GOOD SAMARITAN HOME
State inspectors recorded 1 citation(s) in the last three years where CMS determined a resident was actually harmed.
Serious inspection findings
2025-09-19 — ACTUAL HARM (tag F0580, severity G)
Resident Rights Deficiencies · correction not recorded in CMS data
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2023-08-19 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2022-09-08 — IMMEDIATE JEOPARDY (tag F0880, severity K)
Infection Control Deficiencies · correction not recorded in CMS data
Provide and implement an infection prevention and control program.
Staffing, from payroll records
Nursing hours / resident / day
4.46
state median 3.09
Weekend staffing gap
+5%
more nursing hours on weekends · state median −8%
RN hours / resident / day
0.57
registered nurses only
Contract (agency) staff
10%
share of all nursing hours
Nursing staff turnover
44%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
1 enforcement action(s), totaling $26,640 in fines.
| Date | Type | Amount |
|---|---|---|
| 2023-08-19 | Fine | $26,640 |
Ownership
Ownership type: Non profit - Corporation.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2025-09-19 | F0580 | Resident Rights Deficiencies | G | not recorded |
| 2025-07-17 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-10-27 | F0622 | Resident Rights Deficiencies | D | not recorded |
| 2024-10-27 | F0623 | Resident Rights Deficiencies | D | not recorded |
| 2024-10-27 | F0625 | Resident Rights Deficiencies | D | not recorded |
| 2024-08-15 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-08-15 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-08-15 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-08-15 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2023-11-14 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-08-19 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2023-08-19 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2022-09-08 | F0805 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2022-09-08 | F0867 | Administration Deficiencies | F | not recorded |
| 2022-09-08 | F0880 | Infection Control Deficiencies | K | not recorded |
| 2022-09-08 | F0887 | Infection Control Deficiencies | E | not recorded |