Good Samaritan Society - Windom

Certification

Medicare-certified.

Ratings

Inspection history (35)

Records from November 2023 to February 2026.

• February 12, 2026

  Tag F0755

  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 18, 2026.

• February 12, 2026

  Tag F0609

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

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 18, 2026.

• February 12, 2026

  Tag F0759

  Ensure medication error rates are not 5 percent or greater.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 18, 2026.

• February 12, 2026

  Tag F0685

  Assist a resident in gaining access to vision and hearing services.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 18, 2026.

• February 12, 2026

  Tag F0578

  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 18, 2026.

• February 12, 2026

  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 March 18, 2026.

• February 12, 2026

  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 March 18, 2026.

• February 12, 2026

  Tag F0582

  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 18, 2026.

• February 12, 2026

  Tag F0695

  Provide safe and appropriate respiratory care for a resident when needed.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 18, 2026.

• February 12, 2026

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected March 18, 2026.

• February 12, 2026

  Tag F0645

  PASARR screening for Mental disorders or Intellectual Disabilities.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 18, 2026.

• February 12, 2026

  Tag F0868

  Have the Quality Assessment and Assurance group have the required members and meet at least quarterly.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected March 18, 2026.

• February 12, 2026

  Tag F0628

  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 18, 2026.

• February 12, 2026

  Tag F0610

  Respond appropriately to all alleged violations.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 18, 2026.

• February 12, 2026

  Tag F0638

  Assure that each resident’s assessment is updated at least once every 3 months.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 18, 2026.

• February 12, 2026

  Tag F0684

  Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 18, 2026.

• January 27, 2026

  Tag F0791

  Provide or obtain dental services for each resident.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 25, 2026.

• January 27, 2026

  Tag F0686

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

  Severity K: pattern, immediate jeopardy. Corrected February 25, 2026.

• January 27, 2026

  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 D: isolated, no actual harm, potential for more than minimal harm. Corrected February 25, 2026.

• January 27, 2026

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 25, 2026.

Penalties (2)

Total fines: $194,680

• January 27, 2026 · Payment Denial

  CMS recorded a Medicare/Medicaid payment denial for new admissions starting February 26, 2026, lasting 20 days (triggered by inspection on January 27, 2026).

• January 27, 2026 · Fine

  CMS recorded a civil money penalty of $194,680 against this nursing home on January 27, 2026.

Staffing

4.51 nurse hours per resident per day in Q2 2026, up from 3.69 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

Non profit