Good Samaritan Society - Jackson

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Jul 31, 2026

  Based on observation, interview and document review the facility failed to ensure infection control measures were followed during observation of 1 of 1 meal services. This had the potential to effect all 36 residents in the facility. Findings include: Observation on 7/29/26 at 11:29 a.m. as cook-A completed preparation of the noon meal consisting of chicken with mushroom gravy, noodles, and broccoli. Cook-A was placing the food items onto the steam table when she turned and went to the cabinet, opened the door, removed a saltshaker, and shook salt into her bare hand. After filling the palm of her hand with salt she returned to the stove, where she dumped the salt from her hand into the cooking noodles. […]

• No harm, potential for more than minimal, widespreadF880Jul 31, 2026

  Based on interview and document review the facility failed to identify when an employee would be able to return to work (RTW) for 3 of 3 sampled staff (nursing assistant (NA)-A, NA-F, and licensed practical nurse (LPN)-A) identified with potential norovirus symptoms. This had the potential to affect all 36 residents residing at the facility. Findings include: Review of the 2024-2025 Norovirus Information for Long-term Care Facilities, located at, https://www.health.state.mn.us/diseases/foodborne/outbreak/facility/ltcfnorotoolkit.pdf, identified Norovirus is transmitted through a fecal (stool)-oral route with symptoms of diarrhea, vomiting, nausea, abdominal pain, low grade fever, headache, and or body aches. […]

• No harm, potential for more than minimal, widespreadF812Sep 5, 2024

  Based on observation and interview, the facility failed to ensure beverageware and metal pans were completely dry before storing to prevent bacterial growth. This had potential to affect all 41 residents who resided in the facility. Findings include: During an observation and interview on 9/3/24 at 2:05 p.m., with cook (C)-A observed multiple metal steam table pans stacked upside down, one on top of the other, on a shelving rack. When C-A removed the top pan, it had visible water on the inside surface. Two additional pans were lifted and had visible water on the inside surface. Multiple drink cups were stacked upside down on a solid plastic tray and condensation was visible in the clear tumblers. […]

• No harm, potential for more than minimal, widespreadF880Sep 5, 2024

  Based on observation, interview, and document review the facility failed to ensure appropriate infection prevention and control practices for hand hygiene and equipment cleaning/disinfection. Equipment cleaning/disinfection included a mechanical lift for 2 of 2 residents (R13, R5) which were not cleaned/disinfected after resident use. In addition, the facility failed to ensure enhanced barrier precautions were followed for 1 of 1 residents (R5) who had a wound. Findings include: Hand Hygiene On 9/4/24 at 12:04 p.m., Environmental Service Technician (EST)- A was observed bringing clean laundry into R6, R7, and R15's room without performing hand hygiene before entering and exiting the rooms. […]

• No harm, potential for more than minimal, widespreadF755Apr 29, 2021

  Based on observation, interview and document review, the facility failed to ensure a system for periodic reconciliation of controlled or narcotic medications in 1 of 1 emergency kit (E-Kit) and 3 of 3 refrigerators to prevent potential loss or diversion. This had the potential to affect any of the 39 residents present in the facility who may require controlled medications from the E-Kit and refrigerators. Findings include: On 4/26/21, at 6:40 p.m. a tour of the north unit medication room was conducted with licensed practical nurse (LPN)-B. Located within the medication room was a locked cabinet with an E-Kit. […]