Good Samaritan Society Miller Pointe a Prospera Co

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Mar 6, 2025

  Based on observation, record review, review of the facility reported incident (FRI), review of facility training records, review of facility policy, review of manufacturer's guide, and staff interview, the facility failed to utilize devices necessary to prevent accidents and/or injury for 2 of 2 sampled residents (Resident #1 and #2) observed while in a spa chair. Failure to utilize the spa chair safety belt resulted in Resident #1 experiencing a fall and fracture and placed all residents at risk for falls and/or injury. During the on-site FRI investigation, the surveyor consulted with the State Survey Agency (SSA) and determined an Immediate Jeopardy (IJ) situation existed on 02/23/25. […]

• Actual harm, isolatedF689Sep 19, 2024

  Based on record review, policy review, review of staff education, review of facility reported incident, and resident interview, the facility failed to ensure each resident received adequate supervision and assistive devices to prevent accidents for 1 of 1 sampled resident (Resident #1) who fell out of a mechanical lift. Failure to safely use the mechanical lift resulted in a fall with injury for Resident #1. This citation is considered past non-compliance based on review of the corrective action the facility implemented immediately following the incident. Findings include: The surveyor determined a deficient practice existed on 09/11/24. The facility immediately implemented corrective action and completed corrective action on 09/16/24. […]

• Actual harm, isolatedF678Nov 16, 2022

  Based on record review, review of the facility reported incident investigation, review of facility policy, personnel record review, and staff interview, the facility failed to immediately start Cardiopulmonary Resuscitation (CPR) on 1 of 4 closed resident records (Resident #1) who requested CPR in the event of absence of pulse or respirations. Failure to immediately start CPR may have contributed to Resident #1's death and placed all residents requiring CPR at risk for death. This citation is considered past non-compliance based on review of the corrective action the facility implemented immediately following the incident. […]

• No harm, potential for more than minimal, patternF880Dec 31, 2025

  Based on observation, record review, review of facility policy, and staff interview, the facility failed to follow standards of infection control and prevention for 5 of 19 sampled residents (Resident #3, #37, #65, #73, and #121) observed during cares. Failure to practice infection control standards related to enhanced barrier precautions (EBP), personal protective equipment (PPE), dressing changes, glove changes, and hand hygiene has the potential to spread infection throughout the facility. Findings include: Review of the facility policy titled Hand Hygiene occurred on 12/30/25. This policy, revised 11/13/25, stated, . all employees . will adhere to the 4 Moments of Hand Hygiene . 1. Entering room [ROOM NUMBER]. Before a clean task 3. After bodily fluid/glove removal 4. Exiting room. […]

• No harm, potential for more than minimal, patternF880Nov 7, 2024

  1. Based on observation, record review, review of facility policy, and staff interview, the facility failed to follow standards of infection control and prevention for 1 of 3 sampled residents with an indwelling catheter (Resident #163) and 2 of 3 residents (Residents #34 and #89) on transmission-based precautions (TBP). Failure to practice infection control standards related to enhanced barrier precautions (EBP) and TBP has the potential to spread infection throughout the facility. Findings include: Review of the facility policy titled Standard and Transmission-Based Precautions occurred on 11/07/24. This policy, revised 04/02/24, stated, . Purpose. To explain the use of transmission-based precautions. […]