Good Samaritan Health Care CTR

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF886May 26, 2022

  Based on observation, interview, and record review, the facility failed to ensure testing and specimen collection for COVID-19 (infectious disease by a virus causing respiratory illness with symptoms including cough, fever, new or worsening malaise, headache, or new dizziness, nausea, vomiting, diarrhea, loss of taste or smell, and in severe cases, difficulty breathing that could result in severe impairment or death) by two of two staff (K, GG) designated as COVID-19 testers, was conducted according to federal guidelines observed for COVID-19 testing. Additionally, the designated physical space for staff testing failed to ensure infection prevention strategies were maintained. These failures increased the risk of transmission of COVID-19 in the facility. […]

• No harm, potential for more than minimal, patternF880Nov 18, 2025

  Based on observation, interview, and record review, the facility failed to ensure infection control interventions intended to mitigate the risk for transmission of COVID-19 were consistently implemented in the areas of proper donning (putting on), use of, and doffing (taking off) personal protective equipment [(PPE) equipment worn to minimize exposure to hazards that can cause injuries], providing readily available PPE for 3 of 5 teams (Team 4, Team 2, and Team 1), and cross contamination during catheter care for 1 of 4 Residents (Resident 71) reviewed for infection control. These failures placed the residents at risk for transmission of communicable diseases, illness, and death. Findings included. […]

• No harm, potential for more than minimal, patternF641Oct 7, 2024

  Based on interview and record review, the facility failed to ensure the Minimum Data Set [(MDS) assement tool] accurately reflected the status for 6 of 7 sampled residents (Resident 32, 84, 79, 3, 29 and 96) reviewed for accuracy of assessments. This failure placed the residents at risk for unidentified and/or unmet care needs. Findings included . <Resident 32> Review of Resident 32's medical record showed the resident admitted to the facility on [DATE] with diagnoses including left hip fracture and heart failure. The comprehensive assessment dated [DATE], showed Resident 32 required moderate assistance with their transfers and activities of daily living (ADLs). […]

• No harm, potential for more than minimal, patternF880Jul 1, 2024

  Based on interview and record review, the facility failed to maintain their Respiratory Protection Program (RPP) for N95 respirator masks (a respiratory protective device designed to filtrate airborne particles by achieving a very close facial fit) initial and annual fit testing for 4 of 5 staff (Staff D, E, F, and G) reviewed for infection control practices during a COVID-19 (an infectious disease-causing respiratory illness with symptoms including cough, fever, new or worsening malaise, headache, dizziness, nausea, vomiting, diarrhea, loss of taste or smell, and in severe cases, difficulty breathing, that could result in severe impairment or death) outbreak. […]

• No harm, potential for more than minimal, patternF567Aug 15, 2023

  Based on interview and record review, the facility failed to ensure residents who had personal fund accounts established, received accrued interest on those accounts or accurate statements for 11 of 18 residents (Residents 1, 4, 5, 12, 21, 29, 32, 33, 50, 51, and 183) reviewed for personal funds. This failed practice caused residents not to receive or have access to monies owed to them. Findings included . Review of the facility's policy Resident Trust Account, dated 01/2023, showed the facility would provide a secure bank account that earns interest for residents. […]