| Good Samaritan Society - Pine River | |
| 518 Jefferson Avenue, Pine River, Minnesota 56474 | |
| (218) 587-4423 | |
| Name | Good Samaritan Society - Pine River |
|---|---|
| Location | 518 Jefferson Avenue, Pine River, Minnesota |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 33 |
| Occupancy Rate | 88.18% |
| Medicare ID (CCN) | 245476 |
| Legal Business Name | The Evangelical Lutheran Good Samaritan Society |
| Ownership Type | Non Profit - Corporation |
| Chain | Good Samaritan Society (92 nursing homes) |
| Chain Average Overall Rating | 3 out of 5 |
| NPI Number | 1558342972 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | The Evangelical Lutheran Good Samaritan Society |
| Doing Business As | Good Samaritan Society - Pine River |
| Address | 518 Jefferson Ave, Pine River, MN 56474 |
| Phone Number | 218-587-4423 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.51 | 3.86 |
| Registered nurse (RN) hours per resident per day | 1.16 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.66 | 0.86 |
| Nurse aide hours per resident per day | 1.69 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.99 | 3.42 |
| RN hours per resident per day on the weekend | 0.89 | 0.48 |
| Physical therapist hours per resident per day | 0.02 | 0.07 |
| Total nursing staff turnover | 44.1% | 45.8% |
| Registered nurse turnover | 36.4% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Mar 25, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Apr 10, 2026 |
| Feb 5, 2025 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. F0801, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Mar 11, 2025 |
| Feb 5, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Mar 11, 2025 |
| Feb 5, 2025 | Post nurse staffing information every day. F0732, Nursing and Physician Services, Standard inspection | Minimal harm potential, widespread | Corrected by Mar 12, 2025 |
| Apr 5, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by May 5, 2024 |
| Jan 9, 2024 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Jan 29, 2024 |
| Jan 9, 2024 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Jan 29, 2024 |
| Jan 9, 2024 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 29, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.77 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 0 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.9 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 3.37 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 11.69 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.69 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.44 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.78 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | Not Available | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.15 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.43 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 3.2 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 34.89 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 22.22 | 15.38 |