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Nursing homeFAID #6646

Good Samaritan Society - Pine River

518 JEFFERSON AVENUE, PINE RIVER, MN, 56474

(218) 587-4423

33 licensed beds

CMS rates Good Samaritan Society - Pine River 4 out of 5 overall. Federal inspectors issued 25 citations across 7 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★4/5CMS Five-Star overall4/5 health inspections4/5 staffing2/5 quality measuresSource: CMS Care Compare

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Address

518 Jefferson Avenue

Pine River, MN 56474

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Public record summary

What we can show you for free.

Bed capacity

State license

425975

CMS facility ID

245476

Care type

Nursing home

Facility name

Good Samaritan Society - Pine River

Street address

518 JEFFERSON AVENUE

City / state / ZIP

Pine River, MN 56474

Phone

(218) 587-4423

Website

good-sam.com

State license #

425975

About this facility — Good Samaritan Society - Pine River

Good Samaritan Society - Pine River is a Medicare/Medicaid-certified skilled nursing facility in Pine River, Minnesota. It is licensed for 33 beds — below the median for skilled nursing facilities in Minnesota (60 beds).

It is one of 3 senior care facilities in Pine River and 338 skilled nursing facilities across Minnesota. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Good Samaritan Society, a group of 93 facilities on this site.

Federal inspectors have cited Good Samaritan Society - Pine River 25 times across 7 inspections in the last three years, including 2 food-safety citations; no federal fines are on record. 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 November 6, 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 Pine River

Parent company

Good Samaritan Society

Ownership type

Non profit - Corporation

Administrator

Sarah Melberg

Registered owners & officers

Sanford

Direct owner — 100% stake — since 2019

Ahlf, Cierra

Operational control · Additional disclosable party — since 2024

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 · 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

Guardian Pharmacy of Minnesota Llc

Additional disclosable party — since 2024

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, Julie

Operational control · Additional disclosable party — since 2018

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

The Evangelical Lutheran Good Samaritan Society

Operational control — since 2019

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

1987-05-01

License expires

2027-07-31

CMS overall rating

4 of 5 stars

Health deficiencies

1 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-03-25

Nurse staffing

3.4 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges

$415 per day (≈ $12,620/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

33% Medicaid · 4% Medicare · 63% private/other

Occupancy

82% (fiscal year 2024)

Vs. state median

2% above the MN median of $407/day — full state cost breakdown

Services & coverage

Licensed beds

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 2026-11-06. 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.

2026-03-25Health inspection1 citation

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-04-10

2025-02-05Health inspection3 citations

F-0732

C · No harm found

Post nurse staffing information every day.

Corrected 2025-03-12

F-0801

F · No harm foundFood safety

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2025-03-11

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 2025-03-11

5 earlier / fire-safety inspections (21 citations)

2024-04-05Health inspectionComplaint-triggered1 citation

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-05-05

2024-01-09Health inspection3 citations

F-0641

E · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-01-29

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-01-29

F-0883

E · No harm found

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2024-01-29

2026-03-25Fire-safety inspection1 citation

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-04-15

2025-02-05Fire-safety inspection9 citations

K-0281

D · No harm found

Install proper backup exit lighting.

Corrected 2025-02-10

K-0291

E · No harm found

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-02-10

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 2025-02-10

K-0345

E · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-02-14

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-02-17

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2025-02-11

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-02-11

K-0711

F · No harm found

Provide a written emergency evacuation plan.

Corrected 2025-02-12

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2025-02-13

2024-01-09Fire-safety inspection7 citations

E-0015

F · No harm found

Address subsistence needs for staff and patients.

Corrected 2024-01-29

E-0039

C · No harm found

Conduct testing and exercise requirements.

Corrected 2024-01-29

E-0041

F · No harm found

Implement emergency and standby power systems.

Corrected 2024-01-29

K-0521

F · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-01-26

K-0711

F · No harm found

Provide a written emergency evacuation plan.

Corrected 2024-01-26

K-0761

F · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-01-26

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-01-26

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 245476.

Quality of care & staffing

How it compares in Minnesota.

Inspection citations, 3 years

More than 34% of nursing homes in the state

State median: 32

Federal fines, 3 years

No federal fines on record

State median: $0

Nurse staffing, hours per resident per day

3.4

Higher than 11% of nursing homes in the state

State median: 4.2

Nursing staff turnover, annual

44%

Higher than 60% of nursing homes in the state

State median: 40%

Resident outcomes

On 18 federal quality measures, this facility does better than the Minnesota average on 7 and worse on 7. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	11.8%	18.2%	13.5%	Better than state
Lose too much weight	0.0%	3.9%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.9%	1.7%	0.7%	Better than state
With a urinary tract infection	3.3%	2.6%	1.5%	Worse than state
Have depressive symptoms	10.5%	4.1%	13.5%	Worse than state
Were physically restrained	0.0%	0.1%	0.1%	Better than state
Experiencing one or more falls with major injury	6.6%	4.1%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	98.9%	97.3%	93.7%	Near state average
Received an antianxiety or hypnotic medication	17.6%	12.7%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	100.0%	96.4%	95.3%	Near state average
With pressure ulcers	1.7%	5.1%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	33.5%	23.7%	18.3%	Worse than state
Received an antipsychotic medication	25.5%	17.2%	15.4%	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	96.4%	88.1%	82.3%	Near state average
Newly received an antipsychotic medication	1.4%	1.9%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	98.4%	83.3%	80.1%	Better than state
Were rehospitalized after a nursing home admission	23.6%	23.0%	23.4%	Near state average
Had an outpatient emergency department visit	22.6%	14.6%	11.8%	Worse than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

K-0353 2 inspections. Inspect, test, and maintain automatic sprinkler systems.
K-0711 2 inspections. Provide a written emergency evacuation plan.

What its owners also hold

Sanford has an ownership stake on file at 89 nursing homes, averaging 3 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Minnesota

Licensing: Minnesota Department of Health
File a complaint: 800-369-7994
Long-Term Care Ombudsman: 800-657-3591. A free advocate for residents and families.
Adult Protective Services: 844-880-1574. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Essentia Health St Joseph's Medical Center, about 27 miles. CMS rating 3 of 5.
Cuyuna Regional Medical Center, about 27 miles. CMS rating 3 of 5.
Lakewood Health System, about 30 miles.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Heartwood, Crosby, about 27 miles. CMS rating 5 of 5.
Good Samaritan Society - Bethany, Brainerd, about 28 miles. CMS rating 5 of 5.
Good Samaritan Society - Woodland, Brainerd, about 29 miles. CMS rating 5 of 5.
Lakewood Health System, Staples, about 30 miles. CMS rating 5 of 5.
Green Pine Acres Nursing Home, Menahga, about 32 miles. CMS rating 5 of 5.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 25 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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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

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