All citations for Good Samaritan - Forest City

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 - Forest City

Last standard health inspection on record

August 7, 2025

Showing 1 to 9 of 9 citations

Immediate jeopardy to resident health or safety
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Pattern (more than a few residents). CMS level K.
Health citation F-0805, Nutrition and Dietary Deficiencies. Inspection of October 19, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 2, 2023).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of October 19, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 21, 2023).
No harm, with potential for more than minimal harm
Properly provide smoke detection systems in areas open to corridors.
Widespread (many residents). CMS level F.
Fire safety citation K-0347, Smoke Deficiencies. Inspection of October 19, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 21, 2023).
No harm, with potential for more than minimal harm
Provide a written emergency evacuation plan.
Widespread (many residents). CMS level F.
Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of October 19, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 21, 2023).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 19, 2023. Found during a standard inspection.
A waiver was granted (November 27, 2023).
No harm, with potential for more than minimal harm
Ensure that testing and maintenance of electrical equipment is performed.
Widespread (many residents). CMS level F.
Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 19, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 21, 2023).
No harm, with potential for more than minimal harm
Have proper medical gas storage and administration areas.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 19, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 21, 2023).
No harm, with potential for more than minimal harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Isolated (one or a few residents). CMS level D.
Health citation F-0580, Resident Rights Deficiencies. Inspection of October 19, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 8, 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 October 19, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 8, 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.