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Health Inspection

Good Shepherd Lutheran Home

July 9, 2026 · Sauk Rapids, MN · 1115 4th Avenue North
Citations 9
CMS Rating 5/5
Beds 146
Provider ID 245269
Healthcare Facility
Good Shepherd Lutheran Home
Sauk Rapids, MN  ·  View full profile →
Inspection Summary

GOOD SHEPHERD LUTHERAN HOME in SAUK RAPIDS, MN — inspection on July 9, 2026.

Found 9 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0554
Resident Rights Deficiencies
Potential for More Than Minimal Harm

Federal health inspectors cited GOOD SHEPHERD LUTHERAN HOME in SAUK RAPIDS, MN for a deficiency under regulatory tag F-F0554 during a standard health inspection conducted on 2026-07-09.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Allow residents to self-administer drugs if determined clinically appropriate.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of GOOD SHEPHERD LUTHERAN HOME.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited GOOD SHEPHERD LUTHERAN HOME in SAUK RAPIDS, MN for a deficiency under regulatory tag F-F0561 during a standard health inspection conducted on 2026-07-09.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of GOOD SHEPHERD LUTHERAN HOME.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited GOOD SHEPHERD LUTHERAN HOME in SAUK RAPIDS, MN for a deficiency under regulatory tag F-F0572 during a standard health inspection conducted on 2026-07-09.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Give residents a notice of rights, rules, services and charges.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of GOOD SHEPHERD LUTHERAN HOME.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited GOOD SHEPHERD LUTHERAN HOME in SAUK RAPIDS, MN for a deficiency under regulatory tag F-F0641 during a standard health inspection conducted on 2026-07-09.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Ensure each resident receives an accurate assessment.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of GOOD SHEPHERD LUTHERAN HOME.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited GOOD SHEPHERD LUTHERAN HOME in SAUK RAPIDS, MN for a deficiency under regulatory tag F-F0684 during a standard health inspection conducted on 2026-07-09.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of GOOD SHEPHERD LUTHERAN HOME.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited GOOD SHEPHERD LUTHERAN HOME in SAUK RAPIDS, MN for a deficiency under regulatory tag F-F0689 during a standard health inspection conducted on 2026-07-09.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of GOOD SHEPHERD LUTHERAN HOME.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited GOOD SHEPHERD LUTHERAN HOME in SAUK RAPIDS, MN for a deficiency under regulatory tag F-F0700 during a standard health inspection conducted on 2026-07-09.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of GOOD SHEPHERD LUTHERAN HOME.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited GOOD SHEPHERD LUTHERAN HOME in SAUK RAPIDS, MN for a deficiency under regulatory tag F-F0755 during a standard health inspection conducted on 2026-07-09.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of GOOD SHEPHERD LUTHERAN HOME.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited GOOD SHEPHERD LUTHERAN HOME in SAUK RAPIDS, MN for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2026-07-09.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: 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.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of GOOD SHEPHERD LUTHERAN HOME.

Correction Status: Deficient, Provider has no plan of correction.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in SAUK RAPIDS, MN, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from GOOD SHEPHERD LUTHERAN HOME or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.