All citations for Pih Health Good Samaritan Hospital D/P SNF

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 Pih Health Good Samaritan Hospital D/P SNF

Last standard health inspection on record

December 4, 2025

Showing 1 to 22 of 22 citations

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

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Widespread (many residents). CMS level F.

    Health citation F-0851, Administration Deficiencies. Inspection of October 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2024).

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

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Widespread (many residents). CMS level F.

    Health citation F-0636, Resident Assessment and Care Planning Deficiencies. Inspection of October 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 27, 2023).

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of October 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2024).

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

    Post nurse staffing information every day.

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

    Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of October 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 27, 2023).

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

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

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

    Health citation F-0604, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2025).

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

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

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

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2025).

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

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

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

    Health citation F-0627, Resident Rights Deficiencies. Inspection of July 1, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 5, 2025).

  8. 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 October 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2024).

  9. 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 October 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2024).

  10. 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 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2024).

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

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

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

    Health citation F-0693, Quality of Life and Care Deficiencies. Inspection of October 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2024).

  12. 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.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of October 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2024).

  13. 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 October 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2024).

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of October 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 27, 2023).

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

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of October 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 27, 2023).

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

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

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

    Health citation F-0582, Resident Rights Deficiencies. Inspection of October 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 27, 2023).

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

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

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

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of October 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 27, 2023).

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

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of October 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 27, 2023).

  19. 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of October 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 6, 2023).

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

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

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

    Health citation F-0838, Administration Deficiencies. Inspection of October 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 6, 2023).

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

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

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

    Health citation F-0851, Administration Deficiencies. Inspection of October 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 8, 2023).

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

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

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

    Health citation F-0867, Administration Deficiencies. Inspection of October 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 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.