Good Samaritan Society - International Falls
International Falls, Koochiching County, Minnesota · CCN 245318 · Non-profit (Corporation) · part of Good Samaritan Society (92 facilities, chain average 3 stars)
CMS rates Good Samaritan Society - International Falls 4 of 5 overall as of August 2026. 54 certified beds, 51 residents a day on average. 30 citations on record from the current inspection cycles, 1 involving actual harm; 1 fine totalling $8,190.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★☆ 4 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★★★★★ 5 of 5 |
| Quality measures | ★★☆☆☆ 2 of 5 |
| Quality: long-stay / short-stay | 2 / — of 5 |
Staffing
| Total nurse staffing | 4.08134 hours per resident per day |
|---|---|
| Registered nurses | 1.07351 hours per resident per day |
| Weekend total | 3.35091 hours per resident per day |
| Nursing staff turnover | 43.3% (registered nurses 15.4%) |
| Administrators who left | 1 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-01-14 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-10 |
| 2026-01-14 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Administration Deficiencies · tag F0773 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-10 |
| 2026-01-14 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-10 |
| 2024-11-25 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · tag F0838 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-01-06 |
| 2024-11-25 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · tag F0867 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-01-06 |
| 2024-11-25 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-01-06 |
| 2024-11-25 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-06 |
| 2024-11-25 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-06 |
| 2024-11-25 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-06 |
| 2024-11-25 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-06 |
| 2024-11-25 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · tag F0699 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-06 |
| 2024-11-25 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · tag F0756 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-06 |
| 2024-11-25 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · tag F0757 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-06 |
| 2024-11-25 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-06 |
| 2024-11-25 | 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. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-06 |
| 2024-11-25 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · tag F0881 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-06 |
| 2024-11-25 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · tag F0732 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2025-01-06 |
| 2024-01-19 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-02-04 |
| 2023-10-19 | Give residents a notice of rights, rules, services and charges. Resident Rights Deficiencies · tag F0572 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2023-11-28 |
| 2023-10-19 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-11-28 |
| 2023-10-19 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-11-28 |
| 2023-10-19 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · tag F0623 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-28 |
| 2023-10-19 | 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. Resident Rights Deficiencies · tag F0625 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-28 |
| 2023-10-19 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-28 |
| 2023-10-19 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-28 |
| 2023-10-19 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · tag F0699 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-28 |
| 2023-10-19 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · tag F0700 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-28 |
| 2023-10-19 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-28 |
| 2023-10-19 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Environmental Deficiencies · tag F0909 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-28 |
| 2023-10-19 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
B No actual harm, with potential for minimal harm; pattern | Deficient, Provider has date of correction 2023-11-28 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-01-19 | Fine | $8,190 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| The Evangelical Lutheran Good Samaritan Society Organization | 5% or greater direct ownership interest | 100% | 2019-01-01 |
| Sanford Organization | 5% or greater indirect ownership interest | 100% | 2019-01-01 |
| Dtn Staffing Inc. Organization | adp of the snf | — | 2024-08-02 |
| Focusone Solutions Organization | adp of the snf | — | 2024-03-04 |
| Grape Tree Medical Staffing LLC Organization | adp of the snf | — | 2018-04-13 |
| Pharmerica Corporation Organization | adp of the snf | — | 2025-02-01 |
| Sanford Organization | adp of the snf | — | 2019-01-01 |
| The Evangelical Lutheran Good Samaritan Society Organization | adp of the snf | — | 2019-01-01 |
| Sanford Organization | operational/managerial control | — | 2019-01-01 |
| The Evangelical Lutheran Good Samaritan Society Organization | operational/managerial control | — | 2019-01-01 |
| Brown, George Individual | adp of the snf | — | 2025-01-01 |
| Copeman, Jeffrey Individual | adp of the snf | — | 2021-09-01 |
| Dykhouse, Dana Individual | adp of the snf | — | 2024-05-30 |
| Engbrecht, Wesley Individual | adp of the snf | — | 2024-05-30 |
| Fluit, Joel Individual | adp of the snf | — | 2022-10-01 |
| Gassen, William Individual | adp of the snf | — | 2024-05-30 |
| Gulsvig, Neil Individual | adp of the snf | — | 2024-05-30 |
| Herseth Sandlin, Stephanie Individual | adp of the snf | — | 2024-05-30 |
| Lundeen, Mark Individual | adp of the snf | — | 2024-05-30 |
| Mccausland, Maureen Individual | adp of the snf | — | 2025-01-01 |
| Middleton, Aimee Individual | adp of the snf | — | 2022-01-27 |
| Molbert, Lauris Individual | adp of the snf | — | 2024-05-30 |
| Morrison, Tony Individual | adp of the snf | — | 2019-01-01 |
| North, Andrew Individual | adp of the snf | — | 2024-05-30 |
| Olson, Nicholas Individual | adp of the snf | — | 2024-04-08 |
| Sandgren, Deeandra Individual | adp of the snf | — | 2023-07-16 |
| Schema, Nathan Individual | adp of the snf | — | 2022-01-01 |
| Schieffer, Kevin Individual | adp of the snf | — | 2025-01-01 |
| Shulkin, David Individual | adp of the snf | — | 2024-05-30 |
| Solheim, Paige Individual | adp of the snf | — | 2024-12-02 |
| Teiken, Brent Individual | adp of the snf | — | 2024-05-30 |
| Ventling-Herrmann, Marnie Individual | adp of the snf | — | 2024-05-30 |
| Wenzel, Thomas Individual | adp of the snf | — | 2025-01-01 |
| Brown, George Individual | corporate director | — | 2025-01-01 |
| Dykhouse, Dana Individual | corporate director | — | 2024-05-30 |
| Engbrecht, Wesley Individual | corporate director | — | 2024-05-30 |
| Gassen, William Individual | corporate director | — | 2024-05-30 |
| Gulsvig, Neil Individual | corporate director | — | 2024-05-30 |
| Herseth Sandlin, Stephanie Individual | corporate director | — | 2024-05-30 |
| Lundeen, Mark Individual | corporate director | — | 2024-05-30 |
| Mccausland, Maureen Individual | corporate director | — | 2025-01-01 |
| Molbert, Lauris Individual | corporate director | — | 2024-05-30 |
| North, Andrew Individual | corporate director | — | 2024-05-30 |
| Schieffer, Kevin Individual | corporate director | — | 2025-01-01 |
| Shulkin, David Individual | corporate director | — | 2024-05-30 |
| Teiken, Brent Individual | corporate director | — | 2024-05-30 |
| Ventling-Herrmann, Marnie Individual | corporate director | — | 2024-05-30 |
| Wenzel, Thomas Individual | corporate director | — | 2025-01-01 |
| Fluit, Joel Individual | corporate officer | — | 2022-10-01 |
| Gassen, William Individual | corporate officer | — | 2024-05-30 |
| Middleton, Aimee Individual | corporate officer | — | 2022-01-27 |
| Olson, Nicholas Individual | corporate officer | — | 2024-04-08 |
| Schema, Nathan Individual | corporate officer | — | 2022-01-01 |
| Fluit, Joel Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2026-05-01 |
| Copeman, Jeffrey Individual | operational/managerial control | — | 2021-09-01 |
| Morrison, Tony Individual | operational/managerial control | — | 2019-01-01 |
| Sandgren, Deeandra Individual | operational/managerial control | — | 2023-07-16 |
| Solheim, Paige Individual | operational/managerial control | — | 2024-12-02 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Good Samaritan Society - International Falls.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Koochiching County.