Abuse citation flag

Overview

Address
1021 N 26TH ST, BISMARCK, ND 58501
Phone
7013231999
Certified beds
97
Avg daily residents
94 (96% of beds filled)
Ownership
Non-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1978-07-01
Setting
Urban
1 /5
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
4/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
4/5
Quality Measures breakdown
Long-Stay Quality Measures 3/5
Short-Stay Quality Measures 5/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
4.18 3.41 4.73 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.69 0.60 0.79 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
0.40 0.76 0.45
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
3.09 2.06 3.49
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.09
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.03

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.59
hrs / resident / day
RN (weekend)
0.27
hrs / resident / day
Total nurse (adjusted, weekend)
4.06
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
46.8%
annual
RN turnover
50.0%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.21
higher acuity than avg
Case-Mix Index Ratio
0.88
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-04-03 20 20 19 152 1 152
Cycle 2/3 (prior) 2024-02-29 12 12 12 92 1 92
Total weighted health score
137.0
lower is better

Deficiencies (35)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

1 A/B/C No actual harm — minor
31 D/E/F Actual harm — potential for minor
3 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2025-04-03 2025-05-07
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2025-04-03 2025-05-07
0553 Allow resident to participate in the development and implementation of his or her person-centered plan of care. D 2025-04-03 2025-05-07
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. G 2025-04-03 2025-05-07
0605 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. G 2025-04-03 2025-05-10
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-04-03 2025-05-07
0610 Respond appropriately to all alleged violations. D 2025-04-03 2025-05-07
0623 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. D 2025-04-03 2025-05-07
0637 Assess the resident when there is a significant change in condition D 2025-04-03 2025-05-07
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. E 2025-04-03 2025-05-07
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2025-04-03 2025-05-07
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2025-04-03 2025-05-07
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. E 2025-04-03 2025-05-07
0732 Post nurse staffing information every day. C 2025-04-03 2025-05-07
0758 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. D 2025-04-03 2025-05-07
0761 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 2025-04-03 2025-05-07
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F 2025-04-03 2025-05-07
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2025-04-03 2025-05-07
0865 Have a plan that describes the process for conducting QAPI and QAA activities. F 2025-04-03 2025-05-07
0880 Provide and implement an infection prevention and control program. D 2025-04-03 2025-05-07
0641 Ensure each resident receives an accurate assessment. D 2024-02-29 2024-04-08
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2024-02-29 2024-04-08
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-02-29 2024-04-08
0692 Provide enough food/fluids to maintain a resident's health. G 2024-02-29 2024-04-08
0693 Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. D 2024-02-29 2024-04-08
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2024-02-29 2024-04-08
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. E 2024-02-29 2024-04-08
0759 Ensure medication error rates are not 5 percent or greater. D 2024-02-29 2024-04-08
0761 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. E 2024-02-29 2024-04-08
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. E 2024-02-29 2024-04-08
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2024-02-29 2024-04-08
0880 Provide and implement an infection prevention and control program. E 2024-02-29 2024-04-08
0558 Reasonably accommodate the needs and preferences of each resident. E 2023-03-02 2023-03-25
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2023-03-02 2023-03-25
0880 Provide and implement an infection prevention and control program. E 2023-03-02 2023-03-25

Penalties (2)

Fines issued
2
last 3 years
Total fines
$44,606
Date Type Fine amount
2024-02-29 Fine $20,686
2025-04-03 Fine $23,920

Source: CMS Nursing Home Penalties.

Financial Health (FY 2024)

Payer mix (share of resident days)

Medicare 5.6% Medicaid 59.5% Other 34.8%

Operating performance

Operating Margin
2.6%
Total Margin
7.3%
Occupancy Rate
96.6%

Revenue & costs

Net Patient Revenue
$13.1M
Total Costs
$627K
Net Income
$1.0M

Balance sheet

Total Assets
$5.4M
Total Liabilities
$224K
Fund Balance
$5.2M
Current Ratio
6.69

Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: GOOD SAMARITAN SOCIETY

Chain ID
726
Facilities in chain
89
Legal business name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Chain-average star ratings (for peer context)
Overall
3.0
Health
2.9
Staffing
3.8
QM
2.9

Owner / manager organizations (4)

Organization Role Association
SANFORD 5% OR GREATER DIRECT OWNERSHIP INTEREST since 01/01/2019
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 01/01/2019
SANFORD OPERATIONAL/MANAGERIAL CONTROL since 01/01/2019
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY OPERATIONAL/MANAGERIAL CONTROL since 01/01/2019

Owner / manager individuals (24)

Name Role Association
AL RABADI, ISSA OPERATIONAL/MANAGERIAL CONTROL since 12/01/2021
KITELINGER, KAYLENE OPERATIONAL/MANAGERIAL CONTROL since 01/30/2022
MORRISON, TONY OPERATIONAL/MANAGERIAL CONTROL since 01/01/2019
SANDGREN, DEEANDRA OPERATIONAL/MANAGERIAL CONTROL since 07/16/2023
BROWN, GEORGE CORPORATE DIRECTOR since 01/01/2025
DYKHOUSE, DANA CORPORATE DIRECTOR since 05/30/2024
ENGBRECHT, WESLEY CORPORATE DIRECTOR since 05/30/2024
GASSEN, WILLIAM CORPORATE DIRECTOR since 05/30/2024
GULSVIG, NEIL CORPORATE DIRECTOR since 05/30/2024
HERSETH SANDLIN, STEPHANIE CORPORATE DIRECTOR since 05/30/2024
LUNDEEN, MARK CORPORATE DIRECTOR since 05/30/2024
MCCAUSLAND, MAUREEN CORPORATE DIRECTOR since 01/01/2025
MOLBERT, LAURIS CORPORATE DIRECTOR since 05/30/2024
NORTH, ANDREW CORPORATE DIRECTOR since 05/30/2024
SCHIEFFER, KEVIN CORPORATE DIRECTOR since 01/01/2025
SHULKIN, DAVID CORPORATE DIRECTOR since 05/30/2024
TEIKEN, BRENT CORPORATE DIRECTOR since 05/30/2024
VENTLING-HERRMANN, MARNIE CORPORATE DIRECTOR since 05/30/2024
WENZEL, THOMAS CORPORATE DIRECTOR since 01/01/2025
FLUIT, JOEL CORPORATE OFFICER since 10/01/2022
GASSEN, WILLIAM CORPORATE OFFICER since 05/30/2024
MIDDLETON, AIMEE CORPORATE OFFICER since 01/27/2022
OLSON, NICHOLAS CORPORATE OFFICER since 04/08/2024
SCHEMA, NATHAN CORPORATE OFFICER since 01/01/2022

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
Yes — last 2 cycles
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

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Show 112 rows
Source Metric Value Raw key
Cost Report Current Ratio 6.69 metrics.current_ratio
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Medicaid Day Share (%) 59.5% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 5.6% metrics.medicare_day_share
Cost Report Net Income ($) $1,032,307 metrics.net_income
Cost Report Net Patient Revenue ($) $13,149,633 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 96.6% metrics.occupancy_rate
Cost Report Operating Margin (%) 2.6% metrics.operating_margin
Cost Report Total Assets ($) $5,392,770 metrics.total_assets
Cost Report Total Costs ($) $627,266 metrics.total_costs
Cost Report Total Fund Balances ($) $5,168,579 metrics.fund_balance
Cost Report Total Liabilities ($) $224,191 metrics.total_liabilities
Cost Report Total Margin (%) 7.3% metrics.total_margin
Provider Information Abuse Icon Y Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.45034 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 3.49273 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.78517 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 4.72824 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 4.05823 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 93.6 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.75755 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.05886 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.59712 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.41353 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.00866 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.9 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 3.0 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 2.9 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 3.8 Chain Average Staffing Rating
Provider Information Chain ID 726 Chain ID
Provider Information Chain Name GOOD SAMARITAN SOCIETY Chain Name
Provider Information City/Town BISMARCK City/Town
Provider Information CMS Certification Number (CCN) 355060 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Burleigh County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1978-07-01 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 46.8155 Latitude
Provider Information Legal Business Name THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY Legal Business Name
Provider Information Location 1021 N 26TH ST,BISMARCK,ND,58501 Location
Provider Information Long-Stay QM Rating 3 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -100.75 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 97 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 89 Number of Facilities in Chain
Provider Information Number of Fines 2 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.20926 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.87777 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type Non profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 1021 N 26TH ST Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name ST VINCENT'S - A PROSPERA COMMUNITY Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 070 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 4 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 152 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 19 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 20 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-04-03 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 152 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 20 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 12 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-02-29 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 92 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 12 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 92 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 12 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.27206 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 50.0 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.09234 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.39815 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 3.08799 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.02922 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.69419 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 4.18033 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 5 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote Short-Stay QM Rating Footnote
Provider Information Special Focus Status Special Focus Status
Provider Information Staffing Rating 4 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State ND State
Provider Information Telephone Number 7013231999 Telephone Number
Provider Information Total Amount of Fines in Dollars 44606.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.58797 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 2 Total Number of Penalties
Provider Information Total nursing staff turnover 46.8 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 137.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 58501 ZIP Code