GOOD SAMARITAN SOCIETY - SIOUX FALLS VILLAGE
NPI 1104966548
Assisted Living Facility in Sioux Falls, SD

Q: What is The Evangelical Lutheran Good Samaritan Society's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Q: What quality rating does The Evangelical Lutheran Good Samaritan Society have?

CMS rates Good Samaritan Society Sioux Falls Village 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

Active since February 07, 2007CLIA 43D0662710 · Waiver

1/5

Overall Rating

3901 S MARION RD, SIOUX FALLS, SD 57106(605) 361-3311(605) 361-2220 Get Directions Write a Review

NPPES record last updated: September 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 30, 2021, Aug 22, 2020 (2 updates tracked since 2020).

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About Good Samaritan Society - Sioux Falls Village NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOOD SAMARITAN SOCIETY - SIOUX FALLS VILLAGE (NPI 1104966548) is a healthcare organization registered as an assisted living facility in Sioux Falls, South Dakota and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Raye Nae Nylander, Vice President, Cfo, as its authorized official.

NPPES Registry Identity

NPI1104966548

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

Location Address3901 S MARION RDSioux Falls, SD 57106-1722

Mailing Address4800 W 57th StSioux Falls, SD 57108-2239 · (605) 362-3100

Phone(605) 361-3311

Fax(605) 361-2220

Organization SubpartNo

Authorized OfficialRaye Nae NylanderVice President, Cfo · (605) 362-3100

Enumeration DateFebruary 7, 2007

Last NPPES UpdateSeptember 30, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2021

✔ NPI 1104966548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

3901 S MARION RD, Sioux Falls, SD 57106

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Other Names 1

Doing Business AsGood Samaritan Society - Sioux Falls Village

Other Identifiers 1

Medicaid9570100SD

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 43D0662710

Good Samaritan Society - Sioux Falls Village · Sioux Falls, SD

Active · expires Aug 31, 2026

CLIA Number43D0662710

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorDana Bachmeier

Laboratory Phone(605) 361-3311

Laboratory LocationGood Samaritan Society - Sioux Falls Village3901 South Marion Road, Sioux Falls, SD 57106

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Good Samaritan Society Sioux Falls Village (CMS certification number 435045), from CMS Care Compare.

Good Samaritan Society Sioux Falls Village

Nursing home · Sioux Falls, SD

1/5 CMS Overall Rating

OwnershipNon profit - Corporation

CMS Certification Number435045

Certified Beds177 beds156 residents per day on average

Medicare & Medicaid Participant SinceJuly 1, 1990

Resident & Family CouncilResident council

Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

2/5

Long-Stay Quality

Quality of care delivered to long-term residents.

2/5

Short-Stay Quality

Quality of care delivered to short-term and rehabilitation residents.

3/5

Staffing

Based on nursing staff hours relative to resident needs.

3/5

Weighted Health Inspection Score

Lower scores are better; the score summarizes deficiencies found on recent inspections.

138.17

Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing

nurse aide 2.55 · LPN 0.78 · RN 0.6

3.92 hrs per resident per day

Weekend Nurse Staffing

3.51 hrs per resident per day

Physical Therapist Staffing

0.05 hrs per resident per day

Nursing Staff Turnover

Share of nursing staff who left the facility within the past year.

54.4%

Registered Nurse Turnover

47.8%

Administrators Who Have Left

In the past year.

Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

CMS lists this facility in its Special Focus Facility program, which identifies nursing homes with a persistent pattern of inspection issues for increased oversight.

Facility-Reported Incidents

Substantiated Complaints

Fines

2 totaling $55,755.50

Medicare Payment Denials

Total Penalties

Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA KAY KREGER COTA

Occupational Therapy Assistant