Skilled nursing facility · CMS certification number 435124

Good Samaritan Society Miller

MILLER, South Dakota · Medicare and Medicaid

Certified beds, as filed in Care Compare: 50

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 October 2023 to 30 September 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 13 March 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$4,908,088	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$98,096	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,809,992	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,776,193	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$33,799	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$141,389	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$175,188	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $120,254 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	58	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	21,228	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	376	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	6,318	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	10,506	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	17,200	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	6	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	35	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	37	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	78	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	62.67	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	180.51	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	220.51	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1405218, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 30 September 2023

Cost report for 1 October 2022 to 30 September 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 February 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$4,389,007	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$428,916	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,960,091	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,720,406	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$760,315	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$283,546	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$476,769	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$551,128 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	58	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,749	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	75	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	62	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	382.41	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	223.32	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1374016, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 30 September 2022

Cost report for 1 October 2021 to 30 September 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 March 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$4,297,946	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$295,862	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,002,084	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,592,383	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$590,299	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$36,035	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$554,264	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$598,635 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	59	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,387	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	72	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	89.33	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	241.6	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	213.71	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1344761, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 30 September 2021

Cost report for 1 October 2020 to 30 September 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 April 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$4,407,786	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$739,149	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,668,637	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,795,881	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$127,244	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$60,544	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$66,700	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$105,295 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	59	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,663	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	56	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	44.42	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	232.2	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	279.7	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1313851, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 30 September 2020

Cost report for 1 October 2019 to 30 September 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 16 April 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$4,317,479	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$600,464	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,717,015	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,567,050	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$149,965	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$42,773	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$192,738	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $145,047 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	59	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,591	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	49	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	62.62	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	213.29	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	359	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1282547, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 30 September 2019

Cost report for 1 October 2018 to 30 September 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 April 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$3,747,296	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$515,555	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,231,741	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,709,912	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$478,171	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$231,038	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$247,133	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$282,449 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	59	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,118	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	95	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	44.67	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	180.53	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	180.19	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1253742, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 30 September 2018

Cost report for 1 October 2017 to 30 September 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 February 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$4,567,564	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$989,684	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,577,880	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,729,873	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$151,993	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$104,884	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$47,109	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$54,518 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	59	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,490	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	99	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	85.9	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	390.26	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	186.77	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1220048, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 30 September 2017

Cost report for 1 October 2016 to 30 September 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 February 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$4,663,572	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$949,508	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,714,064	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,626,513	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$87,551	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$59,666	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$147,217	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $146,108 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	59	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,339	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	106	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	98.9	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	479.39	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	182.44	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1183624, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 30 September 2016

Cost report for 1 October 2015 to 30 September 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 24 February 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$4,525,762	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,225,448	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,300,314	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,785,722	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$485,408	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$61,073	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$424,335	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$423,879 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	62	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,294	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	115	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	64.56	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	333.43	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	167.77	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1153466, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 30 September 2015

Cost report for 1 October 2014 to 30 September 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 January 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$4,737,446	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,353,264	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,384,182	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,622,863	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$238,681	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$118,822	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$119,859	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$126,252 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,955	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	103	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	65	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	462.83	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	203.45	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1118320, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 30 September 2014

Cost report for 1 October 2013 to 30 September 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 April 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$4,162,840	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$971,786	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,191,054	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,176,987	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$14,067	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$124,971	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$139,038	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $128,035 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	65	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,251	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	56	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	55.56	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,200.13	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	361.63	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1089254, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended 30 September 2013

Cost report for 1 October 2012 to 30 September 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 April 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$4,174,188	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$845,331	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,328,857	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,139,017	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$189,840	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$67,633	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$257,473	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $271,998 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	69	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,976	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	41	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	65.53	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	593	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	511.61	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1058684, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 30 September 2012

Cost report for 1 October 2011 to 30 September 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 8 March 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$4,259,713	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$936,804	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,322,909	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,330,525	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$7,616	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$63,641	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$56,025	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $46,089 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	69	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,816	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	28	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	123.64	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	741.45	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	743.43	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1025606, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 30 September 2011

Cost report for 1 October 2010 to 30 September 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 30 April 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Net patient revenue	$3,284,129	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,086,745	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$197,384	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$107,328	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	−$132	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $304,844 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	69	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	21,729	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	24	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	104.42	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,015.67	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	905.38	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 428332, read from the public cost report file SNFFY2011.zip.

Fiscal year 2010, ended 30 September 2010

Cost report for 1 October 2009 to 30 September 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 20 April 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$3,195,850	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,985,446	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$210,404	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$145,122	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$9,487	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $346,039 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	69	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	21,697	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	73	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	92	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	358.79	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	297.22	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 397395, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended 30 September 2009

Cost report for 1 October 2008 to 30 September 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 15 March 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$2,712,374	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,676,506	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$35,868	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$48,332	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$13,125	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $71,075 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	66	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,049	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	80	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	28.53	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	374.18	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	238.11	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 365881, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended 30 September 2008

Cost report for 1 May 2008 to 30 September 2008 — a reporting period of 152 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 15 April 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$1,076,412	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,088,159	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$11,747	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	−$4,570	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$6,667	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$22,984 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	62	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	7,766	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	48	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	19.86	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	675	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	161.79	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 337287, read from the public cost report file SNFFY2008.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
SANFORD	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 01/01/2019
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	100%	since 01/01/2019
TURNER, MICHELLE	CONTRACTED MANAGING EMPLOYEE	Individual	NOT APPLICABLE	since 01/01/2017
CAIN, JAMES	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
DYKHOUSE, DANA	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
ENGBRECHT, WESLEY	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
GASSEN, WILLIAM	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
GULSVIG, NEIL	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
HERSETH SANDLIN, STEPHANIE	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
LUNDEEN, MARK	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
MOLBERT, LAURIS	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
NORTH, ANDREW	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
SHULKIN, DAVID	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
TEIKEN, BRENT	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
VENTLING-HERRMANN, MARNIE	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
FLUIT, JOEL	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 10/01/2022
GASSEN, WILLIAM	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 05/30/2024
MIDDLETON, AIMEE	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/27/2022
OLSON, NICHOLAS	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 04/08/2024
ROGERS, MICHAEL	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 06/13/2022
SCHEMA, NATHAN	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/01/2022
MORRISON, TONY	W-2 MANAGING EMPLOYEE	Individual	NOT APPLICABLE	since 01/01/2019
SIVERTSEN, KIMBERLY	W-2 MANAGING EMPLOYEE	Individual	NOT APPLICABLE	since 08/08/2022

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (enrollment ID O20080213000206).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
SANFORD	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	1/1/2019	Private equity company: No Real estate investment trust: No Holding company: No
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	1/1/2019	Private equity company: No Real estate investment trust: No Holding company: No
MICHELLE A TURNER	Individual	CONTRACTED MANAGING EMPLOYEE	0	1/1/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ANDREW STEWART NORTH	Individual	CORPORATE DIRECTOR	0	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BRENT GERARD TEIKEN	Individual	CORPORATE DIRECTOR	0	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DANA JAMES DYKHOUSE	Individual	CORPORATE DIRECTOR	0	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAVID JONATHAN SHULKIN	Individual	CORPORATE DIRECTOR	0	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JAMES EDWARD CAIN	Individual	CORPORATE DIRECTOR	0	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LAURIS NELSON MOLBERT	Individual	CORPORATE DIRECTOR	0	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARK ALLEN LUNDEEN	Individual	CORPORATE DIRECTOR	0	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARNIE LYNN VENTLING-HERRMANN	Individual	CORPORATE DIRECTOR	0	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NEIL LESLIE GULSVIG	Individual	CORPORATE DIRECTOR	0	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
STEPHANIE MARIE HERSETH SANDLIN	Individual	CORPORATE DIRECTOR	0	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
WESLEY OWEN ENGBRECHT	Individual	CORPORATE DIRECTOR	0	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
WILLIAM JOSEPH GASSEN	Individual	CORPORATE DIRECTOR	0	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
AIMEE NICOLE MIDDLETON	Individual	CORPORATE OFFICER	0	1/27/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOEL ADAM FLUIT	Individual	CORPORATE OFFICER	0	10/1/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MICHAEL ROGERS	Individual	CORPORATE OFFICER	0	6/13/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NATHAN THOMAS SCHEMA	Individual	CORPORATE OFFICER	0	1/1/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NICHOLAS WAYNE OLSON	Individual	CORPORATE OFFICER	0	4/8/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
WILLIAM JOSEPH GASSEN	Individual	CORPORATE OFFICER	0	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KIMBERLY SIVERTSEN	Individual	W-2 MANAGING EMPLOYEE	0	8/8/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TONY LEE MORRISON	Individual	W-2 MANAGING EMPLOYEE	0	1/1/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: MARK ALLEN LUNDEEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MARK ALLEN LUNDEEN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 October 2024: DEAN LOUIS BRESCIANI no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: THOMAS PHILLIP KOOP no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: MATTHEW RYAN HOCKS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: SANFORD no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: AIMEE NICOLE MIDDLETON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: SCOTT CHARLES PETERSEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: TONY LEE MORRISON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: DARRELL EVAN SCHMITH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: LINDA OLAYINKA NORMAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: SCOTT WOOTEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: SCOTT WOOTEN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: DAVID AUSTAD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: HELEN ISABELLA MELLAND no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: MARNIE LYNN VENTLING-HERRMANN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: NICHOLAS WAYNE OLSON appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: LAURIS NELSON MOLBERT appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: NEIL LESLIE GULSVIG appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: DAVID JONATHAN SHULKIN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: SANFORD appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: WESLEY OWEN ENGBRECHT appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: WILLIAM JOSEPH GASSEN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: WILLIAM JOSEPH GASSEN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: STEPHANIE MARIE HERSETH SANDLIN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: ANDREW STEWART NORTH appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: MICHELLE A TURNER appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: KIMBERLY SIVERTSEN appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: DANA JAMES DYKHOUSE appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: BRENT GERARD TEIKEN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: JAMES EDWARD CAIN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: MARK ALLEN LUNDEEN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
3 June 2024: MICHAEL ROGERS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: WILLIAM D MARLETTE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: WILLIAM D MARLETTE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: MICHAEL ROGERS appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: SCOTT WOOTEN appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: SCOTT WOOTEN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
1 March 2024: DAVID A BRECHTELSBAUER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
1 November 2023: LISA MELBY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
1 November 2023: NORVAL BUCKNEBERG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
1 November 2023: NATHAN THOMAS SCHEMA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
1 November 2023: MICHELLE ANN BRUHN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
1 November 2023: MICHELLE ANN BRUHN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
1 November 2023: CHAD JUNGMAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
1 November 2023: ERIC VANDEN HULL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
1 November 2023: ERIC VANDEN HULL no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
1 November 2023: MICHELLE MARIE MICKA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
1 November 2023: MICHELLE MARIE MICKA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
1 November 2023: STEPHANIE MARIE SWENSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
1 November 2023: JOLYN JOY MUNSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
1 November 2023: KARIN LOUISE DULSKI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
1 November 2023: MARNIE LYNN VENTLING-HERRMANN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
1 November 2023: DUSTIN ALLEN SCHOLZ no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
1 November 2023: DEAN LOUIS BRESCIANI appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
1 November 2023: NATHAN THOMAS SCHEMA appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
1 November 2023: MICHAEL ROGERS appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
1 November 2023: SCOTT CHARLES PETERSEN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
1 November 2023: JOEL ADAM FLUIT appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
1 November 2023: WILLIAM DEAN MARLETTE appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
1 November 2023: WILLIAM DEAN MARLETTE appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv

Recent changes on this record

1 July 2026: MARK ALLEN LUNDEEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MARK ALLEN LUNDEEN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
13 March 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 October 2024: DEAN LOUIS BRESCIANI no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: THOMAS PHILLIP KOOP no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: MATTHEW RYAN HOCKS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: SANFORD no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: AIMEE NICOLE MIDDLETON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: SCOTT CHARLES PETERSEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: TONY LEE MORRISON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: DARRELL EVAN SCHMITH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: LINDA OLAYINKA NORMAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: SCOTT WOOTEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: SCOTT WOOTEN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: DAVID AUSTAD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: HELEN ISABELLA MELLAND no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: MARNIE LYNN VENTLING-HERRMANN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: NICHOLAS WAYNE OLSON appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: LAURIS NELSON MOLBERT appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: NEIL LESLIE GULSVIG appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: DAVID JONATHAN SHULKIN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: SANFORD appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: WESLEY OWEN ENGBRECHT appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: WILLIAM JOSEPH GASSEN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: WILLIAM JOSEPH GASSEN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: STEPHANIE MARIE HERSETH SANDLIN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: ANDREW STEWART NORTH appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: MICHELLE A TURNER appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: KIMBERLY SIVERTSEN appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: DANA JAMES DYKHOUSE appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: BRENT GERARD TEIKEN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: JAMES EDWARD CAIN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: MARK ALLEN LUNDEEN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
3 June 2024: MICHAEL ROGERS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: WILLIAM D MARLETTE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: WILLIAM D MARLETTE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: MICHAEL ROGERS appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: SCOTT WOOTEN appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	20 February 2026	20 February 2026	9	2
2	19 September 2024	19 September 2024	13	1
3	13 July 2023	13 July 2023	0	1

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

22 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
20 February 2026	Health	F 0605	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.	D	No	Deficient, Provider has date of correction	24 March 2026
20 February 2026	Health	F 0637	Resident Assessment and Care Planning Deficiencies	Assess the resident when there is a significant change in condition	D	No	Deficient, Provider has date of correction	24 March 2026
20 February 2026	Health	F 0655	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	E	No	Deficient, Provider has date of correction	24 March 2026
20 February 2026	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	No	Deficient, Provider has date of correction	24 March 2026
20 February 2026	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	No	Deficient, Provider has date of correction	24 March 2026
20 February 2026	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	G	Yes	Deficient, Provider has date of correction	24 March 2026
20 February 2026	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	E	No	Deficient, Provider has date of correction	24 March 2026
20 February 2026	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	E	Yes	Deficient, Provider has date of correction	24 March 2026
20 February 2026	Health	F 0761	Pharmacy Service Deficiencies	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.	D	No	Deficient, Provider has date of correction	24 March 2026
19 September 2024	Health	F 0553	Resident Rights Deficiencies	Allow resident to participate in the development and implementation of his or her person-centered plan of care.	E	Yes	Deficient, Provider has date of correction	18 October 2024
19 September 2024	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	No	Deficient, Provider has date of correction	18 October 2024
19 September 2024	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	G	Yes	Deficient, Provider has date of correction	18 October 2024
19 September 2024	Health	F 0623	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	D	No	Deficient, Provider has date of correction	18 October 2024
19 September 2024	Health	F 0625	Resident Rights Deficiencies	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.	D	No	Deficient, Provider has date of correction	18 October 2024
19 September 2024	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	E	Yes	Deficient, Provider has date of correction	18 October 2024
19 September 2024	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	G	Yes	Deficient, Provider has date of correction	18 October 2024
19 September 2024	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	18 October 2024
19 September 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	J	No	Deficient, Provider has date of correction	18 October 2024
19 September 2024	Health	F 0865	Administration Deficiencies	Have a plan that describes the process for conducting QAPI and QAA activities.	F	Yes	Deficient, Provider has date of correction	18 October 2024
19 September 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	Deficient, Provider has date of correction	18 October 2024
19 September 2024	Health	F 0882	Infection Control Deficiencies	Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.	F	No	Deficient, Provider has date of correction	18 October 2024
19 September 2024	Health	F 0925	Environmental Deficiencies	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	F	Yes	Deficient, Provider has date of correction	18 October 2024

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
20 February 2026	Fine	$75,645			139086
19 September 2024	Fine	$20,482			100198

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	Non profit - Corporation
Legal Business Name	THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Date First Approved to Provide Medicare and Medicaid Services	2008-05-01
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	N
County/Parish	Hand
Telephone Number	6058532701
Chain Name	GOOD SAMARITAN SOCIETY
Chain ID	726
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	50
Average Number of Residents per Day	34.9
Overall Rating	1
Health Inspection Rating	2
QM Rating	1
Long-Stay QM Rating	1
Processing Date	2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

Get an email when this record changes

One email a day naming what moved on Good Samaritan Society Miller: the field, the value before, the value after, and the date of the file that first showed it.

The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On 1 July 2026: MARK ALLEN LUNDEEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. That is one line of the alert.

What the alerts are, and what a day of them looks like, is on the alerts page.

See a sample

Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.

The citable document for Good Samaritan Society Miller

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in South Dakota at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

Read the citable document for this facility →

Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 435124.