Good Samaritan Society Scotland

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF761Jul 16, 2026

  Based on observation, interview, and policy review, the provider failed to ensure medications were not expired and medication and treatment carts were locked for one of one medication storage room that had expired medications, one of one medication carts that was left unlocked and unattended by one of one certified medication aide (CMA) (E), and one of one treatment cart (a cart with prescribed medical supplies) that was left unlocked and unattended by one of one registered nurse (RN) (D). Findings include:1. Observation and interview on 7/14/26 at 12:20 p.m. in the dining room revealed that while CMA E was administering medications to residents, she would leave the medication cart unlocked and unattended. CMA E was observed with her back to the unlocked medication cart on three occasions. […]

• No harm, potential for more than minimal, patternF655Mar 27, 2025

  Based on record review, interview, policy review, and job description review, the provider failed to complete a baseline care plan and provide a written summary of the baseline care plan to the resident or their representative for four of four recently admitted sampled residents (8, 133, 183, and 184) within 48 hours of their admission to the facility. Findings include: 1. Review of resident 8's electronic medical record (EMR) on 3/24/25 revealed: *He was admitted on [DATE]. *There were no progress notes pertaining to a baseline care plan. *The first progress note pertaining to care planning was titled care plan change and dated 3/11/25. -It included removing 15-minute checks that had been instituted due to a concern for self-harm. […]

• No harm, potential for more than minimal, patternF880Dec 7, 2023

  Based on observation, interview, and policy review, the provider failed to ensure: *A countertop ice machine was free of limescale build-up. *A shower room was kept in sanitary condition, including storage, labeling, and an open package of crackers stored next to resident personal care items. *Beauty shop equipment filters were maintained in clean condition. Findings include: 1. Random observations on 12/5/23 from 3:30 p.m. to 5:00 p.m., 12/6/23 from 9:00 a.m. to 5:00 p.m., and again on 12/7/23 from 9:00 a.m. to 11:00 a.m. revealed: *A countertop ice machine located near the nurse's station that had limescale build-up on the front of the machine and on the ice spout. Interview and cleaning log review on 12/07/23 at 12:46 p.m. […]

• No harm, potential for more than minimal, isolatedF684Jul 16, 2026

  Based on interview, record review, and policy review, the provider failed to provide restorative therapy (a nursing-based program designed to help residents maintain or improve their independence) services for two of twelve sampled residents (9 and 22) who reported their restorative therapy services were not being completed. Findings include: 1. Interview on 7/15/26 at 9:03 a.m. with resident 22 in her room revealed that she was doing exercises on her own because restorative therapies were not being offered regularly. She wanted to keep her strength up so she could continue to remain as independent as possible. She would go to the therapy room to use the Nu Step machine (a seated, recumbent cross-trainer used in senior living centers for low-impact, full-body workouts). […]

• No harm, potential for more than minimal, isolatedF692Jul 16, 2026

  Based on observation, interview, record review, and policy review, the provider failed to ensure the staff monitored the nutrition, hydration, and weight status as ordered by the physician for one of one sampled resident (43) who did not have drinking water available and had documented weight fluctuations.Findings include:1. Observation and interview on 7/14/26 at 4:08 p.m. with resident 43 in his room revealed that he was sitting up in his bed, his water cup was empty, and the resident pointed at his water cup. When asked if he needed water, the resident nodded yes. The resident's call light was within reach, but he did not use it.2.Observation on 7/16/26 from 10:35 a.m. to 11:53 a.m. […]