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GOOD SAMARITAN SOCIETY - PINE RIVER

📍 518 JEFFERSON AVENUE, PO BOX 29, pine-river, MN 56474 📞 2185874423 🛏️ 33 beds

Overall Rating

⭐⭐⭐⭐
4/5

Health Inspection

⭐⭐
2/5

Staffing

⭐⭐⭐⭐⭐
5/5

Quality Measures

⭐⭐⭐⭐⭐
5/5

Inspection History Overview

36
Total Violations
8 years of data
$33,000
Total Fines
2 penalties
6
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2025 3 violations

Tag 0732 C Feb 5, 2025

Post nurse staffing information every day.

✓ Corrected: Mar 12, 2025
Tag 0801 F Feb 5, 2025

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: Mar 11, 2025
Tag 0812 F Feb 5, 2025

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

✓ Corrected: Mar 11, 2025

2024 4 violations

Tag 0609 D Apr 5, 2024

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

✓ Corrected: May 5, 2024
Tag 0641 E Jan 9, 2024

Ensure each resident receives an accurate assessment.

✓ Corrected: Jan 29, 2024
Tag 0695 D Jan 9, 2024

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

✓ Corrected: Jan 29, 2024
Tag 0883 E Jan 9, 2024

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

✓ Corrected: Jan 29, 2024

2023 1 violations

Tag 0812 F Apr 19, 2023

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

✓ Corrected: May 22, 2023

2022 1 violations

Tag 0609 D Apr 21, 2022

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

✓ Corrected: May 14, 2022

2021 6 violations

Tag 0577 C Oct 14, 2021

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

✓ Corrected: Nov 23, 2021
Tag 0584 D Oct 14, 2021

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Nov 23, 2021
Tag 0610 D Oct 14, 2021

Respond appropriately to all alleged violations.

✓ Corrected: Nov 23, 2021
Tag 0623 C Oct 14, 2021

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Nov 23, 2021
Tag 0689 D Oct 14, 2021

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

✓ Corrected: Nov 23, 2021
Tag 0880 F Oct 14, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 23, 2021

2020 1 violations

Tag 0880 D Sep 9, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Oct 14, 2020

2019 10 violations

Tag 0580 D Nov 7, 2019

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Dec 6, 2019
Tag 0921 F Nov 7, 2019

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Dec 6, 2019
Tag 0679 D Mar 21, 2019

Provide activities to meet all resident's needs.

✓ Corrected: Apr 26, 2019
Tag 0688 E Mar 21, 2019

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: Apr 26, 2019
Tag 0725 E Mar 21, 2019

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

✓ Corrected: Apr 26, 2019
Tag 0732 C Mar 21, 2019

Post nurse staffing information every day.

✓ Corrected: Apr 26, 2019
Tag 0812 F Mar 21, 2019

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

✓ Corrected: Apr 26, 2019
Tag 0865 F Mar 21, 2019

Have a plan that describes the process for conducting QAPI and QAA activities.

✓ Corrected: Apr 26, 2019
Tag 0880 F Mar 21, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Apr 26, 2019
Tag 0921 F Mar 21, 2019

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Apr 26, 2019

2018 10 violations

Tag 0578 D Jun 28, 2018

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: Aug 3, 2018
Tag 0583 D Jun 28, 2018

Keep residents' personal and medical records private and confidential.

✓ Corrected: Aug 3, 2018
Tag 0655 D Jun 28, 2018

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Aug 3, 2018
Tag 0679 D Jun 28, 2018

Provide activities to meet all resident's needs.

✓ Corrected: Aug 3, 2018
Tag 0688 E Jun 28, 2018

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: Aug 3, 2018
Tag 0695 D Jun 28, 2018

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

✓ Corrected: Aug 3, 2018
Tag 0725 E Jun 28, 2018

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

✓ Corrected: Aug 3, 2018
Tag 0761 D Jun 28, 2018

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.

✓ Corrected: Aug 3, 2018
Tag 0838 C Jun 28, 2018

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.

✓ Corrected: Aug 3, 2018
Tag 0880 D Jun 28, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 3, 2018

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2021 2 penalties totaling $33,000

$20,000
Fine
October 14, 2021
$13,000
Fine
October 14, 2021
Average: $16,500 | Range: $13,000 - $20,000

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

April 5, 2024
0.00

Health

January 9, 2024
0.00

Health

April 19, 2023
0.00

Health

April 21, 2022
0.00

Health

October 14, 2021
0.00

Health

November 7, 2019
0.00

Quality Measures

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Ownership Information

Non profit - Corporation
Independent (Not part of a chain)
245476
245476
2185874423
Cass

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Organization
August 25, 2025
Individual