All citations for Good Samaritan Society - Blackduck

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.

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Last standard health inspection on record

August 20, 2025

Showing 1 to 25 of 39 citations

  1. Immediate jeopardy to resident health or safety

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

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

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of July 1, 2026. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (June 11, 2026).

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

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of August 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2025).

  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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2025).

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

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of June 13, 2024. Found during a standard inspection.

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

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

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Widespread (many residents). CMS level F.

    Health citation F-0865, Administration Deficiencies. Inspection of June 13, 2024. Found during a standard inspection.

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

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of June 13, 2024. Found during a standard inspection.

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

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

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Widespread (many residents). CMS level F.

    Health citation F-0882, Infection Control Deficiencies. Inspection of June 13, 2024. Found during a standard inspection.

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

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

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of August 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 20, 2023).

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

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of August 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 20, 2023).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of August 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 20, 2023).

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

    Have properly installed electrical wiring and gas equipment.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0511, Services Deficiencies. Inspection of August 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 20, 2023).

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

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of August 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 20, 2023).

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of August 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 20, 2023).

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

    Install emergency lighting that can last at least 1 1/2 hours.

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

    Fire safety citation K-0291, Egress Deficiencies. Inspection of August 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2025).

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of June 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2024).

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

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of August 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 20, 2023).

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

    Install emergency lighting that can last at least 1 1/2 hours.

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

    Fire safety citation K-0291, Egress Deficiencies. Inspection of August 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 20, 2023).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of October 31, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 26, 2025).

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

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of October 31, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 26, 2025).

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of October 31, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 26, 2025).

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

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

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

    Health citation F-0605, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 2025).

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of August 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 2025).

  23. 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 August 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 2025).

  24. 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 August 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 2025).

  25. 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 August 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 2025).

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.