Good Samaritan Society - Bloomfield
Bloomfield, Nebraska · CCN 285156
19 surveys since 2011, and no finding has been recorded at harm level.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 95
- Surveys
- 19
- Harm or worse
- 0
- Immediate jeopardy
- 0
No finding on record has been cited at harm level or above.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 70
- Ownership
- Non profit - Corporation
- Chain
- GOOD SAMARITAN SOCIETY
- County
- Knox · rural
- Medicare-certified since
- 1994
CMS ratings
- Overall
- 3
- Health inspection
- 2
- Staffing
- 3
- Quality measures
- 5
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 19 not-for-profit facilities of 66–99 beds in Nebraska.
Last survey on record
Nov 24, 2025
350 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.33 | 3.95 |
| Registered-nurse hours per resident day | 0.80 | — |
| Annual nurse turnover | 56.5% | 35.4% |
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
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1365.0% | E525.0% | F210.0% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6894×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F6772×
Provide care and assistance to perform activities of daily living for any resident who is unable.
- F7252×
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F5651×
Honor the resident's right to organize and participate in resident/family groups in the facility.
- F5801×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
In the surveyor’s words
From the most serious findings on record at Good Samaritan Society - Bloomfield, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF880Nov 24, 2025
Licensure Reference Number 175 NAC 12-006.18(B)&(C) Based on observations, record review, and interview; the facility failed to complete hand hygiene at appropriate intervals during the provision of cares and to provide care and management of Resident 1's indwelling urinary catheter (a flexible plastic tube inserted into the bladder that remains there to provide continuous urinary drainage) to prevent the potential for cross contamination and urinary tract infections. The sample size was 3. In addition, the facility failed to prevent the potential spread of COVID-19 related to failure to test staff who displayed signs and symptoms of COVID-19, this had the potential to affect all residents. The facility census was 30. Findings are: A. […]
- No harm, potential for more than minimal, widespreadF725Nov 18, 2025
Licensure Reference Number 175 NAC 12-006.04 Based on record review and interviews; the facility failed to have staff adequate to meet the needs of Residents 1, 2, 4, and 5. This had the potential to affect all facility residents. The sample size was 5 and the facility census was 35. Findings are: A. Record review of the Facility Assessment (comprehensive data driven evaluation of a facilities physical condition and it's ability including the resources (including staff) needed to provide adequate care and services) with a review date of 8/15/25 revealed the facility provided assistance with Activities of Daily Living (ADLs, tasks related to personal care, such as dressing, eating, and mobility) and utilized evidence based, data driven methods to have appropriate staffing to meet the needs… […]
- No harm, potential for more than minimal, patternF725Nov 24, 2025
LICENSURE REFERENCE NUMBER 175 NAC 12-006.04(D)Based on observations, record reviews, and interviews: the facility staff failed to ensure sufficient staff were available to provide timely toileting/incontinence cares for Resident 1 and to respond to call lights within expected timeframes. The total sample size was 3 and the facility census was 30. Findings are: A. Review of Resident 1's Minimum Data Set (MDS- a federally mandated comprehensive assessment tool used for care planning) dated 9/26/25 indicated the resident was admitted [DATE] with diagnoses of heart failure, previous stroke, paralysis to one side of his body, sepsis (extreme response to infection leading to widespread inflammation, organ damage and potential organ failure), obstructive uropathy (medical condition where the… […]
- No harm, potential for more than minimal, patternF605Jul 1, 2025
Based on record review and interview; the facility failed to have documented clinical rationale for not completing Gradual Dose Reductions (GDR)'s for Residents 13 and 18 Psychotropic (drugs that affect the mind, emotions, and behavior) medications. The sample size was 5 and the facility census was 29. Findings are: A. Review of the facility policy Psychotropic Medications with a revision date of 5/12/25 revealed the following: -The facility evaluated behavior interventions before using psychotropic medications and eliminated unnecessary psychotropic medications. The residents would be free from chemical restraints imposed for purposes of discipline or convenience or not required to treat the residents' medical symptoms. […]
- No harm, potential for more than minimal, patternF689Jul 9, 2024
Licensure Reference Number 175 NAC 12-006.09D7 Based on observations, interview, and record review; the facility failed to identify causal factors and to revise and/or develop fall interventions to prevent ongoing falls for Residents 79, 25, and 6 and to implement fall interventions for Resident 6. The sample size was 4 and the facility census was 24. Findings are: A. Review of the facility policy Fall Prevention and Management last reviewed on 4/2/24 revealed the following: -the facility would care plan the appropriate interventions, -communicate fall risks and interventions to prevent a fall before it occurred, care plan it, add to the daily standup meetings and/or fall committee meetings, -communicate any identified environmental changes and/or referral needs, -if any teaching was… […]
Read 20 findings in full →The most serious and the most recent: 20 of 95 on record.
Every survey on record
FindingsAt actual harm or above
- Nov 24, 2025Complaint5 findings
- Nov 18, 2025Complaint3 findings
- Jul 1, 2025Standard and complaint5 findings
- Jul 9, 2024Standard and complaint4 findings
- Jun 8, 2023Standard3 findings
- Apr 14, 2022Standard1 finding
- Feb 24, 2021Standard6 findings
- Mar 20, 2020Complaint1 finding
Show the 11 earlier surveys
- Nov 18, 2019Complaint1 finding
- Aug 15, 2019Standard and complaint15 findings
- Jul 23, 2018Standard2 findings
- May 10, 2017Standard7 findings
- Jul 18, 2016Complaint1 finding
- Mar 24, 2016Standard and complaint9 findings
- Mar 4, 2015Standard and complaint6 findings
- Feb 3, 2014—7 findings
- Feb 12, 2013—1 finding
- Nov 5, 2012—13 findings
- Aug 2, 2011—5 findings
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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