GOOD SAMARITAN SOCIETY - OAKES

OAKES, ND · 46 beds · Non profit - Corporation

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • ⚠ This facility has a substantiated finding of abuse
  • ⚠ 11 deficiencies — 2.1x the state average
  • ⚠ 1 citation(s) at the highest severity level — immediate risk to residents

Green Flags

  • ✓ 5-star staffing rating

Quick Facts

★★☆☆☆
CMS Overall
★★☆☆☆
Health Inspection
11
2.1x state avg
Deficiencies
$12,740
Fines (3-yr)
★★★★★
Staffing

Violation Timeline

October 14, 2025

4 deficiencyies
F0600 Immediate Jeopardy Scope/Severity: J

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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.

F0600 Immediate Jeopardy Scope/Severity: J

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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.

July 6, 2025

2 deficiencyies
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.

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.

October 2, 2024

14 deficiencyies
F0550 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

F0625 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Notify 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.

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.

F0725 Potential Harm Scope/Severity: F

Nursing and Physician Services Deficiencies

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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

F0732 No Harm Scope/Severity: C

Nursing and Physician Services Deficiencies

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Post nurse staffing information every day.

F0791 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide or obtain dental services for each resident.

F0880 Potential Harm Scope/Severity: E

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0550 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

F0625 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Notify 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.

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.

F0725 Potential Harm Scope/Severity: F

Nursing and Physician Services Deficiencies

Show details

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

F0732 No Harm Scope/Severity: C

Nursing and Physician Services Deficiencies

Show details

Post nurse staffing information every day.

See full violation history →

Staffing

1.24
RN hrs/res/day
0.69
LPN hrs/res/day
2.27
CNA hrs/res/day
3.63
Weekend hrs/res/day
36%
Total nurse turnover
20%
RN turnover

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

Fines & Penalties

  • Fine Oct 14, 2025
    $12,740
Total $12,740

Ownership

Non profit - Corporation Chain: GOOD SAMARITAN SOCIETY

  • SANFORD

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 01/01/2019

    100% Organization

  • THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 01/01/2019

    100% 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

  • 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

  • ROGERS, MICHAEL

    CORPORATE OFFICER

    Since since 06/13/2022

    Individual

  • SCHEMA, NATHAN

    CORPORATE OFFICER

    Since since 01/01/2022

    Individual

  • MERTZ-HACK, TARA

    CONTRACTED MANAGING EMPLOYEE

    Since since 10/01/2023

    Individual

  • BERGH, PATRICIA

    W-2 MANAGING EMPLOYEE

    Since since 09/21/2020

    Individual

  • MORRISON, TONY

    W-2 MANAGING EMPLOYEE

    Since since 01/01/2019

    Individual