Good Shepherd Lutheran Home

Name: Good Shepherd Lutheran Home
Address: 1115 4TH AVENUE NORTH, Sauk Rapids, MN, 56379, US
Telephone: 3202526525

1115 4th Avenue North, Sauk Rapids, MN 56379 · Benton County · 146 certified beds · avg 125 residents/day · certified since Jul 1, 1984

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

5.75

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 5/5

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 self-reported quality measures.

All citations in the current public record (24)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jul 9, 2026	F · Potential for harm, facility-wide	The facility did not give residents the required written notice of their rights, the facility's rules, the services offered, and what those services cost.
Jul 9, 2026	D · Potential for harm, one-off	The 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.
Jul 9, 2026	D · Potential for harm, one-off	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Jul 9, 2026	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jul 9, 2026	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jul 9, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jul 9, 2026	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Jul 9, 2026	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jul 9, 2026	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Apr 17, 2025	F · Potential for harm, facility-wide	The 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.
Apr 17, 2025	F · Potential for harm, facility-wide	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Apr 17, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 17, 2025	D · Potential for harm, one-off	The 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.
Apr 17, 2025	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Apr 17, 2025	D · Potential for harm, one-off	The 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.
Apr 17, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Apr 17, 2025	D · Potential for harm, one-off	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Apr 17, 2025	D · Potential for harm, one-off	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.
May 2, 2024	E · Potential for harm, repeated	The 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. · from a complaint
May 2, 2024	E · Potential for harm, repeated	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
May 2, 2024	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
May 2, 2024	D · Potential for harm, one-off	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.
May 2, 2024	D · Potential for harm, one-off	The 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.
May 2, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.

Inspection trend by year

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

Year	Citations	Worst severity that year
2024	6	E
2025	9	F
2026	9	F

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)

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

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

Measure	This facility	Minnesota avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	5.75	4.83	3.95	top 13% in Minnesota; top 5% in the U.S.
Registered Nurse hours	0.93	1.22	0.69	bottom 26% in Minnesota; top 19% in the U.S.
Weekend total nurse staffing	5.09	4.27	3.50	top 12% in Minnesota; top 6% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.28	0.69	0.48	bottom 6% in Minnesota; bottom 28% in the U.S.
Total nursing staff turnover (%)	38.6	42.2	45.8	top 46% in Minnesota; top 33% in the U.S.
RN turnover (%)	28.0	38.6	42.9	top 37% in Minnesota; top 26% in the U.S.

Hours are per resident per day, 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 4.92, RN 0.80, weekend 4.36. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

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

Who owns this facility

Non profit - Church related

Owner / manager	Type	Role	Stake	Since
Aegis Therapies, INC.	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2018
Bacon, Dennis	Individual	Corporate Director	NOT APPLICABLE	04/27/2023
Barber, Jacquelyn	Individual	Operational/Managerial Control	NOT APPLICABLE	10/27/2008
Barber, Jacquelyn	Individual	ADP of the SNF	NOT APPLICABLE	10/27/2008
Cloeter, Paul	Individual	Corporate Director	NOT APPLICABLE	07/30/2020
Fitch, Mike	Individual	Corporate Officer	NOT APPLICABLE	04/17/2018
Grape Tree Medical Staffing LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/14/2022
Kirchoff, Barry	Individual	Corporate Director	NOT APPLICABLE	06/17/2021
Klever, Emily	Individual	ADP of the SNF	NOT APPLICABLE	08/08/2014
Leonard, Charles	Individual	Corporate Director	NOT APPLICABLE	04/29/2025
Loidolt, Garry	Individual	Corporate Director	NOT APPLICABLE	04/29/2025
Machula, Jennifer	Individual	Corporate Director	NOT APPLICABLE	07/30/2020
Martini, Krista	Individual	Operational/Managerial Control	NOT APPLICABLE	09/20/2002
Martini, Krista	Individual	ADP of the SNF	NOT APPLICABLE	09/20/2022
Perleberg, Lois	Individual	Corporate Director	NOT APPLICABLE	06/16/2022
Scapanski, Cheryl	Individual	Corporate Director	NOT APPLICABLE	11/10/2022
Schoephoerster, George	Individual	Operational/Managerial Control	NOT APPLICABLE	11/07/2017
Schoephoerster, George	Individual	ADP of the SNF	NOT APPLICABLE	11/07/2017
Stordahl, Michael	Individual	Corporate Officer	NOT APPLICABLE	12/28/2018
Stordahl, Michael	Individual	Operational/Managerial Control	NOT APPLICABLE	12/28/2018

Questions to ask on your visit

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

"Can I get a written copy of resident rights, house rules, and a full list of services and charges today?"
"If my family member is able to manage their own medications, would you allow it, and how is that decided?"
"What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What alternatives do you try before using bed rails, and how do you involve families in that decision?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Country Manor Healthcare and Rehab Center	1.2 mi	Sartell, MN	★★★★★	5/5
Sterling Park Health Care Center	3.9 mi	Waite Park, MN	★★☆☆☆	2/5
Edenbrook of St Cloud	4.4 mi	Saint Cloud, MN	★★★☆☆	3/5
St Benedicts Care Center	4.9 mi	Saint Cloud, MN	★★★★☆	4/5
The Gardens at Foley LLC	13.2 mi	Foley, MN	★★☆☆☆	2/5
Assumption Home	16.1 mi	Cold Spring, MN	★★★★★	3/5
Benedictine Living Community Mother of Mercy	19.6 mi	Albany, MN	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Sauk Rapids →

Facility data as of CMS processing date 2026-08-01. CCN 245269.

The Care File

Visit checklist — Good Shepherd Lutheran Home

1115 4th Avenue North, Sauk Rapids, MN 56379 · 3202526525

Health inspection rating 3/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "Can I get a written copy of resident rights, house rules, and a full list of services and charges today?"
☐ "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
☐ "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 245269 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)