Good Samaritan - George

In the surveyor’s words

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

• Immediate jeopardy, isolatedF610Aug 29, 2024

  Based on clinical record review, facility investigation review, staff and resident interviews, and facility policy review the facility staff failed to report an allegation of abuse to a supervisor and the alleged prepetrator continued to work unattended behind closed doors with other residents. On June 27, 2024, the Director of Nursing Services (DNS) learned of a Certified Nurse Aide (CNA) slapping Resident #12 on his upper arm which occurred on June 19, 2024. This failure resulted in residents living at the facility to be exposed to the potential of abuse therefore causing an Immediate Jeopardy to the health, safety, and security of the resident. […]

• Immediate jeopardy, isolatedF689Sep 21, 2023

  Based on clinical record review, staff interviews, facility record review and facility policy review, the facility failed to ensure residents at risk for elopement were unable to exit the facility unattended for 1 of 1 residents reviewed for elopement (Resident #31). The facility failure resulted in an Immediate Jeopardy to the health, safety, and security of the residents. The facility reported a total census of 33 residents. The State Agency informed the facility of the Immediate Jeopardy (IJ) that began as of May 3, 2023 on September 20, 2023 at 2:30 p.m., The Facility Staff removed the Immediate Jeopardy on May 3, 2023 through the following actions: a. Resident #31 ' s wander guard was checked and working. […]

• No harm, potential for more than minimal, widespreadF851Aug 21, 2025

  Based on the Center for Medicare and Medicaid Services (CMS) Payroll Based Journal (PBJ) Staffing Data Report from Fiscal Quarter 2, 2025 (January 1 through March 31) review, facility staffing review, and staff interviews, the facility failed to meet staffing requirements in all metrics. The facility reported a census of 31 residents.Findings include:The PBJ Staffing Data Report with a run date of 8/13/25 triggered submitted weekend staffing data excessively low within the quarter.Review of staffing for nurses and Certified Nursing Assistants (CNAs) scheduled similarly for weekdays and weekends. In an interview on 8/21/25 AM at 9:05 AM, the Administrator reported he had no knowledge of how the corporate office submitted staffing data. […]

• No harm, potential for more than minimal, patternF803Aug 21, 2025

  Based on observations, staff interviews and facility policy review the facility staff failed to serve proper serving amounts for residents. The facility identified a census of 31 residents. Findings include:During an ongoing observation on 8/20/2025 at 11:21 a.m., of Staff A, [NAME] completed the puree process for 2 residents in the facility. Staff A added 3 servings of meat, potatoes, roll and gravy into the blender and added a couple spoons full of thickener and pureed the mixture. When the process was completed, Staff A placed the mixture into the measuring cup and had a total of 3 cups of pureed food. According to the chart the residents were to get 2 #8 scoops of the mixture. […]

• No harm, potential for more than minimal, patternF812Aug 21, 2025

  Based on observations, staff interviews, and facility policy reviews the facility failed to ensure food was stored and prepared under sanitary conditions. The facility identified a census of 31 residents.Findings include: On 8/18/2025 at 10:49 a.m., during the initial walkthrough in the kitchen was conducted and following concerns were noted. The following items were in the kitchen open and ready for use:a. open container of Cheerios with no label and no open dateb. open container of rice cereal with no label and no open datec. open bottle or raspberry syrup with no label and no open dated. open container of oatmeal with no label and no open date e. open box of cornstarch with no label and no open date. The following items were in the refrigerator read for use:a. […]