Good Samaritan Nursing Home Operator, LLC

In the surveyor’s words

From the most serious findings on record at Good Samaritan Nursing Home Operator, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF677May 1, 2026

  Based on observation, record review, and interviews with facility staff, it was determined that the facility failed to ensure that residents' personal hygiene needs were adequately met, timely assistance was provided for incontinence care, and assistance with meals was provided. This was evident for 5 (Resident #5, #9, #49, #39, and #1) of 7 residents reviewed for Activities of Daily Living (ADLs) during the recertification/complaint survey. The findings include: Activities of Daily Living (ADLs) is a term used collectively to describe fundamental skills required to independently care for oneself, such as eating, bathing, toileting, and mobility. 1) On 04/27/2026 at 8:25 AM, during an observation of Resident #5, brown substances were noted present under the fingernails of the right hand. […]

• No harm, potential for more than minimal, patternF695May 1, 2026

  Based on observation, record review, and interview, it was determined that the facility failed to provide necessary respiratory care that consistent with professional standards of practice. This was evident for 4 Residents (Resident #7,#49, #88 and #89) of 4 residents reviewed for respiratory care during the recertification survey.The findings include: A nebulizer mask is a medical device used to deliver medication directly into the lungs in the form of a fine mist. A nasal cannula is a lightweight, flexible plastic tube with two small prongs placed just inside the nostrils to deliver supplemental oxygen. 1) On 4/27/2026 at 8:31 AM, the surveyor observed a nebulizer mask resting on top of Resident #88's soiled breakfast tray, creating a potential for contamination of respiratory equipment. […]

• No harm, potential for more than minimal, patternF697May 1, 2026

  Based on record reviews, observations and interviews, it was determined that the facility failed to ensure that pain management was provided to each resident in a way that was consistent with the professional standards of practice, residents goals and preferences. This was evident for 8 Residents (#80, #7,#97, #2, #4, #10, #127, #12) of 8 Residents reviewed for pain management during the recertification/complaint survey. The finding include: Non-pharmalogical interventions are identified as an alternative method of treatment for a medical concern without the use of medication. This could include physical, psychological, and lifestyle interventions designed to reduce pain and improve quality of life. […]

• No harm, potential for more than minimal, patternF812May 2, 2025

  Based on an observation and facility staff interviews, it was determined that the kitchen failed to store food items, so as to maintain the integrity of the specific item. This was evident during the initial tour of the kitchen, by noting expired food items and undated opened items, observed by the surveyor during the recertification/complaint survey. The findings include: On [DATE] at 8:19 AM observations with the Food Service Director (FSD) revealed the following: In the kitchen dry storage room on at 8: 25 AM, Extra heavy half full one gallon Mayonnaise container without an open date. Several snack cups were on the floor under the storage shelves, Magic cup dessert, (2) vanilla (3) chocolate (2) and wild berry (1). Complete butter milk pan cake mix expired on [DATE]. […]

• No harm, potential for more than minimal, patternF757Jul 15, 2021

  Based on clinical record review and staff interview, it was determined that the facility staff failed to ensure a resident was administered medication according to parameters (#73). This was evident for 1 out of the 5 residents reviewed for unnecessary medications. The findings include: A review of Resident #73's clinical record on 7/9/21 at 10:38 AM revealed the resident was ordered [MEDICATION(S)] 100 units/ml inject 15 units, subcutaneously with meals, and to hold if fingerstick is less than 110. […]