Deficiency Index

Good Samaritan Society Augusta Place a Prospera Co

Bismarck, North Dakota · CCN 355125

21 surveys since 2011, 6 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
132
Surveys
21
Harm or worse
6
Immediate jeopardy
0
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worse6

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file17/21

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
48
Ownership
Non profit - Corporation
Chain
GOOD SAMARITAN SOCIETY
County
Burleigh
Medicare-certified since
2010

CMS ratings

Overall
5
Health inspection
4
Staffing
5
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 42 not-for-profit facilities with fewer than 66 beds in North Dakota.

Last survey on record

Jan 30, 2025

648 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.434.29
Registered-nurse hours per resident day1.06—
Annual nurse turnover22.4%50.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$16,036 across 2 penalties

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG215.4%H—I—
No harm, potential for more than minimalD861.5%E323.1%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 13 of the 132 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6892×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F6411×

    Ensure each resident receives an accurate assessment.

  • F6441×

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

  • F6571×

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

In the surveyor’s words

From the most serious findings on record at Good Samaritan Society Augusta Place a Prospera Co, in the surveyor’s own words.

  • Actual harm, isolatedF760Aug 1, 2024

    Based on record review, review of the facility reported incident investigation, review of facility policy, and staff interview, the facility failed to ensure residents remained free from significant medication errors for 1 of 4 sampled residents (Resident #1) receiving insulin. Failure to administer insulin according to a physician's order may have contributed to Resident #1's hyperglycemia (elevated blood sugar level) and hospitalization . This citation is considered past noncompliance based on review of the corrective action the facility implemented immediately following the incident. Findings include: The surveyor determined a deficient practice existed on 07/30/24. […]

  • Actual harm, isolatedF689May 9, 2024

    Based on observation, record review, review of the facility reported incident investigation, and resident and staff interview, the facility failed to ensure an environment free of hazards for 1 of 1 sampled resident (Resident #1) injured while consuming a hot beverage. Failure to place the hot beverage lid securely to the cup resulted in an injury to Resident #1. This citation is considered past non-compliance based on review of the corrective action the facility implemented immediately following the incident. Findings include: Interviews with Resident #1 occurred on the morning of 05/09/24. The resident stated she likes the lid of her hot beverages loosened to allow them to cool and staff assist her with the hot beverages. […]

  • No harm, potential for more than minimal, patternF812Jan 30, 2025

    Based on observation, review of manufacturer's instructions and staff interview, the facility failed to sanitize surfaces in 1 of 1 facility kitchen. Failure to ensure the concentration of quaternary (quat) sanitizing solution is within manufacturer's guidelines may result in an incorrect solution concentration. Inadequate sanitization of the kitchen surfaces places residents at risk for foodborne illness. Findings include: Review of the manufacturer's instructions for Ecolab's Oasis 146 Multi-Quat Sanitizer occurred on [DATE]. […]

  • No harm, potential for more than minimal, patternF880Jan 30, 2025

    Based on observation, review of facility policy, and staff interview, the facility failed to follow standards of infection control and prevention for 5 of 13 sampled residents (Resident #20, #30, #36, #38 and #200) and one supplemental resident (Resident #2) observed during cares and medication pass. Failure to practice infection control standards related to enhanced barrier precautions (EBP), droplet precautions, and hand hygiene, has the potential to spread infection throughout the facility. Findings include: Review of the facility policy titled Hand Hygiene occurred on 01/28/25. This policy, revised on 03/29/22, stated, . Policy: . All employees in patient cares areas . will adhere to . Hand Hygiene . 3 After bodily Fluid/Glove Removal . according to standard precautions . 2. […]

  • No harm, potential for more than minimal, patternF804Jan 18, 2024

    42397 Based on observation, review of facility policy, review of food temperature logs, review of resident council meeting minutes, and resident, family, and staff interviews, the facility failed to serve hot foods at palatable temperatures on 3 of 3 units (Pine Ride, [NAME] Hills, and Eagle Bend). Failure to serve foods at a temperature acceptable to residents may result in decreased intake, weight loss, and inadequate nutrition. Findings include: Review of the facility policy titled Food Temperature Monitoring - Food and Nutrition Services occurred on 01/18/24. This policy, revised 12/21/23, stated, . Proper holding temperature - Temperature required for food safety ( . hot food > [greater than] 135 degrees Fahrenheit) . Proper serving temperature - A temperature that is . […]

Read 24 findings in full →The most serious and the most recent: 24 of 132 on record.

Every survey on record

FindingsAt actual harm or above

  • Jan 30, 2025Standard and complaint4 findings
  • Aug 1, 2024Complaint1 finding · 1 harm
  • May 9, 2024Complaint1 finding · 1 harm
  • Jan 18, 2024Standard7 findings
  • Jan 19, 2023Standard6 findings
  • Nov 24, 2021Standard7 findings
  • Feb 27, 2020Standard10 findings
  • Sep 4, 2019Complaint1 finding
Show the 13 earlier surveys
  • Feb 21, 2019Standard8 findings
  • Apr 26, 2018Standard7 findings
  • Jul 6, 2017Complaint2 findings · 1 harm
  • Mar 16, 2017Standard5 findings
  • Apr 7, 2016Standard9 findings
  • Nov 4, 2015Complaint10 findings
  • Feb 19, 2015Standard and complaint5 findings
  • Nov 6, 2014Complaint5 findings · 1 harm
  • Mar 5, 2014Standard6 findings
  • Mar 7, 2013—5 findings · 1 harm
  • Apr 26, 2012—16 findings
  • Sep 8, 2011—2 findings
  • Jun 3, 2011—15 findings · 1 harm

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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