Sanford Health Sylvan Court

Inspection findings

1. Mar 25, 2026 Health · 4 findings
   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Apr 10, 2026 · CMS health inspection

   • Not serious Scope/severity E

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Apr 10, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Apr 10, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Apr 10, 2026 · CMS fire safety

2. Feb 13, 2025 Health · 5 findings
   • Not serious Scope/severity D

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Mar 14, 2025 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

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

     Corrected Mar 14, 2025 · CMS health inspection

   • Not serious Scope/severity D

     K0222 Egress Deficiencies

     Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

     Corrected Mar 13, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Mar 13, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Mar 13, 2025 · CMS fire safety

3. May 1, 2024 Health · 1 finding
   • Not serious Scope/severity D

     F0758 Pharmacy Service Deficiencies

     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.

     Corrected Jun 12, 2024 · CMS health inspection

4. Mar 5, 2024 MDH complaint investigation · 2 findings
   • Severity not stated

     H54339613C Substantiated complaint (MDH Office of Health Facility Complaints)

     MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

     Statement of deficiencies (PDF)

   • Severity not stated

     H54339614C Substantiated complaint (MDH Office of Health Facility Complaints)

     MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

     Statement of deficiencies (PDF)

5. Feb 14, 2024 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

     Corrected Mar 18, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Respond appropriately to all alleged violations.

     Corrected Mar 18, 2024 · CMS health inspection

6. Apr 2, 2021 MDH complaint investigation · 2 findings
   • Severity not stated

     H5433007C Substantiated complaint (MDH Office of Health Facility Complaints)

     MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

     Statement of deficiencies (PDF)

   • Severity not stated

     H5433009C Substantiated complaint (MDH Office of Health Facility Complaints)

     MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

     Statement of deficiencies (PDF)

Owners and managers (as published by CMS)

• CAIN, JAMES — corporate director, NOT APPLICABLE, since 11/19/2015
• DULSKI, KARIN — w-2 managing employee, NOT APPLICABLE, since 11/19/2012
• ENGBRECHT, WESLEY — corporate director, NOT APPLICABLE, since 01/01/2021
• GASSEN, WILLIAM — w-2 managing employee, NOT APPLICABLE, since 11/24/2020
• GASSEN, WILLIAM — corporate officer, NOT APPLICABLE, since 11/24/2020
• GASSEN, WILLIAM — corporate director, NOT APPLICABLE, since 11/24/2020
• GULSVIG, NEIL — corporate director, NOT APPLICABLE, since 03/28/2019
• JACOBS, DONALD — corporate director, NOT APPLICABLE, since 11/19/2015
• LUNDEEN, MARK — corporate director, NOT APPLICABLE, since 11/19/2015
• MARLETTE, WILLIAM — corporate officer, NOT APPLICABLE, since 06/16/2023
• MARLETTE, WILLIAM — w-2 managing employee, NOT APPLICABLE, since 06/16/2023
• MOLBERT, LAURIS — corporate director, NOT APPLICABLE, since 01/01/2021
• MORRISON, TONY — w-2 managing employee, NOT APPLICABLE, since 02/01/1991
• MORRISON, TONY — corporate director, NOT APPLICABLE, since 02/01/1991
• MUNSON, JOLYN — w-2 managing employee, NOT APPLICABLE, since 02/25/2013
• NORTH, ANDREW — corporate director, NOT APPLICABLE, since 01/01/2017
• SWENSON, STEPHANIE — w-2 managing employee, NOT APPLICABLE, since 11/01/2019
• TEIKEN, BRENT — corporate director, NOT APPLICABLE, since 11/19/2015
• VENTLING-HERRMANN, MARNIE — corporate director, NOT APPLICABLE, since 01/01/2022
• SANFORD — 5% or greater indirect ownership interest, 100%, since 07/20/2010
• SANFORD HEALTH — 5% or greater direct ownership interest, 100%, since 04/18/2007