Good Samaritan Nursing and Rehabilitation Care Ctr

In the surveyor’s words

From the most serious findings on record at Good Samaritan Nursing and Rehabilitation Care Ctr, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF641Apr 7, 2026

  Based on record review and interviews, the facility did not ensure the Minimum Data Set assessment was completed to accurately reflect each resident's status. This was identified for one (1) (Resident #7) of one (1) resident reviewed for restraints. Specifically, the quarterly Minimum Data Set assessment dated [DATE] inaccurately indicated Resident #7 utilized a physical restraint in a chair or out of bed, when they did not.The findings include: The facility policy titled, MDS (Minimum Data Set) Completion dated 10/18/2024 documented the Interdisciplinary Team was responsible for completing the assigned sections in the Minimum Data Set. […]

• No harm, potential for more than minimal, isolatedF656Apr 7, 2026

  Based on observation, record review, and interviews, the facility did not ensure that each resident had a person-centered Comprehensive Care Plan (CCP) developed and implemented that includes measurable objectives and time frames to meet a resident's medical, nursing, mental and psychosocial needs. This was identified for one (Resident #7) of one resident reviewed for Restraints. Specifically, the Resident #7's out of bed status was not accurately reflected in the Comprehensive Care Plan The findings include:The facility policy titled, Comprehensive Person-Centered Care Planning dated 09/01/2025 documented the facility must develop and implement a comprehensive, person-centered care plan for each resident that includes measurable objectives and time frames to meet each individual… […]

• No harm, potential for more than minimal, isolatedF761Apr 7, 2026

  Based on observation, interviews, and record review during survey, the facility failed to ensure each resident's environment remained free of accident hazards. This was identified for one (1) (Resident #6) of four (4) reviewed for Accidents. Specifically, on 04/01/2026, a bottle of Dicyclomine tablets and a bottle a Nitroglycerin sublingual tablets were observed on Resident #6's nightstand. Resident #6 had no physician's order to self-administer any medication or a physician's order for Nitroglycerin. […]

• No harm, potential for more than minimal, isolatedF880Apr 7, 2026

  Based on observation, record review, and interviews, the facility failed to ensure that it established and maintained an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. This was identified for one (1) (Resident #65) of six (6) residents reviewed for the Infection Control task. Specifically, Resident #65 had a physician's order for Enhanced Barrier Precautions and Certified Nursing Assistant #3 was observed providing hands-on care without wearing a gown as required.The findings include:The facility policy titled Enhanced Barrier Precautions, last reviewed 04/07/2025, documented enhanced barrier precautions are an infection control… […]

• No harm, potential for more than minimal, isolatedF684Mar 19, 2025

  Based on observations, record review, and interviews during the Recertification Survey initiated on 3/16/2025 and completed on 3/19/2025, the facility did not ensure each resident received treatment and care in accordance with professional standards of practice and the comprehensive person-centered care plan. This was identified for one (Resident # 73) of two residents reviewed for Skin Conditions. Specifically, Resident #73 was observed with a dressing on the left forearm that had dried blood from an open purpura (Purpura happens when small blood vessels burst). There was no documented evidence that a skin assessment was completed, the Physician was not notified of the resident's skin tear, and a treatment order was not obtained before applying the dressing to the resident's left forearm. […]