDED Organization
  • THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 01/01/2019

    NO PERCENTAGE PROVIDED Organization
  • THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 01/01/2019

    100% Organization
  • AL RABADI, ISSA

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 12/01/2021

    Individual
  • MORRISON, TONY

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/2019

    Individual
  • SANDGREN, DEEANDRA

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 07/16/2023

    Individual
  • TROY, PETER

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 08/08/2022

    Individual
  • BROWN, GEORGE

    CORPORATE DIRECTOR

    Since since 01/01/2025

    Individual
  • DYKHOUSE, DANA

    CORPORATE DIRECTOR

    Since since 05/30/2024

    Individual
  • ENGBRECHT, WESLEY

    CORPORATE DIRECTOR

    Since since 05/30/2024

    Individual
  • GASSEN, WILLIAM

    CORPORATE DIRECTOR

    Since since 05/30/2024

    Individual
  • GULSVIG, NEIL

    CORPORATE DIRECTOR

    Since since 05/30/2024

    Individual
  • HERSETH SANDLIN, STEPHANIE

    CORPORATE DIRECTOR

    Since since 05/30/2024

    Individual
  • LUNDEEN, MARK

    CORPORATE DIRECTOR

    Since since 05/30/2024

    Individual
  • MCCAUSLAND, MAUREEN

    CORPORATE DIRECTOR

    Since since 01/01/2025

    Individual
  • MOLBERT, LAURIS

    CORPORATE DIRECTOR

    Since since 05/30/2024

    Individual
  • NORTH, ANDREW

    CORPORATE DIRECTOR

    Since since 05/30/2024

    Individual
  • SCHIEFFER, KEVIN

    CORPORATE DIRECTOR

    Since since 01/01/2025

    Individual
  • SHULKIN, DAVID

    CORPORATE DIRECTOR

    Since since 05/30/2024

    Individual
  • TEIKEN, BRENT

    CORPORATE DIRECTOR

    Since since 05/30/2024

    Individual
  • VENTLING-HERRMANN, MARNIE

    CORPORATE DIRECTOR

    Since since 05/30/2024

    Individual
  • WENZEL, THOMAS

    CORPORATE DIRECTOR

    Since since 01/01/2025

    Individual
  • FLUIT, JOEL

    CORPORATE OFFICER

    Since since 10/01/2022

    Individual
  • GASSEN, WILLIAM

    CORPORATE OFFICER

    Since since 05/30/2024

    Individual
  • MIDDLETON, AIMEE

    CORPORATE OFFICER

    Since since 01/27/2022

    Individual
  • OLSON, NICHOLAS

    CORPORATE OFFICER

    Since since 04/08/2024

    Individual
  • SCHEMA, NATHAN

    CORPORATE OFFICER

    Since since 01/01/2022

    Individual

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