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GOOD SAMARITAN SOCIETY - MOUNTAIN LAKE Inspection Report, Violations & Safety Grade (MOUNTAIN LAKE, Minnesota)

745 BASINGER MEMORIAL DRIVE, MOUNTAIN LAKE, Minnesota 56159

Phone: 5074272464

CMS Overall:4/5

Overview & Bed Count

Certified Beds
48
Avg Residents/Day
47.3
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Cottonwood
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health3/5
Staffing5/5
Quality3/5

Nurse Staffing Check

MetricThis FacilityMinnesota AvgDifference
RN Hours per Resident per Day0.831.08-0.25
Total Nurse Hours per Resident per Day3.954.27-0.32
CMS Staffing Rating5/54.2/5-
Nursing Staff Turnover31.4%42.1%-

Health Citation History

14 health citations on record

DateCategoryDescriptionSeverity
2026-08-12Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E – Moderate Harm Potential
2026-08-12Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D – Moderate Harm Potential
2026-08-12Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2026-04-29Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G – Actual Harm
2026-04-29Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.G – Actual Harm
2026-04-29Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2025-07-03Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2025-07-03Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2025-07-03Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2025-02-12Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.J – Immediate Jeopardy
2024-06-26Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2024-06-26Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.D – Moderate Harm Potential
2024-06-26Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2024-06-26Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.D – Moderate Harm Potential

Fire Safety Citation History

6 fire safety citations on record

DateCategoryDescriptionSeverity
2026-08-12Smoke DeficienciesProvide properly protected cooking facilities.E – Moderate Harm Potential
2026-08-12Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2026-08-12Services DeficienciesHave properly installed electrical wiring and gas equipment.E – Moderate Harm Potential
2026-08-12Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.E – Moderate Harm Potential
2025-07-03Smoke DeficienciesProvide properly protected cooking facilities.F – Moderate Harm Potential
2025-07-03Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential

Total Penalties & Fines

$14,069
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2025-02-12Fine$14,069-

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