Good Samaritan - Algona

In the surveyor’s words

From the most serious findings on record at Good Samaritan - Algona, in the surveyor’s own words.

• Actual harm, isolatedF686Oct 22, 2025

  Based on clinical record review, hospital clinical record review, staff interviews and policy review the facility failed to assure the resident with pressure ulcers received treatment and services, consistent with professional standards of practice to promote healing for 2 of 3 residents reviewed (Resident #1and #2) for pressure ulcers. The facility reported a census of 58 residents.Findings include: The Minimum Data Set (MDS) assessment identifies the definition of pressure ulcers:Stage I is an intact skin with non-blanchable redness of a localized area usually over a bony prominence. Darkly pigmented skin may not have a visible blanching; in dark skin tones only it may appear with persistent blue or purple hues. […]

• Actual harm, isolatedF686Dec 4, 2023

  Based on clinical record review, observations, staff interviews and facility policy review the facility failed to assure that a resident with a pressure ulcer received treatment and services, consistent with professional standards of practice, to prevent pressure ulcers from developing and to promote healing of a pressure ulcer for 1 of 1 resident reviewed (Resident #38). The facility reported a census of 50. Finding include: The Minimum Data Set (MDS) assessment identifies the definition of pressure ulcers: Stage I is an intact skin with non-blanchable redness of a localized area usually over a bony prominence. Darkly pigmented skin may not have a visible blanching; in dark skin tones only it may appear with persistent blue or purple hues. […]

• Actual harm, isolatedF689Dec 4, 2023

  Based on clinical record review, observation, facility record review, staff and resident interviews, the facility failed to ensure resident's environment remained free from accidents and hazards for 2 out of 5 residents reviewed (Residents #8, and #54) for falls/incidents. The facility reported a census of 50 residents. Findings include: 1. The Minimum Data Set (MDS) dated [DATE] for Resident #8 documented a Brief Interview for Mental Status (BIMS) score of 15 out of 15, which indicated intact cognition. The MDS also documented that Resident #8 needed extensive assistance with bed mobility, transfers, dressing, toileting, and personal hygiene, and was limited to only walking once or twice. […]

• No harm, potential for more than minimal, patternF725Dec 4, 2023

  Based on observation, clinical record review, resident, family, and staff interviews, and review of the Resident Council Meeting minutes, the facility failed to answer call lights in a timely manner for 4 of 7 residents reviewed (Resident #34, #29, #2, and #41). The facility reported a census of 50 residents. Findings Include: 1.Resident #34 Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 15 out of 15, indicating intact cognition. During an interview on 11/28/23 Resident #34 reported that she sometimes has to wait 45 minutes or longer for assistance and once ended up wetting herself due to waiting so long. She reported she felt stupid and embarrassed when she wet herself but just couldn't hold it any longer. […]

• No harm, potential for more than minimal, patternF812Dec 4, 2023

  Based on observations, staff interviews and facility policy review, the facility failed to ensure food was labeled with dates after opening, discarded after product recommended date, record temperatures of freezers/refrigerators to ensure safe food storage, record food temps prior to serving and complete test strips and temperatures on the dishwasher and with manual washing to ensure proper sanitation of dishes. The facility identified a census of 50 residents. Findings include: 1. An initial kitchen tour conducted on [DATE] at 10:10 AM, of the kitchen revealed the following items were stored in the upper level kitchen's refrigerator ready for service: a. Tartar Sauce- two squeeze bottles- one labeled ,d+[DATE] and one not labeled/dated. b. […]