GOOD SAMARITAN SOCIETY - BOTTINEAU

BOTTINEAU, ND · 52 beds · Non profit - Corporation

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • This facility has a substantiated finding of abuse
  • Government has flagged this facility for serious quality issues
  • 16 deficiencies — 3.0x the state average
  • 4 citation(s) at the highest severity level — immediate risk to residents
  • 2 citation(s) where residents suffered actual harm
  • $132,380 in fines over 3 years
  • 66% total nursing staff turnover

Green Flags

No positive signals identified yet.

Quick Facts

N/A
CMS Overall
N/A
Health Inspection
16
3.0x state avg
Deficiencies
$132,380
Fines (3-yr)
N/A
Staffing

Violation Timeline

September 10, 2025

20 deficiencyies
F0558 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Reasonably accommodate the needs and preferences of each resident.

F0609 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F0637 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Assess the resident when there is a significant change in condition

F0641 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure each resident receives an accurate assessment.

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.

F0686 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F0689 Potential Harm Scope/Severity: E

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.

F0690 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

F0849 Potential Harm Scope/Severity: D

Administration Deficiencies

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Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

F0880 Potential Harm Scope/Severity: E

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0921 Potential Harm Scope/Severity: D

Environmental Deficiencies

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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

F0558 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Reasonably accommodate the needs and preferences of each resident.

F0609 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Show details

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F0637 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Assess the resident when there is a significant change in condition

F0641 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Ensure each resident receives an accurate assessment.

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.

F0686 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F0689 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

Show details

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

See full violation history →

Staffing

1.15
RN hrs/res/day
0.31
LPN hrs/res/day
2.72
CNA hrs/res/day
3.03
Weekend hrs/res/day
66%
Total nurse turnover
50%
RN turnover

A nurse checks on each resident roughly every 5.7 hours on average.

Fines & Penalties

  • Fine Mar 19, 2025
    $96,272
  • Payment Denial Mar 19, 2025
    Payment Denial
  • Fine Jul 15, 2024
    $13,975
  • Fine May 23, 2023
    $22,133
Total $132,380

Ownership

Non profit - Corporation Chain: GOOD SAMARITAN SOCIETY
  • FLUIT, JOEL

    CORPORATE OFFICER

    Since since 10/01/2022

    Individual
  • SANFORD

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 01/01/2019

    100% Organization
  • THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/2019

    Organization
  • CAIN, JAMES

    CORPORATE DIRECTOR

    Since since 05/30/2024

    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
  • MOLBERT, LAURIS

    CORPORATE DIRECTOR

    Since since 05/30/2024

    Individual
  • NORTH, ANDREW

    CORPORATE DIRECTOR

    Since since 05/30/2024

    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
  • 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
  • ROGERS, MICHAEL

    CORPORATE OFFICER

    Since since 06/13/2022

    Individual
  • SCHEMA, NATHAN

    CORPORATE OFFICER

    Since since 01/01/2022

    Individual
  • SKJOLDEN, JESSICA

    CONTRACTED MANAGING EMPLOYEE

    Since since 01/01/2022

    Individual
  • BRANDENBURG, THERESA

    W-2 MANAGING EMPLOYEE

    Since since 02/11/2024

    Individual
  • MORRISON, TONY

    W-2 MANAGING EMPLOYEE

    Since since 01/01/2019

    Individual