LUTHERAN HOME OF THE GOOD SHEPHERD

NEW ROCKFORD, ND · 51 beds · Non profit - Corporation

2 Trust Score

Grade: F CRITICAL Risk → Stable

Red Flags

⚠ This facility has a substantiated finding of abuse
⚠ 1 citation(s) at the highest severity level — immediate risk to residents
⚠ 2 citation(s) where residents suffered actual harm

Green Flags

✓ 5-star staffing rating

Quick Facts

★★★☆☆

CMS Overall

★★☆☆☆

Health Inspection

0.8x state avg

Deficiencies

$31,829

Fines (3-yr)

★★★★★

Staffing

Violation Timeline

August 27, 2025

6 deficiencyies

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.

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.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

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.

F0689 Actual Harm Scope/Severity: G

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.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

Show details

Provide and implement an infection prevention and control program.

June 3, 2025

2 deficiencyies

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.

F0600 Actual Harm Scope/Severity: G

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Show details

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

July 9, 2024

10 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

Show details

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

F0689 Potential Harm Scope/Severity: D

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.

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.

F0880 Immediate Jeopardy Scope/Severity: J

Infection Control Deficiencies

Show details

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.

F0689 Potential Harm Scope/Severity: D

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.

F0761 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

F0880 Immediate Jeopardy Scope/Severity: J

Infection Control Deficiencies

Show details

Provide and implement an infection prevention and control program.

See full violation history →

Staffing

1.05

RN hrs/res/day

0.75

LPN hrs/res/day

3.46

CNA hrs/res/day

4.39

Weekend hrs/res/day

58%

Total nurse turnover

30%

RN turnover

A nurse checks on each resident roughly every 4.6 hours on average.

Fines & Penalties

Fine Aug 27, 2025
$9,110
Fine Jun 3, 2025
$9,110
Fine Jul 9, 2024
$13,609

Total $31,829

Ownership

Non profit - Corporation Independent (not part of a chain)

LUTHERAN HOME OF THE GOOD SHEPHERD INC

OPERATIONAL/MANAGERIAL CONTROL

Since since 10/28/2009

Organization
JENSRUD, KIM

OPERATIONAL/MANAGERIAL CONTROL

Since since 03/11/2013

Individual
ALLMARAS, DIANNE

CORPORATE DIRECTOR

Since since 11/01/2011

Individual
ANDERSON, KAREN

CORPORATE DIRECTOR

Since since 01/01/2021

Individual
BIRKLAND, KAREN

CORPORATE DIRECTOR

Since since 10/01/2019

Individual
BOLLINGBERG, NANCY

CORPORATE DIRECTOR

Since since 10/01/2019

Individual
GULER, JOSH

CORPORATE DIRECTOR

Since since 10/01/2019

Individual
HEGLAND, AMANDA

CORPORATE DIRECTOR

Since since 10/01/2019

Individual
LABRENSZ, JEFFREY

CORPORATE DIRECTOR

Since since 10/01/2019

Individual
LUTZ, LONA

CORPORATE DIRECTOR

Since since 10/01/2019

Individual
PARSON, LORI

CORPORATE DIRECTOR

Since since 01/01/2021

Individual
RAU, RICHARD

CORPORATE DIRECTOR

Since since 10/01/2019

Individual
SCHUSTER, FERN

CORPORATE DIRECTOR

Since since 01/01/2021

Individual
JENSRUD, KIM

CORPORATE OFFICER

Since since 03/11/2013

Individual
O'CONNOR, KATHLEEN

CORPORATE OFFICER

Since since 10/01/2019

Individual
SWANSON, DENNIS

CORPORATE OFFICER

Since since 10/01/2019

Individual
WOLKENHAUER, CAROL

CORPORATE OFFICER

Since since 10/01/2019

Individual