Good Samaritan Society - St Martin Village

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF655Jul 30, 2026

  Based on record review, interview, and policy review, the provider failed to ensure the resident's baseline care plan (personalized plan that addresses a resident's care needs, goals, and interventions) was reviewed with and a copy offered to the resident or the resident's representative within 48 hours of the resident's admission to the facility for three of four newly admitted residents (3, 9, and 12).Findings include: 1. Review of resident 9's electronic medical record (EMR) revealed he admitted to the facility on [DATE]. There was no documentation that resident 9's baseline care plan was reviewed with him or his representative, and a copy was offered to him or his representative within 48 hours after his admission to the facility. 2. […]

• No harm, potential for more than minimal, patternF880Jul 30, 2026

  Based on observation, interview, and policy review, the provider failed to ensure infection prevention and control practices for hand hygiene (HH) (handwashing with soap and water or an alcohol-based hand sanitizer [ABHS]) and glove use were implemented by one of one licensed practical nurse (LPN) (N) during and after one of one sampled resident's (81) dressing change, one of one registered nurse (RN) (I) who did not perform HH before completing one of one sampled resident's (6) wound care treatment, one of one RN (F) who did not perform HH during medication administration for four of five sampled residents (60, 3, 49, and 24), one of one certified nursing assistant (CNA) (G) who did not perform HH during mealtime assistance provided for one of one sampled resident (28), and one of one CNA… […]

• No harm, potential for more than minimal, patternF561Mar 27, 2025

  51816 Based on interview, record review, and policy review, the provider failed to support residents' right to choose and receive the frequency and type of shower or bath consistent with their preferences for 7 of 17 sampled residents (20, 13, 38, 18, 15, 42, and 306). Findings include: 1. Interview on 3/24/25 at 3:30 p.m. with resident 20's daughter/power of attorney (POA) revealed: *Resident 20 was scheduled for a bath weekly. *She previously was bathed twice weekly but resident 20's daughter/POA was told she no longer received twice weekly baths because there was not enough staff to accommodate that. Review of resident 20's electronic medical record (EMR) revealed: *She was admitted on [DATE]. […]

• No harm, potential for more than minimal, patternF657Mar 27, 2025

  Based on observation, interview, record review, and policy review, the provider failed to ensure two of eight sampled residents' (1 and 51) care plans were revised to reflect their current status and care needs. Findings include: 1. Observation and interview on 3/24/25 at 3:13 p.m. with resident 51 and his spouse revealed: *The resident's room was without any personal items from home. *He was admitted to the facility after back surgery. He had a complicated and extensive hospitalization . *His goal was to return home with his spouse after his rehabilitation stay at the facility. *His pain had improved since he was admitted to the facility. *The resident's affect was flat. *In early March 2025, the resident's medical provider had recommended he see a counselor for his worsening depression. […]

• No harm, potential for more than minimal, patternF725Mar 27, 2025

  Based on observation, interview, record review, grievance review, and facility assessment review, the provider failed to have enough sufficient staff available to promote resident's rights, physical, mental, and psychosocial well-being for: *Eleven of fifteen sampled residents (7, 13, 14, 15, 18, 20, 26, 33, 38, 42, and 306) who were dependent on the staff to assist them with grooming, bathing, and toileting. *Five of five additional residents (22, 36, 45, 54, and 55) who had filed grievances on bathing and extended call light response time. Findings include: 1. Observation and interview on 3/24/25 at 2:14 p.m. […]