Good Samaritan Center

In the surveyor’s words

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

• Actual harm, isolatedF740Nov 17, 2022

  Based on record review and interview, the facility failed to provide the necessary behavioral health care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being for 1 of 3 residents reviewed for behavioral services (Resident #2), resulting in Resident #2 engaging in multiple occasions of escalating aggressive behaviors and an elopement. Findings include: Review of Resident #2's records revealed the resident was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, patternF812Apr 16, 2026

  Based on observation, interview, and record review, the facility failed to maintain kitchen equipment and environmental surfaces in a clean and sanitary condition for 1 of 1 kitchens observed, specifically related to the cleanliness of the kitchen floor, 3 out of 5 microwaves, and 3 out of 6 refrigerators, with the potential to affect all residents by increasing the risk of food contamination and infection.Findings include:During an initial observation on 04/13/2026 beginning at 9:50 AM, in the kitchen, the floor was observed to be in an unsanitary condition, with accumulated food debris, grease buildup, and dried residue present under and around the food preparation and cooking equipment. […]

• No harm, potential for more than minimal, patternF812Jul 27, 2023

  Based on observation, interview, and record review, the facility failed to ensure expired foods and test strips were discarded in the kitchen and walk-in cooler areas and failed to ensure the equipment were cleaned to maintain sanitary standards (Photographic evidence obtained). Findings include: During a walk-through tour of the kitchen on [DATE] at 9:26 AM with the Dietary Manager (DM) and the Dietary Director (DD), the interior door of the ice machine had a black slimy buildup, the blender (chopper/grinder) had water nesting in the bottom of the base, the can opener had a buildup of dried food particles on and around the blade and base of the can opener, the walk-in cooler had three containers of cottage cheese with an expiration date of [DATE] and a nectar juice container dated… […]

• No harm, potential for more than minimal, isolatedF584Apr 16, 2026

  Based on observation, interview, and record review the facility failed to ensure residents had a clean, homelike environment for 1 of 3 units. Findings include:1) During an observation on 4/13/2026 at 9:55 AM of Resident #112's bathroom the lower wall surface and baseboard area were noted to be in poor repair. The wall adjacent to the floor showed visible discoloration/staining, peeling or damaged wall finish, and areas of cracked or deteriorated caulking/paint along the baseboard line. The baseboard was separated or poorly sealed in portions, creating gaps. [Photographic evidence obtained]Review of the facility maintenance log dated 3/20/2026 read, [Resident #112 room] repair base board. […]

• No harm, potential for more than minimal, isolatedF645Apr 16, 2026

  Based on record review and interview, the facility failed to ensure the completion of the Preadmission Screening and Resident Review (PASRR) prior to admission for a resident's serious mental disorder for 1 of 6 residents, Resident #2, reviewed for PASRR. Findings include:1) Review of Resident #2's admission record documented the resident was admitted originally admitted on [DATE] with diagnoses to include panic disorder (onset date of 2/7/2020) and hallucinations (onset date of 4/6/2021).Review of Resident #2's Preadmission Screening Resident Review form dated 3/4/2025 did not document a diagnosis of hallucinations or panic disorder.Review of Resident #2's patient summary dated 3/3/2025 documented hallucinations as a confirmed diagnosis. […]