Nursing Home Inspect > Minnesota > Rock County Data as of May 2026

Good Samaritan Society Mary Jane Brown

Non profit - Corporation  ·  110 South Walnut Avenue, Luverne, MN 56156  ·  See home’s Medicare page

Affiliated With Good Samaritan Society
People or companies with an ownership interest in or managerial control of this home, according to CMS data.
3.57
Nurse hours/resident/day
Reported total nurse staffing hours per resident per day.
State Average: 4.2
58.5%
Nurse turnover
The percentage of nursing staff who stopped working at the home over a 12-month period.
State Average: 42.5%
51
Certified beds
Qualifying beds in the certified provider or supplier facility.
46
Average residents/day
Average number of residents based on daily census.
Direct owners are the layer of ownership closest to the nursing home while indirect owners have a stake in the nursing home but are further removed, like a company that owns the direct owner of a home. All owners listed below are people or companies who have at least a 5% stake in the nursing home. Entities with “managerial control” are those who conduct the day-to-day operations of the nursing home.
Direct owners
Sanford (100%) since Jan, 2019
Indirect owners
The Evangelical Lutheran Good Samaritan Society (100%) since Jan, 2019
Managerial control
Stephan Chesley since Jul, 2018
Tony Morrison since Jan, 2019
Deeandra Sandgren since Jul, 2023
Timothy Yeaton since Feb, 2025
Managing employee(s)
No information available
Corporate Director
Wesley Engbrecht since May, 2024
George Brown since Jan, 2025
Dana Dykhouse since May, 2024
William Gassen since May, 2024
Neil Gulsvig since May, 2024
Stephanie Herseth since May, 2024
Mark Lundeen since May, 2024
Maureen Mccausland since Jan, 2025
Lauris Molbert since May, 2024
Andrew North since May, 2024
Kevin Schieffer since Jan, 2025
David Shulkin since May, 2024
Brent Teiken since May, 2024
Marnie Ventling Herrmann since May, 2024
Thomas Wenzel since Jan, 2025
Corporate Officer
Joel Fluit since Oct, 2022
William Gassen since May, 2024
Aimee Middleton since Jan, 2022
Nicholas Olson since Apr, 2024
Nathan Schema since Jan, 2022
Adp Of The Snf
Dtn Staffing INC since Aug, 2024
Focusone Solutions since Mar, 2024
Grape Tree Medical Staffing LLC since Apr, 2018
Sanford since Nov, 2025
The Evangelical Lutheran Good Samaritan Society since Jan, 2019
George Brown since Jan, 2025
Stephan Chesley since Jul, 2018
Dana Dykhouse since May, 2024
Wesley Engbrecht since May, 2024
Joel Fluit since Oct, 2022
William Gassen since May, 2024
Neil Gulsvig since May, 2024
Stephanie Herseth since May, 2024
Mark Lundeen since May, 2024
Maureen Mccausland since Jan, 2025
Aimee Middleton since Jan, 2022
Lauris Molbert since May, 2024
Tony Morrison since Jan, 2019
Andrew North since May, 2024
Nicholas Olson since Apr, 2024
Deeandra Sandgren since Jul, 2023
Nathan Schema since Jan, 2022
Kevin Schieffer since Jan, 2025
David Shulkin since May, 2024
Brent Teiken since May, 2024
Marnie Ventling Herrmann since May, 2024
Thomas Wenzel since Jan, 2025
Timothy Yeaton since Feb, 2025

Inspection Reports

Inspection reports document deficiencies, which are nursing homes’ failures to meet care requirements. The Centers for Medicare and Medicaid Services releases the last three standard inspection reports, as well as the last 36 months of complaint and infection-control reports.
33

total deficiencies

4

infection-related deficiencies

This home violated federal standards protecting residents from the spread of infections.

Apr 1, 2026
Standard report
3 deficiencies
D

 to F
F
Full report
Nutrition and Dietary Deficiency — F0812
Failure to: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Many people affected
Seriousness
F
Administration Deficiency — F0851
Failure to: Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Many people affected
Seriousness
F
Quality of Life and Care Deficiency — F0693
Failure to: Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Jan 14, 2025
Standard report
7 deficiencies
(1 infection)

This report includes a citation for violating federal standards protecting residents from the spread of infections.
D

 to E
E
Full report
Pharmacy Service Deficiency — F0761
Failure to: 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.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
E
Resident Assessment and Care Planning Deficiency — F0657
Failure to: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Pharmacy Service Deficiency — F0755
Failure to: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Resident Rights Deficiency — F0576
Failure to: Ensure residents have reasonable access to and privacy in their use of communication methods.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Infection Control Deficiency — F0880
Failure to: Provide and implement an infection prevention and control program.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Administration Deficiency — F0949
Failure to: Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Pharmacy Service Deficiency — F0758
Failure to: 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.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Dec 27, 2024
Complaint report
1 deficiency
(1 infection)

This report includes a citation for violating federal standards protecting residents from the spread of infections.
D
Full report
Infection Control Deficiency — F0880
Failure to: Provide and implement an infection prevention and control program.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Aug 6, 2024
Complaint report
2 deficiencies
$57,045 Fine
D

 to J
J
Full report
Quality of Life and Care Deficiency — F0689
Failure to: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity
Immediate jeopardy to resident health or safety
Scope
Few people affected
Seriousness
J
Quality of Life and Care Deficiency — F0690
Failure to: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Feb 8, 2024
Complaint report
4 deficiencies
D
Full report
Resident Rights Deficiency — F0558
Failure to: Reasonably accommodate the needs and preferences of each resident.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Freedom from Abuse, Neglect, and Exploitation Deficiency — F0610
Failure to: Respond appropriately to all alleged violations.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Quality of Life and Care Deficiency — F0684
Failure to: Provide appropriate treatment and care according to orders, resident's preferences and goals.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Quality of Life and Care Deficiency — F0692
Failure to: Provide enough food/fluids to maintain a resident's health.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Oct 18, 2023
Standard report
15 deficiencies
(2 infection)

This report includes a citation for violating federal standards protecting residents from the spread of infections.
D

 to F
F
Full report
Nutrition and Dietary Deficiency — F0812
Failure to: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Many people affected
Seriousness
F
Nursing and Physician Services Deficiency — F0725
Failure to: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Many people affected
Seriousness
F
Environmental Deficiency — F0908
Failure to: Keep all essential equipment working safely.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Many people affected
Seriousness
F
Administration Deficiency — F0867
Failure to: Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Many people affected
Seriousness
F
Infection Control Deficiency — F0880
Failure to: Provide and implement an infection prevention and control program.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
E
Infection Control Deficiency — F0883
Failure to: Develop and implement policies and procedures for flu and pneumonia vaccinations.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
E
Pharmacy Service Deficiency — F0761
Failure to: 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.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Quality of Life and Care Deficiency — F0695
Failure to: Provide safe and appropriate respiratory care for a resident when needed.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Quality of Life and Care Deficiency — F0676
Failure to: Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Administration Deficiency — F0868
Failure to: Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Resident Rights Deficiency — F0622
Failure to: Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Resident Assessment and Care Planning Deficiency — F0657
Failure to: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Quality of Life and Care Deficiency — F0688
Failure to: Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Resident Rights Deficiency — F0625
Failure to: 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.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Pharmacy Service Deficiency — F0758
Failure to: 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.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
May 26, 2023
Complaint report
1 deficiency
D
Full report
Freedom from Abuse, Neglect, and Exploitation Deficiency — F0609
Failure to: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Penalties

A nursing home receives a penalty, either a fine or payment suspensions, when it has a serious health citation or fails to fix a citation. Fines may be imposed once per citation or regularly until the nursing home corrects the citation. Fines not associated with inspection reports can include fines for not reporting COVID-19 data or not complying with infection-control requirements. Payment suspensions are when the government stops payments to the nursing home until an issue is fixed. The Centers for Medicare and Medicaid Services releases the last three years of penalty information.
$57K

total fines

Aug 6, 2024
$57,045 fine