Good Samaritan - Indianola

In the surveyor’s words

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

• Immediate jeopardy, isolatedF686Jan 10, 2024

  Based on clinical record review, facility record review, facility policy review, resident interview (Resident #9), provider interview and staff interviews, the facility failed to provide skin assessments per policy, failed to implement interventions and provide treatments per physician orders which resulted in the deterioration of pressure ulcers for 2 of 4 (Res #2, #8) residents reviewed. Both residents had ulcers which worsened to Stage IV pressure ulcers, became infected and subsequently were hospitalized for the treatment of the pressure ulcers and need for surgical intervention. There was an immediate need for the facility to take steps to ensure residents were protected from the risk of development or worsening of wounds. The facility reported a census of 73 residents. […]

• Actual harm, isolatedF600Apr 24, 2025

  Based on record review, observations, resident and staff interview, and policy review the facility failed to protect residents from abuse for 1 of 2 residents reviewed for abuse (Residents #69). The facility reported a census of 81 residents. Findings include: The Quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #50 had diagnoses of cancer, Alzheimer's Disease, dementia, and diabetes. The MDS recorded the resident had impaired short-term and long-term memory, severely impaired decision-making skills, and inattention. The MDS revealed the resident had a wanderguard alarm, and had independence with transfers. […]

• Actual harm, isolatedF684Jun 18, 2024

  Based on observation, record review, and staff, interviews the facility failed to provide treatments as ordered for one of three residents reviewed for treatment. The lack of treatment for (R#33) may have lead to a hospitalization . The facility reported a census of 86. Findings include: 1. The Quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #33 has Brief Interview for Mental Status (BIMS) of 00, which indicated severe cognitive impairment, and diagnosis of Non-Alzheimer's Dementia, Atrial Fibrillation (A-fib), Congestive Heart Failure (CHF), muscle weakness, lymphedema, and cognitive communication deficit. […]

• Actual harm, isolatedF760Jun 18, 2024

  Based on observation, clinical record review, interviews, and policy review, the facility failed to administer medications to the correct resident (Resident#87) and, administer the correct dose of a pain medication to (Resident#3). Resident#87 was taken to the emergency room , and treated for the overdose of medications as a result of the incident when the resident experienced low blood pressure, and low pulse rate. The facility staff also left medication unattended. Seven residents were reviewed for medications. The facility reported a census of 86 residents. Findings include: 1. The Minimum Data Set (MDS) Admission assessment for Resident #87 dated 4/23/24 documented a Brief Interview for Mental Status (BIMS) score of 13 out of 15 indicated intact cognition for decision making. […]

• Actual harm, isolatedF689May 4, 2023

  Based on clinical record review, observation, staff interview, and policy review the facility failed to ensure staff used a gait belt to safely transfer a resident for 1 of 4 residents reviewed for transfers who fell resulting in significant pain and swelling (Resident #4). The facility also failed to ensure a resident's bed was placed in a low position for resident's safety while the resident was lying in bed (Resident #5), and failed to utilize a fall mat and body pillow as care planned for 1 of 7 residents reviewed in the sample who fell from their bed resulting in an eye laceration that required sutures and caused significant facial pain and bruising (Resident #5). The facility reported a census of 55 residents. Findings include: 1. […]