Good Samaritan Society - Superior

In the surveyor’s words

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

• Immediate jeopardy, isolatedF886Nov 9, 2021

  Licensure Reference Number 175 NAC ,d+[DATE].17A Based on interview and record review, the facility failed to prevent the spread of COVID-19 as evidenced by the failure to ensure unvaccinated staff members were tested in accordance with CMS (Centers for Medicare and Medicaid Services) guidelines. This failure led to all facility residents being isolated for exposure to COVID-19, 13 facility residents testing positive for COVID-19, 6 facility staff members testing positive for COVID-19, and one facility resident death from COVID-19. This had the potential to affect all residents residing in the facility. The facility had a total census of 36 residents. The findings are: A. […]

• No harm, potential for more than minimal, widespreadF812Jul 10, 2025

  Licensure Reference Number 175 NAC 12-006.11(E)Based on observation and interviews, the facility failed to maintain the ice machine in a sanitary manner. This had the potential to affect all residents residing in the facility. The facility census was 32.Findings Are:In an observation completed on 07/08/2025 at 8:00 AM the facility ice machine was observed in the common dining area. A thick, yellow-white flakey buildup was observed on the front of the machine where ice is dispensed. This material was also visible to the black water dispensing area as well as the fluid drain area and black grate that covered the fluid drain area. […]

• No harm, potential for more than minimal, widespreadF880Jul 10, 2025

  Licensure Reference Number 175 NAC 12-006.04(A)(ii)Based on record review and interview the facility failed to ensure that pre-employment health assessments were completed prior to the first day of employment as required to prevent the potential for transmissible diseases for 2 of 5 sampled staff. The facility census was 37.Findings are:Record review of the facility policy titled Hiring and Screening dated 3/28/25 revealed that Human Resources will conduct background checks on all new employees and transfers prior to beginning employment or transferring to a new position. […]

• No harm, potential for more than minimal, widespreadF921Jul 10, 2025

  Licensure Reference Number 12-006.19 Based on observations and interviews, the facility failed to ensure that fences on the outside perimeter were safe for residents who go outside, failed to ensure the weeds and grasses were mowed and removed from flower beds, failed to ensure that the water system electricity to the backyard pond was safe and the water in the pond was clean, failed to ensure that caulking in resident rooms was safe and sanitary in all resident rooms - this affected 3 residents (Residents 15, , and 36) of 37 sampled, and failed to ensure there were working light bulbs in the bathrooms of all resident rooms - this affected 2 residents (Resident 13 and Resident 5) of 37 residents sampled. […]

• No harm, potential for more than minimal, widespreadF880Apr 7, 2022

  LICENSURE REFERENCE NUMBER 175 NAC 12-006.04A2 Based on record review and interview, the facility failed to ensure measures were in place and followed to prevent the potential spread of Covid-19 (a mild to severe respiratory illness that is caused by and spread by the coronavirus) related to not monitoring staff and visitor screenings. The facility census was 40. FINDINGS ARE: A record review of the staff Covid-19 screening logs dated 2/1/22 through 4/6/22 revealed answers which were outside the normal limits and indicated symptoms or exposure to Covid-19 on 4 occasions. […]