Good Samaritan Home

Certification

Medicare-certified.

Ratings

Inspection history (16)

Records from September 2022 to September 2025.

• September 19, 2025

  Tag F0580

  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  Severity G: isolated, actual harm. Corrected October 9, 2025.

• July 17, 2025

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 7, 2025.

• October 27, 2024

  Tag F0622

  Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 21, 2024.

• October 27, 2024

  Tag F0625

  Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 21, 2024.

• October 27, 2024

  Tag F0623

  Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 21, 2024.

• August 15, 2024

  Tag F0689

  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 6, 2024.

• August 15, 2024

  Tag F0609

  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 6, 2024.

• August 15, 2024

  Tag F0812

  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected September 6, 2024.

• August 15, 2024

  Tag F0610

  Respond appropriately to all alleged violations.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 6, 2024.

• November 14, 2023

  Tag F0609

  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 30, 2023.

• August 19, 2023

  Tag F0758

  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is l….

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 1, 2023.

• August 19, 2023

  Tag F0689

  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity J: isolated, immediate jeopardy. Corrected August 20, 2023.

• September 8, 2022

  Tag F0867

  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected October 3, 2022.

• September 8, 2022

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity K: pattern, immediate jeopardy. Corrected October 3, 2022.

• September 8, 2022

  Tag F0805

  Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 3, 2022.

• September 8, 2022

  Tag F0887

  Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 3, 2022.

Penalties (3)

Total fines: $26,640

• February 25, 2026 · Payment Denial

  CMS recorded a Medicare/Medicaid payment denial for new admissions starting March 26, 2026, lasting 18 days (triggered by inspection on February 25, 2026).

• February 25, 2026 · Fine

  CMS recorded a civil money penalty of $45,080 against this nursing home on February 25, 2026.

• August 19, 2023 · Fine

  CMS recorded a civil money penalty of $26,640 against this nursing home on August 19, 2023.

Staffing

5.02 nurse hours per resident per day in Q2 2026, up from 4.57 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

Non profit - Corporation