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 50 of 52 citations

No harm, with potential for more than minimal harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0211, Egress Deficiencies. Inspection of July 2, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (September 12, 2024).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0324, 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).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0345, 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).
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).
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).
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).
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).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Pattern (more than a few residents). CMS level E.
Health citation F-0880, Infection Control Deficiencies. Inspection of March 7, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (April 14, 2023).
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).
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).
No harm, with potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Isolated (one or a few residents). CMS level D.
Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of May 21, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 26, 2026).
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.
No plan of correction on record.
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.
No plan of correction on record.
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.
No plan of correction on record.
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.
No plan of correction on record.
No harm, with potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Isolated (one or a few residents). CMS level D.
Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of July 2, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (July 31, 2024).
No harm, with potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Isolated (one or a few residents). CMS level D.
Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of July 2, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (July 31, 2024).
No harm, with potential for more than minimal harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Isolated (one or a few residents). CMS level D.
Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of July 2, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (July 31, 2024).
No harm, with potential for more than minimal harm
Provide care or services that was trauma informed and/or culturally competent.
Isolated (one or a few residents). CMS level D.
Health citation F-0699, Quality of Life and Care Deficiencies. Inspection of July 2, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (July 31, 2024).
No harm, with potential for more than minimal harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Isolated (one or a few residents). CMS level D.
Health citation F-0756, Pharmacy Service Deficiencies. Inspection of July 2, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (July 31, 2024).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Isolated (one or a few residents). CMS level D.
Health citation F-0880, Infection Control Deficiencies. Inspection of July 2, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (July 31, 2024).
No harm, with potential for more than minimal harm
Implement a program that monitors antibiotic use.
Isolated (one or a few residents). CMS level D.
Health citation F-0881, Infection Control Deficiencies. Inspection of July 2, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (July 31, 2024).
No harm, with potential for more than minimal harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Isolated (one or a few residents). CMS level D.
Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 7, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (April 14, 2023).
No harm, with potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Isolated (one or a few residents). CMS level D.
Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of March 7, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (April 14, 2023).
No harm, with potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Isolated (one or a few residents). CMS level D.
Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of March 7, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (April 14, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.