Good Samaritan Society - Beatrice

In the surveyor’s words

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

• Actual harm, isolatedF686Nov 4, 2021

  LICENSURE REFERENCE NUMBER: 12-006.09D2b Based on observation, interview and record review, the facility failed to provide care and services to heal a pressure ulcer (localized damage to the skin and or underlying soft tissue usually over a bony prominence) for 1 of 2 (Resident 18) residents sampled. The facility had a total census of 63 residents. Findings are: Record review of the facility policy Pressure Ulcers-Rehab/Skilled, Therapy & Rehab. Reviewed/revised 02/10/2021 Purpose: To provide appropriate assessment and prevention of pressure ulcers, as well as treatment when necessary. […]

• Actual harm, isolatedF692Nov 4, 2021

  LICENSURE REFERENCE NUMBER: 175 NAC 12-006.09D8b Based on observation, record review and interview; the facility failed to implement, evaluate and/or revise nutritional interventions to prevent ongoing weight loss for 1 of 2 residents sampled (Resident 18). The facility census was 63. Findings are: Record review of Resident 18's Admission Record Face Sheet dated 4/15/2021 revealed a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] Record review of Resident 18's Care Plan dated 4/27/2021 revealed a potential nutritional problem of weight loss related to recent admission, history of difficulty chewing and swallowing and the use of [MEDICATION(S)]. Goals included that Resident 18 would maintain weight and not have significant weight loss by the review date. […]

• No harm, potential for more than minimal, widespreadF804Jan 27, 2026

  The facility failed to follow the meatloaf recipe during meal preparation, this had the potential to affect all residents that eat food served from the kitchen. The facility census was 60 at the time of the survey. An observation on 01/22/2026 at 11:16 AM revealed Lead [NAME] (LC) beginning to prepare meatloaf to be served the following day. LC removed 20 lbs. (pounds) of ground beef from the walk in refrigerator, applied gloves, removed the ground beef from the outer wrap, removed gloves and washed hands with soap and water. LC then referred to recipe.A record review of the meatloaf recipe with a copyright date of 2025 revealed the ingredients needed to make 70 servings:Liquid eggs: 2 3/4 cups Milk: 1 QT (quart) 3 TBS (tablespoon) Ground beef: 17.5 lbs.Tomato paste 1 lbs. […]

• No harm, potential for more than minimal, widespreadF812Sep 24, 2024

  Licensure Reference Number 12-006.11E Based on observations, record review and interviews; the facility failed to change gloves and perform hand hygiene for 20 seconds to prevent potential food born illness. This had the potential to affect all 60 residents who served food from the kitchen. The facility identified a census of 60. Findings are: A record review of the policy: Hand Hygiene, dated 03/29/2022, revealed the following: Policy: Hand hygiene should be performed after glove removal. Procedure: HCW will use waterless alcohol-based sanitizer or soap and water to clean their hands: After removing gloves regardless of task completed. Washing with soap and water: -Wet hands first with tepid water, apply amount of soap to hands as recommended by the manufacturer. […]

• No harm, potential for more than minimal, widespreadF880Sep 24, 2024

  Licensure Reference Number 175 NAC 1-005.06(D) Based on record review, observations, and interviews; the facility failed to change gloves and complete hand hygiene during wound care and catheter care for 2 (Resident 8 and 208) out of 5 sampled residents. The facility census was 60. Findings are: A. Record review of Resident 208's Admission Record revealed admitted on [DATE]. Record review of Resident 208's MDS (Minimum Data Set, a comprehensive assessment of each resident's functional capabilities) dated 9/2/24 revealed in Section C: BIMS (Brief Interview for Mental Status, a test used to get a quick snapshot of a resident's cognitive function, scored from 0-15, the higher the score, the higher the cognitive function) scored 15. In Section H: indwelling catheter. […]