{
 "id": "245600",
 "kind": "snf",
 "kind_label": "Nursing home",
 "name": "Good Samaritan Society - Blackduck",
 "slug": "good-samaritan-society-blackduck",
 "path": "/mn/beltrami/blackduck/good-samaritan-society-blackduck",
 "address": {
  "street": "172 SUMMIT AVENUE WEST",
  "city": "Blackduck",
  "county": "Beltrami",
  "state": "MN",
  "state_name": "Minnesota",
  "zip": "56630"
 },
 "phone": "2188353410",
 "coords": [
  47.729795,
  -94.552233
 ],
 "capacity": 30,
 "residents_per_day": 27.6,
 "status": "Medicare and Medicaid",
 "licensee": "The Evangelical Lutheran Good Samaritan Society",
 "administrator": null,
 "licensed_since": "1992-04-01",
 "last_visit": "2025-08-20",
 "visits_total": null,
 "citations": {
  "type_a": null,
  "type_b": null,
  "basis": "Not applicable: certified federally, not cited by the state"
 },
 "citations_by_visit_type": {
  "complaint": {
   "visits": null,
   "type_a": null,
   "type_b": null
  },
  "inspection": {
   "visits": null,
   "type_a": null,
   "type_b": null
  },
  "other": {
   "visits": null,
   "type_a": null,
   "type_b": null
  }
 },
 "allegations": {
  "substantiated": null,
  "inconclusive": null,
  "unsubstantiated": null,
  "unfounded": null,
  "investigated": null
 },
 "capabilities": {},
 "capabilities_raw": null,
 "reports_on_file": 0,
 "reports": [],
 "federal": {
  "ownership_type": "Non profit - Corporation",
  "chain": "GOOD SAMARITAN SOCIETY",
  "in_hospital": false,
  "ccrc": false,
  "abuse_icon": false,
  "special_focus": null,
  "ratings": {
   "overall": 2,
   "health_inspection": 3,
   "staffing": 4,
   "quality": 1
  },
  "cycle1": {
   "date": "2025-08-20",
   "total": 8,
   "standard": 5,
   "complaint": 3
  },
  "fines": {
   "count": 0,
   "dollars": 0,
   "penalties": 0
  },
  "staffing": {
   "nurse_hours_per_resident_day": 4.0083,
   "turnover_pct": 53.7
  },
  "on_record": {
   "immediate_jeopardy": 0,
   "actual_harm": 0,
   "potential_harm": 21,
   "minimal": 1
  },
  "penalties_on_file": {
   "count": 0,
   "dollars": 0
  },
  "owners": [
   {
    "name": "SANFORD",
    "role": "Organization",
    "since": "since 01/01/2019",
    "share": "100%"
   },
   {
    "name": "THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY",
    "role": "Organization",
    "since": "since 01/01/2019",
    "share": "100%"
   },
   {
    "name": "BROWN, GEORGE",
    "role": "Individual",
    "since": "since 01/01/2025",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "DYKHOUSE, DANA",
    "role": "Individual",
    "since": "since 05/30/2024",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "ENGBRECHT, WESLEY",
    "role": "Individual",
    "since": "since 05/30/2024",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "GASSEN, WILLIAM",
    "role": "Individual",
    "since": "since 05/30/2024",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "GULSVIG, NEIL",
    "role": "Individual",
    "since": "since 05/30/2024",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "HERSETH SANDLIN, STEPHANIE",
    "role": "Individual",
    "since": "since 05/30/2024",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "LUNDEEN, MARK",
    "role": "Individual",
    "since": "since 05/30/2024",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "MCCAUSLAND, MAUREEN",
    "role": "Individual",
    "since": "since 01/01/2025",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "MOLBERT, LAURIS",
    "role": "Individual",
    "since": "since 05/30/2024",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "NORTH, ANDREW",
    "role": "Individual",
    "since": "since 05/30/2024",
    "share": "NOT APPLICABLE"
   }
  ]
 },
 "deficiencies": [
  {
   "date": "2025-10-31",
   "tag": "0641",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2025-10-31",
   "tag": "0655",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2025-10-31",
   "tag": "0686",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2025-08-20",
   "tag": "0605",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2025-08-20",
   "tag": "0686",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2025-08-20",
   "tag": "0689",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2025-08-20",
   "tag": "0690",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2025-08-20",
   "tag": "0756",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2024-06-13",
   "tag": "0812",
   "sev": "F",
   "complaint": false
  },
  {
   "date": "2024-06-13",
   "tag": "0865",
   "sev": "F",
   "complaint": false
  },
  {
   "date": "2024-06-13",
   "tag": "0880",
   "sev": "F",
   "complaint": false
  },
  {
   "date": "2024-06-13",
   "tag": "0882",
   "sev": "F",
   "complaint": false
  },
  {
   "date": "2024-06-13",
   "tag": "0623",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2024-06-13",
   "tag": "0625",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2024-02-07",
   "tag": "0689",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2023-08-10",
   "tag": "0758",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2023-08-10",
   "tag": "0554",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2023-08-10",
   "tag": "0640",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2023-08-10",
   "tag": "0661",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2023-08-10",
   "tag": "0756",
   "sev": "D",
   "complaint": false
  }
 ],
 "source": {
  "name": "Centers for Medicare & Medicaid Services, Nursing Home Care Compare",
  "retrieved": "2026-07-29",
  "licence_number": "245600"
 }
}