All citations for Good Samaritan Society - Grand Island Village

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 Society - Grand Island Village

Last standard health inspection on record

December 30, 2025

Showing 1 to 13 of 13 citations

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

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Widespread (many residents). CMS level F.

    Health citation F-0801, Nutrition and Dietary Deficiencies. Inspection of November 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2023).

  2. 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 November 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2023).

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

    Implement emergency and standby power systems.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of November 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 31, 2023).

  4. 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 November 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 31, 2023).

  5. 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 November 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 31, 2023).

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

    Have proper medical gas storage and administration areas.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 31, 2023).

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

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of November 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2023).

  8. 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 November 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2023).

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

    Have horizontal exits used in accordance with safety requirements.

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

    Fire safety citation K-0226, Egress Deficiencies. Inspection of November 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 31, 2023).

  10. 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 November 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 31, 2023).

  11. 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 September 3, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 21, 2024).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of November 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2023).

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

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

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

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of November 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2023).

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.