Good Samaritan Society - Stillwater

    1119 Owens St N, Stillwater, MN, 55082
    2.8 · 26 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    3.0

    Caring staff but understaffed, costly

    I placed my loved one here and have mixed feelings. Many staff are genuinely caring, kind, and experienced - nurses, PT, and activities staff often go above and beyond, rooms are spacious and kept clean, and the place can feel home-like with activities and church services. But persistent understaffing (nights especially) leads to slow or unresponsive call buttons, delayed care, and rushed or rude aides; management and communication are inconsistent. Food is frequently cold/prepackaged and unappealing, and there are concerning reports of medication changes, medical errors, and spotty incident follow-up. It's expensive, with insurance/billing issues for some families. Overall, I appreciate the compassionate caregivers we met, but I'd recommend this facility only with reservations and close oversight.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    2.81 · 26 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.6
    • Staff

      2.9
    • Meals

      2.1
    • Amenities

      3.2
    • Value

      1.7

    Pros

    • Many caring, compassionate staff members and attendants
    • Some highly experienced nurses and long-tenured staff
    • Good skilled nursing and transitional care; strong PT/therapy department
    • Dignified hospice and end-of-life care reported
    • Clean, spacious rooms and large bathrooms in many units
    • In-room dining available; some meals praised (desserts, pie)
    • Church services and minister visits; some regular activities
    • COVID safety precautions and infection-control measures noted by some
    • Welcoming environment for residents and visitors reported by several reviewers
    • Frequent nurse checks and attentive care reported by some families
    • Staff who go above-and-beyond and provide family-focused support

    Cons

    • Chronic understaffing and high staff turnover
    • Inconsistent and sometimes poor nursing care, including neglect
    • Allegations of over-medication and medication changes without consent
    • Serious medical neglect reported (UTI, blood in stools, delayed physician attention)
    • Denied or refused access to medical records and poor communication about care choices
    • Rude, untrained, or uninterested staff reported by multiple reviewers
    • Delayed responses to call buttons and unattended residents
    • Food quality inconsistent: reports of cold/microwaved, unsafe, or incorrect meals
    • Facility maintenance and hygiene issues (poor lighting, old beds, dirty shared showers)
    • Safety concerns (choking risk, no aide when resident walked, unattended dayroom)
    • Administrative problems: billing disputes, debt collection, Medicare not accepted, alleged fraudulent reporting
    • Large facility scale creating impersonal care and communication gaps

    Summary review

    Overall sentiment in the reviews is highly mixed and polarized. Multiple reviewers describe excellent, compassionate care provided by experienced nurses, therapists, and aides; others describe serious, sometimes dangerous shortcomings including medical neglect, poor responsiveness, and alleged abuse. The most consistent dividing line in the feedback is staffing and management: where staffing levels, training, and management oversight are adequate, reviewers report a pleasant, safe, and supportive environment; where staffing is thin or turnover is high, reviewers report delays, neglect, and errors that negatively affect resident safety and well-being.

    Care quality and medical management emerge as core themes with both strong positives and troubling negatives. Positive comments highlight skilled nursing, successful transitional care, strong PT/therapy services, and dignified hospice/end-of-life care. These reviewers note professional, experienced staff who communicate with families and manage complex needs (including feeding tubes and rehab). Conversely, multiple reports describe delayed physician visits, failure to investigate abuse, over-medication, medication changes without informed consent, untreated UTIs and gastrointestinal bleeding for prolonged periods, premature discharges followed by hospital readmissions, and frequent hospitalizations. These serious clinical concerns suggest gaps in clinical oversight and inconsistent medical follow-through.

    Staffing, training, and interpersonal behavior are central to the complaints. Many reviews praise individual caregivers as compassionate and attentive, sometimes going above and beyond. However, a sizable number of reviewers report rude, unhelpful, or inadequately trained staff, CNAs and nurses who appear overworked, call-buttons that go unanswered for long periods, and aides who fail to assist with bathroom needs or leave residents unattended. Staffing shortages and high turnover are repeatedly cited as primary causes of missed care, slow response times (15–20 minutes in some accounts), and overworked personnel. This inconsistency in staff quality creates an unpredictable experience—families who encounter the “right” staff often feel grateful, while others encounter neglect.

    Facility and environmental issues are also mixed. Positive reports describe clean, spacious rooms, large bathrooms, and a generally home-like environment in parts of the facility. Negative reports highlight poor lighting, cold rooms, old beds, creaky equipment, strong smells or poor air quality, dirty shared shower areas, and even references to a “rat-hole” facility. Shower temperature extremes and shared showers that are not kept clean were specifically mentioned. These details indicate variability across units or inconsistent maintenance and housekeeping standards.

    Dining and nutrition are another area of divergence. Some reviewers praise meals (especially desserts and in-room dining) and say food is generally good. Others report that meals are cold, microwaved or premade, not tasty, and in at least one instance incorrect for a resident’s prescribed liquid diet—resulting in gastrointestinal trouble. Reports of hamburgers, hot dogs, and premade salads juxtaposed with praise for pies illustrate inconsistent food quality and concerns about diet safety for medically fragile residents (including choking risk).

    Administration and communication problems surface frequently and span several domains: difficulty obtaining medical records, refusal to release records, vague or unhelpful social work, billing disputes, unresolved insurance coverage and debt collection, and allegations of fraudulent rate reporting. Some reviewers also noted that Medicare is not accepted and that costs are high—important facts for prospective residents and families. Communication breakdowns about care choices, unclear care plans, and lack of callbacks amplify family frustration and erode trust.

    Social life and activities are present but inconsistent. Some residents enjoy frequent activities, church services twice a week, minister visits, and make new friends—reviewers with positive experiences highlight engagement and a welcoming atmosphere. Others report little activity in the halls and unattended dayrooms with loud televisions and a less-engaging environment. The size of the facility is noted multiple times; being a large facility appears to create both benefits (resources, therapy services) and drawbacks (impersonal care, harder to ensure consistent staff performance across all units).

    Recurring safety concerns are alarming: choking risk, residents left unassisted when walking, unattended dayrooms, inability to hear call lights, and delayed or missed medical response. Several reviews recount serious outcomes—weight loss, hospital readmissions, and medical complications—linked to these systemic problems. Families should consider these safety-related reports seriously when evaluating the facility for a medically vulnerable person.

    Pattern and recommendation: The review corpus paints a facility with pockets of excellent clinical and personal care but also with systemic weaknesses—principally staffing, management, communication, and consistency of services. Positive experiences often reference specific staff members, therapy successes, clean private rooms, and compassionate hospice care. Negative experiences cluster around understaffing, medical neglect, administrative opacity, and inconsistent food and housekeeping. Prospective residents and families should: (1) ask about current staffing ratios by shift and unit, (2) request recent inspection and staffing reports, (3) verify policies on medication changes and access to medical records, (4) confirm diet protocols and how special diets are managed, (5) clarify billing practices and Medicare/insurance acceptance, and (6) tour the specific unit where the resident would live (to assess cleanliness, lighting, and activity offerings).

    In summary, Good Samaritan Society - Stillwater receives strongly mixed reviews. It can provide high-quality, compassionate, and skilled care in many cases—especially in therapy, hospice, and where experienced staff are present—but there are repeated, credible reports of serious clinical lapses, understaffing, poor communication, and administrative issues that have harmed residents. Families considering this facility should weigh both sets of reports, perform targeted questions and inspections, and maintain vigilant oversight if they enroll a loved one there.

    Location

    Map showing location of Good Samaritan Society - Stillwater

    About Good Samaritan Society - Stillwater

    Good Samaritan Society - Stillwater is a non-profit nursing home with 50 certified beds, usually caring for about 38 residents each day, and it's been managed by the Evangelical Lutheran Good Samaritan Society since January 2019. The staff gives about 3.73 nurse hours per resident each day, but the nurse turnover rate is pretty high at almost 64%, which means residents often see different nurses over time. Residents get access to physical, occupational, and speech therapy, and both inpatient and outpatient rehabilitation are available, so care keeps going even after leaving the building. The place has modern spaces, roomy living areas, and outdoor spots where people can meet and move around, and meals focus on good nutrition with quality ingredients. The facility covers a lot, including skilled nursing, short-term rehab, memory care for those with Alzheimer's or other dementia, assisted living for help with daily needs, and even home care, so folks can get support in several ways depending on what's needed, and they say their memory care is set up to help reduce confusion and wandering for people living with memory loss. They mention a focus on a compassionate, inclusive community, and staff are noted as being joyful, helpful, and kind, and the facility's won Best of Senior Living awards along with other community honors for activities that help residents stay social, physical, and engaged. Good Samaritan Society - Stillwater is affiliated with UFCW1189 union, with Abraham Wangnoo and Claudia Garavalia acting as representatives or stewards, and there are worksite documents like "Stillwater Good Sam 2023-2026" and vaccine policies meant for staff. The place does have deficiencies recorded, with a total of 29 inspection deficiencies, including two related to infection control, and the latest official inspection report from January 30, 2025, notes four deficiencies, including areas in resident rights and quality of life and care, so there's room for improvement in serving residents' needs and safety. Still, the facility's part of the larger Good Samaritan Society network, which is known for a faith-based and caring approach, but there isn't much detail provided about exact services, features, or unique amenities specific to Stillwater itself, so folks might want to ask more questions before making any decisions.

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