All citations for Good Samaritan - Ellsworth

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Good Samaritan - Ellsworth

Last standard health inspection on record

May 21, 2026

Showing 26 to 35 of 35 citations

  1. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of July 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 12, 2024).

  2. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0511, Services Deficiencies. Inspection of July 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 12, 2024).

  3. No harm, with potential for more than minimal harm

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 22, 2024).

  4. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 12, 2024).

  5. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of March 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2023).

  6. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0511, Services Deficiencies. Inspection of March 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2023).

  7. No harm, with potential for more than minimal harm

    Use approved construction type or materials.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0161, Construction Deficiencies. Inspection of May 21, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2026).

  8. No harm, with potential for more than minimal harm

    Meet other general requirements that are deficient.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0500, Services Deficiencies. Inspection of May 21, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2026).

  9. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 21, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2026).

  10. No harm, with potential for more than minimal harm

    Have proper medical gas storage and administration areas.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 21, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2026).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.