Good Shepherd Lutheran Home
1115 4TH AVENUE NORTH
SAUK RAPIDS, MN, 56379
3202526525
CCN: 245269
5
Overall3
Health5
Staffing5
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| CLOETER, PAUL | CORPORATE DIRECTOR | NOT APPLICABLE |
| HAWKINSON, JOYCE | CORPORATE DIRECTOR | NOT APPLICABLE |
| KERSTEN, DOROTHY | CORPORATE DIRECTOR | NOT APPLICABLE |
| KIRCHOFF, BARRY | CORPORATE DIRECTOR | NOT APPLICABLE |
| LUEDTKE, CHARLES | CORPORATE DIRECTOR | NOT APPLICABLE |
| MACHULA, JENNIFER | CORPORATE DIRECTOR | NOT APPLICABLE |
| MAHNKE, BARBARA | CORPORATE DIRECTOR | NOT APPLICABLE |
| STROHSCHEIN, DAVID | CORPORATE DIRECTOR | NOT APPLICABLE |
| STUDENSKI, DENNIS | CORPORATE DIRECTOR | NOT APPLICABLE |
| TOMHAVE, GREG | CORPORATE DIRECTOR | NOT APPLICABLE |
| ZOELLER, DAVID | CORPORATE DIRECTOR | NOT APPLICABLE |
| DOUVIER, MARK | CORPORATE OFFICER | NOT APPLICABLE |
| FITCH, MIKE | CORPORATE OFFICER | NOT APPLICABLE |
| STORDAHL, MICHAEL | CORPORATE OFFICER | NOT APPLICABLE |
| DOUVIER, MARK | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| MARTINI, KRISTA | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| STORDAHL, MICHAEL | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
Penalties (1)
| Date | Type | Amount |
|---|---|---|
| 2023-03-23 | Fine | $10K |
Health Deficiencies (20)
2025-04-17 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F867 · Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F804 · Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
F761 · Pharmacy Service Deficiencies
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.
F
F732 · Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
D
F554 · Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
2024-05-02 · Health
D
F761 · Pharmacy Service Deficiencies
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.
E
F698 · Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F623 · Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
E
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
2023-03-23 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
D
F554 · Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
4.80
RN Hrs/Resident/Day0.54
0.84
LPN Hrs/Resident/Day0.81
0.79
CNA Hrs/Resident/Day2.33
3.17
PT Hrs/Resident/Day0.12
0.04
Data as of 2026-03-01