Deficiency Index

Good Samaritan Society - Maplewood

Saint Paul, Minnesota · CCN 245221

21 surveys since 2010. The first finding at harm level was recorded in 2023.

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

Citations on record
111
Surveys
21
Harm or worse
1
Immediate jeopardy
0
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file13/21

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

The facility

Certified beds
71
Ownership
Non profit - Corporation
Chain
GOOD SAMARITAN SOCIETY
County
Ramsey
Medicare-certified since
1978

CMS ratings

Overall
3
Health inspection
2
Staffing
5
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more 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

Aug 13, 2026

88 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 day4.414.39
Registered-nurse hours per resident day1.64—
Annual nurse turnover32.0%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 harmG12.6%H—I—
No harm, potential for more than minimalD2668.4%E615.8%F410.5%
No harm, potential for minimalA—B—C12.6%
CMS’s current file: 38 of the 111 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8805×

    Provide and implement an infection prevention and control program.

  • F6563×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F5782×

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

  • F6412×

    Ensure each resident receives an accurate assessment.

  • F6842×

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

In the surveyor’s words

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

  • Actual harm, isolatedF578Dec 18, 2023

    Based on interview and document review the facility failed to comply with resident rights to refuse treatment for 1 of 4 residents (R1) reviewed when staff proceeded with a urinary straight catheterization while R1 verbally and physically refused the procedure. R1 has had increased anxiety since the straight catheterization procedure. Findings include: R1's Minimal Data Set (MDS) dated [DATE] indicated R1 admitted to the facility on [DATE]. R1's pertinent primary medical conditions indicated on the MDS included anxiety disorder, morbid obesity, metastatic breast cancer, pathological fracture of the left tibia (shin bone) and generalized muscle weakness. R1 had no cognitive deficits. R1 was dependent upon staff with toileting and lower body dressing and transfers. […]

  • No harm, potential for more than minimal, widespreadF867Aug 22, 2024

    Based on interview and document review the facility failed to ensure the Quality Assessment and Assurance (QAA)/Quality Assurance Process improvement (QAPI) committee was effective in implementing appropriate action plans to correct quality deficiencies identified in previous surveys related to weekly skin assessments which resulted in deficiencies identified during this survey. This deficient practice had the potential to affect all 61 residents in the facility. The Certification and Survey Provider Enhanved Reports (Casper)-3 assessment (data was converted to quality measures (QM) to evaluate nursing homes performance) dated 8/11/24, identified the following previous deficiency by month and year. […]

  • No harm, potential for more than minimal, widespreadF880Aug 22, 2024

    Based on observation, interview, and document review, the facility failed to ensure appropriate personal protective equipment (PPE) was donned (applied) for 2 of 2 residents (R42, R18) who were on enhanced barrier precautions (EBP), and 2 of 2 residents (R55, R111) on transmission based precautions, and failed to ensure appropriate hand hygiene and glove use for 3 of 3 residents (R42, R7, R18). Additionally, the facility failed to take appropriate steps to diagnose and manage a COVID-19 outbreak in accordance with Centers for Disease Control (CDC) guidance. […]

  • No harm, potential for more than minimal, widespreadF880Dec 18, 2023

    Based on observation, interviews, and document review the facility failed to follow transmission-based precautions to prevent the spread of SARS-CoV2 (Covid-19), influenza, and clostridium difficile (c. diff) for 4 of 4 residents evaluated for infection control. The facility failed to practice proper hand hygiene, post the proper signage at a doorway, adhere to proper personal protective equipment (PPE), sanitize medical equipment following resident usage, and have proper doffing (taking off PPE) areas. This deficient practice had the potential to infect all 61 residents who resided at the facility. […]

  • No harm, potential for more than minimal, widespreadF812Sep 28, 2023

    Based on observation, interview and document review, the facility failed to ensure water and ice dispensing machines were clean and free of excess mineral build up or cleaned on a regular schedule. This had the potential to affect all 59 residents residing in the facility. Findings include: During observation on 9/27/23 at 2:40 p.m., the ice/water machine on the post acute kitchenette had some unidentified brown substance on the drip tray and a small amount of white scale build up in and around the ice and water dispensing chutes. During observation on 9/27/23 at 2:44 p.m., the ice/water machine on the north unit had an excessive amount of white scale built up on the drip tray as well as in and around the ice and water dispensing chutes. […]

Read 21 findings in full →The most serious and the most recent: 21 of 111 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 13, 2026Standard5 findings
  • May 12, 2026Complaint4 findings
  • Mar 24, 2026Complaint2 findings
  • Aug 28, 2025Standard and complaint4 findings
  • Aug 22, 2024Standard11 findings
  • May 16, 2024Complaint1 finding
  • Dec 18, 2023Complaint7 findings · 1 harm
  • Sep 28, 2023Standard4 findings
Show the 13 earlier surveys
  • Jul 14, 2022Standard1 finding
  • Mar 5, 2020Standard6 findings
  • Jan 17, 2019Standard4 findings
  • Mar 22, 2018Standard4 findings
  • Apr 13, 2017Standard5 findings
  • Mar 17, 2016Standard2 findings
  • Feb 26, 2015Standard7 findings
  • Jan 31, 2014Standard12 findings
  • Mar 28, 2013—1 finding
  • Feb 7, 2013Standard5 findings
  • Dec 1, 2011—8 findings
  • Nov 23, 2010—2 findings
  • Oct 7, 2010—16 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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