Good Samaritan Society - Albert Lea

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Feb 11, 2025

  Based on observations, interviews, and record review the facility failed to protect 2 of 2 female residents (R2, R1) resident's right to be free from sexual abuse and sexaully inappropriate behaviors by male resident (R3). This deficient practice resulted in an immediate jeopardy (IJ) for R1 who had severe cognitive impairment and unable to give consent, however, a reasonable person would have experienced severe psychosocial harm-dehumanization, and humiliation as a result of the sexual abuse. The immediate jeopardy (IJ) began on 2/5/25, at approximately 10:00 a.m. when R3 was in the dining room unsupervised and found rubbing R1's breasts who was unable to leave the area on her own. The IJ was identified on 2/11/25, and the administrator was notified of the IJ on 2/11/25, at 6:00 p.m. […]

• Immediate jeopardy, isolatedF689Jul 2, 2021

  Based on interview, and document review the facility failed to provide adequate supervision and notify law enforcement in a timely manner for 1 of 1 resident (R1) reviewed for elopement that resulted in an immediate jeopardy (IJ). The facility failed to call law enforcement for approximately 34 to 41 minutes once known R1 had been visualized off facility grounds and unable to locate. This resulted in R1 driving his motorized wheelchair on a busy road with a narrow shoulder into town, purchased a knife at a local store and committed suicide. The immediate jeopardy began on [DATE], when R1 exited the facility unattended in his electric wheelchair and inflicted self harm approximately one mile from the facility that resulted in death. […]

• Actual harm, isolatedF689Sep 11, 2024

  Based on interview and record review the facility failed to provide safe transfers and follow the care plan to prevent accidents for 1 of 3 residents (R1) reviewed for falls. The facility's failure resulted in harm when R1 fell and sustained a left hip fracture that required surgical intervention. The facility implemented immediate corrective actions prior to survey and is issued at past non-compliance. Findings include: R1's quarterly Minimum Date Set (MDS) dated [DATE], indicated R1 did not have cognitive impairment. R1's diagnoses included legally blind and diabetes. R1 required one staff assist for staff transfers, toileting hygiene, upper and lower body dressing, and walking. R1 received anticoagulants (blood thinning medications). […]

• No harm, potential for more than minimal, widespreadF812May 13, 2026

  Based on observation, interview, and document review, the facility failed to ensure food stored in the refrigerators were labeled, dated and discarded properly. In addition, the facility failed to ensure pans were completely dry before storing, utensils were covered or placed in drawers, and personal items from staff were not allowed in the food prep area. These findings had the potential to affect all 69 residents who were served food from the kitchen. Findings include: During the initial kitchen tour on 5/11/26, commencing at 9:48 a.m., with the manager of nutrition and food services (MNFS)-C, the following observations were made: In a walk-in refrigerator, observed opened and dated food stored past the facility seven-day window per their policy, as well as two opened and undated… […]

• No harm, potential for more than minimal, widespreadF812Apr 24, 2025

  Based on observation, interview, and document review the facility failed to ensure safe operating temperature of high-temperature dish washing machine. This had the potential to affect all 73 residents, staff and visitors who may use washed equipment from the facility kitchen. Findings include: During an observation and interview on 4/23/25 at 11:42 a.m., the dietary manager (DM) stated 3 empty dish racks are sent through the dish machine prior to actual dirty dishes to ensure proper operating temperatures. Proper wash temperature should be 150-degrees and proper rinse temperature should be 180-degrees. The DM sent 3 empty dish racks through and noted the wash and rinse temperature were both approximately 140-degrees. […]