Good Samaritan Society - Blackduck

Certification

Medicare-certified.

Ratings

Inspection history (22)

Records from August 2023 to October 2025.

• October 31, 2025

  Tag F0686

  Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 26, 2025.

• October 31, 2025

  Tag F0655

  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 26, 2025.

• October 31, 2025

  Tag F0641

  Ensure each resident receives an accurate assessment.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 26, 2025.

• August 20, 2025

  Tag F0605

  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 24, 2025.

• August 20, 2025

  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 24, 2025.

• August 20, 2025

  Tag F0686

  Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 24, 2025.

• August 20, 2025

  Tag F0756

  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 24, 2025.

• August 20, 2025

  Tag F0690

  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 24, 2025.

• June 13, 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 July 22, 2024.

• June 13, 2024

  Tag F0865

  Have a plan that describes the process for conducting QAPI and QAA activities.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected July 22, 2024.

• June 13, 2024

  Tag F0882

  Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected July 22, 2024.

• June 13, 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 July 22, 2024.

• June 13, 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 July 22, 2024.

• June 13, 2024

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected July 22, 2024.

• February 7, 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 March 13, 2024.

• August 10, 2023

  Tag F0756

  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 20, 2023.

• August 10, 2023

  Tag F0661

  Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 20, 2023.

• August 10, 2023

  Tag F0554

  Allow residents to self-administer drugs if determined clinically appropriate.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 20, 2023.

• August 10, 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 E: pattern, no actual harm, potential for more than minimal harm. Corrected September 20, 2023.

• August 10, 2023

  Tag F0641

  Ensure each resident receives an accurate assessment.

  Severity B: pattern, no actual harm, potential for minimal harm. Corrected September 20, 2023.

Penalties (1)

• July 1, 2026 · Fine

  CMS recorded a civil money penalty of $22,205 against this nursing home on July 1, 2026.

Staffing

4.13 nurse hours per resident per day in Q2 2026, up from 4.07 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

Non profit