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Nursing HomeMedicaid Investigative

Good Samaritan Society Luther Manor

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

1500 W 38th St, Sioux Falls, SD 5710592 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.1/5

based on 12 Google reviews

5
4
3
2
1
Good Samaritan Society Luther Manor Nursing Home in Sioux Falls, SD — Street View
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5/ 10
high 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 (6 vs median 5.0)
  • High staff turnover (52%)
  • High RN turnover (55%)

Below average in SD · Meets national RN staffing standard · Above average staffing · Below chain average · $11,466 in fines

Source: Medicare data

What this means for your family

While Luther Manor has historically provided a supportive environment for long-term residents, recent feedback indicates a decline in service quality. Families should prioritize touring the facility during off-hours to observe staffing responsiveness and inquire directly about their current protocols for meal service and resident security.

Google Reviews

Google Reviews

12 reviews on Google
Luther Manor receives polarized feedback, with some families praising the warm, family-like atmosphere and attentive care for long-term residents. However, recent reviews highlight significant concerns regarding poor food quality, slow response times to call buttons, and issues with noise management and personal property security.

Quality Themes

Tap a score for details
Food1.0Staff6.0CleanN/AActivitiesN/AMedsN/AMemoryN/AComms7.0ValueN/A

Strengths

  • Warm, family-like atmosphere
  • Attentive long-term care staff
  • Effective post-surgical rehab support

Concerns

  • Poor food quality and service (mentioned by 2 reviewers)
  • Slow staff response to call buttons (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2341.0'17(1)5.01.0'20(1)3.04.0'23(1)1.04.0'25(4)3.0'26(1)

Distribution · 12 analyzed

5
5
4
1
3
1
2
0
1
5

How They Respond to Reviews

8%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1I noticed the facility has a strong reputation for post-surgical rehab; how do you integrate those residents into the broader community life here?
  • 2Could you walk me through the current process for responding to call buttons, especially during busy shift transitions?
  • 3We understand that dining is a key part of the resident experience; what improvements or changes are currently being made to the meal service and menu variety?
  • 4Given the recent health inspection findings, what specific steps is the leadership team taking to address those areas and improve the overall quality of care?
  • 5With a 4-star staffing rating, how do you ensure that staff members have enough time to provide personalized attention to each of the 92 residents throughout the day?
  • 6What does a typical social or activity schedule look like for residents who prefer a quieter, more family-like environment?

Personalized based on this facility's data


Key Review Excerpts

The staff was always there for mom and me, willing to answer questions and do what was necessary to make her as happy and comfortable as possible! The Luther Manor team created a family atmosphere that included us both.

Long-term resident's family · 2021★★★★★

I received post surgical rehab at Luther Manor. I had great care from a wonderful staff. I would recommend this facility!

Rehab patient · 2023★★★★

Also, my food was often late and cold and the nurses are slow to respond to the call button. I get that you're short staff but when it's a ba

Rehab patient · 2025☆☆☆☆
Source: 12 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.91hrs
OK
Registered nurses for medical care
Total Nursing
4.03hrs
98%
All nurses + aides combined
Staff Turnover
55%
Lower is better (< 30% = good)
RN Turnover
55%
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 · 17 measures

Medicare Rating
1/ 5
Better Than Avg

5

measures

Worse Than Avg

7

measures

Mixed Results

5

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.8%
Better than Avg
Here
0.8%
US
12.1%
SD
5.3%
Minnehaha
5.3%

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

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility25.1%
Worse than Avg
Here
25.1%
US
14.4%
SD
21.4%
Minnehaha
20.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility25.7%
Worse than Avg
Here
25.7%
US
15.3%
SD
20.2%
Minnehaha
24.6%
⚠️

Residents who fell and were seriously hurt

↓ Lower is better
This Facility10.8%
Worse than Avg
Here
10.8%
US
3.2%
SD
5.3%
Minnehaha
7.5%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility12.8%
Better than Avg
Here
12.8%
US
19.5%
SD
17.5%
Minnehaha
15.8%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility18.0%
Mixed vs Avgs
Here
18.0%
US
15.5%
SD
24.5%
Minnehaha
20.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility93.0%
Better than Avg
Here
93.0%
US
79.8%
SD
78.2%
Minnehaha
86.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility81.4%
Worse than Avg
Here
81.4%
US
81.8%
SD
82.7%
Minnehaha
90.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.3%
Worse than Avg
Here
2.3%
US
1.6%
SD
1.9%
Minnehaha
0.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

13deficiencies
2penalties
Well above state avg (6.8)
9 complaint-triggered
$11,466 in fines

This facility has faced multiple complaint-triggered deficiencies, with families filing reports that led to four citations in recent surveys. The most recurring issues involve treatment and care quality, safety hazard prevention, and care planning. While all deficiencies show correction dates, the pattern of repeated problems with providing appropriate treatment according to care orders and maintaining safe environments suggests ongoing challenges that merit careful consideration during your visit.

Apr 1, 2026Complaint
2
0760Actual harm · IsolatedResolved (past non-compliance)

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Mar 5, 2026Complaint
3
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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.

Mar 5, 2026Routine
6
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

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.

0699Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

0321Minimal · Pattern

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Jul 23, 2025Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jun 18, 2025Complaint
2
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jan 23, 2025Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Federal Penalties

Fine

Jun 18, 2025

$14,800

Fine

Oct 17, 2024

$11,466

Ownership & Operations

Who Operates This Facility

Owner / Operator

Good Samaritan Society Luther Manor

Organization Type

nonprofit

Chain Affiliation

Chain Name

Good Samaritan Society

Chain Size

92 facilities nationwide

Chain avg rating: 3.0/5 · Rank 57 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

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Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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