Good Samaritan Society Miller

In the surveyor’s words

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

• Immediate jeopardy, isolatedF812Sep 19, 2024

  Based on observation, interview, record review, and policy review, the provider failed to ensure that staff were able to verify the chemical sanitation level required to sanitize the dishes used for preparation and serving residents' food. Failure of that increased the potential risk of foodborne illnesses for the entire resident population who received meals prepared in the kitchen and served to the residents. Findings include: 1. IMMEDIATE JEOPARDY Interviews with dietary staff throughout the survey indicated that the dishwasher's chemical sanitation was not functioning. Staff were not aware of any process to follow when the dishwasher's chemical sanitation was not functioning. […]

• Actual harm, isolatedF686Feb 20, 2026

  Based on observation, record review, interview, and policy review, the provider failed to monitor and implement pressure ulcer (skin and/or underlying tissue injury due to prolonged pressure) healing and prevention interventions for one of one sampled resident (5) identified at risk for developing pressure ulcers and developed a stage II (2; open wound or blister with partial-thickness skin loss) pressure ulcer to his coccyx (tailbone). Findings include:1. Observation and interview on 2/17/26 at 3:53 p.m. with resident 5 in his room revealed:*He had a cushion in his wheelchair and an air mattress (a specialized mattress filled with air used for pressure reduction) on his bed.*He did not know why he had the air mattress or cushion in his wheelchair.*He did not know if he had a skin wound.2. […]

• Actual harm, isolatedF600Sep 19, 2024

  Based on South Dakota Department of Health (SD DOH) facility-reported incident (FRI), observation, interview, record review, and policy review, the provider failed to ensure one of one sampled resident (15) who was blind had his food and drink free from flies in and on it, received timely care for his incontinence needs, and received a bath as scheduled prior to attending a funeral. Findings include: 1.Review of the provider's 9/11/24 SD DOH FRI revealed: *Interim director of nursing (IDON) B received an allegation of abuse from resident 15 on 9/11/24. *Allegations included he: -Had made requests for his care needs and had to wait up to three hours for staff to come back and perform them. -Had urinary incontinence and had not been provided no incontinent products. […]

• Actual harm, isolatedF686Sep 19, 2024

  Based on South Dakota Department of Health (SD DOH) facility reported incident (FRI), observation, interview, and record review the provider failed to ensure one of one resident (17) who required staff assistance with care had not developed facility acquired pressure injuries when left on a bedpan for an extended time. Findings include: 1. Observation and interview on 9/17/24 at 9:02 a.m. with resident 17 revealed: *He was bedridden and dependent on staff for care due to a back injury and a history of a broken arm that did not heal correctly. […]

• No harm, potential for more than minimal, widespreadF865Sep 19, 2024

  Based on interview, record review, quality assurance and performance improvement (QAPI) program review, and job description review, the provider failed to ensure an effective, ongoing, and comprehensive QAPI program was in place to track and measure performance; systematically analyze underlying causes of systemic quality deficiencies; develop and implement corrective action or performance improvement activities; and monitor or evaluate the effectiveness of the corrective action/performance improvement activities, and revise the actions, as needed. Findings include: 1. Interview on 9/19/24 at 5:28 p.m. […]