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Part of chain: GOOD SAMARITAN SOCIETY (92 facilities, chain avg rating 3.0★)
3/5
Health inspection rating (on-site)
inspected May 21, 2025
1
Serious findings on record
most recent Jan 7, 2026
$17,345
Fines, last 3 years
4.24
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
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)
▲ Immediate jeopardy, isolated · Jan 7, 2026 · F-0805 · triggered by a complaint
The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.
Why it matters: Food served in the wrong texture can cause choking or lead residents to stop eating and lose weight.
Severity (J): Immediate jeopardy to resident health or safety was cited. 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: Dec 30, 2025 (Past Non-Compliance)
Inspection findings in the public record
Showing the latest 3 of 14 inspection findings. Open the full record below to read every finding.
J · Immediate jeopardy, isolated
The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. · from a complaintF-0805
F · Potential for more than minimal harm, widespread
The 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
D · Potential for more than minimal harm, isolated
The 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
View all 14 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.
Date
Severity
What the facility was cited for
Jan 7, 2026
▲ J · Immediate jeopardy, isolated
The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. · from a complaint · F-0805
May 21, 2025
F · Potential for more than minimal harm, widespread
The 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
May 21, 2025
D · Potential for more than minimal harm, isolated
The 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
May 21, 2025
D · Potential for more than minimal harm, isolated
The 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
May 21, 2025
D · Potential for more than minimal harm, isolated
The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
May 21, 2025
D · Potential for more than minimal harm, isolated
The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. · F-0881
May 21, 2025
D · Potential for more than minimal harm, isolated
The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883
Mar 20, 2024
D · Potential for more than minimal harm, isolated
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
Mar 20, 2024
D · Potential for more than minimal harm, isolated
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Mar 20, 2024
D · Potential for more than minimal harm, isolated
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Mar 20, 2024
D · Potential for more than minimal harm, isolated
The 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 13, 2023
D · Potential for more than minimal harm, isolated
The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · F-0644
Apr 13, 2023
D · Potential for more than minimal harm, isolated
The 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 13, 2023
D · Potential for more than minimal harm, isolated
The 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
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 6).
Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations:
3
Serious citations (G–L):
0
2024
All citations:
4
Serious citations (G–L):
0
2025
All citations:
6
Serious citations (G–L):
0
2026
All citations:
1
Serious citations (G–L):
1
All bars start at zero. Exact values and supporting details remain below.
Year
Citations
Serious (G–L)
Worst severity that year
2023
3
0
D
2024
4
0
D
2025
6
0
F
2026
1
1
J ▲
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.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
Date
Type
Amount / length
Jan 7, 2026
Fine
$17,345
Nurse staffing (from payroll records, adjusted for how much care residents need)
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:
4.24
Minnesota average:
4.83
U.S. average:
3.95
Registered Nurse hours
This facility:
0.79
Minnesota average:
1.22
U.S. average:
0.69
Weekend total nurse staffing
This facility:
3.66
Minnesota average:
4.27
U.S. average:
3.50
All bars start at zero. Exact values and supporting details remain below.
Measure
This facility
Minnesota avg
U.S. avg
Where it stands
Total nurse staffing (hours per resident per day)
4.24
4.83
3.95
bottom 26% in Minnesota; top 31% in the U.S.
Registered Nurse hours
0.79
1.22
0.69
bottom 13% in Minnesota; top 28% in the U.S.
Weekend total nurse staffing
3.66
4.27
3.50
bottom 21% in Minnesota; top 35% in the U.S.
Weekend RN hours (not acuity-adjusted)
0.39
0.69
0.48
bottom 17% in Minnesota; top 50% in the U.S.
Total nursing staff turnover (%)
51.7
42.2
45.8
bottom 24% in Minnesota; bottom 32% in the U.S.
RN turnover (%)
50.0
38.6
42.9
bottom 32% in Minnesota; bottom 39% 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 3.70, RN 0.69, weekend 3.20.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.70 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.
No verified facility-specific private-pay price is available in our data for Good Samaritan Society - Pipestone. CMS inspection and staffing records do not tell us what this home will charge you.
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Individual Is an Owner, Partner or Trustee of Any ADP of the SNF
NOT APPLICABLE
12/18/2025
Fluit, Joel
Individual
ADP of the SNF
NOT APPLICABLE
10/01/2022
Focusone Solutions
Organization
ADP of the SNF
NOT APPLICABLE
03/04/2024
Gassen, William
Individual
Corporate Director
NOT APPLICABLE
05/30/2024
Gassen, William
Individual
Corporate Officer
NOT APPLICABLE
05/30/2024
Gassen, William
Individual
ADP of the SNF
NOT APPLICABLE
05/30/2024
Grape Tree Medical Staffing LLC
Organization
ADP of the SNF
NOT APPLICABLE
04/13/2018
Gulsvig, Neil
Individual
Corporate Director
NOT APPLICABLE
05/30/2024
Gulsvig, Neil
Individual
ADP of the SNF
NOT APPLICABLE
05/30/2024
Herseth Sandlin, Stephanie
Individual
Corporate Director
NOT APPLICABLE
05/30/2024
Showing 20 of 57 parties CMS has on file for this facility; 37 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.