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HomeMinnesotaGood Samaritan Society - Mary Jane Brown

Good Samaritan Society - Mary Jane Brown

110 South Walnut Avenue, Luverne, MN 561565072832375
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
4/5
Quality
1/5
Beds
51
certified
2 fine(s) totaling $62,045

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 51 certified beds with an average of 43.8 residents per day (86% occupancy)

• Last health inspection found 7 deficiencies (inspected Jan 14, 2025)

• Has been fined a total of $62,045 across 2 fine(s)

• Total nursing staff: 3.60 hours per resident per day

• Staff turnover rate: 49.0%

• Part of the Good Samaritan Society chain (90 facilities)

Good Samaritan Society - Mary Jane Brown is a 1-star Medicare and Medicaid certified nursing home in Luverne, Minnesota with 51 certified beds. It has been operating since 1991. The facility scored below average compared to Minnesota facilities.

Beds
51
Avg Residents/Day
43.8
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jul 1, 1991
Sprinklers
Yes
Council
Resident
County
Rock
Last Inspection
Jan 14, 2025
Deficiencies (Cycle 1)
7
Weighted Score
78.8
Infection Citations
0

Deficiency Citations (34)

F0576Potential for Harm

Ensure residents have reasonable access to and privacy in their use of communication methods.

Survey: Jan 14, 2025Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Jan 14, 2025Corrected: NoCycle: 1
F0755Potential for Harm

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

Survey: Jan 14, 2025Corrected: NoCycle: 1
F0758Potential for Harm

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.

Survey: Jan 14, 2025Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Jan 14, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jan 14, 2025Corrected: NoCycle: 1
F0949Potential for Harm

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Survey: Jan 14, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Dec 27, 2024Corrected: NoCycle: 2
F0689Immediate Jeopardy

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

Survey: Aug 6, 2024Corrected: NoCycle: 2
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Aug 6, 2024Corrected: NoCycle: 2
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Feb 8, 2024Corrected: NoCycle: 2
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Feb 8, 2024Corrected: NoCycle: 2
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Feb 8, 2024Corrected: NoCycle: 2
F0692Potential for Harm

Provide enough food/fluids to maintain a resident's health.

Survey: Feb 8, 2024Corrected: NoCycle: 2
F0622Potential for Harm

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Survey: Oct 18, 2023Corrected: NoCycle: 2
F0625Potential for Harm

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.

Survey: Oct 18, 2023Corrected: NoCycle: 2
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Oct 18, 2023Corrected: NoCycle: 2
F0676Potential for Harm

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Survey: Oct 18, 2023Corrected: NoCycle: 2
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Oct 18, 2023Corrected: NoCycle: 2
F0758Potential for Harm

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.

Survey: Oct 18, 2023Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Oct 18, 2023Corrected: NoCycle: 2
F0812Potential for Harm

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

Survey: Oct 18, 2023Corrected: NoCycle: 2
F0867Potential for Harm

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

Survey: Oct 18, 2023Corrected: NoCycle: 2
F0868Potential for Harm

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Survey: Oct 18, 2023Corrected: NoCycle: 2
F0883Potential for Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey: Oct 18, 2023Corrected: NoCycle: 2
F0908Potential for Harm

Keep all essential equipment working safely.

Survey: Oct 18, 2023Corrected: NoCycle: 2
F0688Potential for Harm

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.

Survey: Oct 18, 2023Corrected: NoCycle: 2
F0725Potential for Harm

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

Survey: Oct 18, 2023Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Oct 18, 2023Corrected: NoCycle: 2
F0609Potential for Harm

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

Survey: May 26, 2023Corrected: NoCycle: 3

+ 4 more deficiencies

Total Fines
$62,045
Number of Fines
2
Payment Denials
0
Total Penalties
2

Penalty History

FineMar 23, 2023
$5,000
FineAug 6, 2024
$57,045

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.20 hrs
National avg: 2.35 hrs
LPN0.49 hrs
National avg: 0.86 hrs
RN0.91 hrs
National avg: 0.68 hrs
Total Nursing3.60 hrs
National avg: 3.89 hrs
Weekend Total2.87 hrs
National avg: 0.00 hrs
Physical Therapist0.04 hrs
National avg: 0.07 hrs
Total Turnover
49.0%
RN Turnover
33.3%
Administrators Left
2

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Non profit - Corporation
Recent Change
No

Owners & Managers (25)

NameRoleTypeOwnership %Since
SANFORD5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jan 1, 2019
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETYOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJan 1, 2019
CHESLEY, STEPHANOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 9, 2018
JONES, JUSTINOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 15, 2019
MORRISON, TONYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2019
BROWN, GEORGECORPORATE DIRECTORIndividualN/AJan 1, 2025
DYKHOUSE, DANACORPORATE DIRECTORIndividualN/AMay 30, 2024
ENGBRECHT, WESLEYCORPORATE DIRECTORIndividualN/AMay 30, 2024
GASSEN, WILLIAMCORPORATE DIRECTORIndividualN/AMay 30, 2024
GULSVIG, NEILCORPORATE DIRECTORIndividualN/AMay 30, 2024
HERSETH SANDLIN, STEPHANIECORPORATE DIRECTORIndividualN/AMay 30, 2024
LUNDEEN, MARKCORPORATE DIRECTORIndividualN/AMay 30, 2024
MCCAUSLAND, MAUREENCORPORATE DIRECTORIndividualN/AJan 1, 2025
MOLBERT, LAURISCORPORATE DIRECTORIndividualN/AMay 30, 2024
NORTH, ANDREWCORPORATE DIRECTORIndividualN/AMay 30, 2024
SCHIEFFER, KEVINCORPORATE DIRECTORIndividualN/AJan 1, 2025
SHULKIN, DAVIDCORPORATE DIRECTORIndividualN/AMay 30, 2024
TEIKEN, BRENTCORPORATE DIRECTORIndividualN/AMay 30, 2024
VENTLING-HERRMANN, MARNIECORPORATE DIRECTORIndividualN/AMay 30, 2024
WENZEL, THOMASCORPORATE DIRECTORIndividualN/AJan 1, 2025
FLUIT, JOELCORPORATE OFFICERIndividualN/AOct 1, 2022
GASSEN, WILLIAMCORPORATE OFFICERIndividualN/AMay 30, 2024
MIDDLETON, AIMEECORPORATE OFFICERIndividualN/AJan 27, 2022
OLSON, NICHOLASCORPORATE OFFICERIndividualN/AApr 8, 2024
SCHEMA, NATHANCORPORATE OFFICERIndividualN/AJan 1, 2022

Nearby Nursing Homes

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Frequently Asked Questions

What is the CMS rating for Good Samaritan Society - Mary Jane Brown?▾
Good Samaritan Society - Mary Jane Brown has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 4/5, and quality measures rating of 1/5. This facility is rated below average.
Has Good Samaritan Society - Mary Jane Brown had any health inspection violations?▾
Good Samaritan Society - Mary Jane Brown had 7 deficiency citations in its most recent health inspection (Jan 14, 2025). The facility has been fined a total of $62,045 across 2 fine(s).
What are the staffing levels at Good Samaritan Society - Mary Jane Brown?▾
Good Samaritan Society - Mary Jane Brown provides 3.60 total nursing staff hours per resident per day, including 0.91 RN hours, 0.49 LPN hours, and 2.20 nurse aide hours. The total staff turnover rate is 49.0%.
How many beds does Good Samaritan Society - Mary Jane Brown have?▾
Good Samaritan Society - Mary Jane Brown has 51 certified beds with an average of 43.8 residents per day, resulting in approximately 86% occupancy. The facility is Non profit - Corporation owned and is part of the Good Samaritan Society chain.
Are there other nursing homes near Good Samaritan Society - Mary Jane Brown?▾
Yes, there are 1 other nursing home in Luverne, Minnesota with an average rating of 3/5. You can compare all facilities on the Luverne nursing homes page.

Part of Good Samaritan Society

This chain operates 90 facilities. View all →