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 16 of 16 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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 February 7, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 13, 2024).

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

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

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

    Health citation F-0640, Resident Assessment and Care Planning 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

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

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

    Health citation F-0661, Resident Assessment and Care Planning 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

    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 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

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

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

    Health citation F-0883, Infection Control 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

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

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

    Fire safety citation K-0321, 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).

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, 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).

  16. No harm, with potential for minimal harm

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of August 10, 2023. Found during a standard inspection.

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