All citations for Good Samaritan Society - Superior

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 - Superior

Last standard health inspection on record

July 10, 2025

Showing 1 to 25 of 42 citations

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 July 10, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 22, 2025).
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 July 10, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 22, 2025).
No harm, with potential for more than minimal harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Widespread (many residents). CMS level F.
Health citation F-0921, Environmental Deficiencies. Inspection of July 10, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 22, 2025).
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 July 10, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 22, 2025).
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.
Widespread (many residents). CMS level F.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of July 10, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 22, 2025).
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 July 10, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 22, 2025).
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 July 10, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 22, 2025).
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 July 10, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 22, 2025).
No harm, with potential for more than minimal harm
Establish an Emergency Preparedness Program (EP).
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0001, Emergency Preparedness Deficiencies. Inspection of July 18, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 16, 2024).
No harm, with potential for more than minimal harm
Install a fire alarm system that can be heard throughout the facility.
Widespread (many residents). CMS level F.
Fire safety citation K-0341, Smoke Deficiencies. Inspection of July 18, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 16, 2024).
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 July 18, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 16, 2024).
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 June 29, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 11, 2023).
No harm, with potential for more than minimal harm
Use approved construction type or materials.
Widespread (many residents). CMS level F.
Fire safety citation K-0161, Construction Deficiencies. Inspection of June 29, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 11, 2023).
No harm, with potential for more than minimal harm
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Widespread (many residents). CMS level F.
Fire safety citation K-0222, Egress Deficiencies. Inspection of June 29, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 11, 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 June 29, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 11, 2023).
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.
Widespread (many residents). CMS level F.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of June 29, 2023. Found during a standard inspection.
A waiver was granted (August 11, 2023).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Widespread (many residents). CMS level F.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of June 29, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 11, 2023).
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 June 29, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 11, 2023).
No harm, with potential for more than minimal harm
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0354, Smoke Deficiencies. Inspection of June 29, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 11, 2023).
No harm, with potential for more than minimal harm
Properly select, install, inspect, or maintain portable fire extinguishes.
Widespread (many residents). CMS level F.
Fire safety citation K-0355, Smoke Deficiencies. Inspection of June 29, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 11, 2023).
No harm, with potential for more than minimal harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Widespread (many residents). CMS level F.
Fire safety citation K-0374, Smoke Deficiencies. Inspection of June 29, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 11, 2023).
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 June 29, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 11, 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 June 29, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 11, 2023).
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 June 29, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 11, 2023).
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 June 29, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 11, 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.