01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-05-12 | 2 | 2026-05-12 | 0 |
| Cycle 2 | 2025-03-12 | 1 | 2025-03-12 | 3 |
| Cycle 3 | 2024-01-25 | 2 | 2024-01-25 | 7 |
CMS CCN 2453932026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Good Shepherd Lutheran Home
800 Home Street, Box 747 · Rushford, MN 55971 · Fillmore County
Certified beds65CMS provider file
Recent citation rows15current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
15 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-05-12 · HEALTHF0628Severity C · widespread; potential for minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2026-06-262026-05-12 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2026-06-262025-03-12 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-03-282025-03-12 · FIREK0374Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Correction field: Deficient, Provider has date of correction · 2025-04-012025-03-12 · FIREK0761Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2025-04-012025-02-12 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-03-06 · complaint2024-01-25 · HEALTHF0554Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Correction field: Deficient, Provider has date of correction · 2024-02-292024-01-25 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2024-02-292024-01-25 · FIREK0291Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2024-02-092024-01-25 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2024-03-012024-01-25 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2024-02-142024-01-25 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-02-162024-01-25 · FIREK0355Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2024-02-092024-01-25 · FIREK0374Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Correction field: Waiver has been granted2024-01-25 · FIREK0923Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2024-02-0903 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- USDA DEPARTMENT OF AGRICULTURE RURAL DEVELOPMENTOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 10/01/2024
- BENSON, RANDYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2024
- COOK, SONJAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/01/2023
- CULHANE, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2024
- DVORAK, LUANNEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2021
- EBNER, WENDYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2024
- HATLEVIG, DEANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2024
- INGRAM, KATHRYNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2023
- PRONK, JUDITHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2024
- SNYDER, NANCYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2021
- ZOELLE-JOHNSON, BARBARAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/01/2023
- CULHANE, JOHNIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2024
- SNYDER, NANCYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2021
- SPECE, RHONDAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/12/2018
- ZOELLE-JOHNSON, BARBARAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2024
- COLBENSON, SAMANTHAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/11/2021
- SPECE, RHONDAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/18/2000
- A & H PHARMACIST CONSULTANT SERVICEOrganization · ADP OF THE SNFNOT APPLICABLE · since 10/01/2024
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.98per resident day
RN hours0.70per resident day
Weekend nurse hours3.48per resident day
Staff turnover50.0%CMS reported field
06 / LOCAL RECORDS
Open the Minnesota ledger →Other published facilities nearby
No second facility in the same city met the directory rule.