Minnesota › Beltrami County › Blackduck
Good Samaritan Society - Blackduck
172 Summit Avenue West, Blackduck, MN 56630
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 30 beds, Good Samaritan Society - Blackduck serves Blackduck in Beltrami County, Minnesota and has taken Medicare and Medicaid residents since 1992.
CMS gives it 1 of 5 stars overall, below the Minnesota median of 3; the health inspection rating is 2, staffing 4 and quality measures 1.
Inspectors recorded 23 health deficiencies across the three most recent survey cycles (9, 6, 8 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 76.7 per 100 beds, more than the state median of 30.0.
CMS lists 1 penalty in the period covered: fines totalling $22K.
Reported nurse staffing is 4.0 hours per resident per day (0.7 RN), close to the Minnesota median of 4.2; nursing staff turnover is 53.7%.
Compared with county, state and nation
| Measure | This facility | Beltrami Co. median | Minnesota median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 23 | 47 | 20 | 28.7 |
| Citations per 100 beds | 76.7 | 75.4 | 30.0 | 26.8 |
| Total nurse hours per resident day | 4.0 | 4.0 | 4.2 | 3.9 |
| RN hours per resident day | 0.7 | 0.8 | 1.0 | 0.7 |
| Nursing staff turnover | 53.7% | 53.7% | 40.0% | 45.8% |
| Fines listed | $22,205 | $45,915 | $0 | — |
County and state figures are medians across facilities (4 in the county, 338 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Minnesota average per facility for the same cycle, as published by CMS. Standard health survey dates: 20 Aug 2025, 13 Jun 2024.
Severity mix: J ×1 D ×16 E ×1 F ×4 B ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 1 Jul 2026 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | J | Complaint investigation | 11 Jun 2026 |
| 31 Oct 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 26 Dec 2025 |
| 31 Oct 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 26 Dec 2025 |
| 31 Oct 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 26 Dec 2025 |
| 20 Aug 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 24 Sep 2025 |
| 20 Aug 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 24 Sep 2025 |
| 20 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 24 Sep 2025 |
| 20 Aug 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 24 Sep 2025 |
| 20 Aug 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 24 Sep 2025 |
| 13 Jun 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 22 Jul 2024 |
| 13 Jun 2024 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 22 Jul 2024 |
| 13 Jun 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 22 Jul 2024 |
| 13 Jun 2024 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard survey | 22 Jul 2024 |
| 13 Jun 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 22 Jul 2024 |
| 13 Jun 2024 | F0625 | 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. | D | Standard survey | 22 Jul 2024 |
| 7 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 13 Mar 2024 |
| 10 Aug 2023 | F0758 | 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. | E | Standard survey | 20 Sep 2023 |
| 10 Aug 2023 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Complaint investigation | 20 Sep 2023 |
| 10 Aug 2023 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 20 Sep 2023 |
| 10 Aug 2023 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard survey | 20 Sep 2023 |
| 10 Aug 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 20 Sep 2023 |
| 10 Aug 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 20 Sep 2023 |
| 10 Aug 2023 | F0641 | Ensure each resident receives an accurate assessment. | B | Standard survey | 20 Sep 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 1 Jul 2026 | Fine | $22,205 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Minnesota average. Turnover: nursing staff 53.7%, RNs 50.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Minnesota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 15.6% | 18.0% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.8% | 1.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.2% | 2.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.0% | 3.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.4% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 29.3% | 20.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.7% | 4.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.8% | 15.9% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: The Evangelical Lutheran Good Samaritan Society. Chain: Good Samaritan Society (92 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Sanford | 5% or greater direct ownership interest | 100% | 01/01/2019 |
| The Evangelical Lutheran Good Samaritan Society | 5% or greater indirect ownership interest | 100% | 01/01/2019 |
| Sanford | Operational/managerial control | NOT APPLICABLE | 01/01/2019 |
| The Evangelical Lutheran Good Samaritan Society | Operational/managerial control | NOT APPLICABLE | 01/01/2019 |
| Dtn Staffing Inc | Adp of the snf | NOT APPLICABLE | 08/02/2024 |
| Focusone Solutions | Adp of the snf | NOT APPLICABLE | 03/04/2024 |
| Grape Tree Medical Staffing LLC | Adp of the snf | NOT APPLICABLE | 04/13/2018 |
| Sanford | Adp of the snf | NOT APPLICABLE | 11/07/2025 |
| The Evangelical Lutheran Good Samaritan Society | Adp of the snf | NOT APPLICABLE | 01/01/2019 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Beltrami County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Jourdain Perpich Ext Care Fac | Redlake | 47 | 5 | 5 | 1 | 2 | 4.3 | — | 8 Jan 2026 |
| Havenwood Care Center | Bemidji | 65 | 2 | 1 | 5 | 49 | 75.4 | $137K | 29 Apr 2026 |
| Neilson Place | Bemidji | 78 | 1 | 1 | 4 | 47 | 60.3 | $46K | 5 Mar 2026 |
All 4 facilities in Beltrami County
Questions and answers
How many deficiencies has Good Samaritan Society - Blackduck been cited for?
23 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Minnesota median is 20 per facility.
Has Good Samaritan Society - Blackduck been fined?
Yes. CMS lists fines totalling $22K in the period covered.
How does staffing at Good Samaritan Society - Blackduck compare?
Reported total nurse staffing is 4.0 hours per resident per day against a Minnesota median of 4.2 and a national average of 3.9.
Who operates Good Samaritan Society - Blackduck?
It is part of the Good Samaritan Society chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Sanford, The Evangelical Lutheran Good Samaritan Society and Sanford. Individual owners and managers are not listed on this site.
When was Good Samaritan Society - Blackduck last inspected?
The most recent survey or investigation in the CMS record is dated 1 Jul 2026; the most recent standard health survey was 20 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.