Lutheran Home Of The Good Shepherd — Skilled Nursing Facility Profile (CCN #355041)

New Rockford, North Dakota · CCN 355041 · Phone: 7019472944 · 51 beds · Ownership: Non Profit - Corporation

Lutheran Home Of The Good Shepherd is a Medicare-certified skilled nursing facility (CCN 355041) in New Rockford, North Dakota. It holds a CMS overall Five-Star rating of 4 of 5 stars on CMS Care Compare. FileFlo scores its CMS survey-readiness at 76/100 (Minor Gaps).

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Compliance Indicator: 76/100 — Minor Gaps

About Lutheran Home Of The Good Shepherd

Lutheran Home Of The Good Shepherd is a Medicare- and Medicaid-certified skilled nursing facility in New Rockford, North Dakota, operating under CMS Certification Number (CCN) 355041. 51-bed facility. Non Profit - Corporation. Independent (not part of a multi-facility chain). The facility is required to comply with the Requirements for Long-Term Care Facilities at 42 CFR Part 483.

Lutheran Home Of The Good Shepherd has held its Medicare/Medicaid certification for approximately 48 years (certification date on file: 1978-05-01). Long-tenured facilities (15+ years) often have established F-tag remediation playbooks and a deeper standard-survey trail; newly-certified facilities (under 3 years) are subject to a different initial survey cadence under 42 CFR 488.308.

Local market context (Eddy County): Lutheran Home Of The Good Shepherd is the only Medicare-certified skilled nursing facility in the same-county sample for North Dakota. Sole-provider counties concentrate post-acute placement decisions into a single facility, which can either be operational leverage or a regulatory-visibility risk depending on quality trajectory.

CMS Five-Star Quality Ratings

CMS publishes Five-Star ratings for nursing homes monthly, drawn from the most recent three years of standard surveys, complaint surveys, and Minimum Data Set (MDS) submissions.

Long-Stay vs Short-Stay Quality Measures

Long-Stay Quality Measure rating: ★★★★☆ (4 of 5). Long-stay measures cover residents in the facility 100+ days and include indicators like residents experiencing one or more falls with major injury, residents whose ability to move independently worsened, and residents with a urinary tract infection.

Short-Stay Quality Measure rating: ★★★★★ (5 of 5). Short-stay measures cover post-acute residents discharged within 100 days and include rehospitalization within 30 days, successful return to community, and improvement in function.

Differentiating long-stay from short-stay QMs matters for placement decisions — a facility with strong short-stay QMs may still underperform on long-stay metrics, and vice versa.

Compliance Red Flags

Abuse Icon present: CMS has applied the Abuse Icon to Lutheran Home Of The Good Shepherd's Care Compare listing. The icon flags facilities cited for substantiated abuse, neglect, exploitation, or misappropriation findings under the F600-series Long-Term Care Resident Rights and Abuse / Neglect F-tags within the most recent two survey cycles, where citations met the scope-and-severity threshold defined in CMS Care Compare's Five-Star Quality Rating Methodology. The icon stays in place until the facility completes a full survey cycle with no further qualifying citations.

Survey History and Deficiencies

Recent health deficiencies cited at last standard survey: 4. National average for facilities of this size is approximately 8 deficiencies per cycle. In its most recent reporting cycle, Lutheran Home Of The Good Shepherd received 3 CMS fines totaling $31,829. Last documented standard health survey: 2025-08-28. CMS conducts standard surveys at most every 15 months for SNFs, with substandard-quality findings triggering more frequent revisits.

Infection Control and Deficiency Weighting

CMS health survey weighted score: 52.5. The weighted score multiplies deficiency severity (A-L) by scope (isolated, pattern, widespread); higher weighted scores translate directly into the Health Inspection star rating tier breakpoints CMS publishes monthly.

CMS Enforcement Actions

Total enforcement penalties assessed in the most recent reporting window: $3. This figure aggregates Civil Money Penalties (CMPs), DPNA-equivalent revenue impacts, and other monetary remedies under 42 CFR Part 488 Subpart F.

Staffing Detail

Lutheran Home Of The Good Shepherd already meets the cadre-specific minimums scheduled to take effect on the May 2029 timeline under 89 FR 40876 (RN 0.935 HPRD vs the 0.55 floor; nurse-aide 3.119 HPRD vs the 2.45 floor). The constraint going forward is sustaining these levels under turnover pressure.

Total nurse staffing: 4.705 hours per resident day (HPRD), which is 1.23 hours above the 3.48 total HPRD floor that the CMS Minimum Staffing Standards rule (89 FR 40876, May 2024) phases in for rural-facility facilities by May 2029.

Staffing mix: RN 0.935 HPRD, LPN 0.651 HPRD, CNA 3.119 HPRD. The same CMS final rule also phases in cadre-specific minimums of 0.55 RN HPRD and 2.45 nurse aide HPRD on the 2029 timeline; RN-specific shortfalls have historically been the most common single-facility staffing deficiency at standard surveys.

Weekend RN staffing: 0.528 HPRD. Weekend RN coverage is a separately reported CMS measure; facilities with low weekend RN HPRD frequently see resident-acuity-driven adverse events spike on the weekend shift.

Total nurse staff turnover: 53.2% annualized — high (typical of facilities with chronic staffing pressure).

RN-specific turnover: 36.4% annualized. RN turnover above 50% is the single strongest correlate with QM rating decline in CMS's own internal analyses.

Chain Context and Facility Type

Lutheran Home Of The Good Shepherd is independently operated (not part of a multi-facility chain). Independent SNFs typically rely on internal compliance staff or contracted consultants rather than corporate-level survey-prep teams; this affects both how quickly Plans of Correction are produced and how F-tag remediation is documented across multiple shifts.

Provider type designation: Medicare And Medicaid.

The facility is classified by CMS as rural (outside metropolitan statistical areas). Rural SNFs face different challenges — referral pipeline depth, RN availability, ambulance distance for transfers — and CMS applies certain modifiers to the staffing minimums under hardship exemption pathways for rural facilities.

How Lutheran Home Of The Good Shepherd Compares to Peers in North Dakota

Peer comparisons use a same-state cohort of 72 Medicare-certified SNFs, pulled live from CMS Provider Data. The cohort excludes terminated and surrendered certifications.

FileFlo Compliance Indicator

FileFlo's compliance indicator for Lutheran Home Of The Good Shepherd is 76/100 (Minor Gaps). The score is derived from publicly published health-deficiency counts, weighted survey scores, infection-control citations, fines, and staffing hours per resident day. It is not a CMS rating. The full survey-readiness audit (covering F-tags from the most recently cited deficiencies, infection control, staffing minimums, MDS accuracy) is at /tools/cms-survey-readiness-score.

Why This Page Exists

FileFlo publishes a profile for every Medicare-certified nursing home so administrators, DONs, and family members can find the same publicly-published quality data without bouncing between Care Compare, the SFF list, and the CMS Provider Data Catalog. Field-level CFR citations are linked throughout. Dispute this record if any field is incorrect — we resync with CMS monthly and process correction requests within five business days.

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Frequently asked questions about Lutheran Home Of The Good Shepherd

What is Lutheran Home Of The Good Shepherd's CMS overall Five-Star rating?

Lutheran Home Of The Good Shepherd (CCN 355041) holds a CMS overall Five-Star rating of 4 of 5 stars on CMS Care Compare. CMS updates these ratings quarterly from the facility's submitted assessment and claims data.

Is Lutheran Home Of The Good Shepherd Medicare-certified, and where is it located?

Lutheran Home Of The Good Shepherd is a Medicare-certified skilled nursing facility (CMS Certification Number 355041) in New Rockford, North Dakota.

How survey-ready is Lutheran Home Of The Good Shepherd?

FileFlo scores Lutheran Home Of The Good Shepherd's CMS survey-readiness at 76/100 (Minor Gaps). This is a FileFlo indicator built from CMS-published data, not an official CMS rating.

Which CMS Conditions of Participation must Lutheran Home Of The Good Shepherd meet?

As a Medicare-certified skilled nursing facility, Lutheran Home Of The Good Shepherd is surveyed against the Conditions of Participation in 42 CFR Part 483 — covering patient/resident rights, assessment and care planning, quality (QAPI), infection control, and aide services. Each CoP section is linked on this page.

How can Lutheran Home Of The Good Shepherd prepare for its next CMS survey?

Run FileFlo's free CMS survey-readiness audit for Lutheran Home Of The Good Shepherd — it grades the skilled nursing facility against every Condition of Participation in 42 CFR Part 483 in about three minutes, names each gap's F-Tag, and requires no signup.

Conditions of Participation Lutheran Home Of The Good Shepherd is surveyed against

The 42 CFR Part 483 CoP sections a CMS survey actually checks, in plain English:

Compliance terms: F-Tag · Joint Commission. See the Skilled Nursing Facility directory and the Healthcare compliance guide →

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Data sourced from CMS Care Compare (publish 2026-04-01). Information may not reflect the facility's current status. Resync occurs monthly. Dispute this record · Claim this profile

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