Nursing HomeInspections

Good Samaritan Society - Pine River

Nursing home in Pine River, MN

Medicare & Medicaid certified4★ overall (CMS)

Call (218) 587-4423Send a messageMap ↗

Public-record details

Address
518 Jefferson Avenue, Pine River, MN 56474
Phone
(218) 587-4423
Listed under
Nonprofit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
245476
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
4 of 5
Quality measures rating
2 of 5
Certified beds
33
Average residents per day
29
Ownership
Nonprofit, corporation
Legal business name
The Evangelical Lutheran Good Samaritan Society
Chain
Good Samaritan Society (92 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
May 1, 1987
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 245476. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 25, 2026. CMS lists 8 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jan 9, 2024 to Mar 25, 2026): 1 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Mar 25, 2026Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Feb 5, 2025Post nurse staffing information every day.
Nursing and Physician Services		C
Potential for minimal harm, widespread
Feb 5, 2025Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Feb 5, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Apr 5, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Jan 9, 2024Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jan 9, 2024Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
Jan 9, 2024Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control		E
Potential for more than minimal harm, pattern

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.51 hours
Registered nurse (RN) time per resident per day
1.16 hours
Nurse aide time per resident per day
1.69 hours
Total nurse staffing on weekends
2.99 hours
Nursing staff turnover (yearly)
44%
RN turnover (yearly)
36%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.