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Nursing homeFAID #6729

Good Samaritan Society - Blackduck

172 SUMMIT AVENUE WEST, BLACKDUCK, MN, 56630
(218) 835-3410
good-sam.com
30 licensed beds
★★★★★1/5CMS Five-Star overall2/5 health inspections4/5 staffing1/5 quality measuresSource: CMS Care Compare

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Address

172 Summit Avenue West
Blackduck, MN 56630
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Public record summary

What we can show you for free.
Bed capacity
30
State license
425954
CMS facility ID
245600
Care type
Nursing home
Facility name
Good Samaritan Society - Blackduck
Street address
172 SUMMIT AVENUE WEST
City / state / ZIP
Blackduck, MN 56630
Phone
(218) 835-3410
Website
good-sam.com
State license #
425954

About this facility — Good Samaritan Society - Blackduck

Good Samaritan Society - Blackduck is a Medicare/Medicaid-certified skilled nursing facility in Blackduck, Minnesota. It is licensed for 30 beds — well below the median for skilled nursing facilities in Minnesota (60 beds).

It is one of 2 senior care facilities in Blackduck and 338 skilled nursing facilities across Minnesota. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Good Samaritan Society - Blackduck 40 times across 10 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $22,205 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Operator / owner
Good Samaritan Society Blackduck
Parent company
Good Samaritan Society
Ownership type
Non profit - Corporation
Administrator
Kristine Krueth

Registered owners & officers

Sanford
Direct owner · Operational control · Additional disclosable party — 100% stake — since 2019
The Evangelical Lutheran Good Samaritan Society
Indirect owner · Operational control · Additional disclosable party — 100% stake — since 2019
Billups, Sherry
Operational control · Additional disclosable party — since 2018
Bjerke, Brandon
Operational control · Additional disclosable party — since 2021
Brown, George
Director · Additional disclosable party — since 2025
Dtn Staffing Inc
Additional disclosable party — since 2024
Dykhouse, Dana
Director · Additional disclosable party — since 2024
Engbrecht, Wesley
Director · Additional disclosable party — since 2024
Fluit, Joel
Officer · Owner of a disclosable party · Additional disclosable party — since 2022
Focusone Solutions
Additional disclosable party — since 2024
Gassen, William
Director · Officer · Additional disclosable party — since 2024
Grape Tree Medical Staffing Llc
Additional disclosable party — since 2018
Gulsvig, Neil
Director · Additional disclosable party — since 2024
Herseth Sandlin, Stephanie
Director · Additional disclosable party — since 2024
Lundeen, Mark
Director · Additional disclosable party — since 2024
Mccausland, Maureen
Director · Additional disclosable party — since 2025
Middleton, Aimee
Officer · Additional disclosable party — since 2022
Molbert, Lauris
Director · Additional disclosable party — since 2024
Morrison, Tony
Operational control · Additional disclosable party — since 2019
North, Andrew
Director · Additional disclosable party — since 2024
Olson, Nicholas
Officer · Additional disclosable party — since 2024
Sandgren, Deeandra
Operational control · Additional disclosable party — since 2023
Schema, Nathan
Officer · Additional disclosable party — since 2022
Schieffer, Kevin
Director · Additional disclosable party — since 2025
Shulkin, David
Director · Additional disclosable party — since 2024
Teiken, Brent
Director · Additional disclosable party — since 2024
Ventling-herrmann, Marnie
Director · Additional disclosable party — since 2024
Wenzel, Thomas
Director · Additional disclosable party — since 2025

Regulatory standing

Federal court records
20 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1992-04-01
License expires
2027-07-31
CMS overall rating
1 of 5 stars
Health deficiencies
9 at the last standard inspection
Federal fines
$22,205 total
Last standard inspection
2025-08-20
Nurse staffing
4.0 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges
$307 per day (≈ $9,330/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
46% Medicaid · 3% Medicare · 51% private/other
Occupancy
90% (fiscal year 2024)
Vs. state median
25% below the MN median of $407/day — full state cost breakdown

Services & coverage

Licensed beds
30
Licensed as
Assisted Living Facility
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2026-07-01Health inspectionComplaint-triggered1 citation
F-0803
J · Immediate jeopardyFood safetyFrom a complaint
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.
Corrected 2026-06-11
2025-10-31Health inspectionComplaint-triggered3 citations
F-0641
D · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2025-12-26
F-0655
D · No harm foundFrom a complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-12-26
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-12-26
7 earlier / fire-safety inspections (36 citations)
2025-08-20Health inspection5 citations
F-0605
D · No harm found
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-09-24
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-09-24
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-24
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-09-24
F-0756
D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-09-24
2024-06-13Health inspection6 citations
F-0623
D · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-07-22
F-0625
D · No harm found
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.
Corrected 2024-07-22
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-07-22
F-0865
F · No harm found
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2024-07-22
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-07-22
F-0882
F · No harm found
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2024-07-22
2024-02-07Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-13
2023-08-10Health inspectionComplaint-triggered7 citations
F-0554
D · No harm foundFrom a complaint
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-09-20
F-0640
D · No harm found
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2023-09-20
F-0641
B · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2023-09-20
F-0661
D · No harm found
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2023-09-20
F-0756
D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-09-20
F-0758
E · No harm found
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.
Corrected 2023-09-20
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-09-20
2025-08-20Fire-safety inspection6 citations
K-0291
E · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-09-30
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2025-09-30
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2025-09-30
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2025-09-30
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-09-30
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2025-09-30
2024-06-13Fire-safety inspection2 citations
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-07-15
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-07-15
2023-08-10Fire-safety inspection9 citations
K-0291
E · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-09-20
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-09-20
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-09-20
K-0351
D · No harm found
Install an approved automatic sprinkler system.
Corrected 2023-09-20
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-09-20
K-0372
F · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-09-20
K-0511
F · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2023-09-20
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-09-20
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-09-20

Federal penalties

2026-07-01Fine$22,205
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 245600.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 40 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered