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Nursing HomeMedicaid Investigative

Good Samaritan Society De Smet

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

411 Calumet Avenue Nw, De Smet, SD 5723146 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 1 Google review

Good Samaritan Society De Smet Nursing Home in De Smet, SD — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Above-median deficiencies (11 vs median 5.0)
  • High staff turnover (67%)

Below average in SD · Meets national RN staffing standard · Below chain average · $10,647 in fines

Source: Medicare data

What this means for your family

This facility has areas of concern that warrant careful consideration. The facility has 11 deficiencies, which is above the state average. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.98hrs
OK
Registered nurses for medical care
Total Nursing
3.41hrs
83%
All nurses + aides combined
Staff Turnover
67%
Lower is better (< 30% = good)
RN Turnover
20%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
2/ 5
Better Than Avg

7

measures

Worse Than Avg

6

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility31.6%
Worse than Avg
Here
31.6%
US
15.5%
SD
24.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility28.9%
Worse than Avg
Here
28.9%
US
14.4%
SD
21.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
SD
5.3%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility26.4%
Worse than Avg
Here
26.4%
US
15.3%
SD
20.2%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility88.2%
Worse than Avg
Here
88.2%
US
95.5%
SD
96.9%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility25.5%
Worse than Avg
Here
25.5%
US
19.4%
SD
25.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility84.4%
Better than Avg
Here
84.4%
US
81.8%
SD
82.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
SD
1.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

11deficiencies
2penalties
Well above state avg (6.8)
7 complaint-triggered
$10,647 in fines

Families have filed multiple complaints leading to 7 deficiencies, raising concerns about this facility's care quality. The most recurring issues involve care planning and assessment, wound care for pressure ulcers, and treatment according to resident preferences. One complaint involved allegations of abuse or neglect that required investigation. While all deficiencies show correction dates, the pattern of complaint-triggered violations suggests ongoing care concerns that families should discuss thoroughly during visits.

Oct 23, 2025Complaint
3
0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

May 22, 2025Routine
8
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0578Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0655Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0657Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jan 2, 2025Complaint
3
0600Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Jan 11, 2024Routine
2
0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Jan 11, 2024Complaint
1
0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Federal Penalties

Fine

Oct 23, 2025

$26,680

Fine

Jan 2, 2025

$10,647

Ownership & Operations

Who Operates This Facility

Owner / Operator

Good Samaritan Society De Smet

Organization Type

nonprofit

Chain Affiliation

Chain Name

Good Samaritan Society

Chain Size

92 facilities nationwide

Chain avg rating: 3.0/5 · Rank 67 of 88

Ownership & Management

Owners

Sanford

Owner · Organization

100%

The Evangelical Lutheran Good Samaritan Society

Owner (parent company) · Organization

100%

Key personnel

Brown, GeorgeOfficer / DirectorDykhouse, DanaOfficer / DirectorEngbrecht, WesleyOfficer / DirectorGassen, WilliamOfficer / DirectorGulsvig, NeilOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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