25.7/100
Poor
421 East 4Th St, Miller, SD 57362
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
4 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$96,127 in federal fines
CMS has fined this facility across 2 penalty action(s).
Nursing staff turnover of 71%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: February 20, 2026 (6 months ago).
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Actual harm to a resident
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
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
No actual harm, potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
No actual harm, potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
No actual harm, potential for more than minimal harm
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.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
No actual harm, potential for more than minimal harm
Part of GOOD SAMARITAN SOCIETY, which operates 91 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| TURNER, MICHELLE | Individual | CONTRACTED MANAGING EMPLOYEE | — |
| MORRISON, TONY | Individual | W-2 MANAGING EMPLOYEE | — |
| SIVERTSEN, KIMBERLY | Individual | W-2 MANAGING EMPLOYEE | — |
| CAIN, JAMES | Individual | CORPORATE DIRECTOR | — |
| DYKHOUSE, DANA | Individual | CORPORATE DIRECTOR | — |
| ENGBRECHT, WESLEY | Individual | CORPORATE DIRECTOR | — |
| GASSEN, WILLIAM | Individual | CORPORATE DIRECTOR | — |
| GULSVIG, NEIL | Individual | CORPORATE DIRECTOR | — |
| HERSETH SANDLIN, STEPHANIE | Individual | CORPORATE DIRECTOR | — |
| LUNDEEN, MARK | Individual | CORPORATE DIRECTOR | — |
| MOLBERT, LAURIS | Individual | CORPORATE DIRECTOR | — |
| NORTH, ANDREW | Individual | CORPORATE DIRECTOR | — |
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Good Samaritan Society Miller holds an ElderGrade of F (25.7 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.81 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 4 of the 22 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Good Samaritan Society Miller is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.