Good Samaritan Society - Westbrook
Westbrook, Minnesota · CCN 245595
21 surveys since 2011, 4 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 79
- Surveys
- 21
- Harm or worse
- 4
- Immediate jeopardy
- 2
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 32
- Ownership
- Non profit - Corporation
- Chain
- GOOD SAMARITAN SOCIETY
- County
- Cottonwood · rural
- Medicare-certified since
- 1992
CMS ratings
- Overall
- 3
- Health inspection
- 3
- Staffing
- 4
- Quality measures
- 2
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 123 not-for-profit facilities with fewer than 66 beds in Minnesota.
Last survey on record
Mar 19, 2026
235 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.55 | 4.22 |
| Registered-nurse hours per resident day | 0.67 | — |
| Annual nurse turnover | 29.0% | 42.1% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D642.9% | E321.4% | F535.7% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F8802×
Provide and implement an infection prevention and control program.
- F6861×
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- F6891×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F7561×
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- F7571×
Ensure each resident’s drug regimen must be free from unnecessary drugs.
In the surveyor’s words
From the most serious findings on record at Good Samaritan Society - Westbrook, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF868Mar 19, 2026
Based on interview and document review, the facility failed to ensure the IP brought data forth measurable data to 1 of 1 Quality Assurance Performance Improvement (QAPI) committee. This had the potential to affect all 32 residents. Findings include: Review of the QAPI meeting minutes from the past four quarterly meeting minutes identified: 1). November 14,2025, (Quarter 4), Infection Control (IC) documentation included data of Monthly infection summary which included numbers and types of infections. The minutes identified numbers for the current month compared to the previous month with a comparison percentage, but no breakdown, analysis or discussion for an ongoing plan identified 2). September 16, 25. […]
- No harm, potential for more than minimal, widespreadF880Mar 19, 2026
Based on observation, interview and document review the facility failed to provide surveillance and implement Transmission Based Precautions (TBP) for 7 of 7 residents (R6, R12, R16, R25, R29, R30 and R31) who were experiencing cold/respiratory signs and symptoms. The facility also failed to ensure nebulizer equipment was appropriately rinsed and dried after each use for 3 of 3 residents (R25, R29, and R30) and ensure appropriate cleaning and disinfection occurred for 1 of 1 multi-resident use whirlpool tub. This deficient practice had the ability to affect all 32 residents in the facility. Findings include: Whirlpool cleaning and disinfection: Observation on 3/18/26 at 10:10 a.m. […]
- No harm, potential for more than minimal, widespreadF812Jan 9, 2025
Based on observation, interview, and document review the facility failed to appropriately prepare unpasteurized eggs, monitor temperatures of food prior to serving, and to monitor the refrigerator and freezer temperatures to prevent food borne illnesses. Findings include: Observation and interview on 1/6/25 at 10:52 a.m., with the dietary manager (DM) during a tour of the kitchen, the DM identified the eggs located in the refrigerator in the prep area were unpasteurized. The DM reported that the facility cooked the unpasteurized eggs hard. She further reported she had forgotten to provide temperature monitoring sheets for the month of January, and temperatures had not been monitored and documented for the refrigerators and freezer. […]
- No harm, potential for more than minimal, widespreadF880Jan 9, 2025
Based on observation, interview and document review the facility failed to have a current, ongoing, system of surveillance to identify potential outbreaks of infectious disease, ensure transmission based precautions were implemented timely, perform root cause analysis to identify patterns of illness in staff or residents, report an outbreak of Norovirus (highly contagious gastrointestinal (GI) virus that causes inflammation of the stomach and intestines), prohibit staff from returning to work until 72 hours from resolution of gastrointestinal symptoms occurred. and ensure 1 of 1 whirlpool tub was appropriately disinfected between resident use according to the manufacturer's directions. This had the potential to affect all 29 residents. […]
- No harm, potential for more than minimal, widespreadF851Dec 6, 2023
Based on interview and document review, the facility failed to submit accurate and/or complete data for staffing information at least quarterly or more often, including information for agency and contract staff, based on payroll and other verifiable and auditable data during 1 of 1 quarter reviewed (Quarter 3) in Federal Fiscal Year 2023, to the Centers for Medicare and Medicaid Services (CMS), according to specifications established by CMS. The facility also failed to have a policy for PBJ that instructed how and when staff were to submit data and run verification reports to ensure data submitted was complete and accurate. This has the potential to affect all 34 residents residing in the facility. […]
Read 24 findings in full →The most serious and the most recent: 24 of 79 on record.
Every survey on record
FindingsAt actual harm or above
- Mar 19, 2026Standard and complaint2 findings
- Jan 9, 2025Standard and complaint8 findings
- Dec 6, 2023Standard4 findings
- Feb 16, 2023Standard and complaint7 findings
- Jan 19, 2022Complaint2 findings
- Jan 13, 2022Complaint3 findings
- Jul 27, 2021Complaint3 findings
- Mar 5, 2021Standard1 finding
Show the 13 earlier surveys
- Nov 19, 2020Infection control1 finding
- May 5, 2020Infection control1 finding
- Apr 17, 2019Standard and complaint4 findings · 1 harm
- Jun 28, 2018Standard3 findings
- Apr 12, 2017Standard2 findings
- Apr 8, 2016Complaint3 findings
- Feb 11, 2016Standard4 findings
- Jan 15, 2015Standard4 findings
- Jun 4, 2014Standard2 findings
- Nov 14, 2013Complaint3 findings · 3 harm
- Mar 28, 2013—3 findings
- Feb 9, 2012—8 findings
- Jan 13, 2011—11 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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