Skilled nursing facility · CMS certification number 435124
Good Samaritan Society Miller
MILLER, South Dakota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 50
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 2 · Fines: 2 · Fines, total amount: $96,127.00 · Payment denials: 0. The most recent penalty on file: February 20, 2026, Fine, $75,645. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for October 1, 2023 to September 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 13, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,908,088 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $98,096 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,809,992 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,776,193 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $33,799 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $141,389 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $175,188 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $120,254 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 58 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 21,228 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 376 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 6,318 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 10,506 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 17,200 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 6 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 35 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 37 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 78 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 180.51 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 220.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1405218, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended September 30, 2023
Cost report for October 1, 2022 to September 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 28, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,389,007 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $428,916 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,960,091 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,720,406 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$760,315 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $283,546 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$476,769 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$551,128 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 58 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,749 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 75 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 382.41 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 223.32 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1374016, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended September 30, 2022
Cost report for October 1, 2021 to September 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 22, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,297,946 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $295,862 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,002,084 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,592,383 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$590,299 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $36,035 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$554,264 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$598,635 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 59 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,387 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 72 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 89.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 241.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 213.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1344761, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended September 30, 2021
Cost report for October 1, 2020 to September 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 21, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,407,786 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $739,149 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,668,637 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,795,881 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$127,244 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $60,544 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$66,700 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$105,295 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 59 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,663 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 56 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 232.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 279.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1313851, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended September 30, 2020
Cost report for October 1, 2019 to September 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 16, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,317,479 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $600,464 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,717,015 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,567,050 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $149,965 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $42,773 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $192,738 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $145,047 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 59 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,591 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 49 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 213.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 359 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1282547, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended September 30, 2019
Cost report for October 1, 2018 to September 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 15, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,747,296 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $515,555 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,231,741 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,709,912 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$478,171 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $231,038 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$247,133 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$282,449 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 59 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,118 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 95 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 180.53 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 180.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1253742, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended September 30, 2018
Cost report for October 1, 2017 to September 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 20, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,567,564 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $989,684 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,577,880 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,729,873 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$151,993 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $104,884 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$47,109 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$54,518 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 59 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,490 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 85.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 390.26 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 186.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1220048, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended September 30, 2017
Cost report for October 1, 2016 to September 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 9, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,663,572 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $949,508 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,714,064 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,626,513 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $87,551 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $59,666 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $147,217 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $146,108 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 59 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,339 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 106 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 98.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 479.39 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 182.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1183624, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended September 30, 2016
Cost report for October 1, 2015 to September 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 24, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,525,762 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,225,448 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,300,314 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,785,722 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$485,408 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $61,073 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$424,335 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$423,879 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 62 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,294 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 115 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 64.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 333.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 167.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1153466, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended September 30, 2015
Cost report for October 1, 2014 to September 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 30, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,737,446 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,353,264 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,384,182 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,622,863 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$238,681 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $118,822 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$119,859 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$126,252 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 61 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,955 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 103 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 65 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 462.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 203.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1118320, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended September 30, 2014
Cost report for October 1, 2013 to September 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 28, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,162,840 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $971,786 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,191,054 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,176,987 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $14,067 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $124,971 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $139,038 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $128,035 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,251 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 56 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,200.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 361.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1089254, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended September 30, 2013
Cost report for October 1, 2012 to September 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 20, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,174,188 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $845,331 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,328,857 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,139,017 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $189,840 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $67,633 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $257,473 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $271,998 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 69 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,976 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 41 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 65.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 593 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 511.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1058684, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended September 30, 2012
Cost report for October 1, 2011 to September 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 8, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,259,713 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $936,804 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,322,909 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,330,525 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$7,616 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $63,641 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $56,025 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $46,089 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 69 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,816 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 28 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 123.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 741.45 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 743.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1025606, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended September 30, 2011
Cost report for October 1, 2010 to September 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 30, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,284,129 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,086,745 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $197,384 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $107,328 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$132 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $304,844 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 69 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,729 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 24 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 104.42 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,015.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 905.38 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 428332, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended September 30, 2010
Cost report for October 1, 2009 to September 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 20, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,195,850 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,985,446 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $210,404 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $145,122 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $9,487 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $346,039 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 69 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,697 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 73 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 358.79 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 297.22 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 397395, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended September 30, 2009
Cost report for October 1, 2008 to September 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 15, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,712,374 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,676,506 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $35,868 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $48,332 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $13,125 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $71,075 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 66 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,049 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 80 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.53 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 374.18 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 238.11 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 365881, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended September 30, 2008
Cost report for May 1, 2008 to September 30, 2008 — a reporting period of 152 days, not a full year, on form CMS-2540-96, settled, processed by CMS on April 15, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,076,412 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,088,159 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$11,747 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$4,570 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $6,667 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$22,984 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 62 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 7,766 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 48 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 675 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 161.79 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 337287, read from the public cost report file SNFFY2008.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| SANFORD | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 01/01/2019 |
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 100% | since 01/01/2019 |
| TURNER, MICHELLE | CONTRACTED MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 01/01/2017 |
| CAIN, JAMES | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| DYKHOUSE, DANA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| ENGBRECHT, WESLEY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| GASSEN, WILLIAM | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| GULSVIG, NEIL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| HERSETH SANDLIN, STEPHANIE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| LUNDEEN, MARK | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| MOLBERT, LAURIS | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| NORTH, ANDREW | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| SHULKIN, DAVID | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| TEIKEN, BRENT | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| VENTLING-HERRMANN, MARNIE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| FLUIT, JOEL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/01/2022 |
| GASSEN, WILLIAM | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/30/2024 |
| MIDDLETON, AIMEE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/27/2022 |
| OLSON, NICHOLAS | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/08/2024 |
| ROGERS, MICHAEL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/13/2022 |
| SCHEMA, NATHAN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2022 |
| MORRISON, TONY | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 01/01/2019 |
| SIVERTSEN, KIMBERLY | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 08/08/2022 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (enrollment ID O20080213000206).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| SANFORD | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 1/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 1/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| MICHELLE A TURNER | Individual | CONTRACTED MANAGING EMPLOYEE | 0 | 1/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANDREW STEWART NORTH | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRENT GERARD TEIKEN | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DANA JAMES DYKHOUSE | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID JONATHAN SHULKIN | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES EDWARD CAIN | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LAURIS NELSON MOLBERT | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK ALLEN LUNDEEN | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARNIE LYNN VENTLING-HERRMANN | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NEIL LESLIE GULSVIG | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEPHANIE MARIE HERSETH SANDLIN | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WESLEY OWEN ENGBRECHT | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WILLIAM JOSEPH GASSEN | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AIMEE NICOLE MIDDLETON | Individual | CORPORATE OFFICER | 0 | 1/27/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOEL ADAM FLUIT | Individual | CORPORATE OFFICER | 0 | 10/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL ROGERS | Individual | CORPORATE OFFICER | 0 | 6/13/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NATHAN THOMAS SCHEMA | Individual | CORPORATE OFFICER | 0 | 1/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NICHOLAS WAYNE OLSON | Individual | CORPORATE OFFICER | 0 | 4/8/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WILLIAM JOSEPH GASSEN | Individual | CORPORATE OFFICER | 0 | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KIMBERLY SIVERTSEN | Individual | W-2 MANAGING EMPLOYEE | 0 | 8/8/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TONY LEE MORRISON | Individual | W-2 MANAGING EMPLOYEE | 0 | 1/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- October 1, 2024: DEAN LOUIS BRESCIANI no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: THOMAS PHILLIP KOOP no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: MATTHEW RYAN HOCKS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: SANFORD no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: AIMEE NICOLE MIDDLETON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: SCOTT CHARLES PETERSEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: TONY LEE MORRISON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: DARRELL EVAN SCHMITH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: LINDA OLAYINKA NORMAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: SCOTT WOOTEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: SCOTT WOOTEN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: DAVID AUSTAD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: HELEN ISABELLA MELLAND no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: MARNIE LYNN VENTLING-HERRMANN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: NICHOLAS WAYNE OLSON (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since April 8, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: LAURIS NELSON MOLBERT (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: NEIL LESLIE GULSVIG (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: DAVID JONATHAN SHULKIN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: SANFORD (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: WESLEY OWEN ENGBRECHT (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: WILLIAM JOSEPH GASSEN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: WILLIAM JOSEPH GASSEN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: STEPHANIE MARIE HERSETH SANDLIN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: ANDREW STEWART NORTH (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: MICHELLE A TURNER (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since January 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: KIMBERLY SIVERTSEN (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since August 8, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: DANA JAMES DYKHOUSE (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: BRENT GERARD TEIKEN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: JAMES EDWARD CAIN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: MARK ALLEN LUNDEEN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- June 3, 2024: MICHAEL ROGERS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: WILLIAM D MARLETTE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: WILLIAM D MARLETTE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: MICHAEL ROGERS (OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since June 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: SCOTT WOOTEN (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since January 25, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: SCOTT WOOTEN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since January 25, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- March 1, 2024: DAVID A BRECHTELSBAUER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- November 1, 2023: LISA MELBY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: NORVAL BUCKNEBERG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: NATHAN THOMAS SCHEMA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: MICHELLE ANN BRUHN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: MICHELLE ANN BRUHN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: CHAD JUNGMAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: ERIC VANDEN HULL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: ERIC VANDEN HULL no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: MICHELLE MARIE MICKA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: MICHELLE MARIE MICKA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: STEPHANIE MARIE SWENSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: JOLYN JOY MUNSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: KARIN LOUISE DULSKI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: MARNIE LYNN VENTLING-HERRMANN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: DUSTIN ALLEN SCHOLZ no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: DEAN LOUIS BRESCIANI (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since June 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: NATHAN THOMAS SCHEMA (OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since June 24, 2019. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: MICHAEL ROGERS (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since June 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: SCOTT CHARLES PETERSEN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since June 26, 2018. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: JOEL ADAM FLUIT (OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: WILLIAM DEAN MARLETTE (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since June 14, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: WILLIAM DEAN MARLETTE (OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since June 14, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
Recent changes on this record
- March 13, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- October 1, 2024: DEAN LOUIS BRESCIANI no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: THOMAS PHILLIP KOOP no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: MATTHEW RYAN HOCKS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: SANFORD no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: AIMEE NICOLE MIDDLETON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: SCOTT CHARLES PETERSEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: TONY LEE MORRISON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: DARRELL EVAN SCHMITH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: LINDA OLAYINKA NORMAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: SCOTT WOOTEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: SCOTT WOOTEN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: DAVID AUSTAD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: HELEN ISABELLA MELLAND no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: MARNIE LYNN VENTLING-HERRMANN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: NICHOLAS WAYNE OLSON (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since April 8, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: LAURIS NELSON MOLBERT (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: NEIL LESLIE GULSVIG (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: DAVID JONATHAN SHULKIN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: SANFORD (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: WESLEY OWEN ENGBRECHT (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: WILLIAM JOSEPH GASSEN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: WILLIAM JOSEPH GASSEN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: STEPHANIE MARIE HERSETH SANDLIN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: ANDREW STEWART NORTH (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: MICHELLE A TURNER (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since January 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: KIMBERLY SIVERTSEN (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since August 8, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: DANA JAMES DYKHOUSE (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: BRENT GERARD TEIKEN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: JAMES EDWARD CAIN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: MARK ALLEN LUNDEEN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- June 3, 2024: MICHAEL ROGERS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: WILLIAM D MARLETTE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: WILLIAM D MARLETTE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: MICHAEL ROGERS (OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since June 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: SCOTT WOOTEN (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since January 25, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: SCOTT WOOTEN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since January 25, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- March 1, 2024: DAVID A BRECHTELSBAUER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | February 20, 2026 | February 20, 2026 | 9 | 2 |
| 2 | September 19, 2024 | September 19, 2024 | 13 | 1 |
| 3 | July 13, 2023 | July 13, 2023 | 0 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
22 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| February 20, 2026 | Health | F 0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | No | Deficient, Provider has date of correction | March 24, 2026 |
| February 20, 2026 | Health | F 0637 | Resident Assessment and Care Planning Deficiencies | Assess the resident when there is a significant change in condition | D | No | Deficient, Provider has date of correction | March 24, 2026 |
| February 20, 2026 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | No | Deficient, Provider has date of correction | March 24, 2026 |
| February 20, 2026 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | March 24, 2026 |
| February 20, 2026 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | March 24, 2026 |
| February 20, 2026 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Yes | Deficient, Provider has date of correction | March 24, 2026 |
| February 20, 2026 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | No | Deficient, Provider has date of correction | March 24, 2026 |
| February 20, 2026 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Yes | Deficient, Provider has date of correction | March 24, 2026 |
| February 20, 2026 | Health | F 0761 | Pharmacy Service Deficiencies | 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. | D | No | Deficient, Provider has date of correction | March 24, 2026 |
| September 19, 2024 | Health | F 0553 | Resident Rights Deficiencies | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | E | Yes | Deficient, Provider has date of correction | October 18, 2024 |
| September 19, 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | October 18, 2024 |
| September 19, 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Yes | Deficient, Provider has date of correction | October 18, 2024 |
| September 19, 2024 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | No | Deficient, Provider has date of correction | October 18, 2024 |
| September 19, 2024 | Health | F 0625 | Resident Rights Deficiencies | 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. | D | No | Deficient, Provider has date of correction | October 18, 2024 |
| September 19, 2024 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Yes | Deficient, Provider has date of correction | October 18, 2024 |
| September 19, 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Yes | Deficient, Provider has date of correction | October 18, 2024 |
| September 19, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | October 18, 2024 |
| September 19, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | J | No | Deficient, Provider has date of correction | October 18, 2024 |
| September 19, 2024 | Health | F 0865 | Administration Deficiencies | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Yes | Deficient, Provider has date of correction | October 18, 2024 |
| September 19, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | October 18, 2024 |
| September 19, 2024 | Health | F 0882 | Infection Control Deficiencies | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | No | Deficient, Provider has date of correction | October 18, 2024 |
| September 19, 2024 | Health | F 0925 | Environmental Deficiencies | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Yes | Deficient, Provider has date of correction | October 18, 2024 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| February 20, 2026 | Fine | $75,645 | 139086 | ||
| September 19, 2024 | Fine | $20,482 | 100198 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| Date First Approved to Provide Medicare and Medicaid Services | 2008-05-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Hand |
| Telephone Number | 6058532701 |
| Chain Name | GOOD SAMARITAN SOCIETY |
| Chain ID | 726 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 50 |
| Average Number of Residents per Day | 34.9 |
| Overall Rating | 1 |
| Health Inspection Rating | 2 |
| QM Rating | 1 |
| Long-Stay QM Rating | 1 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on Good Samaritan Society Miller: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On March 13, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for Good Samaritan Society Miller
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in South Dakota at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 435124.