Hearth Record

Good Samaritan Society - Oakes

A nursing home in Oakes, North Dakota 58474

213 N 9th St, Oakes, North Dakota 58474. (701) 742-3274.

  • Cited for abuse (CMS flag)
CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 19 citations in 6 months of the last 36. Last cited Jun 2026. Most serious: immediate jeopardy to health or safety (J). Every month

Each figure’s source sits beside it, in its section below.

What these words mean8
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Immediate jeopardy
CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

9 health citations at the latest inspection cycle

The North Dakota average is 5.6.

Last standard inspection Jan 7, 2026.

Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Oct 15, 2025

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

19 citations in 6 months of the last 36. Last cited Jun 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.

19 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 19 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 5 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Jun 18, 2026: complaint inspection1 citation

  • Provide and implement an infection prevention and control program.

    Rule F0880. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 9, 2026.

Jan 7, 2026: standard inspection6 citations

  • Honor the resident’s right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Rule F0584. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 26, 2026.

  • Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident’s ability to function.

    Rule F0605. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 26, 2026.

  • Ensure services provided by the nursing facility meet professional standards of quality.

    Rule F0658. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 26, 2026.

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Rule F0686. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 26, 2026.

  • Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    Rule F0849. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 26, 2026.

  • Provide and implement an infection prevention and control program.

    Rule F0880. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 26, 2026.

Oct 15, 2025: complaint inspection2 citations

  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Rule F0600. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Oct 6, 2025.

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

    Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 7, 2025.

Jul 7, 2025: complaint inspection1 citation

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Rule F0686. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 31, 2025.

Oct 3, 2024: standard inspection8 citations

  • Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Rule F0550. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Nov 8, 2024.

  • 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.

    Rule F0625. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Nov 8, 2024.

  • Assess the resident when there is a significant change in condition

    Rule F0637. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Nov 8, 2024.

  • Ensure each resident receives an accurate assessment.

    Rule F0641. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Nov 8, 2024.

  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Rule F0725. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Nov 8, 2024.

  • Provide or obtain dental services for each resident.

    Rule F0791. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Nov 8, 2024.

  • Provide and implement an infection prevention and control program.

    Rule F0880. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Nov 8, 2024.

  • Post nurse staffing information every day.

    Rule F0732. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Nov 8, 2024.

Jan 4, 2024: complaint inspection1 citation

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 29, 2024.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Jan 14, 1991.
  • Not on CMS’s special focus list.
  • CMS marks it with its abuse icon: cited for abuse or neglect that harmed a resident.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as non profit, corporation.
  • 46 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • 1 fine in the last three years, $8,281 in all.
  • No Medicare payment denials in the last three years.
  • 5 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Fines and payment denials, newest first
DateKindAmount
Oct 15, 2025Fine$8,281

Who does the caring?

3.01 nurse hours per resident per day

The North Dakota average is 4.47.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeNorth Dakota average
Nurse hours per resident per day3.014.47
Of which registered nurses0.720.93
At weekends2.653.80
Nursing staff turnover56.8%47.5%
Registered nurse turnover54.5%38.7%
Administrators who left0Not given

Who owns it?

  • Sanford owns 100% directly since Jan 1, 2019.
  • 21 owners or officers are people: Mark Allen Lundeen (corporate director, 0%); Marnie Lynn Ventling-Herrmann (corporate director, 0%); Tony Lee Morrison (managing employee (on the payroll), 0%); James Edward Cain (corporate director, 0%); Brent Gerard Teiken (corporate director, 0%); Joel Adam Fluit (corporate officer, 0%); Dana James Dykhouse (corporate director, 0%); Michael Rogers (corporate officer, 0%); Andrew Stewart North (corporate director, 0%); Aimee Nicole Middleton (corporate officer, 0%); Stephanie Marie Herseth Sandlin (corporate director, 0%); William Joseph Gassen (corporate officer, 0%); William Joseph Gassen (corporate director, 0%); Wesley Owen Engbrecht (corporate director, 0%); Patricia Bergh (managing employee (on the payroll), 0%); Nathan Thomas Schema (corporate officer, 0%); David Jonathan Shulkin (corporate director, 0%); Neil Leslie Gulsvig (corporate director, 0%); Lauris Nelson Molbert (corporate director, 0%); Tara R Mertz-Hack (managing employee (under contract)); Nicholas Wayne Olson (corporate officer, 0%).
  • Part of Good Samaritan Society (92 homes in CMS’s data).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
The Evangelical Lutheran Good Samaritan SocietyOwns 5% or more through other companies100%Jan 1, 2019
SanfordOwns 5% or more directly100%Jan 1, 2019

How do residents fare?

  • CMS rates its quality measures 2 of 5 (North Dakota average 2.8).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating2 of 5
Health inspections2 of 5
Staffing3 of 5
Quality measures2 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 50.1 miles, this one had the 1st most health citations at the latest inspection cycle (9; the middle value was 6.5).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

The 12 nearest, by straight-line distance
PlaceMiles awayCitations, latest cycle
Good Samaritan Society - Oakes This nursing home9
St Rose Care Center17.76
Four Seasons Health Care Inc.21.78
Prince of Peace Care Center22.94
North Dakota Veterans Home28.10
Parkside Lutheran Home28.29
Wheatcrest Hills Healthcare Center28.85
Smp Health - Maryhill40.72
Avantara Groton47.39
Aberdeen Health and Rehab49.77
Avera Mother Joseph Manor Retirement Community49.87
Prairie Heights Healthcare50.11

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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