Deficiency Index

Good Samaritan Society - Bethany

Brainerd, Minnesota · CCN 245500

24 surveys since 2010, 7 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
106
Surveys
24
Harm or worse
7
Immediate jeopardy
0
The record, 2010–2025
’10’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worse7

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file18/24

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

The facility

Certified beds
79
Ownership
Non profit - Corporation
Chain
GOOD SAMARITAN SOCIETY
County
Crow Wing · rural
Medicare-certified since
1988

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 52 not-for-profit facilities of 66–99 beds in Minnesota.

Last survey on record

Oct 2, 2025

403 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 day3.814.39
Registered-nurse hours per resident day1.53—
Annual nurse turnover27.8%37.0%

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

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

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 harmG—H—I—
No harm, potential for more than minimalD1386.7%E16.7%F16.7%
No harm, potential for minimalA—B—C—
CMS’s current file: 15 of the 106 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F5502×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • F6842×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F6862×

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  • F6601×

    Plan the resident's discharge to meet the resident's goals and needs.

  • F6771×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

In the surveyor’s words

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

  • Actual harm, isolatedF580Jan 11, 2021

    Based on interview and document review the facility failed to notify the physician and family of a change of condition for 1 of 3 residents (R1) reviewed who were discharged . This resulted in actual harm for R1 who was discharged to a lower level of care and subsequently transferred to the hospital the day of discharge, where R1 expired. Findings include: R1's undated, Admission Record indicated he admitted to the facility with [DIAGNOSES REDACTED]. R1's admission Minimum Data Set ((MDS) dated [DATE], indicated he had moderate cognitive impairment and required extensive assistance from two staff for activities of daily living. The MDS indicated R1 displayed no behaviors and had not received oxygen therapy prior to or since admission to the facility. […]

  • Actual harm, isolatedF684Jan 11, 2021

    Based on interview and document review the facility failed to assess and monitor a change in lung condition for 1 of 3 residents (R1) reviewed for a change of condition. This resulted in actual harm for R1 who was discharged to a lower level of care and subsequently transferred to the hospital the day of discharge, where R1 expired. Findings include: R1's undated, Admission Record indicated R1 admitted to the facility with [DIAGNOSES REDACTED]. R1's admission Minimum Data Set ((MDS) dated [DATE], indicated he had moderate cognitive impairment and required extensive assistance from two staff for activities of daily living. The MDS indicated R1 had not received oxygen therapy prior to or since admission to the facility. […]

  • No harm, potential for more than minimal, widespreadF880Oct 17, 2024

    Based on observation, interview and document review, the facility failed to initiate appropriate transmission based precautions according to The Centers for Disease Control (CDC) for 2 of 3 residents (R11, R224) reviewed for transmission based precautions, failed to track and trend potential/actual infections for 6 of 6 residents (R11, R35, R36, R24, R1, R224) identified to have potential/actual infections; and failed to conduct COVID-19 testing per CDC guidelines for 5 of 5 residents (R11, R35, R36, R24, R15) who were identified to have COVID-19 signs and symptoms. This had the potential to affect all 68 residents residing in the facility. […]

  • No harm, potential for more than minimal, patternF883Dec 20, 2023

    Based on interview and document review, the facility failed to provide the most recent Centers for Disease and Prevention (CDC) education regarding the potential risks and benefits of the pneumococcal vaccine for 3 of 5 residents (R32, R36, R49) reviewed for pneumococcal immunizations. Findings include: R32's significant change Minimum Data Set (MDS) dated [DATE], identified R32 was [AGE] years old and had diagnoses that included hypertension, Alzheimer's disease, and Parkinson's disease. […]

  • No harm, potential for more than minimal, isolatedF550Oct 2, 2025

    Based on observation and interview, the facility failed to ensure dignity was maintained for 1 of 3 residents (R2) reviewed for dignity related to dressing. Findings Include: R2's admission minimum data set (MDS) dated [DATE], indicated R2 was admitted on [DATE], was able to communicate clearly and understand others, moderate to mild cognitive impairment category, and had the following diagnoses: anxiety, mood disturbance, and dementia. R2's care plan last revised 8/29/25, indicated R2 required an assist of one for dressing related to activity intolerance, Dementia, and impaired balance. The care plan also indicated R2 had enhanced psychosocial well-being related to individualized daily routine and honoring personal preference. […]

Read 27 findings in full →The most serious and the most recent: 27 of 106 on record.

Every survey on record

FindingsAt actual harm or above

  • Oct 2, 2025Complaint2 findings
  • Feb 14, 2025Complaint1 finding
  • Oct 17, 2024Standard6 findings
  • Jun 12, 2024Complaint3 findings
  • Jan 4, 2024Complaint1 finding
  • Dec 20, 2023Standard2 findings
  • Mar 8, 2023Standard and complaint2 findings
  • Jan 20, 2023Complaint1 finding
Show the 16 earlier surveys
  • Oct 21, 2021Standard2 findings
  • Jan 11, 2021Complaint3 findings · 2 harm
  • Dec 19, 2019Standard and complaint7 findings
  • Feb 7, 2019Standard7 findings · 1 harm
  • Aug 28, 2018Complaint3 findings · 1 harm
  • Apr 20, 2018Standard16 findings
  • Feb 9, 2017Standard6 findings
  • Apr 14, 2016Standard4 findings
  • Jul 30, 2015Standard5 findings
  • Mar 10, 2015Complaint1 finding · 1 harm
  • Jun 12, 2014Standard5 findings
  • Apr 5, 2013—14 findings
  • Mar 1, 2012—4 findings
  • Jan 5, 2012—3 findings · 1 harm
  • Jul 21, 2011—1 finding
  • Dec 2, 2010—7 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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