Minnesota ›Inver Grove Heights

Good Samaritan Society - Inver Grove Heights

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1301 50th Street East, Inver Grove Heights, MN 55077 (opens Google Maps) · Dakota County · (651) 451-1853· 46 certified beds · avg 37 residents/day · certified since Aug 1, 1985 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: GOOD SAMARITAN SOCIETY (92 facilities, chain avg rating 3.0★)

3/5
Health inspection rating (on-site)
inspected Feb 19, 2026
1
Serious findings on record
most recent Apr 9, 2024
$0
Fines, last 3 years
4.28
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · Apr 9, 2024 · F-0760 · triggered by a complaint

The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.

Why it matters: A serious medication error can cause real harm, hospitalization, or worse.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Mar 28, 2024 (Past Non-Compliance)

Inspection findings in the public record

Showing the latest 3 of 40 inspection findings. Open the full record below to read every finding.

  1. D · Potential for more than minimal harm, isolated

    The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. F-0578

  2. D · Potential for more than minimal harm, isolated

    The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. F-0582

  3. D · Potential for more than minimal harm, isolated

    The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. F-0605

View all 40 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Feb 19, 2026D · Potential for more than minimal harm, isolatedThe facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578
Feb 19, 2026D · Potential for more than minimal harm, isolatedThe facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · F-0582
Feb 19, 2026D · Potential for more than minimal harm, isolatedThe facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. · F-0605
Feb 19, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695
Feb 19, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698
Feb 19, 2026D · Potential for more than minimal harm, isolatedThe facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · F-0757
Feb 19, 2026D · Potential for more than minimal harm, isolatedThe facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921
Apr 2, 2025D · Potential for more than minimal harm, isolatedThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint · F-0550
Apr 2, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint · F-0677
Apr 2, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide timely, quality laboratory tests to meet residents' needs. · from a complaint · F-0770
Apr 2, 2025D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880
Dec 12, 2024F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Dec 12, 2024E · Potential for more than minimal harm, patternThe facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. · F-0553
Dec 12, 2024D · Potential for more than minimal harm, isolatedThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · F-0609
Dec 12, 2024D · Potential for more than minimal harm, isolatedThe facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · F-0610
Dec 12, 2024D · Potential for more than minimal harm, isolatedThe facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · F-0655
Dec 12, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677
Dec 12, 2024D · Potential for more than minimal harm, isolatedThe facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. · F-0685
Dec 12, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686
Dec 12, 2024D · Potential for more than minimal harm, isolatedThe facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758
Apr 9, 2024▲ G · Actual harm, isolatedThe facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint · F-0760
Oct 30, 2023D · Potential for more than minimal harm, isolatedThe facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint · F-0580
Oct 5, 2023D · Potential for more than minimal harm, isolatedThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550
Oct 5, 2023D · Potential for more than minimal harm, isolatedThe facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. · F-0554
Oct 5, 2023D · Potential for more than minimal harm, isolatedThe facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578
Oct 5, 2023D · Potential for more than minimal harm, isolatedThe facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. · F-0636
Oct 5, 2023D · Potential for more than minimal harm, isolatedThe facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. · F-0638
Oct 5, 2023D · Potential for more than minimal harm, isolatedThe facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. · F-0645
Oct 5, 2023D · Potential for more than minimal harm, isolatedThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657
Oct 5, 2023D · Potential for more than minimal harm, isolatedThe facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. · F-0676
Oct 5, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Oct 5, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint · F-0686
Oct 5, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695
Oct 5, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698
Oct 5, 2023D · Potential for more than minimal harm, isolatedThe facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · F-0757
Oct 5, 2023D · Potential for more than minimal harm, isolatedThe facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758
Oct 5, 2023D · Potential for more than minimal harm, isolatedThe facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint · F-0759
Oct 5, 2023D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Oct 5, 2023C · Potential for minimal harm, widespreadThe facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. · F-0577
Oct 5, 2023C · Potential for minimal harm, widespreadThe facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · F-0732

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (9 → 7).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 19
Serious citations (G–L): 0
2024
All citations: 10
Serious citations (G–L): 1
2025
All citations: 4
Serious citations (G–L): 0
2026
All citations: 7
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
2023190D
2024101G ▲
202540D
202670D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityMinnesota averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.28
Minnesota average: 4.83
U.S. average: 3.95
Registered Nurse hours
This facility: 1.39
Minnesota average: 1.22
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.71
Minnesota average: 4.27
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityMinnesota avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)4.284.833.95bottom 29% in Minnesota; top 30% in the U.S.
Registered Nurse hours1.391.220.69top 27% in Minnesota; top 6% in the U.S.
Weekend total nurse staffing3.714.273.50bottom 25% in Minnesota; top 33% in the U.S.
Weekend RN hours (not acuity-adjusted)0.930.690.48top 19% in Minnesota; top 7% in the U.S.
Total nursing staff turnover (%)52.642.245.8bottom 21% in Minnesota; bottom 30% in the U.S.
RN turnover (%)69.238.642.9bottom 11% in Minnesota; bottom 12% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.95, RN 1.28, weekend 3.43.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.95 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 2/5 · long-stay residents: 1/5 · short-stay residents: 4/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Good Samaritan Society - Inver Grove Heights. CMS inspection and staffing records do not tell us what this home will charge you.

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Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

Non profit - Corporation

Owner / managerTypeRoleStakeSince
SanfordOrganization5% or Greater Direct Ownership Interest100%01/01/2019
The Evangelical Lutheran Good Samaritan SocietyOrganization5% or Greater Indirect Ownership Interest100%01/01/2019
Brown, GeorgeIndividualCorporate DirectorNOT APPLICABLE01/01/2025
Brown, GeorgeIndividualADP of the SNFNOT APPLICABLE01/01/2025
DTN Staffing INCOrganizationADP of the SNFNOT APPLICABLE08/02/2024
Dykhouse, DanaIndividualCorporate DirectorNOT APPLICABLE05/30/2024
Dykhouse, DanaIndividualADP of the SNFNOT APPLICABLE05/30/2024
Engbrecht, WesleyIndividualCorporate DirectorNOT APPLICABLE05/30/2024
Engbrecht, WesleyIndividualADP of the SNFNOT APPLICABLE05/30/2024
Fluit, JoelIndividualCorporate OfficerNOT APPLICABLE10/01/2022
Fluit, JoelIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE01/15/2026
Fluit, JoelIndividualADP of the SNFNOT APPLICABLE10/01/2022
Focusone SolutionsOrganizationADP of the SNFNOT APPLICABLE03/04/2024
Gassen, WilliamIndividualCorporate DirectorNOT APPLICABLE05/30/2024
Gassen, WilliamIndividualCorporate OfficerNOT APPLICABLE05/30/2024
Gassen, WilliamIndividualADP of the SNFNOT APPLICABLE05/30/2024
Grape Tree Medical Staffing LLCOrganizationADP of the SNFNOT APPLICABLE04/13/2018
Gulsvig, NeilIndividualCorporate DirectorNOT APPLICABLE05/30/2024
Gulsvig, NeilIndividualADP of the SNFNOT APPLICABLE05/30/2024
Herseth Sandlin, StephanieIndividualCorporate DirectorNOT APPLICABLE05/30/2024

Showing 20 of 56 parties CMS has on file for this facility; 36 are not displayed. The full list is in the CMS Ownership dataset.

Other facilities in the same chain

CMS lists this facility under the chain Good Samaritan Society — 92 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 91 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "What systems do you use to prevent medication errors, and what happens when one occurs?"
  • "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
  • "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
  • "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
  • "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
  • "How do you coordinate and monitor care for residents who receive dialysis?"
  • "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
  • "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Minnesota midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 53% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 56 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 93 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Southview Acres Healthcare Center0.6 miWest Saint Paul, MN★★☆☆☆2/5
Woodlyn Heights Healthcare Center1.1 miInver Grove Heights, MN★★☆☆☆2/5
Walker Methodist Westwood Ridge II1.5 miWest Saint Paul, MN★★☆☆☆2/5
Cerenity Care Center on Humboldt3.5 miSaint Paul, MN★★☆☆☆2/5
Shirley Chapman Sholom Home East3.9 miSaint Paul, MN★★★★☆3/5
Little Sisters of the Poor4.4 miSaint Paul, MN★★☆☆☆2/5
Highland Chateau Health and Rehabilitation Center4.5 miSaint Paul, MN—/5SFF
Cerenity Marian of St Paul LLC4.8 miSaint Paul, MN★★★★☆3/5
Ebenezer Integrated Care & Rehab4.9 miSaint Paul, MN★★★★☆3/5
The Emeralds at St Paul LLC5.1 miSaint Paul, MN★☆☆☆☆1/5
Capital View Transitional Care Center5.3 miSaint Paul, MN★★★★★5/5
The Villas at St Paul5.4 miSaint Paul, MN★★☆☆☆2/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Dakota, MN — 9 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Inver Grove Heights →

Facility data as of CMS processing date 2026-08-01. CCN 245285.

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