Good Samaritan Society - Atkinson

In the surveyor’s words

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

• Actual harm, isolatedF580Jan 10, 2024

  Licensure Reference Number 175 NAC ,d+[DATE].04C3a(6) Based on record review and interview; the facility failed to notify Resident 22's physician, Resident 29's responsible party and physician, and Resident 2's responsible party of a change in condition. The sample size was 3 residents. The facility census was 33. Findings are: A. Review of the facility policy Change in Condition Evaluation (CICE), last revised/reviewed [DATE] revealed the following: -the purpose of the CICE was to improve communication between nurses and a provider when nursing is monitoring a change in condition, enhance the nursing evaluation and documentation of a resident who had a change in condition, and provide a standard format to collect pertinent clinical data prior to contacting the provider, -nursing… […]

• Actual harm, isolatedF692Jan 10, 2024

  Licensure Reference Number 175 NAC 12-006.09D8b Based on observation, interview, and record review; the facility failed to identify and implement measures to prevent a significant weight loss and notify the provider for 1 (Resident 29) of 3 residents sampled. The facility census was 33. Findings are: Review of the facility policy Nutrition Risk Committee- Food and Nutrition Services last revised 3/24/23 revealed the following: -the purpose was to provide a process for monitoring and evaluating resident who had impaired nutrition or were at risk for nutrition-related problems, -the nutrition risk committee used documentation of weights, food and fluid intakes, meal observation and other pertinent data to identify residents at risk, -the Director of Food and Nutrition (DFN), dietician or… […]

• No harm, potential for more than minimal, widespreadF725Feb 10, 2026

  Licensure Reference Number 175 NAC 12-006.04(D)Based on record review and interview; the facility failed to ensure sufficient staffing to ensure call lights were answered in a timely manner. This had the potential to affect all facility residents who utilized a call device. This had the potential to effect all residents in the building. The facility census was 28.Findings are: A. Review of the facility policy Call Light, last revised 7/8/25 revealed the following:-the purpose was to ensure resident had a method of calling for assistance and to promptly answer the resident's call lights;-when resident's call lights were observed, staff were to go to the resident's room promptly, -staff were to respond to the request as soon as possible, turn the call light off and inquire about the… […]

• No harm, potential for more than minimal, widespreadF727Feb 10, 2026

  Licensure Reference Number 175 NAC 12-006.04(D)Based on record review and interview; the facility failed to ensure 8 hours of consecutive Registered Nurse (RN) coverage in a 24-hour period 7 days per week as required. This had the potential to affect all facility residents. The facility census was 28.Findings are: A. Review of the facility policy Nursing Services, last revised 10/14/25 revealed the purpose was to provide appropriate staff for resident care and revealed the following:-the facility must have sufficient nursing staff with the appropriate competencies and skills to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident, as determined by resident assessments and… […]

• No harm, potential for more than minimal, widespreadF865Feb 10, 2026

  Licensure Reference Number 175 NAC 12-006.05(I)Based on record review and interview; the facility failed to implement their Quality Assessment and Performance Improvement (QAPI) plan to maintain a system to prevent repeat deficient practices including accidents, weight loss, sufficient staffing, unnecessary medications and Emergency Preparedness. This had the potential to affect all facility residents. The facility census was 28. Findings are: Review of the facility policy Quality Assurance and Performance Improvement (QAPI) dated 5/20/25 revealed the facility implemented and maintained an ongoing comprehensive data driven program to address the unique needs of those served and a full range of care and services provided.-The program was ongoing and addressed the complexity and uniqueness… […]