Good Sam Windom
Nursing home · 705 6TH STREET, Windom, MN 56101 · Cottonwood County
Prices
The Minnesota Department of Health publishes no prices or facility websites, so we show none. Ask the facility directly.
Facility
- Type
- Nursing home · Skilled Nursing Facility/Nursing Facilit · Nonprofit Corporation
- Capacity
- 63
- State license
- 424678
- Medicare CCN
- 245558
- Licensed entity
- THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
- Chain
- GOOD SAMARITAN SOCIETY
- Ownership
- Non profit - Corporation
- Phone
- (507) 831-1788
- Nurse staffing
- 4.47 hours per resident per day; 40.7% nursing staff turnover
- Medicare ratings
- Inspections 1★ · Staffing 4★ · Quality 1★
- Official record
- Minnesota Department of Health provider directory
- Official record
- Medicare Care Compare
Penalties
- Jan 27, 2026 — Fine ($194,680)
- Jan 27, 2026 — Payment Denial · payment denial 20 days
Inspection findings
-
Feb 12, 2026 Health · 18 findings
-
Not serious
Scope/severity D
F0578 Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected Mar 18, 2026 · CMS health inspection
-
Not serious
Scope/severity E
F0582 Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected Mar 18, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0605 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected Mar 18, 2026 · CMS health inspection
-
Not serious
Scope/severity E
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, 2026 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Corrected Mar 18, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0628 Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected Mar 18, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0638 Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected Mar 18, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0645 Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected Mar 18, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Mar 18, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0685 Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Corrected Mar 18, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0695 Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Corrected Mar 18, 2026 · CMS health inspection
-
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 Mar 18, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0756 Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected Mar 18, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0759 Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Corrected Mar 18, 2026 · CMS health inspection
-
Not serious
Scope/severity F
F0868 Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected Mar 18, 2026 · CMS health inspection
-
Not serious
Scope/severity F
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Mar 18, 2026 · CMS health inspection
-
Severity not stated
H55583526C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Not serious
Scope/severity E
K0324 Smoke Deficiencies
Provide properly protected cooking facilities.
Corrected Mar 18, 2026 · CMS fire safety
-
Not serious
Scope/severity D
-
Jan 27, 2026 Health · 6 findings
-
Not serious
Scope/severity D
Complaint
F0550 Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected Feb 25, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0580 Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected Feb 25, 2026 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0657 Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected Feb 25, 2026 · CMS health inspection
-
Serious
Scope/severity K
Complaint
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Feb 25, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0791 Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Corrected Feb 25, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Feb 25, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Dec 11, 2024 Health · 8 findings
-
Not serious
Scope/severity D
F0550 Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected Jan 17, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0688 Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected Jan 17, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0690 Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected Jan 17, 2025 · CMS health inspection
-
Not serious
Scope/severity F
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Jan 17, 2025 · CMS health inspection
-
Not serious
Scope/severity E
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Jan 10, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0355 Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected Jan 10, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0372 Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected Jan 10, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0521 Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected Jan 27, 2025 · CMS fire safety
-
Not serious
Scope/severity D
-
Nov 2, 2023 Health · 11 findings
-
Not serious
Scope/severity D
F0554 Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected Dec 6, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0641 Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Corrected Nov 14, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0677 Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Dec 8, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Dec 8, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0688 Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected Dec 8, 2023 · CMS health inspection
-
Not serious
Scope/severity F
F0801 Nutrition and Dietary Deficiencies
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.
Corrected Dec 18, 2023 · 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 Dec 1, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0847 Administration Deficiencies
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected Dec 8, 2023 · CMS health inspection
-
Not serious
Scope/severity F
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Dec 5, 2023 · CMS health inspection
-
Not serious
Scope/severity E
K0211 Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected Dec 1, 2023 · CMS fire safety
-
Not serious
Scope/severity D
K0521 Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected Nov 26, 2023 · CMS fire safety
-
Not serious
Scope/severity D
-
Dec 9, 2022 MDH complaint investigation · 1 finding
-
Severity not stated
H55584821C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Mar 9, 2022 MDH complaint investigation · 1 finding
-
Severity not stated
H5558030C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Jan 3, 2022 MDH complaint investigation · 1 finding
-
Severity not stated
H5558029C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Jul 16, 2020 MDH complaint investigation · 1 finding
-
Severity not stated
H5558023C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
Owners and managers (as published by CMS)
- BROWN, GEORGE — adp of the snf, NOT APPLICABLE, since 01/01/2025
- BROWN, GEORGE — corporate director, NOT APPLICABLE, since 01/01/2025
- DYKHOUSE, DANA — corporate director, NOT APPLICABLE, since 05/30/2024
- DYKHOUSE, DANA — adp of the snf, NOT APPLICABLE, since 05/30/2024
- DYNES, RODNEY — adp of the snf, NOT APPLICABLE, since 10/20/2023
- DYNES, RODNEY — operational/managerial control, NOT APPLICABLE, since 10/20/2023
- ENGBRECHT, WESLEY — corporate director, NOT APPLICABLE, since 05/30/2024
- ENGBRECHT, WESLEY — adp of the snf, NOT APPLICABLE, since 05/30/2024
- FLUIT, JOEL — adp of the snf, NOT APPLICABLE, since 10/01/2022
- FLUIT, JOEL — corporate officer, NOT APPLICABLE, since 10/01/2022
- FLUIT, JOEL — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/06/2026
- GASSEN, WILLIAM — corporate director, NOT APPLICABLE, since 05/30/2024
- GASSEN, WILLIAM — adp of the snf, NOT APPLICABLE, since 05/30/2024
- GASSEN, WILLIAM — corporate officer, NOT APPLICABLE, since 05/30/2024
- GULSVIG, NEIL — adp of the snf, NOT APPLICABLE, since 05/30/2024
- GULSVIG, NEIL — corporate director, NOT APPLICABLE, since 05/30/2024
- HERSETH SANDLIN, STEPHANIE — adp of the snf, NOT APPLICABLE, since 05/30/2024
- HERSETH SANDLIN, STEPHANIE — corporate director, NOT APPLICABLE, since 05/30/2024
- LUNDEEN, MARK — adp of the snf, NOT APPLICABLE, since 05/30/2024
- LUNDEEN, MARK — corporate director, NOT APPLICABLE, since 05/30/2024
- MCCAUSLAND, MAUREEN — corporate director, NOT APPLICABLE, since 01/01/2025
- MCCAUSLAND, MAUREEN — adp of the snf, NOT APPLICABLE, since 01/01/2025
- MIDDLETON, AIMEE — adp of the snf, NOT APPLICABLE, since 01/27/2022
- MIDDLETON, AIMEE — corporate officer, NOT APPLICABLE, since 01/27/2022
- MOLBERT, LAURIS — corporate director, NOT APPLICABLE, since 05/30/2024
- MOLBERT, LAURIS — adp of the snf, NOT APPLICABLE, since 05/30/2024
- MORRISON, TONY — adp of the snf, NOT APPLICABLE, since 01/01/2019
- MORRISON, TONY — operational/managerial control, NOT APPLICABLE, since 01/01/2019
- NORTH, ANDREW — corporate director, NOT APPLICABLE, since 05/30/2024
- NORTH, ANDREW — adp of the snf, NOT APPLICABLE, since 05/30/2024
- OLSON, NICHOLAS — adp of the snf, NOT APPLICABLE, since 04/08/2024
- OLSON, NICHOLAS — corporate officer, NOT APPLICABLE, since 04/08/2024
- SANDGREN, DEEANDRA — operational/managerial control, NOT APPLICABLE, since 07/16/2023
- SANDGREN, DEEANDRA — adp of the snf, NOT APPLICABLE, since 07/16/2023
- SCHEMA, NATHAN — corporate officer, NOT APPLICABLE, since 01/01/2022
- SCHEMA, NATHAN — adp of the snf, NOT APPLICABLE, since 01/01/2022
- SCHIEFFER, KEVIN — adp of the snf, NOT APPLICABLE, since 01/01/2025
- SCHIEFFER, KEVIN — corporate director, NOT APPLICABLE, since 01/01/2025
- SHULKIN, DAVID — adp of the snf, NOT APPLICABLE, since 05/30/2024
- SHULKIN, DAVID — corporate director, NOT APPLICABLE, since 05/30/2024
- TEIKEN, BRENT — adp of the snf, NOT APPLICABLE, since 05/30/2024
- TEIKEN, BRENT — corporate director, NOT APPLICABLE, since 05/30/2024
- VENTLING-HERRMANN, MARNIE — corporate director, NOT APPLICABLE, since 05/30/2024
- VENTLING-HERRMANN, MARNIE — adp of the snf, NOT APPLICABLE, since 05/30/2024
- WENZEL, THOMAS — adp of the snf, NOT APPLICABLE, since 01/01/2025
- WENZEL, THOMAS — corporate director, NOT APPLICABLE, since 01/01/2025
- WEPPLO, NANCY — operational/managerial control, NOT APPLICABLE, since 05/06/2018
- WEPPLO, NANCY — adp of the snf, NOT APPLICABLE, since 05/06/2018
- DTN STAFFING INC — adp of the snf, NOT APPLICABLE, since 08/02/2024
- FOCUSONE SOLUTIONS — adp of the snf, NOT APPLICABLE, since 03/04/2024
- GRAPE TREE MEDICAL STAFFING LLC — adp of the snf, NOT APPLICABLE, since 04/13/2018
- SANFORD — 5% or greater direct ownership interest, 100%, since 01/01/2019
- SANFORD — operational/managerial control, NOT APPLICABLE, since 01/01/2019
- SANFORD — adp of the snf, NOT APPLICABLE, since 11/13/2025
- THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY — operational/managerial control, NOT APPLICABLE, since 01/01/2019
- THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY — adp of the snf, NOT APPLICABLE, since 01/01/2019
- THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY — 5% or greater indirect ownership interest, 100%, since 01/01/2019
Sources: the MDH Health Care Provider Directory, MDH's evaluation and complaint findings, and CMS's list of certified Minnesota nursing homes and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.