GOOD SAMARITAN SOCIETY SIOUX FALLS VILLAGE

SIOUX FALLS, SD · 177 beds · Non profit - Corporation

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • 1-star health inspection rating (lowest possible)
  • 14 deficiencies — 2.1x the state average
  • 2 citation(s) at the highest severity level — immediate risk to residents
  • 3 citation(s) where residents suffered actual harm
  • $80,437 in fines

Green Flags

  • 4-star staffing rating

Quick Facts

★☆☆☆☆
CMS Overall
★☆☆☆☆
Health Inspection
14
2.1x state avg
Deficiencies
$80,437
Fines (3-yr)
★★★★☆
Staffing

Violation Timeline

April 23, 2025

14 deficiencyies
F0554 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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Allow residents to self-administer drugs if determined clinically appropriate.

F0561 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

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.

F0679 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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Provide activities to meet all resident's needs.

F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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.

F0695 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide safe and appropriate respiratory care for a resident when needed.

F0700 Immediate Jeopardy Scope/Severity: J

Quality of Life and Care Deficiencies

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Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

F0725 Potential Harm Scope/Severity: E

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.

F0730 Potential Harm Scope/Severity: E

Nursing and Physician Services Deficiencies

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Observe each nurse aide's job performance and give regular training.

F0758 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Implement 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.

F0880 Potential Harm Scope/Severity: E

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0919 Potential Harm Scope/Severity: D

Environmental Deficiencies

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Make sure that a working call system is available in each resident's bathroom and bathing area.

F0947 Potential Harm Scope/Severity: D

Nursing and Physician Services Deficiencies

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Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

November 13, 2024

1 deficiency
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.

September 18, 2024

1 deficiency
F0600 Actual Harm Scope/Severity: G

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.

June 3, 2024

3 deficiencyies
F0684 Immediate Jeopardy Scope/Severity: J

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0684 Immediate Jeopardy Scope/Severity: J

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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.

December 6, 2023

1 deficiency
F0561 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

See full violation history →

Staffing

0.74
RN hrs/res/day
0.69
LPN hrs/res/day
2.67
CNA hrs/res/day
3.81
Weekend hrs/res/day
49%
Total nurse turnover
60%
RN turnover

A nurse checks on each resident roughly every 5.9 hours on average.

Fines & Penalties

  • Fine Apr 23, 2025
    $22,265
  • Fine Nov 13, 2024
    $7,718
  • Fine Sep 18, 2024
    $9,256
  • Fine Jun 3, 2024
    $22,055
  • Fine Dec 6, 2023
    $19,143
Total $80,437

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
  • ORSTAD, KERI

    CONTRACTED MANAGING EMPLOYEE

    Since since 03/01/2020

    Individual
  • BACHMEIER, DANA

    W-2 MANAGING EMPLOYEE

    Since since 07/15/2019

    Individual
  • MORRISON, TONY

    W-2 MANAGING EMPLOYEE

    Since since 01/01/2019

    Individual

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