Nursing Home Inspect > Minnesota > Beltrami County Data as of August 2026

Good Samaritan Society Blackduck

Non profit - Corporation  ·  172 Summit Avenue West, Blackduck, MN 56630  ·  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.
4.01
Nurse hours/resident/day
Reported total nurse staffing hours per resident per day.
State Average: 4.2
53.7%
Nurse turnover
The percentage of nursing staff who stopped working at the home over a 12-month period.
State Average: 42.2%
30
Certified beds
Qualifying beds in the certified provider or supplier facility.
27
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
Sanford since Jan, 2019
The Evangelical Lutheran Good Samaritan Society since Jan, 2019
Sherry Billups since Aug, 2018
Brandon Bjerke since Apr, 2021
Tony Morrison since Jan, 2019
Deeandra Sandgren since Jul, 2023
Managing employee(s)
No information available
Corporate Director
George Brown since Jan, 2025
Dana Dykhouse since May, 2024
Wesley Engbrecht since May, 2024
William Gassen since May, 2024
Neil Gulsvig since May, 2024
Stephanie Herseth Sandlin 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
Individual Is An Owner, Partner Or Trustee Of Any Adp Of The Snf
Joel Fluit since Apr, 2026
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
Sherry Billups since Aug, 2018
Brandon Bjerke since Apr, 2021
George Brown since Jan, 2025
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 Sandlin 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

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.
23

total deficiencies

3

infection-related deficiencies

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

Jul 1, 2026
Complaint report
1 deficiency
$22,205 Fine
J
Full report
Nutrition and Dietary Deficiency — F0803
Failure to: Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Severity
Immediate jeopardy to resident health or safety
Scope
Few people affected
Seriousness
J
Oct 31, 2025
Complaint report
3 deficiencies
D
Full report
Resident Assessment and Care Planning Deficiency — F0641
Failure to: Ensure each resident receives an accurate assessment.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Resident Assessment and Care Planning Deficiency — F0655
Failure to: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Quality of Life and Care Deficiency — F0686
Failure to: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Aug 20, 2025
Standard report
5 deficiencies
D
Full report
Freedom from Abuse, Neglect, and Exploitation Deficiency — F0605
Failure to: Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Quality of Life and Care Deficiency — F0686
Failure to: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
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
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
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
Pharmacy Service Deficiency — F0756
Failure to: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Jun 13, 2024
Standard report
6 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
Administration Deficiency — F0865
Failure to: Have a plan that describes the process for conducting QAPI and QAA activities.
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
Many people affected
Seriousness
F
Infection Control Deficiency — F0882
Failure to: Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Many people affected
Seriousness
F
Resident Rights Deficiency — F0623
Failure to: Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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
Feb 7, 2024
Complaint report
1 deficiency
D
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
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Aug 10, 2023
Complaint report
1 deficiency
D
Full report
Resident Rights Deficiency — F0554
Failure to: Allow residents to self-administer drugs if determined clinically appropriate.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Aug 10, 2023
Standard report
6 deficiencies
(1 infection)

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

 to E
E
Full report
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
Some people affected
Seriousness
E
Resident Assessment and Care Planning Deficiency — F0640
Failure to: Encode each resident's assessment data and transmit these data to the State within 7 days of assessment.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Resident Assessment and Care Planning Deficiency — F0661
Failure to: Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Pharmacy Service Deficiency — F0756
Failure to: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
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
Few people affected
Seriousness
D
Resident Assessment and Care Planning Deficiency — F0641
Failure to: Ensure each resident receives an accurate assessment.
Severity
No actual harm, with potential for minimal harm
Scope
Some people affected
Seriousness
B

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.
$22.2K

total fines

Jul 1, 2026
$22,205 fine