B84

Good Shepherd Lutheran Home

Grade B 84/100 composite score

Non profit - Church related

CMS Star Ratings

Overall
4/5
Health Insp.
2/5
Quality
5/5
Staffing
5/5
RN Staffing
Not rated

Certified Beds

146

Ownership

Non profit - Church related

Total Fines

$10,000

Last Survey

N/A

1115 4TH AVENUE NORTH, SAUK RAPIDS, MN 56379
3202526525

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.93h
LPN
0.87h
CNA
3.51h
Total
5.32h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

CLOETER, PAUL

IndividualCORPORATE DIRECTORSince Jul 2020

HAWKINSON, JOYCE

IndividualCORPORATE DIRECTORSince Nov 2012

KERSTEN, DOROTHY

IndividualCORPORATE DIRECTORSince Oct 2021

KIRCHOFF, BARRY

IndividualCORPORATE DIRECTORSince Jun 2021

LUEDTKE, CHARLES

IndividualCORPORATE DIRECTORSince Apr 2017

MACHULA, JENNIFER

IndividualCORPORATE DIRECTORSince Jul 2020

MAHNKE, BARBARA

IndividualCORPORATE DIRECTORSince Oct 2015

STROHSCHEIN, DAVID

IndividualCORPORATE DIRECTORSince Jun 2019

STUDENSKI, DENNIS

IndividualCORPORATE DIRECTORSince Apr 2019

TOMHAVE, GREG

IndividualCORPORATE DIRECTORSince May 2019

ZOELLER, DAVID

IndividualCORPORATE DIRECTORSince Apr 2018

DOUVIER, MARK

IndividualCORPORATE OFFICERSince Nov 2021

FITCH, MIKE

IndividualCORPORATE OFFICERSince Apr 2018

STORDAHL, MICHAEL

IndividualCORPORATE OFFICERSince Dec 2018

DOUVIER, MARK

IndividualW-2 MANAGING EMPLOYEESince Nov 2021

MARTINI, KRISTA

IndividualW-2 MANAGING EMPLOYEESince Sep 2002

STORDAHL, MICHAEL

IndividualW-2 MANAGING EMPLOYEESince Dec 2018

Penalties & Fines (1)

$10,000total fines
DateTypeDescriptionAmount
Mar 23, 2023Fine$10,000

Health Inspection Deficiencies (21)

April 17, 2025Health9 deficiencies
0554DMinimal harm, Isolated

Allow residents to self-administer drugs if determined clinically appropriate.

Resident Rights Deficiencies

Corrected Jun 11, 2025
0658DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Jun 11, 2025
0686DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jun 11, 2025
0732FMinimal harm, Widespread

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies

Corrected Jun 11, 2025
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Jun 11, 2025
0804DMinimal harm, Isolated

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nutrition and Dietary Deficiencies

Corrected Jun 11, 2025
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Jun 11, 2025
0867FMinimal harm, Widespread

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Administration Deficiencies

Corrected Jun 11, 2025
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jun 11, 2025
May 2, 2024Health6 deficiencies
0623DMinimal harm, Isolated

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Resident Rights Deficiencies

Corrected Jun 12, 2024
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Jun 12, 2024
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Jun 12, 2024
0698EMinimal harm, Pattern

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Jun 12, 2024
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Jun 12, 2024
0610EMinimal harm, Pattern

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jun 12, 2024
March 23, 2023Health5 deficiencies
0554DMinimal harm, Isolated

Allow residents to self-administer drugs if determined clinically appropriate.

Resident Rights Deficiencies

Corrected May 8, 2023
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected May 8, 2023
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected May 8, 2023
0812DMinimal harm, Isolated

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected May 8, 2023
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected May 8, 2023
January 19, 2023Health1 deficiency
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Feb 13, 2023

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Frequently Asked Questions

What is the CareGrader rating for Good Shepherd Lutheran Home?

Good Shepherd Lutheran Home in SAUK RAPIDS, Minnesota has a CareGrader grade of B (Good), with a composite score of 83.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for Good Shepherd Lutheran Home?

Good Shepherd Lutheran Home has an overall CMS star rating of 4 out of 5, a health inspection rating of 2/5, and a staffing rating of 5/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Good Shepherd Lutheran Home have?

Good Shepherd Lutheran Home has 21 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has Good Shepherd Lutheran Home been fined?

Yes. Good Shepherd Lutheran Home has $10,000 in total fines from CMS enforcement actions across 1 penalty.

How many beds does Good Shepherd Lutheran Home have?

Good Shepherd Lutheran Home has 146 certified beds with approximately 121 current residents (83% occupancy). The facility is located at 1115 4TH AVENUE NORTH, SAUK RAPIDS, Minnesota 56379. It is a non profit - church related facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.